Inspection on 22/01/07 for Swallowdale

This inspection was carried out on 22nd January 2007.

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.

Other inspections for this house

Swallowdale 04/01/06

Swallowdale 25/07/05

Swallowdale 11/10/04

Swallowdale 10/08/04

Swallowdale 05/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Swallowdale 5 Bilsby Road Alford Lincs LN13 9EN Lead Inspector Sue Hayward Key Unannounced Inspection 22nd January 2007 14:45 Swallowdale DS0000002430.V325395.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 Swallowdale DS0000002430.V325395.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. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swallowdale Address 5 Bilsby Road Alford Lincs LN13 9EN 01507 462708 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) Linkage Community Trust Mrs Diane Johnson Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Swallowdale is a large converted private house with gardens to the front and rear of the building. Situated in Alford it is conveniently placed for access to local facilities and shops. The home is registered for 8 residents with learning disabilities, all accommodated in single rooms. Employment and training opportunities are offered in the local community, and in Mablethorpe at a bowling green with a hire shop, café and amenity area, which has been developed by the Linkage Community Trust. This provides occupational options for the service users in addition to other work experience projects and/or parttime attendance at the Trusts day centre resource at Scremby. The home is owned and operated by Linkage Community Trust, which is a registered charity. The home was fully occupied on the day of the visit. Information about the day-to-day operation of the home, including a copy of the last inspection report, is available in the home. Information about the fees as at September 2006 confirmed by manager indicated that the weekly charge ranges from £514.00 - £549.00 per week. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. People who live at this home have agreed that they prefer to be referred to as “residents” rather than “service users” and to respect their wishes this will be the term used in this report. This unannounced visit to the home was undertaken by one inspector and took place over 4 hours. It formed part of a “key” inspection. This is the checking of those standards considered to be “key” in terms of the health, safety and welfare of residents. The manager had completed a questionnaire prior to the visit giving important information about the home. Questionnaires had also been returned from eight residents. Information from both these sources as well as information, which the Commission for Social Care Inspection (CSCI) holds about the service was used to plan the visit and produce this report. “Case tracking” was the main method of inspection used. This included looking at the care and support of two residents with a range of needs in detail, through checking their records and discussion with them. In addition all other residents were spoken to, the majority as a group, who gave their opinions about the care and accommodation provided. Four bedrooms, the sitting rooms, kitchen, dining room, a bathroom and toilet, laundry room and the new conservatory were seen on this occasion. Both staff members on duty were interviewed. There was discussion held with the manager and a senior representative of the organization who was present for part of the visit. General comments about the outcome of the visit were given to the manager. What the service does well: This is a well-managed service with a team of staff who receive training to ensure that they have the necessary knowledge and skills to provide a good standard of care for residents. Residents’ comments indicated that staff help them to be as independent as possible and they have opportunities to participate in a good range of social, leisure and occupational activities. Staffing levels are sufficiently flexible to provide the support that residents need to assist them to have a fulfilling lifestyle. Residents’ health needs are promoted through regular appointments with a range of health professionals. They are actively involved in the planning of their care and development of their care plans. They take part in surveys and meetings that help them to say what they want from the service, and how it can be improved and developed. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 6 The home is a domestic style property providing, clean, tidy and well maintained accommodation. Residents said they feel safe at the home. 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. Swallowdale DS0000002430.V325395.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 Swallowdale DS0000002430.V325395.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): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good procedures for introducing new residents to the home, and a thorough assessment takes place to ensure their needs can be met. EVIDENCE: Comments from residents indicated that they had been able to make various visits to the home before deciding whether or not to stay and that their relatives had also had the opportunity to visit. This gives both the prospective resident and existing residents the opportunity to meet. Previous reports have indicated that there is sufficient information available about the home and this is provided in various forms such as symbols and videotapes. This information is available in the lounge for residents to refer to if they wish. Some information about the home is also contained on residents’ personal files such as the service users guide. A resident who had been recently admitted to the home was aware of where her personal file was kept and of the information it contained. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 9 All of the records checked on this occasion demonstrated that there is a thorough assessment procedure in place, which includes assessments of areas of risk that have been identified. From this information care plans are developed identifying how needs are to be met. Comments from some residents indicated that their “key workers” (staff who have specific responsibilities for specific service users) had helped them to complete the questionnaire sent out by the CSCI and confirmed the comments contained in them that they were asked if they wished to move into the home and that they received enough information about the home to decide it was the right place for them. Staff members spoken to had a good knowledge of the needs of residents and one confirmed that prior to a resident coming to stay at the home, a specific staff meeting is set up to ensure that staff have the information they need about any new residents. Swallowdale DS0000002430.V325395.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): Standards 6,7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans contain detailed information to ensure residents’ needs are identified and residents are actively involved in their development and making decisions about their lifestyles. Residents’ independence is promoted and action is taken to ensure any risks are minimised. EVIDENCE: Both care plans were checked on this occasion, with the consent of the residents. In addition all residents were spoken to. All were fully aware of the records held about them and are actively involved in their completion. For example, care plans are signed by residents and if able and residents wish to, they also complete their own daily care records. Care records contained information to demonstrate that individual risk assessments have been Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 11 completed. Any outcomes of these are included in care plans. Discussion with staff, comments from residents and records checked confirmed that care is reviewed regularly and relatives and other professionals are involved. Discussion with all residents indicated that they felt able to make their own decisions as to their lifestyles in the home and community. This was also confirmed in the questionnaires completed by residents. Residents were aware of where they could go to for independent support if needed such as using the citizens’ advocacy link and notices about this service were on display and contained on residents personal records. Residents made comments, which indicated that staff respected their rights. Swallowdale DS0000002430.V325395.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): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ independence is promoted within the home and community and they are supported to make their own choices and decisions. There is an extensive range of leisure and social activities and contact with relatives and friends is encouraged. A well balanced diet based on residents individual preferences and dietary needs is provided. EVIDENCE: Residents’ questionnaires and comments indicated that there are a range of activities, leisure and work interests which meets their individual needs and preferences. For example comments were “I go horse riding”, “I am going to Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 13 Japan and I am doing my cycling proficiency test”, “Some of us are going on holiday to Great Yarmouth” and one said that he had obtained a “level 1 award in catering”. Two residents also went to a craft class on the evening of the visit. Another resident said she was cooking the evening meal. All residents said they attended a resource centre and one was hoping to have a work experience placement at a swimming pool to learn life saving skills. A resident’s record contained information about activities and leisure interests and their religion. Residents said that there are weekly “house” meetings held and they are able to put forward their ideas, such as where they would like to go on holiday and what they would like to do during the week and at weekends. Comments from residents indicated ways in which residents are part of the local community for example they use local shops, visit local pubs and use local doctors and dentists surgeries. All questionnaires that residents had completed indicated that they made decisions and could do what they wanted. Residents said that they used the services own minibus bus or public transport to travel. Staff said staffing levels enable residents to make different choices about how they spent their time. This was observed during the visit as some residents went out and others did not. In addition residents said that they are able to visit and have visits from friends and relatives when they wish. A resident said he had his own front door key. Another that this is something he would like and felt quite comfortable to request this. Staff said matters such as this are risk assessed. Comments from residents included, “ I like the food”, “ I like cooking” and “we decide on the meals at the weekends when we have our meetings”. Menus supplied prior to the inspection demonstrated that a healthy diet is provided for residents. Staff said that none of the current residents had any specific dietary requirements but was aware of their individual preferences and confirmed that these were catered for. Records checked demonstrated that residents weight is monitored regularly to ensure good health. Swallowdale DS0000002430.V325395.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): Standards 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare support is delivered in a way, which enables residents to develop their independence and promotes the health and welfare of residents. There are satisfactory systems in place in relation to how medication is managed in the home, which promotes residents independence. EVIDENCE: Records demonstrated that residents health care needs are promoted, for example it had been recorded when residents had had visits to the doctor, attended hospital appointments or dental appointments. The manager said that a chiropodist also visits the home on a regular basis. The charity also employs the services of some health professionals, such as a psychiatrist. During discussion residents said they had opportunities to attend appointments independently or accompanied by staff if needed. Care plans checked Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 15 demonstrated that they were reviewed and updated regularly according to any changes in health care needs. Records also contained Health Action Plans. Residents said that they could see their doctor whenever they needed to. Comments from residents such as “ I have the key to my room” indicated that residents’ privacy is respected. All residents have a nominated member of staff known as a “key worker” and their comments indicated that they had had choice as to which staff member became their “key worker”. Residents said they have opportunities to self-medicate. This is based on risk assessments being completed and obtaining residents written consent. Lockable storage facilities were seen in place for a resident who does so. Staff said they had had training about the safe handling and administration of medication and training records confirmed when this had occurred. During discussion with a staff member an example was given of how residents’ independence is promoted when staff assist with dispensing medication to them. The previous inspection report indicated that there are satisfactory policies and procedures in relation to the receipt, administration, storage and disposal of medication. The pre-inspection questionnaire completed by the manager on 04/09/06 indicated that there had been no change to these policies since the last inspection. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 16 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): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by accessible policies and procedures, which enable them to raise concerns or issues. They benefit from an environment, which welcomes their views about the service. EVIDENCE: Discussion indicated that residents thought that the staff “treat me well” and “they are very nice and look after you well”. All answered positively to a question relating to how safe they felt at the home. They all said that they would know who to tell if they had a concern or a problem. They felt they would be listened to and staff would respond to any suggestions they made. Staff members had a good awareness of what to do if any complaints were raised and of forms of abuse. They knew how to report it. Adult protection is included as part of staff training and records were available to demonstrate this. A more recently employed staff member said that she had not yet attended adult protection training but had gone through the written procedure, gave examples of forms of abuse and knew what to do if a concern was raised. A staff member was aware of her responsibility to regularly remind residents about how to raise concerns. The complaints procedure is available in other forms such as symbols to assist people who may be better able to communicate in this way. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 17 There are satisfactory records kept of any complaints or concerns raised. These showed that all four concerns raised over the past twelve months had been responded to and appropriate action had been taken to satisfactorily resolve issues. Residents said they would feel comfortable to raise any concerns or problems knew who to raise them with. There have been no adult protection issues raised over the past twelve months. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides comfortable, clean, wellpersonalised and safe accommodation for residents where their independence can be promoted. EVIDENCE: The rooms of four residents were seen on this occasion including those whose care was specifically being followed on this occasion. All were clean, comfortably and individually furnished and decorated. Residents said that they were consulted and had choice about the décor of the house and rooms. All communal areas were well decorated and maintained and there were no obvious safety issues noticed. Since the last inspection there has been an additional conservatory built and an outside patio area. In addition the kitchen Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 19 and dining room has been redecorated and the flooring replaced. Two bedrooms have been redecorated. Surveys show that all residents feel that the house is “always” kept clean and tidy, and discussion with them indicated that they help to keep it that way. Residents said that they do their own washing and preparing of meals supported by staff as necessary. This increases their independence and enables them to prepare for a more independent lifestyle. “Its good that we can learn these things” was a comment from a resident, which supported this. The heating and lighting of the conservatory was not working having been affected by the recent gale force winds however staff said that this had been reported in the maintenance book and issues were dealt with promptly. The manager said that the fire officer was due to make a routine visit to the home on 23/01/07 and whilst there was a fire risk assessment already in place which had been reviewed on 31/05/06 would ensure that she sought advice from the fire officer as to whether there were any changes needed since the completion of the conservatory. The CSCI has since received a copy of the fire officer’s report indicating that fire precautions are satisfactory. Staff had a good knowledge of infection control issues and said that they were provided with equipment such as gloves, aprons and cleaning materials to ensure a good standard of hygiene. Records checked indicated that staff have training about infection control. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by a satisfactory recruitment procedure and by a well-trained, knowledgeable and supportive staff team. EVIDENCE: Residents made positive comments about the staff team indicating that they “liked them”, were “well treated”, “they are brilliant” and “they flatter you”. Staff were kind and courteous. They had a good knowledge of the needs of residents and were noted to respond and support residents appropriately, for example in the preparation of the evening meal. Records were checked of the recruitment process and demonstrated that this includes thorough checks such as criminal record bureau checks and references to ensure the suitability of staff prior to employment. Residents said they have a say in the staff recruitment process and do have the opportunity to meet any prospective staff members. Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 21 Records demonstrated that staff are given information about their expected code of conduct and both staff files checked indicated they had undergone comprehensive training which included an induction programme, mandatory and more specialised training to meet the needs of residents. For example, manual handling, fire safety, challenging behaviour, equality and diversity and risk assessment training. The reports that have been sent to the commission on a monthly basis also indicate that there is an on-going staff-training programme. The manager confirmed that 80 of staff members have achieved a nationally recognised vocational award (NVQ) in care at level 2 or above. Staff members said training is updated at intervals. One said she had her own development file and felt the organisation provided “good training”. Another said she felt “supported, valued and enjoyed her work”. Residents comments indicated that they received the support and help they needed. There is some flexibility with staffing arrangements to enable residents to pursue their chosen activities. Swallowdale DS0000002430.V325395.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 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health, safety and welfare of residents is as far as possible promoted by the policies, procedures and record keeping systems in place. There are satisfactory systems in place to monitor the quality and the development of the service, which ensure the involvement of residents. EVIDENCE: There has been no change to the management arrangements of the home. The manager has a lot of experience working with adults with learning disabilities. She has a management certificate and is an NVQ assessor. She is also responsible for managing another home in Alford and divides her time flexibly Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 23 between the two houses. Records forwarded prior to the visit indicated the manager participates in regular training to keep her knowledge and skills updated. Discussion with residents and staff indicated that they were well aware of the management arrangements in place and felt comfortable to raise any matters. Staff felt valued and supported by the management systems in place through staff meetings, supervision and appraisal and said there is a “good staff team”. A staff member described the manager as being “knowledgeable, experienced and supportive”. There are various means of monitoring the quality of the service such as weekly “house”meetings and the “pointers” committee which is run by and for residents and people who use the organisations wider services. A resident confirmed that he is a representative on this committee. Such groups enable residents to influence the development of the service. The manager, staff and a senior manager who was visiting at the time of the site visit all confirmed that as part of the quality monitoring of the service a system is used which includes the use of questionniares for residents to comment on the quality of the service. Residents comments confirmed this. A recent audit had been carried out and it was expected that the report would be published within a month. It was agreed that a copy would be forwarded to the CSCI once published. There are also regular monthly visits to the home by a senior manager, who assesses areas such as staffing, complaints, social and community issues and building/maintenance issues. Reports of these visits are forwarded regularly to the CSCI. A resident’s comment about the staff included, “they always listen and act on what you say” and “we have lots of decisions about what we do each day”. There are a range of organisational policies and procedures to promote the safety of residents. Some are on display around the home such as the procedure to be followed in the event of a fire. There are also risk assessments in place relating to maintaining a safe environment as well as a fire risk assessment. Staff confirmed as did training records that they have training relating to health and safety issues. There are also records in place to demonstrate that health and safety matters are regularly checked and monitored for example records demonstrate that fire alarms were being tested on a weekly basis, certificates were in place to demonstrate when portable electrical appliances had been tested and to demonstrate that a gas safety certificate had been obtained on 19/01/07. The areas of the home seen indicated that any safety risks identified are addressed for example an alarm bell has been fitted to the front door in order to alert staff when persons are entering or leaving the building. Swallowdale DS0000002430.V325395.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 X 2 3 3 X 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 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X Swallowdale DS0000002430.V325395.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. 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 Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Swallowdale DS0000002430.V325395.R01.S.doc Version 5.2 Page 27 - 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!