Inspection on 25/09/07 for The Newlands

This inspection was carried out on 25th September 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Newlands 21/08/06

The Newlands 06/02/06

The Newlands 06/09/05

The Newlands 11/03/05

The Newlands 21/09/04

The Newlands 18/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The Newlands Royal Walk Cheadle Stoke on Trent Staffordshire ST10 1EL Lead Inspector Mrs Joanna Wooller Key Unannounced Inspection 25th September 2007 09:00 The Newlands DS0000033400.V347791.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 Newlands DS0000033400.V347791.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 Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Newlands Address Royal Walk Cheadle Stoke on Trent Staffordshire ST10 1EL 01538 752210 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) Staffordshire County Council, Social Care and Health Directorate Mrs Tracey Shirley Joinson Care Home 12 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (4), Learning disability (12), Learning disability of places over 65 years of age (5), Mental disorder, excluding learning disability or dementia (2), Physical disability (4) The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 12 Learning Disability (LD) - Minimum age 40 years on admission 4 Physical Disability (PD) - Minimum age 40 years on admission 2 Mental Disorder (MD) - Minimum age 40 years on admission 4 Dementia (DE) - Minimum age 40 years on admission. To admit one named service user for respite care aged 19 years or over. 21st August 2006 Date of last inspection Brief Description of the Service: The Newlands is a Local Authority Home accommodating up to 10 people with learning disabilities, currently between the ages of 50 and 81 years. There are presently 9 people living in the Home. The Home is registered to provide support for 12 Adults with a Learning Disability, 5 of whom may be over 65 years of age, 4 of whom may be over 65 years of age and have dementia care needs, 2 of whom may have mental health needs and 4 of whom may have a physical disability. The Home must not admit any person under the age of 40 years of age. It is situated in a quiet cul-de-sac close to the local hospital and town centre. The home is set in a private and attractive garden and there is adequate car parking provision. The property consists of two semi-detached houses modified over the years to create four distinct living areas, each with its own lounge/dining and/or kitchen/kitchenette facilities. One area is self contained for the three more independent service users and has its own entrance. The Home is on two floors with access being provided by stairs and a shaft lift. All bedrooms are of single occupancy with all but one being on the first floor. An adequate number of toilets are provided on both floors. Nine of the ten present service users attend some form of Local Authority day service provision within the community. One service user is now retired and is The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 5 supported by the Home’s staff. The fees charged are £706 per week. The future plans for the Home are uncertain, as there are a number of Departmental changes being made to the delivery of support services to Adults with a Learning Disability. The service users, staff and families are involved in the consultation process. Tracey Joinson, who is suitably trained and experienced and registered with the Commission for Social Care Inspection, manages The Newlands. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The Lead Inspector carried out this Unannounced Key Inspection. One of the team Leader was in charge supported by two carers. The inspection included the following elements; A tour of the building, Observation and inspection of records relating to provision of care, Discussions with several service users, Discussions with several of the staff members on duty, Observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues and health & safety. The Inspector was made very welcome in the home and all assistance was given to gain the evidence required for the report. No complaints had been dealt with by Commission for Social Care Inspection since the last inspection. Service Users spoken to at the visit were very complimentary about the home, the home is at threat of closure due to modernisation of services and the Service Users spoken to were all feeling unsettled about the future. The staff reassures the Service Users about their future plans to move to other premises and services. The AQAA (Internal quality audit) was sent out to the home but was not received by the manager. An AQAA was emailed to the home during the visit and time was allowed for this to be completed on this occasion. What the service does well: The inspector was able to evidence that the health care needs of each individual were well monitored and the appropriate medical services are accessed when necessary. Individual risk assessments for each Service User are in place and any lifestyle restrictions are justified, documented and reviewed by the care managers. The environment is very homely and Service Users appear relaxed and happy in the home. Well-established relationships between the Service Users and staff were obvious to the inspector and the ambiance in the home supported the Service Users in their daily life. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Newlands DS0000033400.V347791.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 Newlands DS0000033400.V347791.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): Standard 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff made positive moves to ensure that the needs and individual aspirations of the service users are assessed prior to admission. EVIDENCE: The Statement of Purpose and Service User Guide were up-to-date and set out the aims, objectives and philosophy of the home. The recent inspection report was in the home. The inspector evidenced that prospective service users individual needs and aspirations are assessed prior to admission and this is documented and reviewed with the service users and their social worker, key worker and any family members if available. This document then develops the care plan for further risk assessments to be written and any therapeutic needs to be identified. The Service Users are informed prior to admission that their needs can be met whilst in the home and that the staff is trained to assist them with their care requirements. Advocacy services are made available for those who require support. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 10 Prospective service users have the opportunity to visit the home prior to admission and ‘test drive’ the services. Three months ‘settling in’ period is also offered to ensure that the service user does not feel pressured to stay. The Newlands provides support to ten adults with a learning disability. Their range of abilities and needs, communication, behavioural and physical needs all vary and this has been identified through robust admission procedures. The managers are able to demonstrate that it supports the individual; each person is involved in person centred planning, which provides a holistic approach to their individual needs. Two of the service users are regularly supported to attend the church of their choice and the manager and staff are culturally aware and would welcome people of differing cultures. Further work on diversity has been carried out in the home since it was highlighted at the last inspection. One service user told the inspector that he loved the staff at the home and enjoyed living there. He had been excused from the day centre due to an eye infection. Emergency admissions are very rarely requested at The Newlands. Service users have an individual written contract with the home which they sign and keep a copy. The Newlands DS0000033400.V347791.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): Standards 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans are formulated to ensure that the service users are individually able to achieve their appropriate lifestyle. The plan reflects the needs, aspirations and goals of the individual, which when reviewed ensures that the home can meet that service users needs. EVIDENCE: It was evidenced and the manager confirmed that service users were aware that their assessed needs are documented within a care plan and they have access to it when necessary. The plan describes choices and any restrictions, risk assessments and daily life style. Service user makes decisions about their lives with the assistance of the staff if needed. Two plans were examined of the two service users in the home at the time of the inspection. Each one was reviewed appropriately and updated to reflect their current condition and capacity. Reviews by their placing social worker were also in place. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 12 Each service user is offered opportunities to live life to the full, and service users maintain a busy life ensuring that they build on life skills and remain as independent as possible. Nine of the ten service users attend local day centres or day services to meet other people and complete activities. On the day of the visit there were two service users in the home and both were willing to chat to the inspector about life in the home. There was evidence in the home that service user partaking in an independent life style have been risk assessed for all eventualities. The manager told the inspector that action is taken to minimise and avoid the risks through careful risk management – most service users are aware that these assessments have been carried out. Service users information is handled in line with the Data Protection Act 1998 and manager told the inspector that the staff are fully aware of the importance of confidentiality. The Newlands DS0000033400.V347791.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): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff actively support the service users to live varied lives, dependent on their personal choices and abilities. Service users rights are respected at all times. EVIDENCE: The manager explained to the inspector that part of her role is to ensure that service users have opportunities for personal development, to learn and use practical life skills and fulfil spiritual needs. This personal information is documented within the care plans and all the key workers at the home are aware of the importance to monitor their individual service users progress and ability. The manager was able to demonstrate tot eh inspector that the activities completed by the service users was age and culturally appropriate to each service user. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 14 There was evidence for the inspector to see ensuring that the service users are part of the local community, local pubs are often frequented for dinner and a drink, which the service users all enjoy. Following discussions with the service users about their individual wishes the staff arrange shopping trips and church services. Photographic evidence of social events and activities was displayed in the home and staff and service users all discuss the events from time to time. Group trips are also planned to garden centres and themed Christmas events, which the service users all helped to plan and arrange. The manager discussed the service users need for relationships with family and friends and the suitability of friendships within the home. Families and friends are welcomed to the home and service users can see them in the privacy of their own rooms if preferred. The service users told the inspector that they are encouraged to assist with the running of the home and they do help to keep the home looking tidy. Service user rooms are locked for privacy and staff do not enter without first knocking. Service users are risk assessed for the use of bedroom door keys and this is monitored. Regarding food and meal times the manager discussed with the inspector that the service users have total choice and are able to decide what they eat at each meal with the guidance of the staff. Service users are encouraged to make snacks and a range of drinks. Service users choose where they wish to eat and who with. Service users nutritional needs are assessed and regularly monitored and reviewed considering risk factors. Service users are encouraged to eat independently however discreet assistance is given should the need arise. The Newlands DS0000033400.V347791.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): Standards 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users emotional and physical needs are being met in the home. Medication administration is risk assessed as for suitability for service users to control their own medicines. EVIDENCE: There was strong evidence in the home that service users receive good quality care at this service. The management support the service users to maintain good health and where necessary access NHS services at appropriate times. On the day of the inspection the inspector witnessed on service user going to the dentist and another to the local GP prior to going to their day care services. Members of staff escorted both service users and their documentation was updated on return to the home. Follow up appointments are recorded in the diary to act as a reminder. The manager was able to demonstrate that the service users health is monitored and annual health checks are carried out. The manager informed the inspector that flexibility surrounds the service users personal choice regarding rising and retiring time and personal care interventions. Choice of hairstyle and clothing encourages the service users The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 16 individuality and the staff support individuals with equipment to aid and encourage independence. One service user has a tray fitted to her rollator walking frame to assist her transporting drinks and snacks whilst maintaining her mobility. Service users are individually risk assessed to ensure that safe practices of administration of medicines are carried out in the home. Some service users do self medicate, supported by the staff. The homes medicine policies were in place for medication administration, storage and disposal. There was evidence that the medication is also reviewed as part of the monthly care plan monitoring. The pharmacist undertakes quarterly reviews of the medication systems. The manager and her staff all consider ageing, illness and death for each service user. One service user no longer attends day care as she has retired and spends her days content at the home. The Newlands DS0000033400.V347791.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): Standards 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has an open door policy with access for service users to express their views. The systems and procedures within the Home protect the service users from abuse and neglect. EVIDENCE: There have been no complaints made either to the Home or the Commission for Social Care Inspection since the last inspection. The complaints procedure is available in written and symbol format. Each service user benefits from contact with a link and key worker and advocacy services are accessed, if required. Regular service users’ meetings are held in the home at the service users convenience. The staff have access to relevant Adult Protection procedures and are given guidance regarding adult abuse issues during their National Vocational Qualification training. The financial procedures were checked during this inspection and it was established that robust systems are in place. Pocket monies were checked and found correct. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 18 The Department also carry out a thorough audit of these procedures quarterly and the last one was in August 2007. Where possible service users are supported to manage their own monies and lockable facilities are available. Where required, behavioural management plans are in place and guidance has been sought from external professionals. All staff have been trained in the management of violence and aggression, with the emphasis being on good practice and the use of diversion and distraction techniques. Protection of Vulnerable Adults and Criminal Records Bureau checks are carried out on all prospective staff. The Newlands DS0000033400.V347791.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): Standards 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home was clean and tidy and the service users confirmed that it was comfortable and homely. EVIDENCE: The inspector found the home to be clean and tidy in all areas. Service users bedrooms were personalised and provided the required amount of privacy and space. Specialist equipment is available for those who require it. The future plans for the Home remains uncertain, as there are a number of Departmental changes being made to the delivery of support services to Adults with a Learning Disability. The current plan is to keep the Home clean and safe for the service users. This was confirmed during a tour of the Home. However the manager reported that one bedroom had been decorated. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 20 New fire systems have been fitted throughout the Home and as a result new evacuation procedures developed with training. The home is without a maintenance person at the present time, however local maintenance persons from another home are supporting the system checks. The environmental health department visit was again extremely positive. The Newlands DS0000033400.V347791.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): Standards 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service users continue to be protected by a well recruited, trained and supervised staff team, staff are trained to support more diverse needs as they are identified. EVIDENCE: The inspector evidenced that mandatory training is provided on a rolling programme and that new staff undertake a comprehensive induction. Over 90 of the staff team have achieved the National Vocational Qualification level 2 award or above and new staff undertake the Learning Disability Awards Framework award, which is pertinent to the service and more specific to the service users. The manager gave examples where external professionals came to the Home to advise staff on how to support service users with specific needs and it was recommended at the last inspection that these sessions be recorded on the staff training files – which has been completed. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 22 Some of the residents are unable to verbally communicate and some of these understand simple makaton symbols. The management team receive training applicable to their role, including medication and the control of substances hazardous to health. Two members of the management team have been nominated to train as manual handling trainers, which will give a total of three in the Home. The Department have developed a new infection-control training booklet. The service users also watch the fire safety and food hygiene training videos and the manager hopes that some of the service users will continue to be assisted to understand the principles of infection control. Two staff recruitment files were examined and the procedures comply with Schedule 2 of The Care Homes Regulations 2002. There is written confirmation that both have successfully completed their probationary period. All the staff receive regular supervision, which takes the form of individual sessions with a manager and attendance at staff meetings. The Department has held consultation meetings with the staff regarding the proposed changes to the service. A staff member interviewed confirmed that she feels supported and encouraged by the manager. The care staff have a full handover at the beginning of each shift. The Newlands DS0000033400.V347791.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): Standards 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service users live in a well run home with strong leadership and a positive ethos. EVIDENCE: The manager, Tracey Joinson is registered with the Commission for Social Care Inspection and has achieved the Registered Managers Award. She has many years experience of working with adults with a learning disability and her role in the Home is clear and defined within a job description. The insurance policy and Commission for Social Care Inspection registration document are both displayed in the office. The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 24 The Home now has a complete management team. The Department are presently preparing to change their delivery of services to adults with a learning disability. All service users, staff and relatives have attended consultation meetings, although it is not yet absolutely clear what the full implications will be for the people living at The Newlands. However the service users have been assured that full assessments will be undertaken, which will also involve the staff, advocates and social workers. An update regarding the changes is sent to the Home on a monthly basis and the manager sends copies to the relevant people. The manager and the support services administrator continue to carry out health and safety audits on a monthly basis and copies are sent to the head office. Following each audit an action plan is developed. They provide evidence that all areas of Health and Safety are carefully examined. The Department also audits the Home annually. New fire evacuation procedures have been further developed to coincide with the new systems fitted and staff interviewed confirmed that they are regularly involved in mock fire evacuations. These also include the service users and it was reported that they are very familiar with the procedures to follow. The environmental health department visit was again positive. Generic and individual service users risk assessments are completed and reviewed regularly. Mandatory training is provided to staff as part of a rolling programme. A senior manager carries out a quality assurance audit in the Home, on a sixmonthly basis. The areas examined are finance and marketing, the kitchen, care, property, health and safety and quality assurance. Much of the criteria are based on the National Minimum Standards. An additional audit is carried out annually, in which the views of residents are gathered. Both audits result in an action plan and possible requirements. The registered manager organises staff supervision, staff, residents and relatives meetings. There is a comments book available in the hallway. The social worker had commented in the book relating to how pleased she was on the visit to the home and her findings. Relatives had sent many cards saying ‘Thanks’ to the staff. The Newlands DS0000033400.V347791.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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 26 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 Newlands DS0000033400.V347791.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ 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 Newlands DS0000033400.V347791.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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