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Inspection on 12/12/06 for Strathmore House

Also see our care home review for Strathmore House for more information

This inspection was carried out on 12th December 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides information for prospective residents regarding the type of service they can expect to receive, including facilities and terms and conditions of residency. Prospective residents have the opportunity to visit the home prior to making a decision to move in. Assessment information was detailed with evidence of professional, family and resident input. Care plans gave an accurate account of the identified care needs of the residents and the action required to meet those needs. Activities were arranged around occupational/educational sessions and there was evidence of frequent outings into the local community. Links with families and friends were maintained and meal times were flexible dependent on the planned activities of residents. The kitchen was inspected and was clean and tidy. Stocks and supplies were seen and it was identified that there was a very good range of fresh fruit and vegetables. The Home operates a varied menu plan each day there was a plentiful choice. The Home provides a good ratio of care staff on all daytime shifts and at night there is one `sleeping` night staff and one member of staff on duty alert and ready to meet individual needs. The care manager is fully supernumerary which has enabled her to complete all her managerial tasks. It was pleasing to note that the general ethos of the home was one of protection of the resident`s rights. Clearly the staff have a great deal of respect for their residents and every effort is made to provide excellent standards of care and to promote optimum levels of healthy, independent living.

What has improved since the last inspection?

The home provides an excellent standard of care to all residents in the home. Commitment to residents to improve their lifestyle is high on the agenda. Care planning has improved and record keeping is well maintained. Staff morale is good and teamwork is evident. Staff training and supervision requirements have been met and are ongoing. Recruitment procedures are robust.

What the care home could do better:

No requirements or recommendations were made as a result of this inspection.

CARE HOME ADULTS 18-65 Strathmore House 27 Queen’s Park Avenue Dresden Stoke-on-Trent Staffordshire ST3 4AU Lead Inspector Mrs Sue Mullin Key Announced Inspection 12 December 2006 10:45 Strathmore House DS0000008255.V320966.R01.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 Strathmore House DS0000008255.V320966.R01.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. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strathmore House Address 27 Queen’s Park Avenue Dresden Stoke-on-Trent Staffordshire ST3 4AU 01782 596849 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) Strathmore Care Services Craegmoor Healthcare Post Vacant Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17 July 06 Brief Description of the Service: Strathmore House provides residential care for up to 16 adults aged 18 to 65 of both genders with learning disabilities. Strathmore House aims to provide a homely environment that will afford residents greater security, choice, independence and a good quality of life. This is achieved by maintaining a relaxed, friendly atmosphere where staff’s primary objective is to meet individual residents holistic needs, while maximising the services that the home can offer to residents. Strathmore House aim to offer the residents a range of opportunities, both in house and through their activity in the community. All residents are encouraged to take an active role in life and whilst at Strathmore House, all residents are encouraged and supported by staff to develop their independent living skills. Strathmore House is owned by the Craegmoor group, which has many other services nationally. It is located in a suburban area close to local amenities and with easy access to the city. The house faces a large park and there is space for car parking. Weekly costs are from £325.00 up to £1034.00 other costs are levied for personal items. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced key inspection of Strathmore House. The inspection methodology included pre inspection details, results of 12 residents and 3 relatives’ questionnaires. A sample inspection of the environment was undertaken. Care records and other pertinent documents were also examined. Discussions were held with the care manager, other members of staff, residents and relatives during the inspection process. Residents were observed during the inspection coming in and out of the home, busy about the day’s events. During the afternoon, some residents were seen in the dining room very excited about an afternoon theatre treat, all seemed to be enjoying themselves with much banter evident. Two sets of relatives visited during the inspection and spoke at length with the inspector and interaction with the residents continued throughout the day. The overall impression of the care of the residents was excellent. All were dressed appropriately and a great deal of attention was paid to personal hygiene requirements. Observations were made of staff and resident interaction, eye contact was maintained and there was a real feel of respect and affection. One relative quoted ‘ I am always welcomed at the Home and they make me feel at home, I feel like part of the family’. A new acting care manager is currently applying to the CSCI for registration and hopes to take up her post in early January. What the service does well: The home provides information for prospective residents regarding the type of service they can expect to receive, including facilities and terms and conditions of residency. Prospective residents have the opportunity to visit the home prior to making a decision to move in. Assessment information was detailed with evidence of professional, family and resident input. Care plans gave an accurate account of the identified care needs of the residents and the action required to meet those needs. Activities were arranged around occupational/educational sessions and there was evidence of frequent outings into the local community. Links with families and friends were maintained and meal times were flexible dependent on the planned activities of residents. The kitchen was inspected and was clean and tidy. Stocks and supplies were seen and it was identified that there was a very good range of fresh fruit and Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 6 vegetables. The Home operates a varied menu plan each day there was a plentiful choice. The Home provides a good ratio of care staff on all daytime shifts and at night there is one ‘sleeping’ night staff and one member of staff on duty alert and ready to meet individual needs. The care manager is fully supernumerary which has enabled her to complete all her managerial tasks. It was pleasing to note that the general ethos of the home was one of protection of the resident’s rights. Clearly the staff have a great deal of respect for their residents and every effort is made to provide excellent standards of care and to promote optimum levels of healthy, independent living. 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. Strathmore House DS0000008255.V320966.R01.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 Strathmore House DS0000008255.V320966.R01.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): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are assessed prior to admission assuring that the Home can meet their needs. The homes Statement of Purpose and Service User Guide gives details of the services the home provides, enabling an informed decision about admission to be made. EVIDENCE: The Statement of Purpose and Service User guide were seen on the last inspection and contained the relevant information for prospective residents and their representative with the detail they require, enabling them to make an informed decision about moving in to the home. No changes have been made to these documents. The service user guide format was user friendly in pictorial, symbol and simple language for ease of use. There was evidence in pre inspection records seen, that some residents had the contents of the guide explained to them at the point of admission. The terms and conditions of residence were incorporated into the service user guide as well as in the contract between the service and the placing authority. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 9 Information in the sample of care records seen and from discussion, demonstrated that the service had an adequate pre admission assessment tool, and that every effort had been made to collate information relating to the prospective resident prior to admission, including meeting with the previous care provider, meeting the resident in the previous placement, offering the individual the opportunity to visit the home on a number of occasions prior to admission. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There was a clear care planning system in place with evidence of regular reviews and residents involvement to ensure that the plans satisfactorily meet resident’s needs. Management of resident’s personal monies was well controlled and maintained in their best interests. EVIDENCE: Care plans sampled during this visit were reflective of the assessed needs of residents. There was evidence of reviews, risk assessments, preferred routines and personal inventories. The information in the care files demonstrated that social workers and health professional were regularly consulted about the care needs of residents and there was evidence that professional advice was recorded and acted upon. There was evidence of regular multi disciplinary meetings to ensure the care needs of residents were appropriately met, where significant challenges had been presented. Individual Person Centred plans had been started for all residents, giving an account of the individual aspirations and goals of each individual and the support they required to meet these goals. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 11 The home are working towards a thorough, in depth six monthly review for all residents in their care. Evidence of this was seen a one care plan examined. During the inspection it was identified that very good systems were in place to protect residents from any financial abuse. The care manager explained that new policies and procedures were in place to ensure that every penny was accounted for on an individual basis. These policies and procedures were seen by the inspector and confirmed that robust practices were in place. A safe was also available in the home to store small amounts of monies, personal items and valuables. Relatives completed three comment cards and they stated ‘The overall standard of care has improved greatly with the current temporary manager’. ‘The care is better than it was, the staff are approachable. My son is generally happy at the home. My son comes to visit me regularly and I am happy with his level of personal hygiene’. ‘My daughters finances are handled well and I am kept informed of any issues relating to her care’. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service provides plentiful opportunities for residents to engage in activities in and out of the home, which are identified in person centred plans and agreed with the individual. The provision of a varied menu was evident; residents are encouraged to exercise choice and control over their diet. Healthy eating was encouraged. EVIDENCE: Residents had opportunities to attend specialist day services during the week. Other activities included attending a range of recreational events; residents have opportunities to visit local towns and villages for personal shopping. There was some type of activity planned on a daily basis for each person that had been agreed as part of the Person Centred Planning approach. Appropriate levels of care staff are available during the daytime, which meets the various outings and activities. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 13 Strathmore House provide access to an active sporting programme, which incorporates athletics, football, aerobics, swimming, horse riding, basketball and Karate. One resident commented ‘ I cant do many sporting activities at the moment because of waiting for an operation on my leg. I don’t like missing out especially basketball’. Some residents have work placements, which includes working at a charity shop, helping in a local café and helping in a local DIY store and attending a local cottage hospital to assist in the Occupational Health department. Two other residents attend a local pottery manufactures and work in the retail of pottery items. One resident assists in the clock department at a local store. The home provides placements where possible for local college courses, and assist residents with cooking skills. The home regularly encourages and support residents to take part in art and craft sessions. Staff also escort residents to theatre/cinema outings. Residents also enjoy visiting the local towns and flea markets. Individual programmes were interspersed with independent living skills, which meant residents were involved in assisting with the household chores, maintaining their bedrooms, helping staff with cooking and other domestic routines. The home provides transportation. From observation, it was confirmed that in house activity is organised based upon the individual needs of residents. Activities included tabletop games, art and crafts and lot more. The kitchen was inspected and was clean and tidy. Stocks and supplies were seen and it was identified that there was a very good range of fresh fruit and vegetables. Staff knew the resident’s individual likes and dislikes. One resident completed the service users survey and commented ‘ I do not like onions, tomatoes, oatcakes, butter bananas or sandwiches’. Special dietary needs were met. Residents (where able) have free access to the kitchen to make drinks. One resident awaiting transfer to independent living cooks his own meals and creates his own menus, with minimum assistance from staff. He informed the inspector that he had made friends in the home and would often join the rest of the housemates for meals. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health needs of residents were met with evidence of multidisciplinary working taking place on a regular basis for the benefit of residents. EVIDENCE: Personal support needs were recorded in individual plans and the staff were observed to seek residents agreement before offering assistance with specific tasks. All of the residents had bedroom door locks and it was noted that staff knocked on bedroom doors before being invited to enter. There was evidence of good rapport between residents and the staff. Each resident had a nominated key worker whose role was to assist residents with any difficulties they had, with personal care needs and independent living skills and to support them to maintain contact with family and friends. Records showed evidence of health checks and access to community health services, such as dentists, opticians and audiologist. Specialist health services were involved with individual resident’s to monitor and advise on specific health related issues, residents are currently accessing OT, speech therapy and dietary advice. Advocates are available when required through referral. Strathmore House DS0000008255.V320966.R01.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. The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. Arrangements for protecting residents are satisfactory and all staff have received the protection of vulnerable adults training. EVIDENCE: Pre inspection fieldwork confirmed that no complaints had been received by the CSCI since the last inspection. There have been some internal complaints/issues, which the manager had dealt with appropriately and the CSCI had been kept informed. This related to staff care practices and had been satisfactorily resolved. The service has a robust complaints procedure. Pre inspection feedback from residents confirmed they knew how to make a complaint. Relatives who had completed and returned a pre inspection questionnaires indicated that they had access to the complaints procedure and knew who they could approach if they had any concerns. This was further evidenced by lengthy discussions with relatives on the day of the inspection. Training of staff in the area of adult protection is high on the agenda at Strathmore House. Vulnerable Adults procedures were discussed and the staff were familiar with them. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 16 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): 24,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Continual investment maintains the appearance of the home, creating a comfortable and clean environment for those residing/and or visiting. EVIDENCE: The home offers a comfortable and homely environment for residents to live. Communal spaces were adequate. The home cannot offer residency for people with who have mobility difficulties. Most bedrooms are for single occupancy and individual room sizes vary. All rooms have a hand washing facility. There are 8 toilets, two bathrooms and two showers. All bedrooms have bedroom door locks and most occupants had their own keys. The home was clean and tidy throughout. There is a rolling programme of refurbishment and staff report that all stocks and supplies in the home are sufficient. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 17 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): 31,32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff morale was good resulting in an enthusiastic workforce that worked positively with residents to improve their whole quality of life. Staff training programmes were evident and ensure that all staff have the skills and knowledge to deliver appropriate care. EVIDENCE: The care manager is fully supernumerary which allows her to complete her managerial tasks and deploy her other staff appropriately. She will also escort/transfer residents where necessary. There is a minimum of 3 care on the early shift and on the late shift. At night there are 2 care staff. The Home provides a satisfactory ratio of care staff on all daytime shifts and at night there is one ‘sleeping’ night staff. The other member of staff on duty remains alert and ready to meet individual needs. There are no dedicated ancillary staff as care staff work closely with the residents to ensure the residents have a good varied diet, the home is kept clean and laundry requirements are met. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 18 Information provided in the pre inspection fieldwork showed that there had been a modest turnover of staff in the last 12 months. The levels of NVQ trained staff were excellent with over 50 of the work force with NVQ 2 or above. The care manager reported that the organisation was committed to ensuring all new staff were encouraged to undertake NVQ training. 10 of the care staff hold current first aid certificates. Training undertaken in the last 12 months includes: • Health and safety practices • Primary intervention • Equal opportunities • Autism awareness Staff spoken to made positive comments about the induction they had received the opportunities for further and ongoing training. There was evidence provided that staff supervision was being undertaken on an ongoing basis. Staff recruitment is robust and the manager ensures the information required by regulation is received prior to appointment. This includes staff photographs, copies of birth certificates, formal identification and relevant police checks and two written references. New staff undergo first day emergency training and first week emergency training, these sessions are documented and kept in their personal files. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 19 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): 37,38,39,42,43 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The overall management of the home was dedicated and consummate. The manager pride herself in promoting residents needs first and dedicating the rest of the staff’s time and expertise to continually improve the workforce skills. EVIDENCE: The care manager has done an exceptional job in meeting all the national minimum standards for this home. Staff morale is high and staff feel valued and happy in their work. The manager has undertaken recent training to enhance her managerial skills covered performance management and employment awareness. The pre-inspection questionnaire completed prior to this visit by the care manager indicated that the Home and Health and Safety equipment are maintained appropriately. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 20 Quality assurance is high on the agenda, the Company undertake a full quality assurance programme and there was evidence at Strathmore House that several audits had been recently undertaken and these included -Food safety/ infection control and the management of personal monies. This is ongoing and monitored by the regional managers. Residents, relatives and staff meetings are held on a regular basis and these are documented and information cascaded down to all staff. Further information in the pre inspection questionnaire provided by the care manager indicated that fire safety records were up to date. Staff were involved in fire drills and had attended fire safety training. Training ongoing and undertaken for all disciplines of staff included • Manual handling • Health and Safety • Basic Food Hygiene • First Aid • Infection Control The care manager of the home explained that further training would be undertaken throughout the continued assessment of individual residents and potential residents. Following a visit by the fire safety officer, the home is currently addressing all the issues raised at the time. They have subsequently completed work to cellar/laundry and cold smoke seals. The photocopier was removed and resited in the office and appropriate signage is now in place. Audibility test has been carried out and a report it to be sent to the CSCI. An emergency contingency plan has been devised and a copy is also to be sent to the CSCI. The company have recently introduced a Fire Risk Management Manual, which is to be implemented by the end of this year. This will be checked on the next inspection. A new acting care manager is currently applying to the CSCI for registration and hopes to take up her post in early January. Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 21 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 3 2 3 3 4 4 3 5 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 X X 4 4 3 X X 3 3 Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Strathmore House DS0000008255.V320966.R01.S.doc Version 5.2 Page 24 - 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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