Inspection on 02/11/07 for Sycamores

This inspection was carried out on 2nd November 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sycamores 29/07/06

Sycamores 13/12/05

Sycamores 05/10/05

Sycamores 01/03/05

Sycamores 20/12/04

Sycamores 12/12/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Sycamores 33 Dymoke Road Hornchurch Essex RM11 1AA Lead Inspector Jackie Date Unannounced Inspection 2nd November 2007 12:45 Sycamores DS0000027873.V354003.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 Sycamores DS0000027873.V354003.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. Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamores Address 33 Dymoke Road Hornchurch Essex RM11 1AA 01708 726933 01708 707370 jinder.prior@ntlworld.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Michael Joseph Prior Mrs Harjinder Kaur Prior Mrs Harjinder Kaur Prior Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th July 2006 Brief Description of the Service: Sycamores is in a residential area of Hornchurch and is within walking distance of Romford market town. The home offers 24-hour care for 5 adults with learning disabilities. The home accommodates males only. All accommodation is in single bedrooms and one bedroom has an en-suite facility. 2 bedrooms are on the ground floor and 3 are on the first floor. The home is not suitable for anyone who uses a wheelchair as the corridors are narrow and there is no passenger lift to the first floor. Residents are supported in community based activities by the staff team. The scale of charges per week for each resident range from £702.05 to £1164.61 per week. The manager/proprietor provided this information shortly after the visit. Information about the service provided is contained in the service users guide Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 12:45pm. It took place over four and a half hours. This was a key inspection and all of the key inspection standards were tested. Staff were asked about the care that residents receive, and were also observed carrying out their duties. Where possible, residents were asked to give their views on the service and their experience of living in the home. All of the shared areas and four of the bedrooms were seen. Staff, care and other records were checked. Relatives, social workers and healthcare professionals were contacted and asked for their opinions of the service. At the time of writing this report feedback had been received from 2 relatives and 3 healthcare professionals. Any feedback subsequently received will be taken into account for future inspections. Staff supported all of the residents to complete feedback forms and feedback forms were received from 5 staff. Services are now required to complete an AQAA (Annual Quality Assurance Assessment) and the completed form was received on 5th July 2007. Information provided in this document also formed part of the overall inspection. The inspector would like to thank the residents and staff for their input during the inspection. What the service does well: There is a fairly stable staff team and therefore residents are supported by staff that they know and who know them well. Residents can and do choose what they want to do and where they go. There is a very relaxed atmosphere and staff and residents appear to get on well. A relative said: “Sycamores provide a home from home environment, which produces happiness and contentment for the clients. They run a good and happy home.” Another relative said “Sycamores provides a secure, caring and loving family environment for the residents. I have great confidence in the homes provider, Mrs Harjinder Prior.” A healthcare professional said “ they understand residents needs and seek advice when problems arise”. Another said “the clients seem happy enough”. Residents said that they like living at Sycamores. Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 6 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. Sycamores DS0000027873.V354003.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 Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Appropriate information would be gathered on a prospective resident prior to their moving into the home and this would give staff a picture of the individual’s needs and how to meet these. Prospective residents and their relatives can spend time in the home to find out what it would be like to live there and to enable the resident to make a choice about living in the home, within their capacity to do so. Residents have contracts/statement of terms and conditions and therefore have information about the service that they are entitled to. EVIDENCE: There have been no vacancies at the home for some time. However the home has an admission policy and prospective residents are encouraged to visit the home prior to admission (this may be a visit and a meal or an overnight stay dependent on the person involved). This is to get to know the residents who already live there and to see what it is like living at Sycamores. Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 9 Prior to admission the home receives an assessment by the placing authority and then the proprietor/manager will carry out their own assessment of the needs of the person to ensure that the home can meet their needs. A review will be carried out after 6 weeks to give everyone an opportunity to see how the placement is going. All residents have contracts completed by the placing authorities and therefore residents have detailed information about the service that they are entitled to. Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Residents’ care plans and risk assessments contain sufficient information to enable staff to safely meet their needs. Residents are consulted about what happens in the home as far as they are able. EVIDENCE: All of the residents have plans which give details of how they need/like to be supported. A selection of care plans were examined during the visit and the information contained in them was detailed and relevant. They also indicate strengths and priorities and what individuals like and dislike. Residents have signed their care plans and confirmed that they had been involved in developing these and also in their review meetings. Daily recordings are made about what each person has done and support that they have been given. Therefore there is information about each individual, Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 11 which can be used as part of the review process and to identify ongoing and changing needs. There are risk assessments in place. These identify risks for the residents and staff and indicate ways in which the risks can be reduced to enable the residents’ needs to be met as safely as possible. Risk assessments are relevant to individual needs. Risk assessments have been reviewed and are up to date. Therefore staff have up-to-date information about risks to residents and how to minimise them. This will help to keep residents safe. Residents can and do make decisions about what they do and what happens in their lives. The manager/proprietor had previously explained that residents do not like to sit down to a “formal” meeting and that this had not worked. This was discussed and it was agreed that the meetings do not need to be “formal” and that the informal “chats” with residents to get their views are acceptable but that in future a record would be kept of this. These records show that residents are consulted about a variety of things including the menu, activities and what celebrations they would like. Sycamores DS0000027873.V354003.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): People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. The residents are encouraged to take part in activities, to be part of the local community and to be as independent as possible. Residents can and do express their opinions about what is happening in the home and in their lives. Residents are supported to keep in contact with their relatives and relatives are welcomed at the home. Residents are given meals that meet their needs and individual preferences. EVIDENCE: None of the residents use any formal day services, although they have in the past. They have also attended college in the past and one resident had a certificate from College displayed in his bedroom. Activities take place and residents attend a local Church on a Sunday. Local clubs are used which take Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 13 place on Monday, Wednesday and Saturday. Residents also go to places of interest and like to go out for meals. They use local facilities. They usually have an annual holiday and this has often been abroad. The residents have a cat that they help to look after. Some residents had wanted a dog but not everyone was keen. As a compromise the proprietor suggested that she get a dog and that they helped to look after it. Three residents went with her to choose the puppy and they now help to feed and groom him. They also regular take him for walks in the local country parks. It was obvious from discussions with residents that they are very fond of the dog and enjoy looking after him. One resident was refusing to go out but now goes out on average three times a week with the dog. All of the residents participate in household chores and help with the cooking and shopping and are encouraged to be as independent as possible. One resident was observed to go into the garden to check if the washing was dry. Another laid the table for the evening meal. There was a very relaxed atmosphere at the home and the residents were observed to spend time sitting and chatting with staff. One resident said “I like living here, the staff are nice.” Relatives also confirmed that staff were nice. A member of staff said “there is a supportive and caring environment here.” Links with families and friends are encouraged and there are no restrictions placed on visiting times. Families are invited to review meetings. Some of the residents spoke about visiting their families at Christmas. One resident has relatives in Cornwall and to assist him to visit them the manager/proprietor takes him to Bristol and the family meet him there. This cuts down on the travel time and distance and makes it easier for the family. Meals and meal times are generally arranged around the daily activities that are taking place. The main evening meal is when all residents and staff sit down together. Staff said that it is not a problem if residents want different things. A record is kept of the food that is offered to residents and of what they choose. One of the residents said that the food was good. During the course of the visit residents were observed to make their own drinks and to help themselves to fruit. All of the residents are able to indicate what they would like to eat and at lunch time the residents that were at home chose different things for lunch. None of the residents have any specific dietary requirements in relation to their religious or cultural needs. Residents also said that they like to go out for meals and enjoy Chinese and going to the Liberty Bell in Romford. Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Residents receive personal care that meets their individual needs and preferences and the staff team support them to get the healthcare that they need. Residents receive their prescribed medication appropriately and as safely as possible EVIDENCE: The residents require differing amounts of support with their personal care and details of the help that they need and how they prefer to be supported are in their individual plans. However in the main residents require only supervision and encouragement with personal hygiene. All of the residents are males and there is a male carer and one of the proprietors is a male. Therefore if residents wish a male carer can assist them. Residents receive personal care that meets their needs and preferences. Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 15 All of the residents go to the local doctor and specialist help is received when needed. Staff take residents to all of their medical appointments. Residents’ files have details of health care issues and show that residents have regular access to health care professionals. Records are kept of medical appointments and these show that residents have had checks from the optician, dentist and when needed the chiropodist. However there have been a few difficulties in obtaining appropriate services and the proprietor /manager is now looking at dental and optical services visiting the home. She said that she is very reluctant to do this but feels that it is the best way to ensure that residents continue to receive the checks that they need. Therefore residents’ health care needs are being met. One relative said “ they understand and meet the needs of my son despite his behavioural problems and disabilities.” None of the residents are able to self medicate and medication is administered by staff that have been trained and deemed capable to do this. Medication is stored in an appropriate lockable cabinet attached to the wall in the kitchen area. The medication folder contains details about each resident and the medication that they take. At present the pharmacist visits every three months to check and advise on the medication. The manager/proprietor said that there had been some problems/issues with the company that had been providing the medication. She has therefore decided to change to a new company as she feels that their system will be more suitable and robust. The new company will be providing staff training and this is due to happen in the next few weeks. Examination of the MAR (Medication Administration Record) found that these had been appropriately completed. Overall, residents’ medication is satisfactorily administered. Sycamores DS0000027873.V354003.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): People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. There is a complaints procedure that would be followed in the event of any complaints being made. All staff have received adult protection training to ensure that they are clear about what constitutes abuse and what to do if abuse is seen or suspected. This gives residents a greater protection from abuse. Residents’ finances are satisfactorily managed. EVIDENCE: The home has policies and procedures for dealing with complaints and this is displayed in the home. It also holds the Havering Complaints procedure and the ‘No Secrets’ document. All of the residents would be able to say if they were not happy about anything and said that they would ‘tell Jinder’. There were not any recorded complaints. The Commission has not received any complaints or concerns about the service since the last inspection The proprietor/manager is appointee for four of the residents and the other looks after his own finances with some support. A random selection of residents’ finances was checked and cash amounts held agreed with records. Receipts were on file. Residents’ monies are securely stored. Staff have received protection of vulnerable adults and challenging behaviour training as required by the previous inspection. They are aware of what Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 17 constitutes possible abuse and of the action that needs to be taken. This offers more protection to residents. Sycamores DS0000027873.V354003.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): People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Residents live in a comfortable home that is suitable for their needs. EVIDENCE: Sycamores is a home for 5 adults with learning disabilities situated in Hornchurch, Essex. It is an end of terrace house with a large enclosed garden to the rear. There is large through lounge, a kitchen /dining area, a bathroom and two bedrooms on the ground floor. Upstairs there are 3 further bedrooms, a toilet and a laundry room. At the end of the garden there is an activity room for residents use. The house is situated near to local bus routes and is conveniently situated for access to Romford town centre where there are shops, cinemas and other amenities. All bedrooms are suitable for the needs of the residents. The rooms were very individual and contained residents’ personal possessions and photographs. Two residents have recently swapped rooms and both were happy about this. Residents can have keys to their rooms and some choose to do this. Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 19 The previous inspection required that the upstairs toilet needed to be redecorated and the flooring sealed. This was done. About a year ago the bathroom was recarpeted but this has become stained and worn. The proprietor/manager said that they are going to replace the carpet. At present the bathroom has two slightly different levels and this needs to be altered to facilitate more suitable flooring being fitted. A carpenter was due to make visit the week after the inspection took place. One of the downstairs bathrooms has an ensuite toilet. There was a leak and the flooring had to be taken up. This also needs to be replaced. None of the residents require any specialist adaptations and the home would not be suitable for people with mobility difficulties. The house was well maintained. The garden was adequately maintained with garden furniture available. During the course of the visits residents were observed to sit in the garden chatting to staff. At the time of the visit the home appeared to be clean and was free from offensive odours. Sycamores DS0000027873.V354003.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): 32, 33, 34, 35 & 36. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Staffing levels are sufficient, and staff receive the necessary training, supervision and support, in order to meet residents’ current needs and provide an appropriate service for them. Staff are properly recruited and the necessary checks carried out. This helps to protect residents and keep them safe. EVIDENCE: There are two staff on duty during the daytime shifts and one waking staff on duty at night. In case of emergency staff can get support from the manager/proprietor or from the sister home. Feedback from residents and their relatives was that the staff are nice. Staffing levels are sufficient to meet residents’ needs and staff said that they have “plenty of time for the residents”. The home has a recruitment and selection policy and procedure. Several of the staff employed are now long standing and offer continuity of care to Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 21 residents. Files of staff that have been employed for a longer period show that some started work before the necessary checks were received. This issue was raised at a previous inspection and the manager/proprietor said that this was no longer the case. The file of the newest member of staff contained the necessary documentation and evidence that the necessary checks had been carried out. The member of staff commenced employment after their CRB (Criminal Records Bureau) check and references had been received. The manager/proprietor therefore now operates a satisfactory recruitment procedure to help to safeguard residents. It was a requirement at the last key inspection that basic first aid, challenging behaviour, epilepsy and POVA (Protection of Vulnerable Adults) training take place. This has happened. Of the current staff team (14) 9 staff hold NVQ level 2 or above qualifications. From talking to staff and examining records staff do receive appropriate training to meet residents’ needs. Staff also said that they receive supervision from the manager/proprietor. Staff meetings are held periodically. The proprietor spends her time between the two homes and staff will often work at both of the homes. Staff feedback was that communication is good. Staff get the support that they need to carry out their duties. Feedback from other professionals was that they have very little contact with staff as the proprietor /manager is the contact and tends to accompany residents to appointments and meetings. They also felt that some of the residents respond well to her but that problems may arise when she is not there. It is recommended that a keyworker system is introduced and that staff have the opportunity to undertake more specific work with residents. This will not only lessen residents’ dependency on the manager but will also assist staff to develop their skills and gain more experience. Sycamores DS0000027873.V354003.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): 37, 38, 39, & 42. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. The home is satisfactorily managed and provides a safe environment for the residents. EVIDENCE: The manager/proprietor has completed NVQ level 4 and is suitably qualified. She has extensive experience of running service for people with learning disabilities. She is registered to manage both of the homes that she is proprietor to and spends her time between the two services. The staff are aware of the lines of accountability within the home and were clear about their roles and responsibilities for the day. However as stated in the section on staffing other professionals have commented that some tasks are not delegated to staff. This was discussed with the manager/proprietor and it was Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 23 recommended that she delegates to staff and that she set up a keyworker system. Feedback from staff was that there were good relationships between residents, staff and the manager. A relative said “I have great confidence in the homes provider as a consequence of the way that she has cared for my son since he moved to Sycamores”. Another relative said “Sycamores provides a ‘home from home’ environment which produces happiness and contentment for the residents”. The manager monitors the quality of the service provided. She has devised quality assurance forms but has not sent these out yet. The manager/proprietor was reminded that she does need to do this. This will be monitored during the course of future inspections. However there was evidence that she regularly seeks the views of the residents. In addition she carries out regular spot-checks at the home both during the day and at night. In September 2007 an inspection was carried out at the other home owned by the proprietor and she has also implemented the health & safety requirements from that visit at this service. The necessary health & safety checks are carried out regularly. For example fire call points are tested weekly as are hot water temperatures. Appropriate servicing is carried out on the fire system and fire equipment. A fire drill was held in September 2007. Appropriate service and checks are also carried out on equipment and services. For example gas safety and portable appliance testing. A safe environment is provided for the residents Sycamores DS0000027873.V354003.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 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 2 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 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 3 3 3 X 3 3 3 X X 3 X Sycamores DS0000027873.V354003.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 YA27 Regulation 16 (2)(c) Requirement The bathroom and toilets must have suitable flooring so that an appropriate standard of hygiene is maintained and that these areas are of a satisfactory standard. Timescale for action 30/01/08 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 YA33 Good Practice Recommendations It is recommended that a keyworker system is introduced and that staff have the opportunity to undertake more specific work with residents. This will not only lessen residents’ dependency on the manager but will also assist staff to develop their skills and gain more experience. Sycamores DS0000027873.V354003.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Sycamores DS0000027873.V354003.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. 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