Inspection on 29/05/07 for Stonecroft

This inspection was carried out on 29th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stonecroft 30/10/08

Stonecroft 08/12/05

Stonecroft 01/06/05

Stonecroft 26/02/05

Stonecroft 29/07/04

Stonecroft 29/01/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Stonecroft Kibblesworth Gateshead Tyne & Wear NE11 0YJ Lead Inspector Miss Nic Shaw Key Unannounced Inspection 29th & 31st May 2007 9:30am Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stonecroft Address Kibblesworth Gateshead Tyne & Wear NE11 0YJ 0191 410 3323 P/F 0191 410 3323 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Northumberland, Tyne & Wear NHS Trust Susan Lawrence Care Home 5 Category(ies) of Learning disability (5), Physical disability (1), registration, with number Sensory impairment (1) of places Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2005 Brief Description of the Service: Stonecroft was first opened in 1997 as part of Northgate and Prudhoe NHS Trusts, The Trust, resettlement programme. It provides ordinary housing for people with learning disabilities who were formerly resident in long stay hospitals. Stonecroft can provide personal care for 5 people who have a learning disability. The service cannot provide nursing care. The home is a large detached bungalow set in its own grounds. The house is spacious with a large living room, dining room, kitchen, sun lounge, breakfast area and six bedrooms. The home has wide passageways which can be easily used by people who use wheelchairs. There is a separate laundry and storage facilities. There are pleasant gardens to all sides of the home that service users can reach safely. The home is situated in the village of Kibblesworth a few miles from the town centre of Birtley and the Team Valley Trading Estate. The village itself has a number of local amenities including shops, public house and a community centre. There are bus stops nearby which link with the main regional centres and the home has its own transport which has been adapted so it can be used by service users who use a wheelchair. The weekly fee payable by service users is £62.35. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days in May 2007 and was an unannounced key inspection. The inspection included information which had been provided by the manager in a questionnaire. Questionnaires were also sent to each of the service users relatives. Two relatives completed and returned a questionnaire to the Commission before the inspection. Time was spent talking to the manager and staff and the service users were present for most of the time. Some time was spent looking at the home, including the lounge, breakfast area, dining room and garden. A sample of records were also looked at. The inspection focused on three of the service users, all of who have with very different needs. This is known as “casetracking”, and this involved looking at what it was like, from their point of view, living at Stonecroft. As the service users are not able to use speech to express their views this involved watching the staff’s care practices with them and checking that information obtained from discussion with staff and observation was accurately recorded in the care records. What the service does well: The manager makes sure that the service users needs are regularly reassessed so that everyone knows that Stonecroft continues to be the right place for them to live. Care plans and risk assessments are excellent. These are kept up to date so staff know what they need to do to meet the personal, social and healthcare needs of the service users whilst at the same time helping them to live independently. In order to help the people living at Stonecroft to make choices and decisions there is lots of information in their care plans about how they communicate. The food is nice and there are plenty of staff around so that the service users can take part in lots of leisure activities. The home has its own transport and the staff make sure that each year everyone has a holiday. The staff are good at involving families in the service users care by regularly contacting them as well as making sure they are made to feel welcome when they visit the home. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 6 Relatives said they knew how to complain and staff have had training so that they know what to do to stop people from being abused. The staff have had lots of other training, such as person centred planning and control and restraint, so that they can do their job well. As well finding out what relatives think of the service, so that things can be improved, there are good quality assurance systems in place to make sure that high standards of care are provided. One relative has recently sent a card to the home to thank the staff for the care their family members are receiving. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health and personal care needs are always assessed prior to admission in order to determine that these can be met in the home. EVIDENCE: Although there have been no new admissions to the service since the home first opened some years ago, there are clear admission policy and procedures in place. These include obtaining an up-to-date care management assessment so that future prospective service users are assured that the service will be able to meet their needs. The needs of all five service users are continually reviewed and, where it has been necessary, re-assessed by a social worker to make sure that their needs can continue to be met at Stonecroft. Due to the complex needs of the service users the staff and their relatives are fully involved in this process as advocates on their behalf. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users care plans are excellent and give detailed information about service users as individuals, which helps to provide good quality of care. Service users are able to take risks and the staff continue to develop ways of communicating with the service users in order to help them make choices in their daily lives. This enables the service users to lead independent lifestyles. EVIDENCE: Care plans provide staff with clear guidance on the action they need to take to meet each service user’s assessed needs. The plans are person centred and focus upon the individual’s strengths and personal preferences. They are written in such a way as to ensure that service users are given as much control as possible over the activities of daily living. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 10 For example: for one service user this means they are able to dress independently, choose whether or not to have a bath or shower and which member of staff they would prefer to assist them. The level of detail in the care plans is excellent, particularly for those people who may become agitated, and staff were observed to follow the care plans in practise. A new staff member commented that reading the care plans had really helped her to gain an understanding of each individuals care needs. In addition to a monthly evaluation completed by the keyworkers, the manager continually reviews and up-dates the care plans, the frequency of which is clearly determined by the needs of the service users. The care plans include photographs and pictures and are written in plain English so that they are easy for people to understand. Good information on the service users method of communication is included in a “communication dictionary”. As demonstrated through the care plans service users are encouraged to be independent in all areas of their daily life, such as personal care tasks and taking part in activities inside and outside the home. All of these can involve taking a degree of risk. The manager assesses any hazards that may be involved in carrying out certain tasks, as well as identifying any benefits and pitfalls. If hazards are too great, choices may be restricted to promote safety for that person. Information about risks are recorded in the format of a risk assessment; this allows staff to give the correct amount of support to the person as well as reducing any further chances of hazard. Examples of risk assessments in place include horse riding, swimming, using the kitchen, using the home’s transport and knitting. None of the service users have an advocate. The manager confirmed that this is because there are a shortage of advocates in the Gateshead area, however, she has ensured that all five service users names have been placed on the waiting list. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in a wide range of activities both inside and outside the home. Service users are assisted to maintain links with their families and to have a regular community presence. This enables them to lead a full and enjoyable life. Service users are provided with a nutritious, varied diet which helps to promote their general health and well being. EVIDENCE: There is an activities timetable which shows what each service user will be doing each day. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 12 This includes activities indoors, such as aromatherapy, to activities in the local community ranging from a weekly music club and disco to swimming, horse riding, bike riding, a trip to a deer farm as well as regular trips to local concerts such as the Riverdance. Staff also make sure that service users are provided with other opportunities to take part in community activities such as trips to the bank, shopping at the local supermarket as well as attending a local hairdressers. The home also has its own transport. An enabler is employed to work in the home 5 days each week. The enabler is a person whose sole responsibility is to support the service users with leisure activities in the community. On the day of the inspection an enabler arrived and, with the help of care staff, accompanied all of the service users on a trip to a local music club. The enabler completes an annual review of the activities they have supported the service users with. This information is used to help ensure future activities provided are planned around the service users likes and preferences. In addition to the enabler additional staff have been provided so that one person, with complex needs in relation to their behaviour, can continue to enjoy an active lifestyle. With careful planning and appropriate staff support all of the service users will experience a holiday this year. These have been arranged based upon the staff and their knowledge of each service users personal preferences and range from a holiday to the Calvert Trust to a short break in a self-contained flat in York. Although none of the relatives were visiting on the day of the inspection information received from them confirmed that they are able to visit their family member at any time and are always made to feel welcome by the staff. Staff are also in regular contact with relatives making sure that they are kept informed of any changes to their family members health care needs. Service users are able to spend time on their own or with others and each individual’s preferred daily routine is clearly recorded in their care plans. Menus are planned and decided based upon the service users likes and dislikes, which is recorded in their care plans. Mealtimes are very flexible and times of meals depend on the routines and activities that service users are attending. The Inspector sat and chatted with service users and staff over lunch. Staff had prepared the meal, as due to the complex needs of the service users, they are not able to help in this area. Specialist aids have been provided so that service users can drink independently and throughout the meal the staff offered encouragement and support to the service users where this was needed. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users receive the support they need from staff to ensure that their personal, physical and emotional health needs are met. The service users are protected by the homes medication policies, procedures and practises. EVIDENCE: The care plans provide clear guidance to staff on the service users preferences on how their personal care needs are to be met. The areas covered within the care plans include personal care, skin care and eating a meal. The care plans are all different and the content reflects the personal care needs of each service user. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 14 Personal support is flexible and consistent and staff are clearly knowledgeable of the service users personal and health care needs and how best to offer support. The service is particularly excellent at ensuring that prompt referrals are made to a range of specialist healthcare professions, such as speech and language therapists, consultant psychiatrists and dieticians, in response to the service users changing healthcare needs. A monthly review of the service users needs is carried out within which any changes in the service users health care is closely monitored. Keyworkers complete an annual healthcare assessment to ensure that routine healthcare checks such as chiropody, optical and dental have been undertaken. Detailed behavioural guidelines have been developed, in conjunction with other healthcare professionals, where this has been identified as a need. These are regularly monitored and evaluated and information used to ensure the care plans are kept up-to-date. Staff are trained and competent in health care matters, particularly how to respond to those service users who may become aggressive. Medication records confirmed that medication is administered to service users appropriately. Systems are in place for ordering and the safe disposal of medication. There are detailed guidelines in place to advise staff of when to administer “as and when required” oral medication. An audit of the medication held in the home was checked and correct and corresponded to the medication administration records, which are held on one file and contain good detailed information. Medicines are stored safely and securely and follow the Royal Pharmaceutical guidelines. Advice was offered of the need to provide information on the medication administration record in relation to when and where prescribed creams are to be administered. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Whilst service users communication skills are very limited, arrangements are in place through the complaints process to promote their safety and offer protection. Appropriate policies and procedures are in place, supported by staff training, which ensure that service users are protected from abuse and neglect. EVIDENCE: There is a complaints procedure available to the service users in plain language and large print. Relatives said in the questionnaires received that they knew how to make a complaint but had never felt it necessary to do so. There have been no complaints since the last inspection. Staff said that they had had training in relation to the protection of vulnerable adults. There is also written information available to staff, called “don’t delay” advising them of their duty of care to report bad practise or any suspicion of abuse. The manager and staff clearly understand the Safeguarding Adults procedures and attend meetings and make referrals appropriately. There have been a number of referrals made since the last inspection mainly in response to service users changing needs. Outcomes from these have been managed well by the service. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 16 Policies, procedures and staff practices also ensure the financial protection of service users. Records showed that for all transactions made on behalf of the service users, two staff signatures as well as receipts are obtained. Regular internal and external audits of the service user’s personal money are carried out and relatives are always consulted about any major purchases. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is homely, comfortable and clean providing the service users with a safe place to live. However, some of the soft furnishings and flooring need to be replaced in order to provide a well maintained environment for the service users. EVIDENCE: The building throughout was found to be clean with no unpleasant odours. There is a communal lounge, breakfast area and separate dining room. These are bright, airy, comfortable places, providing service users with plenty of space and choice of where to spend their time. There is also a well maintained garden which everyone can safely use. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 18 All rooms are single occupancy and service users are encouraged to personalise these areas. Aids and adaptations are provided to meet the different physical needs of the service users. There is a maintenance programme in place and it was evident from records that the manager has identified those areas that require urgent attention. The manager does not hold a budget to purchase larger items, such as communal furniture or to authorise re-decoration. However, she has written to the relevant department within the Trust requesting funding to replace the settees and chairs in the lounge, as these are old and worn, and the flooring in the breakfast area. The manager has not as yet received a response from the Trust in relation to this. The staff are responsible for domestic tasks but as far as possible they encourage the service users to help them with this. The staff support the service users to keep their bedrooms clean and help them with their personal laundry. This is recorded in the activities timetable. Detailed policies and procedures are available in relation to infection control and discussion with the manager and staff confirmed that they have all had training in relation to this as part of their induction. Protective gloves and aprons are available for staff to use. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from skilled, experienced staff and the good staffing levels ensure that the service users needs are readily met. Staff records are not held within the home and therefore it was not possible to confirm that the service users are supported and protected by the home’s recruitment practices. EVIDENCE: There are always three staff on duty during the day. Recently a fourth member of staff has been provided in order to meet the changing needs of one service user. In addition to this, as previously mentioned, there is an enabler on duty five days a week. There is always one person who sleeps in and a waking night staff. These staffing levels are major contributing factors in assisting service users to lead rich and varied lifestyles. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 20 On the day of the inspection there were three staff on duty and, due to staff sickness, no enabler. This was quickly dealt with by staff who contacted the on call manager within the organisation who arranged for the provision of two additional staff. The organisation provides staff with opportunities to go on a wide range of training beyond the basic requirements. In addition to mandatory training, such as food hygiene and fire safety, this has included training in specialist area such as Makaton, “management of violence and aggression”, control and restraint and person centred planning. There is a training programme and plans are in place for some of the staff to receive training in equality and diversity, the Mental Health Act and “computers for the scared”. There are only three of the eleven staff left to complete the NVQ level 2 qualification in care, which exceeds the minimum standard of 50 . Discussion with a member of staff who had only worked in the home for four days confirmed that the manager had ensured that a full comprehensive induction had been undertaken with her. All staff were clear of their roles and responsibilities with the sleep-in member of staff being the person in charge. They were very knowledgeable of the needs of the service users and could describe in detail each individual’s health and personal care needs. The new member of staff was clear that she was not to undertake certain tasks within the home until she had received the relevant training. Staff recruitment records are kept centrally so were not seen. However, it is the policy of the organisation for personnel staff to make sure that CRB checks are completed and appropriate references and full employment histories obtained. Only two staff have left in the last year which is important in terms of promoting continuity of care. Staff said that they have monthly team meetings and records are maintained of these. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Overall management systems are excellent and ensure that the health, safety and welfare of service users are promoted. EVIDENCE: Staff said about the manager that she was “absolutely” approachable and that she was “the best manager the home has had”. They said that they were not afraid to challenge her if they did not agree with something and that they always felt listened to. They also commented that they knew their confidences would be kept. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 22 The manger has considerable experience in a variety of care roles as well as four years experience in management. She is competent and skilled to carry out this role and in addition to the completion of the NVQ level 4 qualification in care she has undertake other training, such as “mentor update”, and NVQ assessor and internal verifier awards. The manager is highly motivated and committed to ensuring that the diverse needs of all of the service users are met to a high standard. She has continually ensured that the appropriate action, such as provision of additional staff, specialist training and referral to other professionals for advise, has been quickly made to ensure that the staff team continue to be able to meet the changing needs of service users. The Trust has a comprehensive internal quality assurance system in place. This involves a monthly audit of a range of standards, including financial transactions and complaints. The home’s line manager also completes a monthly audit and this information is used to produce an annual development plan. The views of service users and their relatives are also sought through questionnaires and this information used to inform this process. Appropriate records are held in relation to accidents. The fire log book examined confirmed that all staff receive a regular fire drill and new staff working in the home said that they were given a fire instruction on their first day in the home. The manager is in the process of completing a fire risk assessment for the building. During the inspection there were no health and safety risks noted. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 X 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 x 3 x x 3 x Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 24 N0 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23(2) Requirement The communal furniture and flooring in the breakfast area must be replaced. This is to ensure that service users live in a well maintained environment. Timescale for action 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations Detail in relation to when and where prescribed creams are to be administered should be recorded on the medication administration record. This is to minimise the risk of medication administration errors occurring. Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stonecroft DS0000007418.V333255.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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