Inspection on 21/07/08 for Sunkist

This inspection was carried out on 21st July 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

Sunkist 13/07/09

Sunkist 29/11/06

Sunkist 29/09/05

Sunkist 24/05/05

Sunkist 07/10/04

Sunkist 20/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Sunkist 14/16 Winchester Road Worthing West Sussex BN11 4DJ Lead Inspector Annie Taggart Unannounced Inspection 21st July 2008 10:30 Sunkist DS0000014752.V367736.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 Sunkist DS0000014752.V367736.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. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunkist Address 14/16 Winchester Road Worthing West Sussex BN11 4DJ 01903 218908 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) tony@sunkistgroup.co.uk Sunkist Homes Ltd Mr Anthony Sayers Care Home 26 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0) of places Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Mental disorder, excluding learning disability or dementia (MD). The maximum number of service users to be accommodated is 26. Date of last inspection 29th November 2006 Brief Description of the Service: Sunkist is a care home registered to provide accommodation and personal care for up to twenty-six people between the ages of eighteen to sixty who have mental disorders. There is also provision to accommodate up to four people who are over the age of sixty-five years within that number. Sunkist is situated in a residential area of Worthing within easy access of the town centre and its facilities. The premises consist of two large houses that have been linked together internally to form one care home. Private accommodation is provided in twenty-three bedrooms, four of which have been registered for double occupancy. Communal accommodation is provided in a dining room and two lounges, one of which has been designated for smoking, located on the ground floor. The fees for this care home range from £303 to £800 per week. The registered providers are Sunkist Homes Ltd who has identified Mr Belisario Schiavone as the responsible individual to supervise the management of the care home. The Registered Manager is Mr. Anthony Sayers Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. In order to plan for this unannounced visit, an Annual Quality Assurance Assessment (AQAA) was sent to the manager for completion and satisfaction surveys were sent to service users and professionals involved with the home. The AQAA was returned before the date it was due and contained very good information about the services on offer in the home. Eight service user and four professionals surveys were returned and all made very positive comments about the care and support being provided. Comments from surveys have been used in this report. The unannounced inspection was carried out on 21st July 2008 and lasted for 4.5 hours. During the visit we spent time talking to service users both in communal areas and in their private bedrooms and we spoke to the staff on duty and observed staff practice and interactions with service users. We tracked four care plans and all supporting documents such as daily records and health plans and we spoke to the staff on duty about how they were aware of the needs and wishes of the people they are supporting. We looked at five recruitment files, staff training files and evidence of supervision and we asked the staff about the training and support they receive. Records for the running of the business were seen and these included complaints and comments, incident and accident recording, health and safety records and the home’s insurance and registration certificate. The Registered Manager, Mr. Sayers was present and received feedback following the visit. What the service does well: Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 6 The service offers good care and support to people with enduring mental health needs and people’s needs are assessed prior to them moving in to ensure that the home can meet their individual and diverse needs. Care plans are in place to guide the staff team to the support needs of people and the home works well with other healthcare professionals. Service users tell us that the manager and staff team are kind and caring, that they are supported in their lifestyle choices and have a choice of home cooked meals, activities and outings are provided and people can access their local community. What has improved since the last inspection? What they could do better: In order to ensure that the needs of service users are being fully met the manager must: Ensure that people are getting the support they need with personal care. As good practice and in order to monitor outcomes for people service users complaints and concerns should be recorded in the complaints book as well as daily records. Ensure that service users provide bedrooms are kept clean and hygienic Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 7 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. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 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 Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 4 and 5 Quality outcomes for service user in this area are good. This judgement has been made using available evidence including a visit to this service. Prospective service users are given good information about the home; they can be assured that their needs and wishes will be assessed and that a contract of terms and conditions of residency will be agreed. EVIDENCE: The Statement of Purpose for the home has been recently reviewed and updated and we saw that people had a copy of the Service User Guide in their personal files. We looked at the records for three people who had recently been admitted to the home and we saw that a thorough pre-admission assessment had been carried out; service users and other professionals were involved in the process. Visits to the home are encouraged before moving in and for one person where this was not possible, the reasons are recorded. Contracts of terms and conditions of residency are agreed and contain the number of the room being occupied and the fee to be paid. Service users confirmed that they had been given information about the home prior to moving in and had visited for a short stay to meet the people they would be living with. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 10 The registered manager, Mr Sayers told us that he considered the compatibility of service users to be very important when introducing a new person to the home. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 11 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 and 9 Quality outcomes for service user in this area are good. This judgement has been made using available evidence including a visit to this service. People’s individual and diverse needs are recorded in a plan of care that is kept under regular review and any identified risks are recorded and monitored. EVIDENCE: For each person living in the home there is a plan of care in place that details people’s individual and diverse needs and wishes. We looked at the care plans for four people and saw that people are being supported to make decisions about their lives and that any risks are identified and assessed. An example of this is where the care plans have identified how many hours a person can be absent from the home before being reported as missing and a register is completed each night to ensure that everyone is home. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 12 Short terms and long-term goals for the future are agreed with people and service users told us that their independence and choice is respected and supported by the staff team. Daily records were written in a positive and respectful way and the atmosphere is the home was calm and supportive. Regular reviews are undertaken with care managers and sponsoring authorities and service users are involved in this process if they wish to be. There is evidence in resident’s meetings minutes that people have their feelings and suggestions taken seriously and a service user told us, “ this is a good place, they treat you well and you can live your own life”. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 16 and 17 Quality outcomes for service user in this area are good. This judgement has been made using available evidence including a visit to this service. The people living in the home have their choice and independence respected and supported, they have access to activities and their local community and are offered a choice of fresh, home cooked meals. EVIDENCE: The people living in the home told us that they were supported in living their lives the way they wanted to with support from the staff team and other professionals. There is a very clear key working system in place in the home and service users know who they can relate to in terms of advice and support and regular in-house key worker reviews are under taken. There is a programme of planned activities within the house and in the community but a number of people told us that they “like to do their own thing”. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 14 Outings are arranged in the mini bus and people access local cafés and pubs and sometimes go out for meals. Some people told us that they were shortly to go on holiday and one of these people told us that they were looking forward to going fishing. We heard a service user tell a staff member that they wanted a specific video put on later in the evening. The staff member asked the name of the film, the time the person wanted to watch it and this was recorded. Another person said they had recently joined a local gym to keep fit. There is a craft room in a separate shed building at the back of the home. The manager said that there was no one able to run it at the moment but in August one of the present staff team was going to change their role to day care activities co-ordinator in order to provide a wider range of choices for people. In the dining room there was a display of craftwork that service users had completed and Mr Sayers told us that one person regularly plays the piano. People told us that they can see their family and friends at any time and several people told us that they go into Worthing town every day. Some people told us that they do not like to go out into the community or leave their bedrooms very much as this makes them feel very anxious and we recommended to Mr Sayers that a record be kept of staff interaction or any input undertaken in the home with these people to ensure that they do not suffer from further isolation. The home has recently employed a full time cook and during the visit she was reviewing and re-writing the menus after having undertaken a survey with service users to ask for suggestions and what were their favourite meals. Menus showed us that people receive a variety of fresh, home cooked meals with two choices for the main meal and special diets such as diabetic and vegetarian meals are catered for. Breakfast is “self service” and people can help themselves to cereals and make their own toast and they can also make themselves drinks and snacks at any time. Service users were very complimentary about the choice of food and one person said, “ the meals we get are great” Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 Quality outcomes for service user in this area are good. This judgement has been made using available evidence including a visit to this service. People are receiving good personal and healthcare support and medication is well managed. Personal care issues for some people needs to be risk assessed and recorded. EVIDENCE: The people living in the home are supported in maintaining and improving their physical and mental healthcare and records showed us that people are supported to attend G.P. and hospital appointments. The home works with care co-ordinators, psychologists, psychiatrists and mental health support teams to ensure that people’s enduring mental health needs are assessed and supported. A service user told us, “ they are very good here, and if you don’t feel too good they listen to you and do what they can to help”. In returned surveys, three local doctors told us that they were satisfied with the care being provided in the home. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 16 The staff team working in the home do not provide personal care for people and instead the manager buys in a domiciliary care worker to provide personal care for the people who are identified as needing support. Mr Sayers explained that this was a conscious decision to maintain people’s privacy, dignity and respect and not to blur the edges of the relationships people have with their support workers. We met with the person providing the personal care who told us, “ I love coming here, it is always so cheerful and happy and I have build up a really good relationship with the people I support”. Most of the people living in the home choose to be independent regarding their personal care but some people looked very unkempt and were wearing dirty clothes. In a survey seen at the home a family member said, “ The staff are very good, very friendly and kind but not enough attention is paid to personal care”. Mr. Sayers showed us that there are real difficulties with some people and this is recorded in their care plan and kept under review. Mr Sayers also told us that he would carry out a risk assessment for the people identified as resisting personal care and this area of care will be further assessed at the next inspection visit. There are policies and procedures in place regarding the storage, administration and recording of medication and the support workers involved in medication receiving training. There is a Dosette box system in place and we checked these against the records and found them to be correct. One controlled medication is in use, this was safely locked away and when we checked the number of tablets against the records these also were correct. The manager showed us risk assessments that are in place for people who wish to self medicate, there are locked drawers provided in their bedrooms and key workers monitor and record if there are any concerns, for example, people refusing to take their medications. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality outcomes for service user in this area are good. This judgement has been made using available evidence including a visit to this service. Complaints are recorded and acted upon and the homes policies, procedures and working practices are designed to protect people from risk of abuse or harm. EVIDENCE: The home has a complaints procedure in place a copy of which is displayed in large print on the notice board in the main hall. Service users told us that they feel quite confident in making a complaint and told us that the staff listen to them and do something about it. One formal complaint from a neighbour has been received since the last visit and records showed us that this had been investigated and the outcomes fed back to the complainant within the home’s stated time frames. We saw in daily records that showed us that smaller day-to-day complaints or concerns from service users are recorded and acted upon but as good practice these should be kept in a complaints log for monitoring purposes. Mr Sayers said that he would ensure that this is done. Training records showed us that the staff team have attended safeguarding training and also training in the management of challenging behaviour and in supporting people with mental health needs. Mr. Sayers Told us that there was a “no restraint” policy in place within the home and that good staff monitoring processes and good communication means that people are protected from self Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 18 harm or neglect. The atmosphere in the home was calm and supportive and there was evidence of input from other agencies and professionals involved in people’s care. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 19 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 25 26 and 30 Quality outcomes for service user in this area are adequate. This judgement has been made using available evidence including a visit to this service. Although the home is comfortable and homely, some improvements are needed to the cleanliness of service users bedrooms and the risks to staff health from service users smoking need to be added to the fire risk assessment. EVIDENCE: The home is situated over three floors with an attractive, well maintained courtyard garden with seating, plants and water features to the rear of the building. The main lounge is homely with comfortable furnishings, a large screen television and lots of videos pictures and ornaments. There is a large hole in the corner of the lounge ceiling where there has recently been a water leak through the house and Mr. Sayers told us that quotes were currently being considered for repairs to be undertaken and to refurbish the damage. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 20 There is also another large room with a pool table that was the smoking room and Mr Sayers told us that this is to be completely refurbished for use as another lounge area. Resident’s meeting minutes showed us that service users are being involved with the choice of décor and furnishings. There are adequate bathroom and laundry facilities in place and a new sink for hand washing has now been fitted in the laundry. Communal areas of the home were clean and well kept. Service users bedrooms are situated over the three floors of the home and all have been personalised by the people living there. Some rooms are very spartan but people told us that this was the way they like them to be. Although daily records and activity plans show that people are supported to clean their rooms weekly, some rooms were in a poor condition with very stained carpets dirty surfaces, clothes all over the floors and used plates etc on the floors. This was discussed with the manager who told us that it was very difficult to get some people to clean their rooms or accept support but after discussion about people’s rights and responsibilities a Requirement was made for the home to ensure that people’s rooms did not get past an acceptable state of hygiene. We did not see all service user’s bedrooms as many people had gone out and had locked their doors. One service user complained to us that the noise of the water pipes above his head kept him awake at night. The home had recorded this and acknowledged that the pipes are noisy and Mr Sayers told us that this was being addressed as part of the repairs being undertaken. People also smoke very heavily in their rooms, the manager told us that the fire department is aware of this and smokers have a notice on their doors saying that it is a smoking room. Mr Sayers is currently completing the home’s fire risk assessment and although we saw that this includes the risks of people smoking in the home it does not contain an assessment of the risks to the staff team’s health. Mr Sayers said that he would expand the assessment to include this. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 and 36 Quality outcomes for service user in this area are good. This judgement has been made using available evidence including a visit to this service. The staff team have the skills experience and support they need to provide an effective service for the people living in the home. EVIDENCE: Staffing rotas show us that there are sufficient staff members of duty to meet the needs of the people currently living in the home. There were two care staff a cook and a cleaner on the early shift and a sleep in person at night. One person had called in sick but the rota showed that there are usually three people plus the manager during the day. Service users told us that they felt they were well supported by the staff team. As stated earlier in this report, the care staff at Sunkist do not provide personal care but work closely with people as key workers to meet people’s social, emotional, health and mental healthcare needs. Observation during the visit showed us that the staff on duty had a calm and friendly relationship with service users, they were responsive and made time for people if they came to talk or had a query. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 22 In order to protect people there is a robust recruitment process in place. We saw the files for five members of staff and there was evidence of a recorded interview and references and people had obtained a current Criminal Bureau Check (CRB). Some of the CRB’s were not at the home as two people had just been transferred from another home in the group but these were faxed through from the head office. The manager Mr. Sayers told us that he is currently working on updating the staff files, as they are untidy and difficult to track. Training records show that that a formal induction process is now in place and we saw a completed workbook for one person. The two new staff were also having an in-house induction to familiarise them with the policies, procedures and working practices in the home. Training records show us that as well as mandatory training such as first aid, medication and health and safety, the staff team receive specialised training in caring for people with Mental health needs and also challenging behaviour management. Records show us that people have attended courses such as The Mental Capacity Act, equal opportunities, challenging behaviour in mental health and The Mental Health Act. Supervision records are in place and Mr. Sayers told us that informal supervision is carried out all the time, as working in the home can sometimes be very stressful for the staff team. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 23 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 and 42 Quality outcomes for service user in this area are good. This judgement has been made using available evidence including a visit to this service. The home is being well managed in the best interests of the people living there but some improvements are needed to ensure that all areas of the home safely meet service user’s needs EVIDENCE: The Registered Manager of the home Mr. Sayers is a registered social worker and we saw evidence in work folders that both he and the deputy manager are currently working on the Registered Manager’s Award. Service users were complimentary about Mr. Sayers approach and one person told us, “ you can talk to Tony ( the manager) about anything that’s worrying you”. At the last inspection visit there was no quality assurance system in the home but we saw that a process has now been put in place. Surveys have been sent Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 24 to service users, families and professionals involved with the home and there has been a good rate of return. Most of the surveys we saw were very positive about the service being provided in the home, one care manager said, “ I feel that Sunkist has a strong social care ethos and looks after my client in a way that is very flexible and responsive to his needs”. There is also a suggestion box in the entrance hall of the home to elicit views form service users and visitors and Mr Sayers told us that he in now going to collate the responses from the surveys and use them to form an action plan to be used for the future development of the home. Regulation 26, Registered Provider’s visits are carried out and recorded but these are mostly of a tick box format and do not detail what action is to be taken from shortfalls identified during the visits. The home holds money on behalf of some service users and this is stored in a small safe that is bolted to a surface in the office. During the day we saw people asking for some of their monies and this was recorded and the service user asked to sign to say they had received the money. We also checked the records for one person and found them to be current and correct. Records such as electrical appliance testing and general maintenance records were seen and this showed us that health and safety checks are undertaken and during the visit there was a specialist engineer carrying out an asbestos survey in the home. Fire records showed us that regular fire checks are undertaken and recorded and service users are involved in fire drills. There are also records of staff fire training in place. As highlighted in other parts of this report, although the care being given to people meets their needs and wishes, more attention needs to be paid to the personal care issues for some people, the smoking risk assessment needs to be extended to include risks to staff and risk assessments and support plans must be put in place to ensure that an acceptable level of hygiene is maintained in all service users bedrooms. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 25 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 X 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 3 26 3 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 x 3 3 3 X X 2 x Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA30 Regulation 23.-(2) (d) Requirement In order to ensure that people all service users are receiving the support they need to keep their rooms clean and hygienic, risk assessments must be completed for people who are not compliant and an action plan for support must to be added to their care plan. Timescale for action 15/08/08 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 YA22 Good Practice Recommendations As good practice all complaints and concerns from service users should be recorded in the complaints book as well as in the daily records so that outcomes for people can be monitored. Sunkist DS0000014752.V367736.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Sunkist DS0000014752.V367736.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. 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