Inspection on 10/01/06 for Stoneleigh

This inspection was carried out on 10th January 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

Stoneleigh 28/06/07

Stoneleigh 17/05/06

Similar services:

Flint House

The Ley Community

Yeldall Manor

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

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

CARE HOME ADULTS 18-65 Stoneleigh Stoneleigh 11 Arthurs Hill Shanklin Isle of Wight PO37 6EU Lead Inspector Lynda Mosling Unannounced Inspection 10th January 2006 10:00 Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 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 Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 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. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stoneleigh Address Stoneleigh 11 Arthurs Hill Shanklin Isle of Wight PO37 6EU 01983 862931 01983 865086 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) Mr Kevin Michael Bell Claire Shilton Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (2) Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is currently accommodating 1 person under the age of 65 years with a past or present dependence on alcohol. This named person may remain at the home. 19/10/04 Date of last inspection Brief Description of the Service: Stoneleigh is a residential care home caring for adults who have, or have had, mental health difficulties. It is registered for a total of 9 placements. The categories of residents are 2 over 65 years and the remainder under 65 years. The ownership of the home changed on 31/10/05. A new registered manager took over on the same day. The home is situated within easy reach of the town of Shanklin and is close to the seafront and all other amenities. Residents are able to involve themselves with the local community if they wish. The house is large, detached with gardens and occupies a corner plot on the main road into Shanklin. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken by one inspector during the morning. There were 7 residents accommodated at the home on the day of inspection. Four residents, the manager, the proprietor and a staff member were spoken to during the inspection. The new owner and manager took over the home on 31/10/05. The previous owner/manager had been keen to sell the home for some years. The application to change ownership was made in March 2005 and re-investment into the home had been limited up to the point of completion. The environment therefore needed a great deal of improvement by the new owner. The work began immediately and there has been a great deal of improvement in a short period. The residents, many of whom have been resident for a long time, are happy with the changes made and spoke very positively about the new owner and manager. The staff member spoken to was also positive about the improving situation and has been happy to remain at the home under the new management. There was evidence that the quality of life of the residents has improved since the 31/10/05. The owner and manager have further plans to improve the service but will need to pace themselves. They have a business plan that prioritises the necessary work and the indications are that they are committed to providing a quality service. What the service does well: The residents said they felt well cared for and spoke positively about their relationship with the staff, manager and owner. They said that they feel ‘like a family’ and generally get on well and support each other. The manager is working on improving the residents’ independence and raising their self esteem. They are encouraged to make decisions, take calculated risks and involve themselves in the community. As the home caters for 9 residents (7 currently in placement), their needs are well known by the staff group and they have confidence that their best interests will be protected. The majority of the staffing hours are spent with the residents who enjoy socialising with the staff and the individual attention they are given. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The owner is working on a continual programme of improvement of the environment including upgrading the kitchen. The need for such upgrading has been identified for a number of years and will be addressed on a priority basis. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 7 A formal quality assurance system is recommended to help demonstrate how the residents’ views are used to inform the delivery of service. 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. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 8 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 Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The assessment process ensures the prospective resident’s needs and expectations are assessed, and that the resident is aware of the service that can be offered. EVIDENCE: One new resident has been admitted since the new owner/manager has taken over. The assessment of the resident’s needs was discussed and it was clear that the manager had a good understanding of the background of the resident and the needs they are aiming to meet. The resident was spoken to and he confirmed that he was settling in well and receiving good care. His experience now is much more varied than in his previous situation. The manager was aware of the need to slowly make any changes and to help him with the choices he is now able to make. Plans for promoting his independence were shared and appeared thoughtful and appropriate. Relatives and care professionals had been involved in the planning of the placement. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. The residents’ individual plans are being updated but reflect the needs and goals of the residents. The residents are encouraged to make their own decisions and are given help and advice to do so. Their independence is improving with the re-assessment of their plans and goals. EVIDENCE: All residents have care plans that identify their assessed needs and how these will be met. The current manager is changing the care plans to make them easier to read and ensure they are updated. The residents are aware of their plans and have input into them. The residents have limited personal care needs but require emotional support and guidance. Residents spoken to talked of their plans for the future and of the progress they feel they are making. They are enjoying the positive feedback they receive from the new owner/manager about the progress they are making. The manager is particularly keen that the residents are able to make their own decisions, with support. Residents were being helped to do more for themselves including cooking, shopping and cleaning. They are encouraged to involve themselves in things outside of the home. One resident spoke of her voluntary work and the help she gives others. Individual friendships and Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 11 preferences are respected and residents were seen being asked for permission prior to the manager/owner entering their room. Due to the residents’ difficulties it would be easy for them to become dependent on the staff and manager. The manager is well aware of this and has plans to ensure that this happens as little as possible, although appreciates that for some it has to be a gradual process. Risk assessments are undertaken to identify possible risks for decisions made by the resident. There was an example given of a resident who made a decision not to meet her financial commitments one week. This was quickly picked up and the consequences discussed with her. However her control has not been taken away, but support given to remind her of the risks of making the same choice again. The manager believes it is important that the residents remain in control of their lives as much as possible. This is a challenge for some who have historically let other people make their decisions for them, but the residents spoken to appeared quite proud of the ‘ownership’ of their decisions. Where there are any limits imposed i.e. giving out personal allowance on a daily basis instead of weekly, this is agreed by the resident and recorded in their care plans. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Residents are encouraged to take part in appropriate activities. They are also supported to take a part in the community, although some choose not to. Contacts with relatives and friends are encouraged and promoted. Residents are being helped to know their rights and take responsibility for themselves and their decisions. Residents said the meals are ‘really good’ and have been involved in planning new menus. EVIDENCE: There are 2 residents who attend day centres on a daily basis and another who will do so during the summer, but chooses not to during the winter. The aim of the manager is to give the residents more options and to encourage them to do things outside of the home. One resident does voluntary work and attends special events with St John’s Ambulance. She also is involved in conferences and day events. She talked proudly of this involvement. The residents are not generally able to gain employment, but the manager is intending to access local facilities to ensure the residents are given more choices about how to spend their days. As the home is situated close to the local shop and the town of Shanklin the residents are able to go out independently if they wish. Some do so and are Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 13 involved in the local community, but some are not and they need a lot of encouragement just to go to the local shop and back. However, the manager is working on this and some progress has been made with one resident now buying her cigarettes etc. for herself. There has been support and good feedback from the local shopkeeper. Residents are able to maintain contact with their family and friends. Most of the residents had had some contact with family over the Christmas period, and had obviously enjoyed this. Friends often visit the home and can be entertained in the communal areas or in the residents’ rooms. There would only be restrictions imposed if there were protection issues. The residents feel part of ‘a family’ and talked of there being a ‘family atmosphere’. The manager confirmed that the residents ‘look out for one another’ and like to give each other support and friendship. The care plans record the contact addresses and numbers of family and friends and the manager has been in contact with the majority of relatives that are involved with the care of the residents. Some of the residents have complicated histories with their family and need support before and following meetings with them. The manager is understanding of this and she, and the other staff, are happy to provide this. Since taking over the home the owner and manager have made a great deal of progress in making the home more ‘homely’ and domestic. This includes improvements to the lounge area, the laundry (which has been moved out of a shed into the main building), and the kitchen facilities. These improvements and the consistent staff presence has encouraged more of the residents to use the communal areas of the home, spending less of their free time alone in their rooms. During the inspection there were four residents in the lounge at various times and they said they are free to come and go. Two of the residents spoke of the volunteer who has provided wool for their knitting and provides hairdressing and manicures. They said they like ‘just being with everyone’. It is obvious that the residents are enjoying the additional attention they are getting from the staff and enjoying outside influences. The manager said she was surprised how little the residents were doing for themselves, even though they were capable. This has begun to change, helped by each resident having a ‘home’ day when they clean their rooms, change their beds and attend to anything they wish, with a staff member’s involvement. This has led to the residents sorting their washing on a regular basis, one was really pleased at ‘the lovely clean smell’ of her clothes. Laundry now is washed, dried and packed away on the same day. This has encouraged more pride in their surroundings and appearance. They are small steps, but all point to the desire of the manager to ensure the residents maximise their potential. Mealtimes are very important to the residents and they were pleased to explain, during the inspection, the food that they had recently had, including Christmas dinner. The daily meal plan has been changed so that the residents now have their main meal in the evening. This has suited them better and Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 14 they are able to have cooked snacks, sandwiches etc. at lunchtime. The kitchen area that the residents used to use to make drinks has now been changed to the laundry space, but they are all welcome to make drinks and snacks in the main kitchen at any time. Menus were seen as well as records of what each resident has eaten during the course of the week. Residents said they can make suggestions about the type of food that they eat. They have chosen to continue with the tradition of having a curry once a week. A staff member who has worked at the home for some years said the meals have improved both in quality and choice. Shopping is done on a regular basis and there were plenty of supplies available for every day use. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. The residents receive support they require in the way that they choose. Their physical and emotional health needs are assessed and met with the support of specialists. There are appropriate medication procedures with staff arranging most of the administration of medicines. EVIDENCE: Residents do not generally need help with personal care and are mobile enough to manage their physical care needs. Some encouragement is sometimes required and is made available. Emotional and social support is the major focus of the work of the staff and much of the staffing hours are spent talking to residents and sharing activities. There is a keyworker system, and each resident has a ‘home day’ when they have the support of one member of staff to undertake tasks with them. This can be cleaning, sorting their bedroom, laundering clothes etc. It also provides an opportunity for one-toone time for each resident, which they can use to talk about any anxieties, share plans etc. This is a new arrangement and appears to be working well for the residents. Residents are addressed in the manner they choose, and individual needs are recorded and respected by the staff team. The residents are supported by CPN visits and assessment by the consultant psychiatrist where necessary. The local mental health team is involved with some of the residents, although the manager explained that regular visits have Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 16 not been happening due to the sick leave of the allocated worker. Residents are all registered with a GP and can make their own arrangements to visit their doctor as required. Where support is needed this is given by the staff team. The residents spoken to confirmed that they are able to contact their doctor whenever they wish. The medication has been moved to a locked cupboard in the staff office/sleeping-in room. The medication system has been changed and is now provided by a local pharmacy in bubble packs. Old medication and unused medication has been sorted out and returned to the pharmacy. The manager checks in all medication and the medication administration records were seen. Previously the medication was kept in the kitchen, but the current location is more suitable and means medication can be administered in a quiet setting. Some drugs are given by injection by CPNs and this is done on a regular basis. The CPN generally brings the appropriate medication with her. The manager is learning the effects of the medication prescribed for the residents and understands the need for the medication to be given regularly and as prescribed. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Residents are listened to and advised of their right to have their say. The home has a protection procedure and acts on any protection issues. EVIDENCE: Residents spoken to at the inspection said they feel the manager and staff listen to them and are keen to run the home how they want it to be run. They were able to say who they would complain to if they were concerned about anything. The residents are aware of the inspection process and their right to contact the Commission with concerns. Regular residents’ meetings are held and give an opportunity for everyone to have their say. Minutes of these meetings are available. On the first day of the manager and owner taking over there was a protection issue raised in respect of one resident. Although this had nothing to do with the current management they were involved in some discussion and cooperated fully with the investigation. They are aware of the local adult protection procedures through their previous work. Through discussion they demonstrated they have a good understanding of the need to protect the residents from abuse. They were able to discuss individual residents’ vulnerabilities and also have an appreciation of the need for staff to protect themselves too. The recent protection issue has now concluded, with no action taken. However, it has led to local agencies assessing the capacity of the residents to deal with their own finances. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. There have been significant improvements to the accommodation and it now provides a homely environment. Further improvements are planned for the future to make the accommodation more attractive. On the day of inspection the home was clean and appeared hygienic. EVIDENCE: The home was not specifically designed as a care home and does not have ensuite facilities or a passenger lift. The previous owner/manager was trying to sell the home for approximately 5 years before achieving this in October 2005. During the months leading up to the completion financial investment appears not to have been made in the property and subsequently when the new owner and manager took over there was a great deal of work to be done to address this. Very quickly the owner had the roof repaired, redecorated many of the rooms and made the home more ‘homely’. The improvements also include: moving the laundry facilities into the main building, moving the medication to a newly created staff office and sleeping-in room, replacing the cistern in the downstairs WC, redecorating the kitchen, replacing 3 beds and all of the bedding. The residents spoken to were quite excited about the changes and felt pleased that the management was making such an effort. There is still some room for improvement in terms of the attractiveness of areas, such as the kitchen, but the improvements already made demonstrate the owner’s and Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 19 manager’s desire to create a home everyone can be proud of. Their achievements in such a short time are commendable. They have a business plan that shows future improvements and they explained that they expect to re-invest their income from the home back into the property until they are happy with the standard of accommodation. The home has had a major ‘spring clean’ since the new management took over. Bedding has been replaced, curtains washed and the whole house now looks clean and tidy. The dining area/lounge has been made more attractive with re-decoration, putting up new pictures and replacing settees. A cleaning plan has been set up, involving the residents (in respect of their own rooms) to ensure this continues. Arrangements for collecting waste has also been set up. The grounds have been tidied to ensure there are no safety concerns for the residents. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Staff working in the home are experienced and competent. Recruitment procedures are appropriate and designed to protect residents. Staff have undertaken training appropriate to their role. EVIDENCE: Apart from the owner and manager two of the staff have been working at the home for some years and know the residents and their needs very well. Residents spoken to said they felt confident in the staff’s ability to care for them. One resident said ‘I like them all’ and another said they are ‘pleased that the staff continued’. Discussion with the member of staff on duty on the day of inspection (in addition to the owner and manager) said he felt supported in his role and was confident of his ability to meet the needs of the residents. He demonstrated good understanding of their needs. All of the carers were seen treating the residents with respect and sensitivity. The manager has recruited one female member of staff since they have taken over the home. The procedures used ensured that the appropriate references were taken up and the interview process was recorded. The prospective staff member had the opportunity to meet with the residents prior to taking up the post and was observed to relate well to them. The residents particularly appreciate her willingness to involve them in homely pursuits such as knitting, cooking etc. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 21 The manager is working on a training programme for the staff, and has already introduced an induction programme for new staff. The staff member spoken to is trained to NVQ 3 level and is planning to continue to up-date his qualifications. Staff will be expected to undertake NVQ training and will be encouraged to take up all opportunities to improve their skills. An annual appraisal will look at training needs. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The evidence seen demonstrates the manager’s and owner’s desire to operate a well run home. Residents feel well cared for. Although there are opportunities for residents to have their say a quality assurance system would be beneficial to the home. The health and safety of residents is protected by the arrangements for risk assessment within the home. EVIDENCE: The manager and owner have recently successfully completed the ‘fit person’ process with the Commission and were judged to be competent to run the home. Their previous experience in care homes has mainly been with adults with learning difficulties, but they have transferred these skills very well and are keen to continue to learn about the needs of this client group. Prior to completion of the sale of the home to them the manager spent time with the residents to get to know their needs and to reassure them. This demonstrates the manager’s desire to provide a good service to the group of residents in the home. Her previous experience in caring is of great assistance to the residents and her plans for the home, particularly in maximising residents’ potential to become more independent. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 23 The residents have the opportunity to air their views on a daily basis. There are also residents’ meetings and reviews. However, the home would benefit from a formal quality assurance system that demonstrates how the views of residents are sought and the way the home uses that information to inform them of the best way to deliver the service. The owner and manager confirmed that they are aware of their responsibility to protect the health and safety of the residents and staff. Risk assessments are undertaken and the records are being up-dated to ensure they are easy to use and for residents to understand. Fire checks, lighting and water will be maintained and checked on a regular basis. The owner undertakes much of the maintenance work himself and has demonstrated his ability to get environmental things sorted out very quickly. The safety and welfare of the residents is the major consideration in the plans for the future improvement of the home. Stoneleigh DS0000063853.V263022.R01.S.doc Version 5.0 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stoneleigh Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000063853.V263022.R01.S.doc Version 5.0 Page 25 No 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. 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. 1. Refer to Standard YA39 Good Practice Recommendations Develop a formal quality assurance system to demonstrate the way residents’ views are considered in the running of the home. 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