Inspection on 23/08/07 for The Chestnuts

This inspection was carried out on 23rd August 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 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

The Chestnuts 20/09/06

The Chestnuts 14/01/06

The Chestnuts 23/09/05

The Chestnuts 10/08/04

The Chestnuts 18/05/04

The Chestnuts 06/01/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Chestnuts 9 Lodge Road Yate South Glos BS37 7LE Lead Inspector Melanie Edwards Key Unannounced Inspection 23rd August 2007 09:20 The Chestnuts DS0000003402.V340638.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 Chestnuts DS0000003402.V340638.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 Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Chestnuts Address 9 Lodge Road Yate South Glos BS37 7LE 01454 227252 0117 9709301 max@aspectsandmilestones.org.uk admin@aspectsandmilestones.org.uk Aspects and Milestones Trust 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) Miss Michaela Jane Spray Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2006 Brief Description of the Service: The Chestnuts is registered to accommodate up to eight residents with learning disabilities. The Home is run by Aspects and Milestones Trust and is divided into two segregated units called ‘Woodland’ and ‘Meadow View’, which are managed as one. The Home is situated in a quiet lane with few other residential buildings nearby. The centre of Yate is about a mile away. The Trust is in the process of building bed-sit accommodation on a plot next door. The property consists of a large, extended Victorian house set in its own grounds with a garden and patio area. The Home has two cars for the use of service users and public transport can also be accessed a short distance from the Home. Parking is available at the front of the premises. The fees charged for staying at the Home are £1375 a week. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Please note some residents have communication difficulties and it is harder for them to express their views verbally. The inspector met five of the eight residents who live at the Home. Time was spent talking to members of staff on duty about their roles, responsibilities and training and development needs. Mrs Spray the registered manager was on duty and assisted with the inspection. Staff were observed assisting residents with their range of care needs. A sample of records that relate to the day-to-day running of the Home, as well as care records were inspected. The Home was viewed throughout. Sue Fuller, the Commission Pharmacist Inspector for the South West region, inspected the handling of medication in the Home. The report of her visit is available by contacting us directly. The Home was operating within the required conditions of registration, which we impose. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: Residents are provided with a supportive environment, and their complex and sometimes challenging care needs are well met. The staff team are committed to the work that they do, and they provide a safe environment for the residents. Residents are very well supported to attend a range of community based services, and activities. Residents are provided with a good standard and variety of food, and they are well involved in menu planning. The Chestnuts DS0000003402.V340638.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. The Chestnuts DS0000003402.V340638.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 The Chestnuts DS0000003402.V340638.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): 1,2.4. Quality in this outcome area is good. Residents’ assessed needs are met by the Home. Residents and their representatives have the information they need to make an informed choice about living at the Home. Prospective residents can `test drive’ the Home before they move in to see if it is suitable for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how prospective residents and their representatives are helped to find out about the Home a copy of the service users guide and the statement of purpose were read. Both documents have been written in an easy to understand format, and include photographs and symbols. This is a very good way of making the documents easier to understand for residents. The guide includes information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is in the document so residents know how to complain if they need to. To find out how well needs are met two assessment records, and two care plans were reviewed, (see also standard 6 for information about care plans). The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 9 There is a new style picture format for the assessment records and care plans. This is going to be used for all residents’ care records. Once these are complete residents should be able to be even more involved in care planning, as the assessment records and care plans will be easier to understand. The current format used for assessments and care plans are well written. This is due to them being written from a `person centred ’ perspective. This should make staff see residents as at the centre of all care. This should also lead to care being very personal and individualised. There was detailed information written for each resident clearly stating how to assist them with their needs. Each resident has a detailed health care needs assessment in place, as well as a social care needs assessment. Both assessments records were up to date and had been reviewed regularly, which help to demonstrate residents’ assessed needs are being monitored by the Home. From discussion with Mrs Spray and from reading care records it was evident that one resident who moved to the Home in May 2007 had visited before deciding to move in. They visited on several occasions to see if they liked it. The service users guide and statement of purpose say it is the Homes policy that prospective residents visit first . This helps to confirm residents can visit and check out the service first to see if it is suitable for them. The Chestnuts DS0000003402.V340638.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): 6,7,9. Quality in this outcome area is good. Residents needs are assessed and their care plans reflect how needs are met. Residents are well supported to make decisions and to take risks in their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how effectively residents are being supported to meet their needs two care plans were read. There was a detailed personal profile completed about each resident. This included their personal history and information about their physical and mental health history, as well as a record of important family and friends. There was also an informative plan of care to address the person’s physical, mental, and social, needs. The care plans had been written in a simple easy to follow style. The current format is well written, as the care plans have been written from a ‘person centred’ perspective. This should help staff see residents as at the centre of all care. This should also lead to residents’ care being personal and individualised. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 11 Mrs Spray and the team are in the process of rewriting all residents’ care plans into a partly picture format. This should be a very good way for residents to better understand the care plans, and be more involved in care planning if they so wish. The care plans aimed to promote the independence of the person in their daily life. There was evidence written in the records that staff had included the wishes and opinions of the person. There was also evidence that the care plans had been evaluated and updated on a regular basis. Reviewing care plans regularly is an important way for the Home to demonstrate residents’ needs can still be met. Staff were observed to be assisting residents in a sensitive and calm manner, and they were meeting residents needs in the manner stated in the care plans. Residents were observed going out with the support of staff on a one to one basis throughout the day, to places that they enjoy going in the community. Residents go out with staff on a very regular basis and attend a range of social and therapeutic activities. Residents go on very regular trips to places that they like to visit. They also go swimming, shopping, and out for lunch. Two residents regularly go horse riding. This is very good evidence of how residents are well supported to take risks in their daily lives. There was detailed information included in care plans that set out the potential risks residents may face in their daily lives, and any risks from particular activities that they take part in both in and out of the Home. The care plans clearly set out the preferred approaches staff should take to keep the residents safe. Residents were seen getting up at different times during the morning, which helps to demonstrate how their choices and different preferences are respected. The Chestnuts DS0000003402.V340638.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): 12,13,16,17. Quality in this outcome area is excellent. Residents are very well supported to take part in a range of appropriate activities that they enjoy. Residents are further supported to be a part of the community and to have personal relationships. They are also offered a varied and well balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and the service users guide state that a key aim of the Home is to support residents to be able to use a range of community facilities as independently as possible. This is reflected in the varied range of activities that residents take part in. Good examples of how residents are supported to spend time in the community include, residents going out shopping, for walks, to the pub, or for a drive on a daily basis to areas of interest. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 13 During the inspection two residents went to Yate for some shopping and lunch, with the support of staff. One resident went on a day trip to Weston-SuperMare with a member of staff. One resident went out swimming with a staff member. Day care staff also supported one resident to go out for a walk. Another resident went out on a boat trip organised by a local charity. The care plans and daily records of residents confirmed the activities that took place were typical of the sort of activities residents take part in every day. All the residents looked very happy when going out for their respective trips and activities. All residents who wish to this year, have been on a holiday, a short break, or a day trip to somewhere that they have chosen to visit. This demonstrates the Home provides excellent ways for residents to be a part of the community and take part in activities they enjoy. One resident was overheard asking Mrs Spray what staff were on duty for the afternoon shift. Mrs Spray told the resident, and asked them who they wanted to care for them and take them out in the afternoon. This is a very good example of residents being able to exercise choice in their daily lives. The current residents menu was checked to see if residents are offered a varied, and well balanced diet. There were a variety of dishes recorded as being available for each day. There was evidence seen that demonstrate residents likes and dislikes are included when menus are planned. There was a varied choice of meal options available for the residents. Meal options included a range of traditional, nutritional meals. One resident said that the food was,’ ‘very nice’. The Chestnuts DS0000003402.V340638.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. Quality in this outcome area is good. Residents are being supported with their needs in the way preferred by them, and their needs are being met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was information in the daily records that staff were monitoring and observing the health of residents and call the doctor, if they are concerned about residents’ health. There was information that showed that residents receive support and treatment as required from the specialist Psychiatrist. There was up to date information written in the two residents care records, which showed residents go to regular appointments at the dentist. There was correspondence from the dietician, and a speech therapist who gives advice and support to residents with their particular needs. This helps to demonstrate that residents’ health care needs are being met. Staff explained in detail in discussion that they aimed to monitor residents’ physical health as well as to provide emotional support. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 15 As has been written in standard 6 of the report, there was detailed evidence in the care records that showed that the preferred day-to-day routine of the residents and particular likes and dislikes were recorded. This helps ensure residents’ needs are met in the way that is preferred by them. Staff who were consulted were familiar with the information in residents care plans, and how best to support them with their care needs. The Chestnuts DS0000003402.V340638.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): 22,23. Quality in this outcome area is good. Residents are well supported to make complaints about the service. Residents are protected from abuse and the risk of harm by policies and procedures. However further staff training would better protect residents from the risk of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a copy of the complaints procedure is on display in the reception area. This includes the name of the Commission for Social Care Inspection, for anyone who wishes to contact us and make a complaint. The contact details of Aspects and Milestones Trust, are included in the complaints procedure and the service users guide. This helps residents and their representatives wish to contact the owners to make a complaint. There had been two complaints made since the last inspection. The complaints referred to the allegedly poor attitudes of two agency care staff. The Home has been responding to the complaints promptly and thoroughly by complaining to the agency that employs the two staff. Two staff were consulted , and they both demonstrated an understanding of the subject of the `protection of vunerable adults ’ and their responsibilities to protect the residents in their care. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 17 A sample of staff records were reviewed. The records showed some of the staff had undertaken recent training in the topic of the ‘protection of vulnerable adults ’. However there were a several staff who had not attend training on the subject of how to protect residents from abuse for over three years. Attending regular training on this subject should help staff understand how to protect residents from the risk of abuse. The Home have their own policy and procedure in relation to the `protection of vulnerable adults. This is kept in the staff office so that all staff are aware of it and what they need to do to protect residents from harm and abuse. The Chestnuts DS0000003402.V340638.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): 24,26,27,28,30. Quality in this outcome area is good. Residents live in a Home that is domestic in style and provides a comfortable environment that is suitable for them and meets their needs. Residents also benefit from an environment that is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Chestnuts Care Home is an older building set in a quiet residential area near to the town of Yate. It is close to local shops and residents use local amenities most days. There is a spacious garden and seating area for residents to use. The Home has been extended, and divided into two separate areas. Residents are cared for on both sides of the Home, so that residents are supported in smaller groups, and more personal care can be provided. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 19 The environment was clean, tidy and satisfactorily maintained in all areas. The standard of the decoration and the quality of fixtures and fittings was also satisfactory. There are two lounges, and two dining rooms for residents to use. This is beneficial as this helps residents maintain their privacy and ‘personal space’ if they so wish. Residents looked to be comfortable in their surroundings. Bedrooms have been personalised with residents’ personal belongings. There is furniture and fittings provided, including a wardrobe a comfortable chair a bedside cabinet and a chest of drawers in each room. There were also photographs, and pictures displayed in rooms that helped to create a more personal feel to the rooms. The standard of the decoration and the quality of the fixtures and fittings was satisfactory. Bedrooms do not have en-suite facilities. There are toilets, and a shower or bathroom facilities located close to bedrooms on each floor, convenient for residents use. There are two kitchens located on the ground floor, leading onto the dining rooms. The kitchens were of a domestic style and were clean and tidy. There is a laundry room on the ground floor. It contains a washing machine with a sluicing programme, and one tumble dryer, for washing and drying residents’ clothes hygienically. The Chestnuts DS0000003402.V340638.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): 32,34,35,36. Quality in this outcome area is good. Residents have their needs met by a sufficient number of competent, qualified staff who are supported and supervised in their work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff duty record for shifts in August 2007 was checked to find out the number of staff on duty to support residents to meet their needs. There is a minimum of five staff on duty for a day shift, and two staff at night. An extra staff member will also work on several days in the week to support residents to be able to attend activities away from the Home. Residents were observed being well supported by the numbers of staff on duty. Staff were calm and relaxed in their work and communicating well among themselves. Based on the evidence from the inspection, the number of staff on duty is the minimum number necessary to meet the needs of residents. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 21 The staff recruitment records of three care staff on duty were checked to see if the Home carry out the required employment safety checks on all staff before they start work .The staff records demonstrate the necessary checks before employing new staff are being carried out. Specifically there were two written references taken up for all new staff before they start work. There are Criminal Records Bureau Disclosures checks and Protection of Vulnerable Adult (POVA) first checks carried out on all new staff. This demonstrates residents are protected by the Homes recruitment procedures. Staff reported that Mrs Spray provides them with regular structured supervision sessions to assist them in their work . A sample of staff supervision records were seen that showed staff are well supported in the Home. The training records demonstrated staff had attended training relevant to the needs of residents at the Home over the last twelve months. The staff consulted spoke positively about the training opportunities they take part in. This should help ensure well-trained and knowledgeable staff support and care for residents. The Chestnuts DS0000003402.V340638.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): 37,39,42. Quality in this outcome area is good. Residents’ benefit from a stable and well-run Home. Resident’s views are central to How the Home is run. Residents’ health and safety is well protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Spray is a qualified learning disabilities nurse. She has a number of years of experience working with residents who have learning disabilities. She is registered with the Commission for Social Care Inspection as the manager of the Home. This demonstrates Mrs Spray is suitable and qualified to fulfil the role of registered manager. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 23 Residents’ records are kept in a locked metal cabinet in the office and care plans available for in a secure cupboard. The care records and records relating to the running of the Home were satisfactorily written, legible, up to date, and well maintained. This helps to demonstrate confidentiality is being protected. This also shows Mrs Spray ensures legal records required for the running of the Home are in order. The monthly monitoring visits of the Home that must be carried out by a representative of Aspect Trust are being undertaken as required by law. There are records of these visits being sent to us. The records demonstrate the designated individual responsible for the visits spends time consulting with Residents and their representatives and observing staff. Aspects and Milestones Trust are carrying out detailed quality audits of all their Care Homes. A copy of the completed audit ‘tool’ used to assess the overall quality of The Chestnuts was read. The views and outcomes for the residents who use the service are used as the main way of judging the quality of care. This shows how the overall quality of the Home is being monitored on a regular basis, and the views of residents who use the service are central in this process. The environment looked safe and satisfactorily maintained in all areas viewed. There is a record of the monthly checks of the environment. These checks were up to date and showed that a member of staff audited the health and safety of the Home environment on a regular basis. Staff are provided with regular training in health and safety matters including first aid, and moving and handling practices. This should help protect resident’s health and safety if staff are knowledgeable and well trained. The Home won an award from local environmental health officers, who inspected standards of food safety and hygiene at the Home in January 2007.This helps to demonstrate staff follow very good health and safety food practises. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. The Chestnuts DS0000003402.V340638.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 X 4 3 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 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 X 3 X 3 3 X The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 25 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. 1. Refer to Standard YA23 Good Practice Recommendations Al staff should attend recent training on the `protection of vulnerable adults’ from abuse should attend a training session on the subject. This is so that staff keep up to date in their understanding of the subject and how they to protect residents from the risk of abuse. The Chestnuts DS0000003402.V340638.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Chestnuts DS0000003402.V340638.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. 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