Inspection on 19/02/07 for Stroud Court

This inspection was carried out on 19th February 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stroud Court 15/12/05

Stroud Court 06/07/05

Stroud Court 23/02/05

Stroud Court 20/07/04

Stroud Court 17/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Stroud Court Longfords Minchinhampton Glos GL6 9AN Lead Inspector Mr Simon Massey Key Unannounced Inspection 19 & 20th February 2007 09:00 th Stroud Court DS0000016591.V324988.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 Stroud Court DS0000016591.V324988.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. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stroud Court Address Longfords Minchinhampton Glos GL6 9AN 01453 834020 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) Stroud Court Community Trust Mrs Sharon Barnard Care Home 39 Category(ies) of Learning disability (39), Learning disability over registration, with number 65 years of age (1) of places Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD(E) Category for one named service user only Date of last inspection 18th July 2002 Brief Description of the Service: Stroud Court provides care for up to 39 adults with learning disabilities who have been diagnosed with an Autistic Spectrum disorder. Service users accommodated have high dependency and supervision needs. The home consists of seven separate units each with a dedicated staff team and a team leader. Two of the units, Rosemary Heights and Magnolia Heights are located in the main building, which also houses the central kitchen, activity rooms and offices. The other five units, Court View, Dobson House, Sycamore House, Gateway House and Westbank are all individual houses within walking distance of the main house. Also on site there is a day centre for Stroud Court residents and a swimming pool. All individual units have a domestic type self contained accommodation and all service users have single rooms. The home is set in extensive grounds and the site is within short driving distance of Nailsworth and Minchinhampton towns. The home provides own transport for accessing community facilities as it is not located on the main public transport route. A variety of local amenities including a bus station, post office, shops and banks can be found approximately a mile away in Nailsworth. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. Two Inspectors completed this inspection over a period of two days. The Inspectors met with care staff, management, service users and a group of parents and relatives. Records relating to care planning, medication, staffing and maintenance were examined. An inspection of the environment was also carried out. Staff were observed supporting and working with the service users. A number of questionnaires were circulated to staff, service users, parents and health professionals involved with the home. The Inspectors were grateful for the contribution from the home in distributing and collecting these surveys. The current scale of charges are from £968.98 to £1633.75 per week. What the service does well: What has improved since the last inspection? There was evidence that greater consistency in the approach from staff, improved training opportunities and reduced staff turn-over have all contributed to an improvement in the quality of care being provided. There has been a reduction of the number of incidents of challenging behaviours that need to be managed by the staff. Various parts of the environment have been decorated and efforts made to improve the homely nature of parts of the communal areas. The Trust has taken further steps towards redeveloping the site and the accommodation that it provides for the service users. Improvements were observed in the promotion and maintenance of cleanliness and hygiene in some of the houses. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 6 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. Stroud Court DS0000016591.V324988.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 Stroud Court DS0000016591.V324988.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 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People wishing to move into the home do so with the knowledge that a full assessment of their needs is completed. EVIDENCE: The Statement of Purpose and Service User Guide are periodically reviewed. Each person has a copy of the Service User Guide on their personal file. This is produced in a format appropriate to the needs of people living at the home, using a mixture of text and symbol. The Trust has provided the Commission with an updated Statement of Purpose, which they have titled a Prospectus. This is an excellent document combining information with photographs, symbols and written text. The home has an admissions policy and procedure in place. The last person admitted to the home had a comprehensive assessment completed by Stroud Court. This was complemented by a care plan supplied by the placing authority and records from their school. A letter from the registered manager to the placing authority confirmed that Stroud Court was able to meet the needs of the person being placed. Records confirmed that representatives of the person had visited the home and an introductory stay for a week had been arranged prior to admission. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed care plans ensure that the service user’s needs are documented and guidance is available to staff. The home takes action to encourage service users to make choices and supports them to take appropriate risks. EVIDENCE: All care plans examined were being regularly reviewed, with input from all staff involved in the care and support. Excellent detail is provided relating to the management of behaviours. Information is provided about personal care, individual needs, likes and dislikes and the monitoring of health needs. There is good use of symbols and much of the language is easy to understand, providing clarity around needs and the approaches to be taken by support staff. Where appropriate “bruise “charts have been completed, and these crossreferenced to information recorded in the daily notes. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 10 Each service user has a monthly checklist completed by their key-worker, which should include a “Behaviour” review and Medical review. Some of these checks had been completed more regularly than others, but it was evident that over a twelve monthly cycle that all plans are reviewed, monitored and updated. Service users have a “link” book, which goes with them to any activities they undertake, which enables staff to be aware of any issues or concerns and also allows them to comment on the activities undertaken. The samples of these seen contained regular recording and demonstrated the staff’s awareness of the individual needs of service users. Some plans contain limited personal goals and objectives but rather focus on the management of behaviours. However, it was commented upon by staff that with the continued work and progress being made around communication techniques within the Trust, that they intended to include more person centred and practical goals, which could be identified by working closely with service users. There are inconsistencies in the quality of recording on some care plans and risk assessments. Plain English and positive terminology are used in records in Magnolia and Dobson, whilst records in Courtview have less clarity and are judgmental. For instance there is frequent use of “stubborn” and “tantrums”. It is recommended that the content of care plans and risk assessments are monitored through the quality assurance system and where needed further training or guidance given to staff. Various examples were seen of staff supporting people to make decisions and choices about activities, visits in the community and meals. The Inspectors attended a self-advocacy group run by the home that encourages people to comment and speak up for themselves. Service users appeared very positive about their involvement in this process and examples were seen of issues and comments being taken up by the staff and acted upon. Service users undertake a range of activities in the community which have been risk assessed, providing guidance for staff on the support required. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13, 15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to make choices and decisions about their daily routines and activities. People are supported to engage in a variety of activities in the community and in the home. Service users are provided with a nutritious diet that respects choice and encourages healthy eating. EVIDENCE: All service users have weekly routines or programmes that they follow, and details of these are contained within the personal files. Some activities are run on the site and some, such as walking and college courses, are more community based. Several staff commented upon the increased community involvement and how they felt this was benefiting service users. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 12 There was evidence that the staff who run the activities on site liaise effectively with the care staff. This enables any issues that may be ongoing to be dealt with in a consistent and appropriate approach. Service users were positive about their daily routines. Several said they enjoyed the trips out and also the work they did around the home. Service users also gave examples of holidays they had been supported to enjoy, parties and entertainment they had attended, and friends and relatives they had been supported to visit. Comments from parents and relatives confirmed that support is provided for service users to visit home, and that visitors are well accommodated and welcomed when visiting the home. Staff said that where identified, a dietician advises on healthy eating plans and that specially prepared meals are provided to enable them to maintain a healthy lifestyle. Individual menus are drawn up which run alongside the main menu for the home. Weight monitoring charts are kept. All service users questioned were positive about the quality and quantity of food provided. Service users were observed being asked to make choices about meals and exercising choice over where they ate their meals. Due to the behaviours of some people there are limitations on access to some of the kitchens but service users who are able, and interested, have the opportunity to be involved in food preparation. A sample of fridges and food storage were examined and it was seen that a good range of fresh and packaged food is available in the various houses. The menus showed that a varied menu is provided and that whilst a healthy diet is encouraged, choice is respected. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have access to a wide range of healthcare professionals enabling them to look after their health and wellbeing. Service users are protected by an effective administration system for the storing and administering of medicines, and by staff receiving the appropriate training. EVIDENCE: Robust records are maintained providing evidence of appointments with a range of healthcare professionals. Each person has a medical file which is kept in the main office which is backed up by records kept on their personal files in their homes. After each healthcare appointment staff complete a form detailing the outcome of the visit. Records confirmed regular appointments with doctors, dentists, opticians and chiropodists. There was evidence of consultation with the local Community Learning Disability Team. Feedback from health care professionals commented positively about the care that is provided and the communication with the staff team. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 14 Medication storage and administration was examined in four of the houses and found to be in order. Records were up to date and there was evidence that medication is regularly reviewed. Staff were able to demonstrate a good awareness of the health issues of the service users they were supporting. Stroud Court DS0000016591.V324988.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home do so in the knowledge that any concerns they may have will be listened to and acted on. EVIDENCE: The home has a complaints policy and procedure which is accessible to people living at the home. These are produced in a version using text and symbol. No formal complaints have been received by the home. One person expressed concerns to a member of staff and was supported to present these concerns to management. Comprehensive records were produced, using photograph, text and symbol, of these discussions providing evidence that the management of the home will listen to the views of people living there and act upon them. A copy of the complaints procedure displayed in the entrance hall refers to the National Care Standards Commission. This needs to be replaced with the current complaints procedure. Staff complete training in abuse awareness and the registered manager and team leaders have attended training with the local adult protection team. The alerter’s guide published by Gloucestershire County Council is available in the office. Several staff commented upon the decrease in conflict between service users and the decrease in behaviours that may require de-escalating or restraint. Notifications supplied to the Commission over the previous twelve months also Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 16 supported this. It was observed by the Inspectors that there generally appeared to be a relaxed and calm atmosphere in the houses. The inspector directly observed one situation being managed by the staff, where a service user was becoming frustrated and slightly agitated. The staff responded in a professional, calm and thoughtful manner that resolved the problem. This was an example of excellent practice, with staff understanding the individual needs and having the confidence to respond appropriately. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some parts of the accommodation are not entirely suitable but the home have plans in place to redevelop the whole of the accommodation in order that future needs can be better met. Good planning and organising of maintenance and repairs ensures that service users are provided with a safe environment. EVIDENCE: The Trust is in the process of planning to redevelop much of the accommodation. It is intended to replace several of the houses with new purpose built units and to move out of the large main house. The Commission has been kept informed of the planning and progress of this development. The Trust intends to provide accommodation and facilities that will better meet the needs of the service users, particularly in relation to the increased physical needs that are anticipated with an ageing client group. It is intended that the new accommodation will incorporate ideas and design features that will provide Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 18 an environment suited to meeting the needs of people with an autistic spectrum disorder. The Inspectors met with several Trustees who were carrying out an inspection and also the Facilities Manager, who is responsible for maintenance. The Trust are having to balance investing in buildings that are to be sold, or demolished, with maintaining a safe and homely environment for the service users. All parts of the environment seen were clean and hygienic and an ongoing decorating programme was in place. Service users are supported to personalise their rooms if they choose, and many people have electrical equipment in their rooms for their enjoyment. The communal areas were well equipped and reasonably furnished. Some houses have a shortage of office space for the storage of records and files and the living room area in Court View is somewhat dominated by the arrangement of the office furniture and storage. The limitations of some parts of the environment are acknowledged by the Trust but efforts are made to ensure people have access to outside areas, that people are afforded privacy, and that the shared communal space meets the needs of the service users as best as possible. The Trust has a well-organised system for the management and maintenance of the facilities and buildings and staff were positive about the response they receive to requests for repairs and advice. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are supported by a competent team of staff with the skills, knowledge and qualifications needed to perform their role. An improvement in recruitment and selection procedures will ensure that people living at the home are protected from possible abuse. An excellent training programme provides staff with the knowledge and skills they need to support people. EVIDENCE: An induction programme is provided for all staff, which includes training in the principles of care and the role of the care worker. Questionnaires are completed by staff on these topics. The induction and foundation training includes units of the Learning Disability Award Framework. The training coordinator confirmed that over 50 of the staff team have a NVQ award in care. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 20 Recruitment and selection responsibilities are shared between a number of key staff. Files for six new staff were examined in some depth and the file of one other person was sampled. There are serious shortfalls in the recruitment and selection procedures, which place people living at the home at risk of possible abuse. These are: • • • Employing staff without a Criminal Records Bureau (CRB) check or a povafirst check Employing staff without two written references Re-employing staff without a new application form and necessary checks taking place. The registered manager must ensure that two written references are obtained prior to employment in addition to a CRB check. If under exceptional circumstances it is necessary to start a person’s employment before the CRB check is received then a povafirst check must be obtained. At the time of the inspection one person was working without a CRB check in place. A povafirst check had not been completed for this person. Staff described the restrictions that are in place for staff whilst working without a CRB check. Staff supervision notes confirmed this. These are in line with the requirements of the Care Homes Regulations. There is not however a formal risk assessment in place. This must be completed. There was also no evidence on staff files that proof of identity had been obtained. This must be put in place. The shortfalls in the recruitment process were discussed with the Director of the Trust during the inspection. It was evident that the mistakes were a result of a misunderstanding of the requirements. Following the completion of the visit the Commission received a statement from the Trust explaining how the errors had occurred and the changes they had implemented to ensure that future recruitment complied with the regulations, and that all the required employment checks were completed. All new staff are asked to complete an occupational health assessment and there is evidence that staff are asked to supply a full employment history. Management confirmed that staff employed for over three years are having a new CRB check completed. A comprehensive and robust system is in place for training of staff. A training co-ordinator oversees staff training needs. She is developing a training portfolio for each member of staff which correlates with a training database. Staff confirmed that they complete mandatory training in addition to training specific to the needs of people they support such as autism and epilepsy. During the inspection staff were attending a two day training event on autism. Staff commented that training has significantly improved. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 21 Feedback from parents, relatives and service users commented very positively about the care and support provided by the staff team. Several parents stated that the staff kept them well informed and involved, and the team were “very caring and professional.” Staff also stated that the increased awareness and understanding throughout the staff team around autism and the managing of needs and behaviours had resulted in improved standards of care. The Inspectors observed service users interacting and relating to staff in comfortable and confident manner. Staff were observed communicating effectively and appropriately with service users. Two potential conflicts were observed being managed professionally and calmly by the staff, resulting in positive outcomes for the service users involved. Some staff commented that they thought there was a “good” working atmosphere within the Trust, with good team working and communication in place. Staff were also positive about the support and advice they receive from the management of the Trust. The Inspector spoke with some “relief” or “bank” staff, who were working at the time of the visit. These staff demonstrated a good knowledge of the service users, and were clear about their responsibilities and roles. Staff also commented that improved consistency of approach from the team had contributed to improved outcomes for service users. Staff confirmed that incidents of challenging behaviour they had to respond to, or deal with, had decreased significantly over the previous two years, and that the use of any kind restraint was very rare. When used this was generally in the form of guiding, or leading, someone away from a situation. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and staff benefit from a well run and managed home which provides clear direction on the quality and ethos of care and support. Effective quality assurance systems provide scrutiny and feedback on various aspects of the care being provided. Service users are protected by staff training and the provision and maintenance of a safe environment. EVIDENCE: The Registered Manager is qualified and experienced and the administration of the home is efficient and effective. Staff interviews, and feedback from questionnaires, showed they are positive about the leadership and direction provided by the Registered Manager. Staff stated that they felt confident about Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 23 approaching the management with any ideas or concerns, and that these would be listened to. Parents and relatives also expressed their confidence in the management and administration of the home. People stated that concerns or questions were responded to promptly and that they were able to approach the manager directly if they wished. They also stated they received good information about any developments or ongoing issues. During the inspection a group of Trustees were completing an announced Regulation 26 visit. They explained the reasons why these visits are announced. Due to the needs and responses of people living at the home to strangers walking around their environment it was decided to make all visits announced. In each home there was a poster displaying photographs of the trustees visiting. The Trustees said that the board has divided into specialist inspection teams. The group visiting were looking at the environment. They described the long term development plans for the home and the balance they need to make between day to day repairs and maintenance concerns. The Trustees said that they give feedback to the board on any action they have identified. They commented that one of the quality checks had concluded that the home “excelled in their training programme.” A sample of fire records were examined and these were all up to date with all necessary checks and servicing being completed. Staff are up to date with required training in first aid, fire safety and food hygiene. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 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. 1 Standard YA34 Regulation 19(1)(b) Sch.2.3,7 Requirement New staff must have two written references and a satisfactory CRB check in place before they start work, to make sure that people are protected from possible abuse. Under exceptional circumstances staff can be appointed with two written references and a povafirst check. Evidence that proof of identity and a photograph must be obtained. This is to ensure that the identity of persons being employed in the home can be verified. Timescale for action 30/04/07 2 YA34 19(1)(b) Sch 2.1 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations The quality of records should be monitored as part of the quality assurance system. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 26 2 YA30 Additional training and guidance should be given to staff in record writing where needed. The home should consult with the Environmental Health Department about appropriateness of the fridge being stored in the laundry room in close proximity to the sluice washing machine. Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Stroud Court DS0000016591.V324988.R01.S.doc Version 5.2 Page 28 - 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!