Inspection on 28/04/06 for Stoneham House

This inspection was carried out on 28th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Stoneham House 02/12/09

Stoneham House 28/11/08

Stoneham House 05/12/07

Stoneham House 25/05/07

Stoneham House 15/01/07

Stoneham House 01/09/05

Stoneham House 13/04/05

Stoneham House 19/10/04

Stoneham House 12/05/04

Stoneham House 14/01/04

Stoneham House 11/07/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Stoneham House 4 Bracken Place Chilworth Southampton Hampshire SO16 3NG Lead Inspector Mr Rodney Martin Unannounced Inspection 28th April 2006 09:30 X10015.doc Version 1.40 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 Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 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 Older People. 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. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stoneham House Address 4 Bracken Place Chilworth Southampton Hampshire SO16 3NG 023 8076 8715 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) Mrs W L Bellett Mrs Josephine Mary Ann Mills Care Home 37 Category(ies) of Dementia - over 65 years of age (37), Old age, registration, with number not falling within any other category (37) of places Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1 September 2005 Brief Description of the Service: Stoneham House is a care home providing personal care and accommodation for a maximum of 37 older people, most of whom have dementia. The home is registered in the categories OP [older persons] and DE(E) [dementia over 65 years]. The home is located on the outskirts of Southampton with easy vehicular access to local amenities. The home was opened in 1995 and is a large detached property standing in extensive grounds. There is a car parking area at the front and the side of the building. The building stands on a slight hill, so has three floor levels, which can be accessed with a shaft lift. The home has some shared bedrooms, but the present philosophy of the home is to operate at less than full capacity, thus ensuring that current residents have a single room. Communal space is provided by way of a large lounge, a dining room and a conservatory area. There are also two patio areas, with some furniture. The current level of fees is £420 to £500 per week. This information was contained in the pre-inspection questionnaire received in the Commission’s office on 18 April 2006. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 9.30am and 3.45pm. Mrs Josie Mills, registered manager was on duty. There were six action points in the previous inspection report, dated 1 September 2005. It was confirmed during the inspection that these were met. A tour of the building was completed. Individual private and corporate discussion with service users took place, as well as with the staff on duty. On the day of the visit the home was accommodating twenty-four residents, with one resident in hospital, whose ages ranged from 74 to 99 years old. Stoneham House has twenty female and four male residents. There have been two permanent admissions since the last inspection and several short stays. Various records were inspected. These were relevant and up to date. In line with the Commission’s policy, all the key standards were inspected on this occasion. What the service does well: What has improved since the last inspection? The six matters that required attention in the last inspection report have been implemented. This included three aspects with care planning, the home to be kept free of odour, a formal quality assurance system to be implemented and staff to receive six supervision sessions a year. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 6 A comprehensive training programme for staff has been implemented as well as a system of supervision sessions. There has also been an improvement in the record keeping within Stoneham House. 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. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process ensures that residents move into the home after having their needs assessed. Prospective service users and or their relative(s) are able to make an informed choice about whether or not the home can meet their particular needs. Stoneham House does not provide intermediate care. EVIDENCE: There have been two permanent admissions since the last inspection and several short stay admissions, with the last one discharged in mid-April 2006. The home has an admissions policy, which ensures that service users are assessed before accepting a place at Stoneham House. The two new residents’ assessments were sampled and found to contain a comprehensive range of information. Assessments were completed before residents moved in to the home. The files contained a thorough assessment including mobility, history of falls, feeding, diet, sight, hearing, continence, areas prone to pressure, medication, what name the person likes to be known Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 9 by, et cetera. The home identifies in writing that it is able to meet the particular prospective service user’s needs and the room offered is the room resident moves into. The manager also asks during the assessment if there are any outstanding hospital appointments, or if a district nurse is currently visiting. The manager will complete the assessment either at the prospective residents home or if they are in hospital, or at Stoneham House. Prospective residents and relatives are encouraged to visit the home. Assessments are also sought from social workers or health care professionals. The file also contained the photograph of the resident. A copy of the statement of purpose and service users guide was observed to be available in an empty bedroom. Residents are given a suitable terms and conditions of residency. One resident said, “The home meets our every day requirements”. They also said that they would recommend someone coming to Stoneham House and that there are “not many restrictions”. Another resident said they enjoyed the freedom they were given. Stoneham House does not provide intermediate care, although prospective residents can come for a short respite stay, if there is a vacancy. Short stay residents are assessed in the same way as permanent residents. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning are sufficient to ensure that the residents’ physical and emotional health needs are met. Medication practices and procedures ensure that residents are protected. Working practices in the home ensure the promotion of privacy and independence for service users. EVIDENCE: Although it was noted in the previous inspection report, the home, currently, does not have any resident displaying challenging behaviour. However, strategies have been put in place to deal with aggressive and challenging behaviours. Each resident has a separate file that includes relevant details about them, a copy of their admission form, a personal contact sheet detailing relevant entries about the service user, a matrix assessment, a risk assessment, medication details and the care plan. The care plan detailed activities of daily living and their requirements during the night. The care needs of those with dementia were highlighted on the monthly review sheet. Staff have received training in dementia as well as managing abusive behaviour. All care plans had been reviewed on a monthly basis. Several Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 11 residents were care tracked and the records gave a clear indication of the care required. The personal and oral hygiene of each service user is maintained and recorded. A record is kept of all health professional visits. Residents are registered with three GP practices in Alma Road, Stoneham Lane and Raymond Road. The manager reported that there is very good support from the latter two surgeries. There is good support from the district nurses coming to Stoneham House. A community psychiatric nurse is currently visiting the home to give a resident a depot injection. There are regular reviews of medication. Residents have a choice of attending surgery or other medical services but tend to prefer domiciliary visits to the home. The manager reported that relatives are not generally involved with medical appointments. The home would either book a hospital car or a member of staff would take them for an out-patient appointment. For consultant appointments the relative usually takes the resident. Residents because of frailty and through convenience have domiciliary visits by the optician, dentist and chiropodist. The latter comes every six weeks. Residents have access to all other health professionals on an as needs basis. The home has a relevant medication policy, which satisfactorily details the receipt, recording, storage, handling, administration and disposal of medicines. Residents are able to self medicate within the home’s risk management framework. Currently one new resident is self-medicating and a selfmedication risk assessment from their GP is to be obtained. All residents are on some form of medication. Lockable storage is available in the service user’s room. The home operates a ‘Nomad’ system for administering medication. This is kept in a locked drugs’ cupboard. The home does not currently have any controlled drugs. The drug administration sheets were found to satisfactorily recorded, with no omissions. The drugs’ cupboard was found to be clean, tidy and safe. Relevant staff have received medication training. Residents, spoken to, confirmed that privacy and dignity is respected at all times. Residents can see their GP in the privacy of their own room as well as medical examination. Lockable storage is provided in each bedroom. An appropriate lock is provided on all bedroom, toilet and bathroom doors. Residents are free to make and receive telephone calls in private. Some residents have their own telephone installed. One resident said that they enjoyed having their own freedom without any obligation to join in social activities and to be able to have meals in their room. The home has a policy on death and dying and a procedure, for staff to follow, of what to do in the event of the death of a resident. It was reported that three residents had died in Stoneham House in the previous six to seven Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 12 weeks, with the last one on 10 April 2006. Although the home had followed the procedure, it was noted during an inspection of residents’ files that the service users wishes concerning terminal care and arrangements after death are not routinely recorded. Although this standard is not a key standard, it was agreed that the manager would send a letter to the residents’ relative(s) or advocate, to update the home’s record to include funeral arrangements. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of appropriate age-related activities in the home. Residents’ capacity to exercise personal control and choice is upheld within Stoneham House, including maintaining contact with their family. The nutritional needs of residents are well managed and menus offer variety and choice. EVIDENCE: Stoneham House has a weekly programme of activities that residents can participate in, including musical entertainment. Some residents prefer to make their own entertainment. One resident has their own car and enjoys weekly trips out. Several residents expressed the view that there was a relaxed atmosphere in the home and that they had the freedom to be independent. Visitors can visit at any reasonable time and residents can see their visitors in the privacy of their bedroom or in the communal areas of the home. There is a lounge on the lower ground floor, which is not used much by residents, but is equipped with a small kitchenette area for making drinks et cetera, that is used by visitors and also for celebrating special occasions such as birthdays. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 14 It was evident that residents can bring their own ornaments and furniture into the home. The home’s statement of purpose refers to residents making choices in their lives. Residents can manage their own money if they are able, and can choose how to spend it. Residents come down for breakfast and, those spoken to, confirm that the meal is not rushed. Some residents had a cooked breakfast on the day of the inspection. Residents are offered a choice for the midday meal. The inspector had lunch with the residents. Lunch was observed to be unhurried, with appropriate assistance being offered where necessary. The meal was plated and residents had fish and chips or mince and onion pie, peas and sweetcorn. One resident had chicken curry. Residents had trifle for dessert. Residents, spoken to, enjoyed their meal and said that the food was good in Stoneham House. Residents were due to have homemade vegetable soup, sandwiches, bread and butter and cake for tea. The cook has worked six years as a cook and twelve years in all in Stoneham House. The kitchen was clean and tidy. Food and refrigerator temperatures are routinely recorded, as well as the temperature of the main meal, to monitor food safety. Several residents require their meal liquidised and it was discussed liquidising the food individually to give a better and more appetising presentation of the meal. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure, which residents feel able to use and an adult protection procedure, which protects and safeguards residents from abuse. EVIDENCE: The complaints procedure is displayed on the hall notice board, along with a copy of the last inspection report, and is in the statement of purpose. The procedure includes appropriate timescales. The home has a complaints log and since the last inspection there were three minor issues recorded. These had been satisfactorily dealt with. Residents, spoken to, were aware of whom to complain to should they have a need to raise a complaint or issue. The Commission has not received any complaints. Stoneham House has an adult protection policy and staff, spoken to, were aware of the issues involved. Staff received adult protection training in January 2006 and received certificates following the course. There have been no incidents of abuse recorded in the home. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and pleasant environment, where they have individualised their bedrooms, to meet their needs. EVIDENCE: A tour of the building was undertaken. Stoneham House is a large building over three floors with a passenger lift and two stair lifts. The home is situated on a shared private road, just off the Chilworth roundabout. Although the home is registered for thirty-seven residents, Stoneham House has thirty-four bedrooms and the current philosophy of management is to operate at less than full capacity, ensuring that residents have a single room. Twenty-six bedrooms are provided with en suite facilities and one bedroom has an en suite bath and another a small bath an en suite shower. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 17 There is a sense of spaciousness within the home, with a large dining room, separate lounge and conservatory and a lounge with kitchenette on the lower ground floor. The latter, is not used much by residents but can be used for small functions and by visitors. Residents, spoken to, were satisfied with their rooms. There was evidence of residents’ personal belongings in the rooms. It was noted that the carpet was rucked by the bed, in room 34. The manager reported that plans were in hand to remedy the situation. It was also noted that a copy of the statement of purpose and service users guide was left in empty bedrooms, in readiness for a new prospective service user. There were no adverse smells noted. The home has a separate laundry room, which is situated away from food preparation. The room has two industrial washing machines and an industrial dryer, which is sufficient to keep up with the laundry requirements of the residents. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good recruitment practices and sufficiently trained staff ensure that residents’ needs are met. EVIDENCE: Stoneham House employs twelve carers, four domestic staff, two cooks, three people working in the office, including finance administration and a registered manager. Since the last inspection nine new staff members have been recruited, but one subsequently left. The home is not now using agency staff, which has meant more consistency within the staff team. On the day of the inspection there were four care assistants on duty, two domestics, a cook and kitchen assistant, admin support and the registered manager, which were sufficient for the twenty-three service users currently in the home. Three care assistants are currently enrolled on an NVQ [national vocational qualification] level 2 course, through distance learning with Southampton City College. The home is currently advertising, through the Job Centre, for two night care staff. Stoneham House endeavours to employ staff with the right attitude towards the care of the elderly, although it was felt that previous experience was not essential, but it was preferred. However, consideration is given to the applicant’s general manner, caring nature et cetera, an understanding of the client group and that they possess the necessary attitudes and aptitudes for Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 19 their role within the home. The process of selecting new staff consists of an interview, following an appointment, completing an application form, with proof of identity and the name of two referees for a reference and the completion of the CRB [Criminal Records Bureau check] and PoVA first check [Protection of Vulnerable Adults]. Once satisfactory references have been returned the PoVA first check and CRB checks are sent. A new staff member is supernumerary for a number of shifts and the induction programme is started. Staff files were viewed. These contained the application form, which included a signed declaration under the Rehabilitation of Offenders Declaration, two written references, a returned negative CRB notification, proof of identity, their training plan and copies of their supervision record. Since the last inspection the manager has implemented a comprehensive training programme between September 2005 and February 2006, with courses having taken place on health and safety, food hygiene, manual handling, first aid, fire safety, infection control, medication awareness, adult protection, managing abusive behaviour and dementia awareness. The home uses outsider trainers to do the training in-house. The manager reported that the courses had been checked with Skills for Care and Development [formerly TOPSS – The National Training Organisation for Social Care]. Several staff members, spoken to, said that they appreciated the training and saw it as a platform to build on their knowledge and skills in the caring profession. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides good leadership, which ensures staff are supported and residents’ health, safety and welfare are promoted and protected through the home’s practices. EVIDENCE: The manager is suitably qualified to run Stoneham House and has worked in the home for fifteen years. She is currently half way through the registered managers award for NVQ level 4 in both management and care. She communicates a clear sense of direction and leadership within the home. She has been able to cascade relevant training to the staff. There is an open, friendly and transparent atmosphere within the home. Residents spoke warmly of staff and the way the home is run. The home is using questionnaires to further ensure a quality control within Stoneham House. It Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 21 was noted in the previous inspection report that the manager did not have a job description. This has been done along with issuing a contract. It was also noted in the previous inspection report that the home did not have a quality assurance system in place. In March 2006 a fifteen-question survey was handed out to residents. To date eleven replies had been received and residents had made positive comments. The home is not appointee for any service user. Two residents are subject to Court of Protection orders. The home looks after the money for twelve residents. A check of residents’ money held was found to be correct. It was noted that one resident had accrued nearly £800 in their cash account. They only have one sibling, who is not interested in taking financial responsibility. The manager reported that a care review was due with Adult Services [previously known as Social Services] and it was agreed that this would be discussed with the care manager. The inspector spoke to the resident concerned. They confirmed that they were not able to manage a bank or savings account and preferred to have cash available. The large amount, held by the home, was discussed and the resident was happy for this matter to be resolved. There was a requirement in the previous inspection report regarding staff supervision. A system of supervision is in place. All staff have received two supervision sessions this year and there was evidence of this. Staff, spoken to, said they had benefited from these sessions. The inspector discussed various forms of supervision to include one-to-one, work practice issues dealt with in group supervision or supervision covering all aspects of the staff member’s practice. The fire logbook was inspected and the records indicated that the fire safety equipment had been tested and serviced in accordance with previous laid down standards. A fire officer from Hampshire Fire & Rescue Service visited Stoneham House on 22 February 2006. They left a satisfactory report. Thirteen staff members received fire training from a fire prevention firm on 22 February 2006. The last fire drill took place on 2 March 2006. The manager ensures the safe working practices by planning courses on health and safety within Stoneham House, including first aid, adult protection, manual handling, food hygiene, fire and medication. Risk assessments are in place. There are current and up to date contracts on electrical equipment as well as kitchen and domestic appliances et cetera. COSHH [control of substances hazardous to health] policies and procedures are in place. Window restrictors are in place on the windows above ground level, to ensure safety for residents. From a check of the records and practices observed in the home during the inspection, the health and safety measures taken in the home ensure the welfare and safety of the residents. Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 Stoneham House DS0000012356.V288937.R01.S.doc Version 5.1 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!