Inspection on 02/04/07 for The Croft Unit

This inspection was carried out on 2nd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Croft Unit 24/02/09

The Croft Unit 25/04/06

The Croft Unit 26/10/05

The Croft Unit 12/05/05

The Croft Unit 18/01/05

The Croft Unit 28/09/04

The Croft Unit 25/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 The Croft Unit 25-29 Ashburnham Road Hastings East Sussex TN35 5JN Lead Inspector Jeanette Denereaz Key Unannounced Inspection 2nd April 2007 09:00 The Croft Unit DS0000021241.V334508.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 Croft Unit DS0000021241.V334508.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 Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Croft Unit Address 25-29 Ashburnham Road Hastings East Sussex TN35 5JN 01424 434921 01424 435895 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) www.craegmoor.co.uk Parkcare Homes Limited Mrs Valerie Riedel Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is twelve (12) Service users must be aged between forty-five (45) and sixty five (65) on admission Service users with pre-senile dementia only to be accommodated Date of last inspection 25th April 2006 Brief Description of the Service: The Croft Units are registered to accommodate younger adults with a pre senile dementia type illness. The property is detached and is set in a residential area of Hastings. The property is on four floors and the first two floors are registered as Kilncroft, a home for older people with a dementia type illness. The top two floors are separately registered as the Croft Units. Both homes operate independently of each other although there is only one registered manager. The whole building is owned by Parkcare Homes Limited, which in turn is owned by Craegmoor Healthcare Limited. The home is registered for 12 service users. The home has local shops and amenities close by, and is approximately one-mile form the centre of Hastings. The current range of fees are from £450 to £550 per week The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at The Croft Units are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection and an unannounced site visit conducted by an Inspector on the 2nd April 2007. The site visit included a tour of the premises and an examination of various records including medication, care and staffing records. The Inspector met with the manager, staff members on duty and residents that were at home during this inspection visit. Also following the inspection visit the inspector contacted families and other interested parties to ascertain their views on the service A relative stated they were very satisfied with the care their brother was receiving, they also stated they had no concerns about the home but if they did they were sure if would be sorted out, because the manager who is very approachable. Also a care manager stated that the home had been very supportive to her client and she stated that: “ the home has done extremely well with this man, he has come on in leaps and bounds”. What the service does well: What has improved since the last inspection? Requirements from the previous inspection relating to the environment and recruitment have been met. The manager has been very pro-active and the residents are now encourage to be more involved with the running of the home, they are involved in the cooking and menu planning of the meals, sorting laundry and looking after The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 6 the pet rabbit and guinea pig. The home has really had an uplift of enthusiasm and there are more community links for the residents including trips to the shops for food and clothing shopping, visits to the hairdresser and dining out. One resident is now working on a community farm, and another is on the waiting list for a place. Also since last inspection a resident has left the service to live in a supported living flat in the community, he still is in touch with the home. His friends sent a letter to the home saying how grateful they are to The Croft Unit for the care and support given to him. They stated, “The photographs you gave him are now hanging in his flat”. The manager and deputy manager attended a workshop on nutrition, and the menu choices are now separate from Kilncroft (the older people service adjacent) and residents are encouraged to help with the planning, shopping and washing up of all the meals. Eating out is also encouraged and Fridays is usually an option meal, which will be an individuals’ choice. The example given was one resident enjoys going out to Indian restaurants. The manager has undertaken regular supervision with the staff and she in turn has had regularly supervision with the Area Manager. The Area Manager from the Craegmoor organisation undertakes regular Regulation 26 visits to home, and is very supportive to the manager. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 7 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 Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Quality in this outcome area is good. Prospective residents and their representatives are given the information about The Croft Units and the Creagmoor healthcare organisation to enable them to ascertain if this service can meet their needs. They have their needs assessed and a contract which clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has not been a new resident since the last inspection, but the manager is in the process of assessing a gentleman who is presently in the Psychiatric unit of the local hospital. The Manager visited the gentleman and has undertaken pre-assessment of his support needs and a visit and overnight stay for him is being arranged. The long term goal him is that he will be able to return to living in the community. From the information gathered at this time he of similar age and experiences of the other residents and there is a good possibility he will be compatible. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 10 Since last inspection another resident has left the service to live in a supported living flat in the community, he still is in touch with the home. His friends sent a letter to the home saying how grateful they are to The Croft unit for the care and support given to him. They stated, “The photographs you gave him are now hanging in his flat”. There has been a review and update of the home’s Statement of Purpose, and each resident has a copy of their Terms and Conditions and Service User Agreements. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 & 9 Quality in this outcome area is good. Residents are now involved in decisions about their lives, and the staff team are working to change the culture with resident playing a more active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Creagmoor healthcare organisation has introduced “My Personal centred care plan”, which is a personalised form of care planning, using the life history, interests and aspirations of the individual resident. The manager has received training on how to complete the plan, and she in turn is training the staff. The samples seen at the inspection visit were comprehensive and very person centred. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 12 Although there has not been any specialised training for the staff to support people with pre-senile dementia conditions an organisation called “Motivations” has undertaken sessions within the units. The manager said the sessions have been was very useful for the staff in planning further activities and the residents enjoyed the sessions. Since the last inspection the home has really had an uplift of enthusiasm and there are more community links for the residents including trips to the shops for food and clothing shopping, visits to the hairdresser and dining out. One resident is now working on a community farm, and another is on the waiting list for a place. Within the home the residents are now encourage to be more involved within the running of the home, they are involved in the cooking and menu planning of the meals, sorting laundry and looking after the pet rabbit and guinea pig. On the CSCI ‘Have your say about The Croft Units survey 3 residents stated they do not make decisions about what they do each day. This was not substantiated during this inspection visit, people were going out shopping, playing cards, watching television and one resident was in his bedroom reading the newspaper. The home has endeavoured to have more family involvement there has been two relative meetings, and following these meeting one resident has been reunited with his children after a long absence. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 & 17 Quality in this outcome area is good. Residents are now able with support to make choices about their life style. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has not been any professional pre-senile dementia training since the last inspection, but the manager and deputy manager have taken on board that this is a service for younger adults and they should be doing more for themselves and out in the community. During an interview with a staff member, she stated that the residents are doing much more and she wished they could go out even more. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 14 One resident who has now moved on to supported living, and he and his friends are is still in contact with the home, and it seems he is doing very well. There was more activity within the home during this inspection, and only one resident had returned to his bedroom. He spoke to the inspector and told her he was very happy at the Croft, and he likes lying on his bed looking out of the window. He does have a wonderful view and his bed is facing the window. At the last inspection there was a gentleman who used a wheelchair because he is an amputee; he has now had an artificial leg fitted and is now walking with a frame. He told the inspector he is offered outings but he want to stay at home, he said he has everything is wants, a nice bedroom, his newspaper and good food. Also his care manager was contacted during this inspection and she felt he was much healthier and more independent and praised the home for their care and support, she said: “They have done extremely well with this man he has come on in leaps and bounds.” Residents have requested a dog, a staff member brought in her dog and residents were very taken with him. The manager is reviewing this and if found to be possible this could encourage residents to be more responsibilities and get out more into the community. They do at the present time care for the pet rabbit and guinea pig. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 &21 Quality in this outcome area is good. The health and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been recent medication training for the staff and medication records and storage has been reorganised and was found to be in order with very organised cupboards and good photographs of each resident in the file. All residents have had a medication review and have attended well person clinics. They have all received ‘Flu Jabs”. Both bathrooms and shower room have been decorated and are now more homely. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 16 The manager has applied for a grant to have a large Parker spa bath in one bathroom; there are residents that really enjoy bathing as a relaxation. Bathing is now a more relaxed event, and staff are recognising the needs and wishes of the residents differ from the residents in the adjacent home for older people. The manager and deputy manager attended a workshop on nutrition, and the menu choices are now separate from Kilncroft and residents are encouraged to help with the planning, shopping and washing up of all the meals. Eating out is also encouraged and Fridays is usually an option meal, which will be individuals’ choice. The example given was one resident enjoys going out to Indian restaurants. A selection of menus was supplied with the Pre Inspection questionnaire and in the home the daily menu is displayed on a board in the kitchen. The staff confirmed that there is always an alterative if the resident does not want the set menu. The mental health of the residents has been quite stable since the last inspection, but the manager stated she would get advice and support if needed from the Community Mental Health Team (CMHT). There has been training arranged for staff to help them cope with the death and bereavement called The Liverpool care of the Dying Pathway. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. The residents of The Croft Units are able to express their concerns and have access to a complaints procedure. They are protected from abuse, but the procedures in reporting complaints should be more robust and effective and followed by staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive complaints procedure and residents who replied to the CSCI survey said they would always speak to the staff if they had concerns or were unhappy. There has been a recent complaint made by a resident relating to a member of staff. The manager investigated this, and she in turn contacted all the appropriate bodies. The complaint was unfounded. However, the manager did have concerns that this information from the resident, was not passed on immediately by the staff member. The staff member did not following the organisation’s procedures, which would be to contact the senior person on call. The staff member waited until the manager was on duty. Since this incident the manager has had meetings with the individual staff member, and with all staff to remind them of the procedures and protocol when a resident disclosures sensitive information. The Inspector interviewed two residents privately and asked if they felt safe in the home, and if they had concerns of worries did they feel able The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 18 talk to the staff. Both were adamant they felt safe and able to talk to the staff. From information given to the CSCI within the training matrix and the Pre Inspection Questionnaire confirms training in adult abuse, equal opportunities and managing challenging behaviour has been undertaken. The relatives that were contacted said they visit the home often, and also find the staff to be friendly. They have no concerns regarding the home, but if they did they would approach the manager, as she is ‘very approachable’. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27 &30 Quality in this outcome area is good. The residents now live in a safe, well-maintained and comfortable environment. The management need to continue promoting the Croft Units own identity which will encourage independence This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is now a permanent maintenance person in post and the outside of building has been repaired and painted and major repairs to the roof have been undertaken. The front garden is in the process of being landscaped. The Inspector went to The Croft unit front door but there was answer, and she had to gain entrance through Kilncroft residential care home, which is adjacent to the Croft Unit. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 20 The Manager stated the Croft Unit entrance is used and that the day before family members visiting, rang the bell and came into the Croft Unit. The croft units looking much more homely, new furniture in the lounges and areas have been decorated including the kitchens. The bathrooms have been improved with pictures on wall, shelving and blinds. The newest of resident arrived in February 2006 and his room is still quite bare, but he told the inspector that how he likes his room, “not fussy”. He does have a TV which he spends a lot of time watching. He has requested a DVD player and the home is in the process of buying him one. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 & 36 Quality in this outcome area are good. Staff in the home are enthusiastic and trained to a basic skill level, which enables them to support the residents, and to support the management in the smooth running of the service. However, more specialised training in the area of supporting people sufferings from Korsakoff’s syndrome and other relating pre-senile dementia conditions would improve the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been no new staff since last inspection, and therefore is a very stable staff team. However, two staff did briefly left the service, but returned and they undertook the recruitment procedures again including obtaining new CRB clearance. Staff records were seen during this inspection, including comprehensive training files were seen and found to be in order. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 22 The Croft Units have a total of 8 Staff, 3 staff have NVQ 2/3 and 2 working towards their NVQs. The senior staff member was interviewed and she is hoping to finish her NVQ3 by May 2007. There are regular supervisions for all care staff and the January 2007 supervisions were seen during this inspection. The supervision are recorded in a formal format called Personal Performance Agreement and are signed by supervisor and supervisee. The deputy manager is responsible for training and a copy of training Matrix was submitted to the CSCI during the inspection. Mandatory training for staff is recorded and all up to date. Following the Health assessments undertaken with night workers the deputy manager is very keen to involve the night staff in health and safety training, they have in the past been reluctant to train. Overall training for staff has greatly improved since the last inspection, and there are more involved in supporting the residents to access the wider community. But they do not have the appropriate expertise and training in mental health especially related to “Korsakoff’s” type diagnoses to met the special needs of the residents. The staff member on duty during this inspection visit was interviewed and she said she enjoys her work and stated: “It’s a good job”. She feels the home has improved and residents are doing more for themselves in the home helping with the laundry, making their own beds, working in the garden, looking after the pet rabbit and guinea pig by cleaning them out and feeding them. She also said the residents are getting out more into the community and really enjoying this, and she wished they could get out even more. She been employed since 2004 and is working towards her NVQ3 should be finished by May 2007. She also stated that she feels very supportive and has regularly supervision. There has been additional training arranged for staff to help them cope with the death and bereavement called The Liverpool care of the Dying Pathway. The home has experienced the death of a resident, and the staff at that time coped well. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40 &42 Quality in this outcome area is good. The manager is very committed and enthusiastic, she holds the Registered managers award so the day-to-day management of the home is good and residents live in a safe and friendly environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Creagmoor Healthcare organisation is in the process of reviewing all policies and procedures. The manager has a system to ensure all staff read The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 24 the new information, and staff must sign to state they have read the information, and they are reminder to read these important documents. The new area manager undertakes the Regulation 26 visits to the home. These are visits made by the registered provider where they interview residents and staff, inspect the premises and prepare a written report. At these visit the manager also has supervision with the area manager. On the 28th February 2007 the organisation undertook a full audit of the service, and for the purpose of the audit The Croft Units and Kilncroft were audited together as they have one registered manager. Following the audit the homes came out very well. There is a “Quality Improvement Plan” for completion, with dates when competed and the priority of the tasks. Information supplied within the Pre Inspection Questionnaire gave dates of Health and Safety checks and certification. As stated previously in this report there is now a maintance person in post, and this ensures the home is now always in a good state of repair. As part of the inspection process relatives and other professional were contacted, they all were very positive about the home and complimentary about the manager and staff team. Relatives of one resident said they visit the home regularly and also find home clean and very friendly and said the manager is always very approachable, and there relative living at The Croft Unit seems very happy. A care manager that was contacted stated that the home has done extremely well and the resident had come on in leaps and bounds over the year. The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 2 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 3 3 3 3 3 X 3 X The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes 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 2 YA32 YA35 Standard YA22 Regulation 22(1) Requirement Timescale for action 02/04/07 01/10/07 All staff to know the home’s complaints procedure. 18(1)(a)(c)Sch2(4) The staff to have the specialised training required to meet service users needs 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 Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Croft Unit DS0000021241.V334508.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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