Inspection on 25/09/05 for The Laurels

This inspection was carried out on 25th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Laurels 07/06/07

The Laurels 03/05/05

The Laurels 18/11/04

The Laurels 15/04/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Laurels, The Highfield Road Shanklin Isle Of Wight PO37 6PR Lead Inspector Janet Ktomi Unannounced Inspection 25 September 2005 13.00 Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 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 Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 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. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laurels, The Address Highfield Road Shanklin Isle Of Wight PO37 6PR 01983 867297 01983 866575 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) Islecare `97 Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 Brief Description of the Service: The Laurels is a registered residential home providing care and accommodation for up to six younger adults with learning disabilities. The home is owned by Islecare 97 who provides a number of homes for a similar service user group on the Isle of Wight. The home is managed by Mrs Linda Sims who is currently completing the registration process to be the homes registered manager. The manager is responsible for both the Laurels and Highmead and is supported by deputy managers in each home. The home occupies the lower ground floor of a larger building that also provides premises for a similar home, Highmead on the first floor, Islecare management offices, accommodation for overseas staff and training rooms on the ground floor. The home provides all service users with single bedrooms that are equipped with washbasins and appropriate communal space and bathroom. The home has access to pleasant, level private gardens and shares two house cars with Highmead. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second unannounced inspection of this inspection year. Core standards not assessed during the first inspection were assessed along with additional core and non-core standards. The inspection lasted three hours during which a tour of the building was undertaken. Discussions were held with visitors and the care staff on duty. All service users living within the home were met during the inspection and gave the inspector their views about parts of the service. All the service users stated that they enjoyed living at the home and liked the staff. Care and other records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? The management arrangements for the home have been confirmed by Islecare ‘97 and the manager, Mrs Linda Sims, has almost completed the registration process to become the registered manager. The home continues to provide a good service to the people living at The Laurels. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 6 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. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 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 Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards assessed. No new people have been admitted to the home since the previous inspection. EVIDENCE: The home continues to be fully occupied and has not admitted any new people to the home for approximately one year. Standards 2, 3, 4 and 5 were assessed during the previous unannounced inspection. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10. The care planning process identifies service users’ individual care needs and includes risk assessments where necessary and specific details as to how care needs will be met. Information about service users is appropriately handled and their right to confidentiality is respected by care staff. EVIDENCE: The inspector viewed three of the six service users’ care plans. The home operates a key worker system and key-workers are fully involved in the formation of the care plans for their key people. Care plans are reviewed regularly by key-workers. Each plan identifies the physical, health, emotional and social needs of the service users and how these needs will be met on a daily basis. The home obtains support from a variety of health care professionals as and when required, including District and Community Learning Disability Nurses who assist with care planning to meet the complex needs of some of the service users. During the inspection it was noted that care staff consulted service users, providing them with opportunities to make choices about day-to-day events. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 10 Questions were formulated in a manner service users could understand and respond to. Within care plans there was evidence of multi-disciplinary decisionmaking where service users lacked the cognitive ability to make complex decisions. The agenda for the next service users’ meeting was seen on the hall wall. This included a request for service users who might wish to be involved in interviewing potential staff and also to discuss changes to the care planning process used by the home. Everyone who lives at the home requires assistance to manage their personal finances. The arrangements in respect of money were checked during the previous unannounced inspection and were appropriate in both procedure and documentation. Care plans contained risk assessments and clear guidelines for staff around daily activities. External professionals, such as psychologists and community nurses, had been involved with care staff in the production of risk assessments which were designed to promote not restrict service users’ lives and choices. The home has a number of aids and items of equipment aimed to reduce risks for service users and environmentally the home has been made as safe as possible. The home has a policy for unexplained absences and photographs of service users although this is not a concern with the current service users. Islecare ‘97 has a policy and procedure in respect of confidentiality that is included in staff induction training. Care staff were clear about confidentiality and the situations in which information may need to be shared with managers or other professionals. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Service users enjoy a varied lifestyle with lots of opportunities for community and leisure activities. The home supports and maintains links with family members. Service users are involved in planning a varied nutritious diet. EVIDENCE: Care staff, service users and care records confirmed that service users often enjoy ad hoc community activities as the weather and service users’ health permits. Service users stated they enjoy going out for meals, shopping, to the beach, for drives or to pubs for drinks. Each service user has an individual weekly programme of activities that includes a range of day services and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. Care plans contained records of individual weekly routines and ad hoc social outings and activities organised by care staff. At the commencement of the unannounced inspection three of the service users were out with two staff members for a picnic lunch. Visitors confirmed that the service users frequently enjoy ad hoc outings with care staff. Service users are encouraged to participate in domestic activities as their cognitive and physical abilities allow. During the unannounced inspection Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 12 service users were offered opportunities to participate in an outing and were confident to say what they wanted. The home shares two cars, one capable of transporting service users who are wheelchair users, with the other home situated within the same building. Some social events are organised jointly by the homes with service users and staff from each home going out together. During the unannounced inspection the staff from one home arranged to take a service user from the other home with them whilst they collected a service user who had been visiting her mother for the afternoon. Due to physical, medical and cognitive limitations it is not appropriate for the people living at The Laurels to have paid employment, service users do attend day centres part of the week. Staffing levels within the home are sufficient to enable service users to enjoy community activities during evenings or weekends. Care staff were observed interacting appropriately with service users during the inspection. The home has a no smoking policy. One service user does smoke and he appeared happy to do so outside. Most of the people who live at the home have family members living on the Isle of Wight. The home aims to maintain contact with family members and provides transport for service users to and from their relative’s house. On the day of the unannounced inspection two service users were visiting their relatives. One service user’s mother lives in a residential care home and staff had taken her to visit her mother and remained with her during her visit to provide support if necessary. A third service user’s parents visited him at the home during the unannounced inspection. They confirmed that they are always made welcome, and kept informed of relevant information. Family contact and visits were seen to have been recorded in service users’ care plans. During a tour of the home the lounge and service users’ bedrooms were seen to contain a number of appropriate home entertainment options including televisions, music centres and sensory equipment. Service users stated that they enjoyed the food provided at The Laurels and were involved in discussions about menu planning both on a daily basis and during service users’ meetings. The standard relating to meals was fully assessed during the previous unannounced inspection and met the required standards. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Service users’ healthcare needs are fully assessed and met with the assistance of external health professionals where appropriate. Staff provide personal support to all service users and ensure that dignity and privacy are maintained at all times. Medications are appropriately stored and administered within the home although there is a need to ensure that Medication Administration Records are fully maintained. EVIDENCE: Risk assessments in respect of safe moving and handling have been completed for all service users and were seen in care plans during the inspection. The home employs both male and female care staff. The home operates a key worker system and service users are supported to make decisions and choices in respect of clothing and personal appearance. The inspector saw a variety of aids and adaptations around the home including Parker bath, handrails, high/low beds, overhead tracking hoist and mobile hoists. The manager stated and the inspector noted within care plans, that specialist advice was sought when required from Physiotherapists, Community Learning Disability Nurses, District Nurses and Speech Therapists. Care staff were positive about the input from external professionals and confirmed that as key workers they were fully involved in assessments, care planning and reviews. All bedrooms within the home are single and equipped with a washbasin, providing a high level of Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 14 privacy for service users during personal care tasks. Health Action Plans have been completed by key-workers for all service users and the manager stated that HILDA assessments are being updated. Discussions with care staff indicated that they had a good understanding of the health needs of the service users and had undertaken specialist training to meet some individual needs such as Epilepsy management. At the time of the unannounced inspection all medication was found to be stored appropriately. The medication administration records were viewed and it was noted that medication had not been signed as given in two service users’ individual records. The home uses a pre-dispensed system and a check of the medication showed that the tablets were no longer present and in all likelihood had been given but not signed for. None of the service users living at the home are able to self medicate, therefore all medication is administered by care staff who have received additional training and been deemed competent. All care staff that administer medication have completed the City and Guilds medication administration course. Guidelines as to the administration of as required medication (such as Paracetamol) were noted within care plans. No controlled medications are held within the home. The manager and care staff must ensure the medications administration records are signed and a procedure for checking should be implemented. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has a complaints policy with service users’ opinions sought and respected by staff. Staff within the home are aware of adult protection issues and follow the locally agreed procedure in the event of adult protection concerns. EVIDENCE: Islecare ‘97 has a complaints policy which is made available to service users or their representatives in the service users’ guide. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. The home maintains a complaints book. Staff were aware of what procedure they should follow should a service user or their representative make a complaint. Service users at the home were observed making comments and suggestions to care staff and it is the inspector’s opinion that they would feel capable of making a complaint if they wished to do so and that care staff would listen to their complaint and take the appropriate action. Visitors stated that they felt able to complain should the need arise but that they had not needed to do so, and had no complaints or concerns at the time of the unannounced inspection. The homes have a copy of the Isle of Wight Adult Protection Policy together with the Islecare ‘97 adult protection and whistle blowing policies. All staff receive training in respect of adult protection as part of the Islecare ‘97 induction programme. Staff spoken with during the inspection were all aware of the adult protection policy and procedures and clear about their responsibilities to report issues of concern without delay. All service user bedrooms contain a secure lockable facility where valuables or money may be Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 16 stored. The employment procedures followed by Islecare ‘97 should ensure that unsuitable people are not employed at the home and include POVA and CRB checks. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. The premises is suitable for the existing service users providing all single bedrooms and appropriate bathing, WC, and communal space. The WC and bathroom are in need of redecoration and upgrading. EVIDENCE: The home is located on the ground floor of a large older building. Other parts of the building are used for a variety of purposes including another registered care home, Islecare ‘97 management offices, training rooms and accommodation for overseas staff. The entrance to The Laurels is at the back of the building with car parking available to the front or side of the building. A tour of the home was undertaken during the inspection. All service users are provided with a single bedroom that has a washbasin. Bedrooms are all pleasantly decorated and individually personalised. Personal home entertainment equipment such as televisions, music centres and sensory lights were seen in the bedrooms. Specialist equipment such as high/low beds have been provided for people who require this. The carpet within one service user’s bedroom was noted to be stained and another had been damaged near the Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 18 doorway. Where floor coverings are damaged or stained beyond cleaning they should be replaced. The Laurels has one bathroom equipped with a WC, overhead tracking hoist and Parker bath. The home also has a separate WC. Both the bathroom and WC are in need or redecoration and updating. The home does not have a shower and the company should consider providing one as this might increase the independence and choice available to the people who live at the home. The communal space provided is domestic in nature and appropriate in size and furniture to meet service users’ needs. There is a kitchen/dining room and a lounge/dining room. The home does not have separate areas for visitors to be received in private or for meetings, however if this were required, the sitting/entrance room to Highmead could be used. The home has level access to large gardens which service users are able to enjoy during the summer months. Care staff confirmed that the gardens, which are safe, private and flat, are used during the summer with patio furniture available for service users. One service user smokes and the home’s policy is that he must do this outside. An external fire escape provides some shelter to the service user if it is raining. Some of the people who live at The Laurels have an additional physical disability. During a tour of the home a number of manual handling equipment, the Parker bath, grab rails and high/low beds were seen. Service users have been individually assessed by Occupational Therapists for aids and adaptations and these have been provided. Care staff informed the inspector that individual service users have had moving and handling assessments with guidelines produced for each service user. These were seen within care plans. The manager confirmed that all staff have received training in respect of hoists and other equipment, which is regularly serviced. On the day of the unannounced inspection the home was noted to be clean, tidy and free from offensive odours throughout. Care staff undertake all domestic and laundry activities. The home has policies and procedures in place for the control of infection. Care staff stated that they receive initial and update training in respect of food handling, health and safety, infection control and hygiene issues. Supplies of liquid soap, disposable gloves and paper towels were seen during the inspection. The laundry facilities were assessed during the previous unannounced inspection and met the required standard. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 and 36. The home employs appropriate numbers of suitable trained and experienced care staff to meet the needs of service users. EVIDENCE: At the time of the unannounced inspection staff present within the home corresponded to those stated on duty rotas. Three staff are provided during the morning and afternoon with one awake staff member at night. Staffing levels are appropriate to meet the service users’ needs and allow activities/outings to occur, and for staff to transport service users to/from day services. Care staff are also responsible for cooking, cleaning and laundry within the homes. Both male and female staff of mixed ages are employed. Regular staff meetings occur and the proposed agenda for the next staff meeting was seen on the hall notice board. All staff have now completed the Learning Disabilities Award Framework accredited training and most medication training. Care staff and records confirmed that there is a low level of staff turnover and sickness, with the home’s own staff covering extra shifts so that agency staff are not used. Care staff confirmed that they have all received job descriptions provided by the company, Islecare ’97, and were aware of their roles as key workers and care staff. Many of the staff have been employed at the home for a number of years and have a good understanding of the service users’ needs. Staff spoken Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 20 with understood when and how to seek advice and support via the Islecare on call system. During the inspection care staff were observed interacting appropriately with the service users. Visitors stated that care staff are caring and competent, with service users stating that the staff are helpful and nice. As previously stated the home has a consistent staff group with many of them having been employed at the home for a number of years. Care plans detailed how specialist support and advice is obtained from Community Learning Disability Nurses, Psychologists and care managers. All staff working within the home have completed the Learning Disability Award Framework at introductory and foundation level. Most care staff have also achieved the City and Guilds in medication administration. Training dates and lists of care staff booked on training were seen in the file containing the duty rotas. These indicate that staff receive ongoing core and additional training. Care staff confirmed that they receive regular supervision and annual appraisals. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 40, 41, 42 and 43. The management arrangements are appropriate for the size and nature of the home. The home provides a safe environment for staff, service users and visitors. Service user meetings provide an opportunity for quality monitoring of the service provided. Records are generally well maintained and appropriately stored. EVIDENCE: The company has now confirmed the permanent appointment of the temporary manager, Mrs Linda Sims, who has commenced the registration process with the Commission. The manager also manages Highmead, a similar home located on the same site. The manager is supported by two deputies, one within each home. The company provides an on-call system to provide advice and support to care staff during the evening and weekend. The list for the oncall managers was seen within the duty rota file. Care staff were clear about issues which they should call the on-call managers about. There was no record Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 22 available of the hours the manager works within the home. A record of the manager’s hours must be recorded and available for inspections. The manager undertakes monthly service user meetings, the records of which were seen during the inspection, and enable service users to give their opinions about the service at the home. The agenda for the next meeting was seen on the hall wall, enabling service users to consider or add items before the meeting. Agenda items included planning for Christmas, interview panels for potential staff and changes to the care planning process. The majority of the policies and procedures within the home are Islecare ‘97 company policies to which individual service users have no input. The Commission receives monthly Regulation 26 visits reports. During the unannounced inspection a variety of records held within the home was viewed. These involved records in respect of menus, care plans and risk assessments, Medication Administration Records, bath temperatures and duty rotas. The fire detection equipment checks are undertaken by a member of Highmead care staff for the whole building and held within Highmead. The Medication Administration Records were noted to contain gaps. The manager must ensure that Medication Administration Records are fully completed at the time of administration. Records are appropriately and securely stored with access to information limited to those who should have access to records. At the time of the unannounced inspection there were no obvious risks to health and safety of service users. Staff receive training in manual handling, first aid, health and safety, fire awareness and food hygiene with a list of update training dates seen in the duty rota file. Safety notices were seen appropriately positioned around the home and infection control equipment was available for care staff. Covers are fitted to all radiators with water temperature controls fitted to the bath to prevent the risk of scalding. Bath water temperatures are recorded by care staff prior to each service user having a bath. The relevant insurance policies were seen on the hall wall. The home’s budgets are held by the manager and records of allocated budgets were seen. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 23 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 3 2 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Laurels, The Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 2 3 3 DS0000012506.V249153.R01.S.doc Version 5.0 Page 24 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 YA20YA41 Regulation 13 (2) Requirement Medication Administration Records must be signed immediately following administration. Stained and damaged carpets must be replaced. The WC and bathroom must be redecorated. A record must be kept of the hours worked by the manager. Timescale for action 25/09/05 2. 3. 4. YA25 YA27 YA37YA41 23 (2)(b) 23 (2)(b) 17 (2) 31/12/05 31/12/05 25/09/05 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 YA27 Good Practice Recommendations The home should consider providing a shower to maximise service users’ choice and independence. Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA National Enquiry Line: 0845 015 0120 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 Laurels, The DS0000012506.V249153.R01.S.doc Version 5.0 Page 26 - 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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