Inspection on 26/06/06 for The Laurels - Fontwell

This inspection was carried out on 26th June 2006.

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 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 Laurels - Fontwell 27/10/05

The Laurels - Fontwell 04/06/05

The Laurels - Fontwell 12/01/05

The Laurels - Fontwell 16/08/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Laurels - Fontwell Arundel Road Fontwell Arundel West Sussex BN18 0SB Lead Inspector Ms A Campbell-Currie and Mrs H Church Unannounced Inspection 26th June 2006 4pm The Laurels - Fontwell DS0000014781.V296254.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 Laurels - Fontwell DS0000014781.V296254.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 Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Laurels - Fontwell Address Arundel Road Fontwell Arundel West Sussex BN18 0SB 01243 544514 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.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Mr Paul Christopher Clausen Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th October 2005 Brief Description of the Service: The Laurels is a care home registered to accommodate up to six service users who have a learning disability (LD) and are aged between eighteen and sixtyfive years. The Laurels is a purpose built care home that was opened in 1996; it is situated in the rural village of Fontwell near Chichester. Service users are accommodated in single rooms on the first floor, which is accessed by a flight of stairs. Every bedroom has a wash hand basin. There are two bathrooms with separate toilet facilities on the first floor. On the ground floor there is a communal lounge and an open plan kitchen and dining room. There is a large enclosed garden and patio area. Cottage and Rural Enterprises (CARE) own The Laurels. Mr Michael Keighley is the responsible individual for the organisation and Mr Paul Clausen is the registered manager responsible for the day-to-day running of the home. The fees range from £450 to £630 per week. The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place during a late afternoon and evening. Two inspectors carried out the inspection to ensure a consistent approach to assessing outcomes for service users across the three care homes run by Cottage and Rural Enterprises in West Sussex. The registered manager and a full time member of staff on duty assisted with the inspection. All six people living at The Laurels were spoken with and also completed surveys provided by the Commission. The responses from service users about their home were all very positive. Some people had completed the comment cards without help. Replies to the question ‘what is good about living at your home?’ included: ‘everyone happy’, ‘nice, happy’, ‘nice staff’, ‘good staff’ and ‘everyone happy’. A tour of the home took place and all the communal areas were seen. The manager and member of staff were spoken with and both inspectors were made welcome and assisted throughout. What the service does well: The people who live at The Laurels are provided with a good quality of life. The service users all said that they are happy with their home. Everyone said that they feel safe and get on well with the staff. There is great excitement about a planned holiday for five people to go to New York for a holiday. The staff team are to be commended for supporting service users in their wishes and aspirations. The staff and management team are committed to providing a comfortable and safe environment. Service users are well supported to develop their independent skills and maintain a presence in the local community. People living at The Laurels are provided with a wide range of activities, work placements and college courses. There is a commitment to involving service users in making decisions about their lives and the day-to-day running of their home. People are encouraged to eat a healthy diet and to be involved in planning and preparing meals. There is an imaginative approach to meal planning with service users encouraged to try new recipes. People are very happy with their rooms and take great pride in keeping their home and garden clean and tidy. The Laurels - Fontwell DS0000014781.V296254.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 Laurels - Fontwell DS0000014781.V296254.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 Laurels - Fontwell DS0000014781.V296254.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 and 5 Quality in this outcome area was excellent. This judgement has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. Prospective service users have the information that they need to make an informed choice about moving to The Laurels. People’s aspirations and needs are thoroughly assessed before a move is arranged. A programme of planned visits is arranged before people make a decision about moving. Each service user is provided with the terms of their accommodation in symbol format. EVIDENCE: The Statement of Purpose, Service User Guide and contracts of residency are provided in formats that are suitable for the service users; these documents are re-issued when needed to ensure that people are aware of the responsibilities of all parties. Samples of three case records were seen and showed that a thorough assessment of need is carried out before a service user moves to The Laurels. It was evident that the pre-assessment process includes a diagnosis, identified needs and aspirations. All aspects of need had been assessed in all cases seen. Records included risk assessments, personal goals; healthcare needs and care planning activity. The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 9 The case records for one service user were read and showed that assessments had been carried out prior to the move in order to ensure that the person’s needs could be met. Risk assessments had been carried out in all areas where a risk may have been identified. There was evidence to show that there had been a planned introduction process to ensure that the person was able to make an informed choice about the move. This introductory process also ensured that staff were able to identify particular areas of need and make sure that the service user would be compatible with the other people already living in the home. This service user said that he was happy with the move and that the staff are good. The member of staff on duty was clear about how to meet this person’s needs. The Laurels - Fontwell DS0000014781.V296254.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. People living at The Laurels know that their assessed needs and changing needs are reflected in their individual care plan. People are supported to make decisions and take risks as part of an independent lifestyle. People can be confident that information about them is handled appropriately. EVIDENCE: The sample of three case records that were seen showed that person centred care plans had been drawn up from the initial assessments that had been carried out. Individual service users had been supported to identify their goals and aspirations. All the care plans were well maintained with risk assessments, personal goals, health care needs and care planning activity. Guidance had been provided to staff about how service users should be supported to achieve their goals. Examples were found in all the care plans examined of the service users’ involvement in the process. Examples including a health care needs regime requested by a service user and supported by staff, using the bus The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 11 independently, financial agreements to save for special holidays as well as general agreements about how to be involved in the day-to-day running of the home. Risk assessments had been carried out with guidance about how to minimise risks. ‘Home alone’ agreements using the set criteria of National Proficiency Tests were well documented and the person centred planning sheets showed the action to be taken with each identified task. There was an ‘adaptive behaviour scale’ that showed every aspect of individualism and these included physical, social, mental and behavioural functioning. It was evident that the care plans and risk assessments are kept under review and that any changes are documented with new guidance provided. The service users indicated that staff understand their needs and that they are involved in the review of their care. Everyone said that they know that they have a care plan. Reviews had taken into account changes in aspirations, people’s involvement in activities, interactions with others and behavioural issues. Changes to one person’s care plan involved the use of public transport and it was clear that at all times people are being involved in care plans and leading the decisions about their future developments. The member of staff on duty was clear about the needs of individuals and confident that people’s changing needs are noted and responded to. It was clear in discussion with service users and staff that there is a strong commitment to encouraging people to understand their options and to make choices about their lives. This was also supported in the documents seen. The service users said that they have regular house meetings and they can talk about things that are important to them. Several people attend an advocacy group locally. The risk assessments that were seen showed where decisions had been made on behalf of the service user for their protection. Three people have been assessed as being safe to be at home alone for short periods of time and it was clear that this situation is being monitored and that people are being provided with the knowledge and skills to ensure that they are safe. There is a confidentiality policy that staff are aware of and confidential records are kept in a lockable facility. People’s privacy and dignity was being maintained and written information was being used in accordance with the Data Protection Act. The Laurels - Fontwell DS0000014781.V296254.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 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 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. People are supported to take part in age, peer and culturally appropriate activities. People are encouraged to take part in activities of their choice and to be part of the local community. Personal, family and sexual relationships are supported. People’s rights are respected and responsibilities recognised in their daily lives. A healthy and nutritious diet is provided and people are involved in the menu planning, shopping and meal preparation. EVIDENCE: Service users said that they have plenty of activities including supported work placements in the community, college courses and a range of clubs and leisure pursuits. There was a list of weekly activities displayed and showed that people are encouraged to take part in a range of activities outside the home. A trip was planned for the weekend to go fruit picking and everyone said they were looking forward to this. The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 13 People have been supported to find college courses and work placements of their choice. The staff are planning a summer programme of activities when the college courses end. It was noted that at weekends there is one member of staff on duty at certain times, this could have an impact on the choice of activity if all six people are home at weekends. The manager said that there is flexibility in the budget to provide additional staff if necessary. Parties, open days and barbecues are held from time to time and families and friends are made welcome. There were photographs displayed of some of the events that people had enjoyed. People are encouraged to use local facilities and one person said that he goes to the local shop in the garage every Sunday independently with his friends to buy things that he needs. It was clear that people are encouraged to make choices about their lives and to develop their independence skills. The local community learning disability team is available for advice and support if needed. Service users are supported to pursue the leisure activities of their choice. Eighteen months ago the group were watching a television holiday programme about New York and said to staff that they would like to go. This request was discussed in detail with the service users and staff have supported them to plan this trip and save towards the cost. One person will be taking a different holiday to meet his needs. Everyone was very excited and enthusiastic about the holiday that is planned. People said that they are supported to maintain contact with their families and that they are welcomed in the home. There is a policy regarding supporting service users who wish to pursue intimate personal relationships and there is guidance to staff about this issue. People have unrestricted access to the house and gardens and do not enter each other’s rooms unless invited to do so. The service users said that they have a key to their room and that they can keep their things private. The service users all said that the food is very good. The menus were seen and showed that people have a balanced and nutritious diet. Everyone is involved in planning, preparing and cooking the meals with staff support. People are also involved in shopping trips and can choose additional items of food within reason. The manager said that there is an emphasis on healthy eating to help people to maintain a healthy weight. People are also encouraged to try new recipes to ensure that the menu is interesting and varied. The mealtime was a relaxed and social event where people were sharing information about their day. The Laurels - Fontwell DS0000014781.V296254.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is excellent. This judgement was made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. People receive the personal and health care that they need so that their physical and emotional needs are met. There are medication policies and procedures in place to ensure that people are kept safe. EVIDENCE: Staff are provided with the knowledge and skills to understand the personal care needs of service users as part of the induction process. The sample of care plans that were read showed that service users’ health and personal care needs have been assessed and documented. Guidance to staff had been documented about the way that individuals prefer their care to be provided. The people spoken with said that staff know the way they like things to be done to help them. The staff who were on duty were clear about the personal and health care needs of the people who live at The Laurels. Every service user has had a health care assessment that is presented in a format that service users could understand. The manager said that this process had helped people to identify their own health care needs and take more responsibility for their health. The assessment identifies all aspects of The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 15 the person’s health and all service users had a follow up appointment with the practice nurse. This document also assists other health care professionals to understand the service user’s particular needs. The service users said that they see their dentist and GP when they need to. The monthly records for monitoring people’s health were seen and were up to date. The medication policies and practices were read and observed. The storage facilities were also checked. There was a sheet for information that included the medication taken by service users with the possible side effects to provide staff with the information they need to monitor the effects of medication taken by each person. There were risk assessments for people who are self medicating. It was evident that the ability of people to safely administer their medication is monitored and reviewed on a regular basis. There was a photograph of each service users attached to their medication. The Laurels - Fontwell DS0000014781.V296254.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 In this outcome area is good. This judgement has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. People living at The Laurels feel that their views are listened to and acted on. People are protected from abuse, neglect and self-harm. EVIDENCE: There is a detailed complaints policy that is provided in symbol format to make sure that service users understand how to make a complaint. The staff said that they go through this with each person to make sure that they understand. There is a system for recording complaints that are made; this includes documenting the action taken, outcomes and timescales. The manager said that the staff team provide an open approach to supporting service users to raise concerns individually or in house meetings. The service users all said that they feel that staff listen to them and take their concerns seriously. The records for one complaint were seen and showed that the issue had been appropriately investigated and followed up. Financial procedures were examined and sampled; these records were well managed with service users having good access to their personal records. The inspector observed that there was safe storage for money and consultations on service users’ finances remained confidential with the person concerned. There are policies and procedures in place regarding adult protection. Both staff on duty said that they have attended adult protection training. The service users said that they feel safe at The Laurels. People who need specialist help in managing their behaviour would have access to the local multi disciplinary team The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 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 and 30 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. The Laurels provides a homely, comfortable and safe environment for service users. The home is clean and hygienic. EVIDENCE: A tour of the communal areas took place and maintenance records were seen. The home was clean and homely. The communal rooms were of a suitable size and arranged to allow service users to participate in activities. The lounge was comfortable with decoration and furnishings that had been chosen by the people living in the home. The kitchen and laundry facilities are suitable for the number of people accommodated with each person on a rota basis taking responsibility, with staff support, for keeping these areas clean and tidy. The service users have access to all communal areas and have keys to their own rooms to maintain their privacy. A new kitchen has been fitted and everyone said this has made an improvement to their home. The manager said that there are plans to redecorate upstairs. The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 18 The grounds are suitable and well laid out for service users to participate in barbecues or gardening if they so wish. A greenhouse was being used for people to grow tomatoes and attend to in-door plants. Two people assist with mowing the front lawn, this allows people to take responsibility for their surroundings and contribute to the homely atmosphere. All accommodation is in single rooms that are of good size and decorated in individual styles with personal items arranged according to their wishes. All service users indicated that they are happy with their room. Radiators are kept at safe temperatures during the winter months. Toilet and bathroom facilities meet the needs of service users. All areas were well maintained with a programme of refurbishment and redecoration in place. The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 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): 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. Competent and qualified staff support the service users who live at The Laurels. The recruitment policy and practices protect the people who live in the home. People’s individual and joint needs are met by appropriately trained staff. Service users benefit from well-supported and supervised staff. EVIDENCE: CARE provides a comprehensive induction and training programme. The member of staff spoken with said that she has been supported and encouraged to attend training courses. There are currently three full time members of staff employed by CARE to work at The Laurels and bank staff who understand service users’ needs are employed to cover any additional shifts. The manager said that one member of staff will be leaving soon and that the post has been advertised. The staffing rotas showed that on Sundays there is sometimes only one member of staff on duty. This could restrict the choice of activities for service users although service users did not make a comment about this. The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 20 CARE operates a thorough and comprehensive recruitment process. The member of staff of staff on duty was recruited last year and confirmed that her recruitment had been thorough. Service users are involved in the interview process and have an opportunity to express their views about the candidates. The sample of staff records that was seen showed that the recruitment process had been thorough and all the necessary checks had been carried out before the person started in post. There was evidence to show that a six-month probationary review had been carried out with the manager before the person had been confirmed as a permanent member of staff. There was evidence to show that this member of staff had undertaken induction and training courses over the past year. She said that she has recently completed the Learning Disability Awards Framework training that included four taught units including: Safe Practitioner, Communication and Adult Protection. This member of staff has also attended training in First Aid, Protecting Vulnerable Adults and dealing with aggression. Supervision is being provided as required; the staff on duty confirmed this. The deputy manager provides supervision to some staff and a supervision course has been identified for all staff providing supervision. The member of staff spoken with said that the system of supervision is good and she feels well supported in her work. The person on duty showed a clear understanding of her role in the home and was well informed about the service users’ individual and collective needs. The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 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): 37,39 and 42 Quality in this outcome area is good. This judgement was made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. The people who live at The Laurels benefit from a well run home. Service users can be confident that their views are taken into account in the development of the home. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The registered manager is well qualified, experienced and competent to manage the home and meet the stated purpose, aims and objectives. Mr Clausen has achieved the NVQ level four award in management. The manager is clearly committed to seeking advice, information and feedback on improvements planned. There is a quality assurance system in place. Service users have recently completed a questionnaire with the help of staff. The questionnaires are presented in a format that assists people who need support with reading. The The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 22 results have not yet been published however the manager said that the outcomes would be included in the revised Service User Guide. The manager said that any issues that had arisen were discussed with the service user. There are regular house meetings so that people can discuss any topics and provide feedback to staff. The service users all said that the staff listen to their views and they feel involved in the running of the home. Relatives, health and social care professionals and other interested parties have not yet been involved in the quality assurance process. The Family Forum set up by CARE is discussing implementing a questionnaire for representatives and visitors to the home. This questionnaire was noted to be one of the items for discussion at the next house meeting. The manager carries out an annual service review and the documents are forwarded to head office. This process helps to ensure that standards are being met and is used for the ongoing development of the service. There are health and safety policies and training in place. The care plans included a person-centred approach that included the service users’ views on their health, safety and welfare needs. The records showed that newly appointed staff are provided with training and policies regarding health and safety issues. Outcomes for service users are good with their health, safety and welfare protected by the policies, staff training and practices that are in place. The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 4 3 x 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 4 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 3 LIFESTYLES Standard No Score 11 x 12 4 13 3 14 4 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 x 3 x x 3 x The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 The Laurels - Fontwell DS0000014781.V296254.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!