Inspection on 08/10/07 for The Alton Centre

This inspection was carried out on 8th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Alton Centre 04/11/08

The Alton Centre 08/10/08

The Alton Centre 20/06/07

The Alton Centre 07/06/06

The Alton Centre 12/12/05

The Alton Centre 05/05/05

The Alton Centre 16/11/04

The Alton Centre 14/07/04

The Alton Centre 25/05/04

The Alton Centre 13/02/04

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

CARE HOME ADULTS 18-65 The Alton Centre Irchester Road Knuston Spinney Wellingborough Northants NN29 7EY Lead Inspector Sarah Jenkins Unannounced Inspection 8th October 2007 07:30 The Alton Centre DS0000055888.V347570.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 The Alton Centre DS0000055888.V347570.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. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Alton Centre Address Irchester Road Knuston Spinney Wellingborough Northants NN29 7EY 01933 413646 01933 413664 altoncentre@activecarepartnerships.co.uk Not available Active Care Partnerships Ltd 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) Vacant Care Home 55 Category(ies) of Learning disability (24), Physical disability (31) registration, with number of places The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Care Home with nursing A total of 31 residents in the category of PD (Physical Disability) between the ages of 18 and 65 years may be accommodated in the home. Four named residents in the category of PD over the age of 65 years may be accommodated in the home. A total of 31 residents in the category of PD (Physically Disabled) A total of 24 residents in the category of LD (Learning Disability) between the ages of 18 and 65 years requiring personal care only may be accommodated ed in the home. No more residents in the category of PD may be admitted to the home when there are already 31 residents in this category accommodated. No more residents may be admitted to the home when 24 residents in the category of LD (Learning Disabilities) are already accommodated in the home. 20th June 2007 6. 7. Date of last inspection Brief Description of the Service: The home provides care for 31 physically disabled adults and 24 residents with learning difficulties between the ages of 18 and 65 years. There is a registration application in process which may effect the future numbers of admissions in the respective categories. The home is situated in a small village, close to two local towns and their amenities. Transport is provided in the form of two mini-busses. Accommodation for the client group with Physical Disabilities is mainly provided over three floors and is in single rooms with ensuite facilities. Six residents have their own self- contained bungalows in the grounds but attend the main house for meals and activities. Adaptations such as ceiling hoists and mobility aids are provided according to assessed needs. This part of the home is known as The Alton centre. Residents with Learning difficulties are accommodated in a separate unit with separate staff and management. They also have single rooms and ensuite facilities. The Unit is known as Thorpe Life Skills Centre. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 5 Fees range from £564 to £3034 per week according to residents assessed level of care need. Additional charges are made for hairdressing, chiropody, toiletries, newspapers and extra activities. The Responsible Individual confirmed this information at the time of the inspection. Statements of Purpose and Service Users Guide for each of the two areas are available from the Acting Managers at the home. Inspection reports are available from the home or from the Commission for Social Care Inspection website. Information is available in the main entrance hallway in The Alton Centre. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 3 service users and tracking the care they receive through meeting with the service users, a review of their records, discussions with the care staff and observation of care practices. The Inspector visited Thorpe Life Skills Centre during the morning (4 hours). One service user was “case tracked”. Service users have Learning Disabilities and in some cases autistic spectrum disorders or other diagnoses and thereby communication for some is difficult. The Inspector spent a further 4 hours in the Alton Centre where two service users were “case tracked” and the inspector sample checked the other aspects of care through discussion with staff and a check of some records. Establishing Service Users choices and informed decisions is dependant to some extent upon the consistency of staff, service users relationships with staff, and the quality of communication. Feedback obtained from Service Users in this report was in part through observations of their relationships with staff, and also through interpretations of their general levels of happiness with their routines. The inspection process included a review of the history of the home since the last inspection, analysing and summarizing the content of 7 feedback forms from the homes staff. Feedback from the visit was given to the Responsible Individual for the organization on the day of the site visit. What the service does well: There has been a full and effective response from the Registered Owners to the serious issues arising at the home during June and August. Resources have been made available to start the process of fully resolving these issues. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 7 The inspector received a number of positive comments from service users and staff about the quality of life at the Alton Centre and Thorpe Life Skills Centre. Service users felt that they were able to lead satisfying lives at the home and were well supported by the staff to do so. Many staff are highly committed to providing a good quality of care and want to improve the performance of the home and the outcomes for service users through improved teamwork. What has improved since the last inspection? What they could do better: The improvements at the home need to be consolidated and maintained. Service users care plans and risk assessments need to be completed and maintained with detailed meaningful and relevant information. Information needs to be easily accessible for staff to access. The quality of information in risk assessments particularly, is often below standard at present. Staff need to have further training and support in risk assessment and management, and in writing appropriate, in depth, information. There needs to be evidence of service user involvement in their care plans, and ultimately user friendly documentation and formats. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 8 Whilst there have been fundamental improvements in management and quality audit at the home, it appears from some of the staff feedback that support, training, and supervision for staff are still central issues. Staff feedback was generally very positive about the improvements that there have been at the home but included comments that staff would like more positive feedback and supervision, and that induction training could be improved. Some staff feel that there is a lack of information and guidance from some senior staff and that this affects the quality of their work. Staff training needs to be ongoing. There needs to be more understanding by staff of the importance of safeguarding adults through the Protection of Vulnerable Adults procedures. This area must continue to be prioritized. 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. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 9 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 The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 10 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): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users needs are generally properly assessed prior to admission, which should lead to appropriate placement, and good outcomes. There was evidence of occasional shortfalls in the process at this inspection. EVIDENCE: The Inspector reviewed records and discussed with staff and two service users the process for admission, and found that detailed information of needs was collected and transferred onto an initial care plan prior to service users admission to the home. The process for admission is flexible according to service users needs and wishes, and service users and their relatives are generally well supported through the period through introductory visits, meetings and other communication. Information about the home including the homes most recent inspection report is available in the entrance hallway. In the process of case tracking it was noted that in the case of two of the three service users, it was not possible to fully track the accuracy or source of the current information on the initial care plan. It was evident that in one of these cases exceptional circumstances may have hindered the process, but in the The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 11 other an essential piece of information had not been transferred to the current care plan. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are evident in the areas of the form of programmes of activity at Thorpe Life Skills Centre. Care plans and risk assessments need further development. EVIDENCE: Care Plans at the Thorpe Life Skills Centre have improved since the last inspection, but need further development in the form of information, user involvement and staff training. Staff feel positive about the changes but also feel that the information is still not always sufficiently organized or accessible. The inspector supports these views. Risk assessments are in places superficial and do not always meet the purpose for which they are drawn up. Review is needed, and staff guidance and training in this area The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 13 Care plans in the Alton Centre (Main House) were generally sufficiently full and detailed to provide good care/nursing care. Service users in the Alton Centre expressed satisfaction with the delivery of care although there was a lack of evidence that they, or their advocates had been fully involved in drawing up the care plan. Service users generally feel properly involved in decision making about their lives, and there was evidence from discussions with service users at the Alton Centre, and from observations at Thorpe Life Skills Centre that staff properly generally consider service users rights and wishes in this respect. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 14 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): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lifestyles are fully satisfying for some, but outcomes for others are sometimes variable. The needs of Service users in Thorpe Life Skills Centre are now better met than was evident at the last inspection. EVIDENCE: There is evidence at the Alton Centre (Main House) that most service users are satisfied with their activities and the activities programme and records and discussions with service users, show that many service users enjoy a variety of satisfying activities. There has been a recent reduction in activities over the weeks preceding the inspection due to a staffing issue but service users who were able to speak with the inspector expressed general satisfaction with their lifestyles and said they enjoyed their access and involvement in the local community. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 15 The Responsible Individual informed the inspector of the great enthusiasm that has been engendered for activities in the garden and the ways in which service users interests have been supported and promoted with assistance from the homes maintenance staff. Service users at Thorpe Life Skills Centre now have full programmes of activities and routines that can generally be met by staff although staff reported occasional organizational issues related to staff availability. At the time of the inspection additional senior staff remain available to support the home as agreed in the improvement plan, and there was a voluntary freeze on new admissions in one part of the home. An opinion from a staff member that service users at Alton Centre (Main House) are not offered sufficient opportunities for exercise should be explored by the Registered Manager. Service users are encouraged to retain contact with friends and relatives, and staff at the home understood that good relationships producing positive outcomes for service users were important, and did their best to support positive contact. The Inspector observed preparation for breakfast at Thorpe Life Skills Centre and saw that a service user was offered a full choice of foods. The midday meal at Alton Centre (Main House) was observed by the Inspector and seen to be nutritional and appetizing. Service users and staff spoke positively about food provision and there was evidence of service users being enabled to make choices. Staff supported service users with their eating needs appropriately where needed, and specialized plates and cutlery were available. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Outcomes for service users are generally good although consistently good quality needs to be promoted and maintained. EVIDENCE: Service users who spoke with the Inspector were satisfied with the way in which their personal and healthcare needs were supported by staff. The Inspector observed that generally staff had good relationships with service users and that their privacy and dignity were valued and respected. The quality of interaction from individual staff members was variable, being sometimes warm and responsive and sometimes more perfunctory, and this is highlighted as an area for staff development. At the Alton Centre (Main House) one service users healthcare records and care plan did not include the necessary support and monitoring of a mental health issue that was highlighted as an area of concern on the admission details. There appeared to an emphasis on physical healthcare in this part of the home and a lack of full response to emotional welfare needs. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 17 The management of medication has been greatly improved and now meets the Standard. A recent report from the visiting pharmacist identifies that storage of medication is in a room that is slightly above the required temperature for storage and the ways of resolving this are being explored. There was ambiguity in the instructions for the administration of a medicine on one service users Medication Administration Sheet at the Thorpe Life Skills Centre. It was unclear from the printed instructions whether the drug should be administered regularly at times or on a PRN (as required) basis. It was therefore not clear whether the General Practitioners intentions for the administration of this drug were being properly followed. Neither was it possible to establish the details of when this drug had been prescribed from the homes records. Advice was given on this and a senior staff member clarified the matter with the General Practitioner and the pharmacist. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is improved protection for service users, however care need to be taken to ensure prompt referral through safeguarding procedures. EVIDENCE: A recent complaint is in process of investigation by the Responsible Individual. The complaint raises issues about activities for service users in the Thorpe Centre. From discussion with the Responsible Individual about this, the Inspector judged that the complaints process is being followed; that the issues are being considered fully and fairly; and that the response to the complaint is likely to be appropriate. The outcomes for service users in respect of protection have moved from poor to adequate during the four months since the last inspection. Requirements from the last inspection; a serious incident in August; and input from strategy meetings have prompted increased management awareness of, and response to the safeguarding and protection of service users. Improvements have included greater management input and review, and staff training. Staff are generally alert to issues and aware of the importance of this area. Relevant procedures are available in office areas. Training in relation to the The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 19 protection of vulnerable adults has been implemented and some staff were attending updates on the day of the inspection. The inspector found that there had been an unacceptable delay of a day and a half, in reporting a service users allegation through the safeguarding adults procedure. The senior staff member to whom this incident had been reported had taken appropriate action to immediately safeguard and protect the service user and to protect staff from potential false allegation. However, she had not otherwise acted sufficiently promptly to secure the evidence for investigation, and thereby advocate for and promote, the service users rights. (Follow up of this issue was undertaken during the inspection) The Inspector was informed that the home is currently in the process of transferring service users monies, safe kept on their behalf, into an appropriate bank account in accordance with regulation 20 which limits the actions which may be taken on behalf of service users in relation to their finances. At the time of the inspection the area of Complaints and Protection has been judged as adequate overall even though a shortfall was identified. Improvements must be ongoing. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 20 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is pleasant and spacious and conducive to service users being able to enjoy a good lifestyle within the home. EVIDENCE: Both areas of the home (Alton Centre (Main House) and Thorpe Life Skills Centre) were sample checked and found to generally meet the Standards. Service users expressed or showed content with their own rooms and the communal areas. Service users bedrooms were sample checked and these are generally of a good quality and present as bright, and reasonably decorated. However two of the three en-suite facilities were found to be malodorous. The floor in one of these en-suite rooms was seen to be wet several hours after the service users The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 21 had apparently used it. The inspector was informed that there is a drainage problem from en-suite facilities that is in the process of being resolved. There is a pleasant garden area that is well used by service users when the weather permits and service users spoke of their pleasure in this. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 22 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing of the home including management support has been improved since the last inspection. Staff training is ongoing and should continue to be prioritized. EVIDENCE: Staffing of the home was seen to be sufficient to meet the needs of service users at the time of the inspection. The Inspector attended the early morning handover at the Thorpe Life Skills Centre and saw that the shift was well organized and that service users had appropriate early morning support despite the delayed arrival of the management support due to traffic. There is currently management cover at Thorpe Life Skills Centre every day from 7.30am until 10.15 pm. Morale among staff at the Thorpe Life Skills Centre was greatly improved since the last Inspection. Staffing of the Alton Centre (Main House) was reviewed over the lunchtime period and it was noted that there appeared to be sufficient staff available to The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 23 appropriately assist service users with their meal. The rota showed a nurse on duty at all times and adequate care and ancillary staff. Staff at the home felt more positive and that their work was better supported through leadership, management, systems and routines. Some staff feel they would benefit from more feedback on the things that they do well. Service users spoke positively about staff feeling that they were helpful and supportive. Staff expressed a confidence that service users were well looked after and that they would raise any concerns appropriately. Staff training is continuing to be addressed and the matrix of training showed reasonable progress since the last inspection, meeting the improvement plan. Staff feedback on training was generally positive. The Inspector reviewed the records relating to the employment of a new member of staff and found that the information available met Standards. The process of recruitment appeared to be thorough and professional but this was not discussed with the Registered Manager, as she was not available at the time of the inspection. The record of this staff member’s induction training was not available at the time of the inspection. Induction training was an issue of potential shortfall identified on one of the 7 feedback forms recently returned by staff. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 24 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): 37,39,42,43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There has been an input of additional management staff over the last few months and Management is being undertaken and overviewed effectively. EVIDENCE: A Manager has been appointed since the last Inspection and her registration is in process. Staff and service users speak positively about her leadership, guidance and support. Additional management support and project management staff have been made available to assist with the implementation of the improvement plan. This support was ongoing at the time of the inspection. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 25 Regulation 26 visits and reports are being fully undertaken and additional internal Quality Audit measures appear from the records to be effective and robust. The Inspector discussed the ongoing management and management overview of the home with the Responsible Individual, and was confident that the Registered Owners response to the serious issues that arose at the last inspection are now being properly addressed. Records were sampled and found to mainly meet the standards, and shortfalls are recognized and being worked on. Health and Safety issues were generally well managed, those identified at this inspection (lack of footplates on a wheelchair without adequate documentation about this, and wet floors in 2 service users en-suite bathrooms) were brought to the attention of senior staff at the time of the inspection. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 26 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 2 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 1 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 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x LIFESTYLES Standard No Score 11 x 12 2 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 x 3 x 3 x x 2 3 The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 27 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 YA2 YA19 Regulation 14 and 15 Requirement Care must be taken to ensure that all service users welfare needs are transferred to the care plan from admission and assessment documentation to ensure that their needs are met. Risk assessments must be undertaken by staff who are fully trained and competent to complete this task. Care should be taken to ensure directions on service users medicines are unambiguous to ensure the safety of the system To properly protect service users properly, staff must have a full understanding of and follow safeguarding procedures promptly. Timescale for action 30/11/07 2 YA6 YA35 13 and 18 30/11/07 3 YA20 13 30/11/07 4 YA23 YA35 13 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 28 1 YA6 2 YA35 The development of care plans should be continued to ensure that Service users assessed and changing needs, and the way in which staff should meet them is fully detailed, and that staff are able to deliver appropriate care consistently. Staff training, development and supervision should continue to be developed with an awareness not only of management need but of staff views in order to develop teamwork and retain a well qualified team. The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 The Alton Centre DS0000055888.V347570.R01.S.doc Version 5.2 Page 30 - 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. 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