Inspection on 22/05/07 for The Old Post Office Residential Home

This inspection was carried out on 22nd May 2007.

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

The inspector 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 Old Post Office Residential... 08/11/06

The Old Post Office Residential... 25/01/06

The Old Post Office Residential... 27/07/05

The Old Post Office Residential... 03/03/05

The Old Post Office Residential... 05/07/04

The Old Post Office Residential... 15/03/04

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

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Polesworth Group 70 Long Street

Breme

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Polesworth Group 68 Long Street

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

CARE HOME ADULTS 18-65 The Old Post Office Residential Home Newport Road Haughton Stafford ST18 9JH Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 22 May 2007 14:30 The Old Post Office Residential Home DS0000057119.V341057.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 Old Post Office Residential Home DS0000057119.V341057.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 Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Post Office Residential Home Address Newport Road Haughton Stafford ST18 9JH 01785 780817 01785 780883 kevin.betts@btinternet.com / joetopoh555@hotmail.co.uk The Old Posting Office (Haughton) Ltd 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) Mr Joseph John Slack Mr Joseph John Slack Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (5) of places The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All five service users to have a learning disability Date of last inspection 8th November 2006 Brief Description of the Service: The Old Post Office is a residential home located in Haughton, Stafford having easy access to public transport and local amenities. The home provides a service for adults of both genders [though currently all are male] who have a learning disability and a mental disorder. The twostorey detached property is situated within its own grounds; all bedrooms are of single occupancy equipped with en suite. Toilets and bathrooms are located throughout the home and are in close proximity to bedrooms and communal areas. The design and layout of the property would not be suitable for individuals who have a physical disability; there are no specialist equipment or passenger lift in place. The home provides a large lounge and separate dining area that is pleasantly decorated and equipped with essential furnishings and items to provide a comfortable area. People who use this service have access to a large domestic style kitchen; a separate laundry area is also provided. Limited car parking is provided at the rear of the property. The home offers a well-maintained garden, which is accessible to all service users. Staffing is provided within the home on a 24-hour basis, to ensure the total supervision and support of the individual people who use the service. The fee chargeable for the service at The Old Post Office is currently between £1,575.00p and £2,300.00p per week. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was undertaken during the afternoon and early evening of Tuesday the 22nd of May 2007 by one inspector. All people who use this service where in the home at one time or another, but continued (and were encouraged) to carry on with their daily activities as well as having access to the inspector. The home was being managed by Mrs Angie Pinfield who has applied to be registered as a fit person and whose final interview with CSCI was to take place two weeks from the date of the inspection. The home was clean, warm, and tidy, and people who use the service were being supported in their daily activities by members of care staff, and three spoke with the inspector, whilst to did not. The requirements and recommendations of the last report were reviewed, and evidence was seen of steps being taken to address all of these matters, and there will be no requirements of recommendations as a result of this inspection. The dynamics of the interaction between staff and the people who use the service was seen to be appropriate, adequate, dignified, sensitive, and positive, with a focus on enabling people to achieve their maximum potential, without putting themselves in danger of harm or stigmatisation. There was good documentary evidence of attempts to widen the scope of interaction with outside health professionals, and reported feelings of disappointment from the manager and members of staff where issues of funding had resulted in these overture has been rejected. The people who use the service that spoke to the inspector were very positive about the experience of life at The Old Post Office, and displayed a comfortable rapport with those people who were caring for them. What the service does well: The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 6 The Old Post Office continues to provide safe and secure accommodation for people who have a Learning Disability associated with challenging behaviour and or other mental conditions, and to provide them with an environment in which to achieve their maximum potential. What has improved since the last inspection? Since the last inspection risk assessments on which the evacuation procedures of the home are based have been strengthened to incorporate the level of support and assistance needed by each individual. Contact has been made with the dietetic manager for the area, and arrangements are in hand for her to provide training for staff to enable them to promote healthy eating. Food hygiene and infection control training has been received by 61 of staff, and further training has been arranged. The home was approached the local Learning Disability hospital to register all the individuals within the home for the receipt of relevant health and social care professional input from specialists with in this area. There is now a written protocol in place to identify when and what has required medication should be administered, together with other relevant information about maximum dosages. Further medication training has been arranged for staff handling medicines. The home is now in possession of the certificate qualifying the handyman to undertake portable appliance testing. A check is being made on all wall units and similar furniture, and where this was necessary, they have been firmly secured to the wall. It has been included in the statement of purpose and service users guide, that any prospective new person to use this service (or their representative) will receive a written confirmation of the ability of the home to meet their needs and individual choices as indicated in the assessment documentation. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 7 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 Old Post Office Residential Home DS0000057119.V341057.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 Old Post Office Residential Home DS0000057119.V341057.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): 2. Quality in this outcome area for people who use the service is good. This judgment has been made using all available evidence, including a visit to the service. Following concerns raised at the last inspection, policies and procedures have been strengthened to ensure the robustness of the pre-admission structures practised by this service. EVIDENCE: There have been no new admissions to this service since the last inspection, but the acting care manager (whose application to be registered is being processed, and whose interview had been arranged for a fortnight from the day of the visit to the service) was able to show the inspector revised policies and relevant sections in the statement of purpose and service users guide with the amendments to ensure that prospective users of the service will receive a written confirmation in future, that the result of their assessment means the home is able to confirm their ability to meet that persons needs and personal choices. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area for this group of people who use the service is good. This judgment has been made using all the available evidence including a visit to the service. The home was pro-active in promoting the rights and choices of people who use the service, by providing them with the necessary support and guidance to live the most independent lifestyle commensurate with their assessed needs and personal choices. EVIDENCE: The individual needs and choices of people who use this service were observed being met both through the interaction between them and members of care staff during the visit to the service, and in the documentation, including the response to changes that were reflected in reviews. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 11 Two men engaged in discussion with the care manager (acting) with regard to their choice of venue for forthcoming outings, and documentation was provided which demonstrated planning was already in hand to facilitate these. One person told the inspector: I am supported to do things here, where I was before they just left me sitting around all day . The inspector also learned how members of staff had arranged a visit to motorcycle shows for someone who had a particular passion for these machines, and on the day of the visit to the service, a member of staff returned from an expedition to research riding lessons for another user of the service. The care plan of one person demonstrated (and he was most enthusiastic to confirm this) that whilst he had been spending much of his time in a wheelchair at a previous care facility, he had been encouraged to mobilise independently, and was now able to go out with an escort into the community, without any form of mobility aid. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17. The quality in this outcome area is good. This judgment has been made using all the available evidence including a visit to the service. People who use the service were being enabled to develop their skills, to be appropriately occupied and/or educated, to maintain family and friendship links, to have a good leisure/social life, and to enjoy a nutritious diet that appeals to them. EVIDENCE: Three people who use the service told the inspector about how they had been spending their time on that day. They were all extremely enthusiastic about what they had been doing. One had been attending college in Newport (supported by a carer), one had been attending college in Stafford (enabled by a carer, including provision of transport), and one had been accompanying a carer who was investigating facilities to meet the expressed need of the man who wanted to take up horse riding. They had been to the various stables to find out the suitability of the experiences being offered, and their cost. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 13 These conversations confirmed the details observed in Personal Care Plans relating to the assessment of individual choices, appropriate activities, and the development of independent living skills, being met by enabling the people who use the service to take part in activities that were appropriate both culturally, and for their age, gender, and peer group. Many activities had been recorded in a photo album which the men were pleased to show to the inspector, and this showed them on various outings, at football matches, at motorbike events, gardening, swimming, attending the fitness centre in Market Drayton, and enjoying sessions of aromatherapy. Information taken from the provider dataset indicates that the home has recently employed in activities coordinator, and facilitates personal shopping trips, visits home to members of family, canal trips, days at the seaside, outings to car boot sales, and dedicated activities such as bowling. In addition as part of the daily life of each of the men, they assist in maintaining the upkeep of their own garden, preparing meals, and helping with the daily household chores and cleanliness of their own rooms. Where they are able to assist with carrying out their laundry, they are supported in doing this by members of staff. A creative initiative operated in this home has been the holding of regular coffee mornings with the men, so that they can openly express their views in a less formal setting than when working one-to-one with the staff. There is a large domestic style kitchen at The Old Post Office, where people who use the service were observed assisting in preparation of the evening meal of their choice. Discussion with the manager about the provision of input of a dietician confirmed that in compliance with the requirement in the previous report, she had made contact with the local hospital, and whilst the response (which she showed to the inspector) regretted that due to funding a service could not be offered to individuals, it offered training to the staff of the home to raise their awareness and increase their knowledge. Dates for this are currently being negotiated. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20. The quality in this outcome area is good. This judgment has been made using all the available evidence, including a visit to the service. People who use the service were being cared for by a group of staff committed to improving their access to, and benefit from, established health-care professionals. There was evidence of creative responses to identified problems that allowed a person to be supported in a way that they preferred, and with a measurable benefit in terms of their behaviour. Staff demonstrated a knowledge about medication, its desired effects, and its side effects that was appropriate to their position, and an understanding of when decisions involving medication should be referred to others with greater knowledge and authority in this area. EVIDENCE: A good example was seen in the care plans, and through discussion with staff, of attention to health care needs. This was the exploration of a wide range of responses considered in the case of one person whose observations had recorded a rise in the incidence of, and severity of, outbursts of aggressive behaviour. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 15 A review was carried out by a multi-disciplinary/multi agency team, the person who used the service was placed on a Guardianship Order, with only minimal changes to his medication regime, and has resulted in that person feeling so much more secure in the home that he has now been able to commence attending college, and generate some therapeutic earnings from cleaning vehicles. Documentation was also observed during this visit of referrals made to outside professionals who are specialist in the field of learning disability, as well as to those dealing with more general physical health problems. Unfortunately there have been mixed responses to these two referrals, with one authorities saying they have no funding for additional support of the person who uses the service comes from the area, but with New Burton House (the Learning Disability Hospital in the Stafford area) having taken the initial details of men who fall within their remit, in order to assess what services they can provide. As mentioned in a previous section, the Stafford area dietetic manager has offered input through appropriate training to members of staff, rather than through the review of each individual man. The protocol for the administration of As Required medication was seen, together with the specification for the maximum amount that can be administered, of a whole range of medication used in the home. With regards to the concern expressed in the previous report regarding alternatives to medication, the inspector was able to locate within care plans protocols for both divert ional techniques, and also physical restraint, to deal with incidents of challenging behaviour. There was also evidence of the local GP being proactive in medication reviews, and in prescribing for the people who live in the home. Personal Protected Equipment was observed in the laundry during the tour of inspection, and the manager confirmed that the cellar was clear of all flammable materials, and thats the steps down to this area were protected by a door and coded lock, to ensure the safety of the people who use the service, by restricting access to staff. 61 of care staff have received training in safe food handling, and steps are being taken to set up a review meeting with the local primary health care services so that people who use this service can receive a more effective and appropriate health service. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The quality in this outcome area is good. This judgment was made using all the available evidence including a visit to the service. The recruitment procedures and Inter Agency Vulnerable Adults policy used by the home helped to protect people who use the service from being abused, and to make their voice heard if they needed to comply. EVIDENCE: No complaints had been received by the home or the CSCI in the period covered by this inspection. During the time members of staff had undertaken training in the protection of vulnerable adults, and one of the seniors had completed Train the Trainer certification, and is now qualified to offer such training In House . The provider dataset confirms the existence of appropriate policies and procedures, and in a separate exercise checking staff recruitment procedures, it was confirmed that they had all been required to provide evidence of a clear police record before having access to the men who use this service, and starting work in the home. The Old Post Office Residential Home DS0000057119.V341057.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 28, and 30. The quality in this outcome area is good. This judgment was made using all the available evidence including a visit to this service. People who use the service were seen to live in a homely, comfortable, and safe environment. Their private rooms were spacious, and the communal areas fitted with good quality furnishings and were well decorated. Policies and procedures were in place for infection control, and there were no unpleasant odours. EVIDENCE: This home is located close to a main road through the active and attractive village of Haughton. At peak times there are buses every half hour to Stafford and Newport, and the company also provides vehicles for the transport of people who use the service in this semi rural area. There are shops, a church, and restaurants, in this village, with a doctors surgery and health centre in the adjacent village of Gnosall. Hospitals, most leisure facilities, and extensive retail outlets are to be found in Stafford and also in Telford. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 18 The home is a well-established property with accommodation in single bedrooms all with ensuite, on two floors. Toilets and bathrooms are located throughout the home, and are in close proximity to bedrooms and the communal areas. The design and layout of the property would not be suitable for individuals who have a physical disability, as there is no specialist equipment or passenger lift in place. This limitation is recorded in the documentation that the providers make available to prospective users of the service. The laundry room is separate to the domestic style kitchen, which itself is large and roomy, affording easy access to people who use the service, to enable them to participate in meal preparation as part of their daily routines. There is a secure garden, with a small car park, and space for additional parking adjacent to, and outside the perimeter wall. A cursory visual appraisal of the exterior did not identify anything for concern, and the provision of a barbecue area and outside tables and chairs all added to the possibilities for social activity for the people who use this service. The interior was well decorated and the furnishings and fittings well maintained, with privacy locks on bedroom doors. Two of the men demonstrated their capacity and ability to operate these locks, and one man no longer has a key, having found it more of a hindrance than assistance. This had been recorded in his care plan. The Old Post Office Residential Home DS0000057119.V341057.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 24, and 35. The quality in this outcome area is good. This judgment was made using all the available evidence including that gathered at a visit to the service. There was seen to be a good dynamic between people who use the service and members of staff, and this, and questioning, and reference to documentation, showed that they had the necessary experience and qualifications to care for the men in a way that promoted their dignity, ensured their safety, met their needs, and enabled their personal choices. EVIDENCE: For five service users with medium needs based on their learning disability and level of challenging behaviour, the home operates with a full-time care manager, and 496 hours of care staff time per week. On the day of this unannounced inspection staff were seen to be engaged in a positive dynamic with people who use the service, and to have such a highly developed knowledge of the pattern of peoples behaviour and the physical indicators of their immediate status, such that they were able to use an appropriate diverting techniques with one man, to ensure that his dignity remained intact, together with the well-being of everybody else in the home, so they could enjoy the activities of the afternoon without any distressing disturbance. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 20 The extent to which staff build up a base of knowledge of the verbal and nonverbal clues of a service user was the subject of discussion with the manager and her colleagues, and notes of what certain phrases or words indicated when spoken by certain people, was observed in care plans. Records of training received showed that application had been made to the Staffordshire Workforce Partnership in regard to the requirement of the previous report, and that 61 of current permanent care staff have now received their training in safe food handling. The home has an open recruitment procedure based on equal opportunities, and using safeguards to ensure the protection of people who use the service. There is currently a multicultural representation within the pool of 10 full-time and five part-time carers, five of whom are female and the rest male. When all the members of staff who were currently enrolled on NVQ complete their courses, 90 of the carers employed by the home will be qualified to level 2 or above. The Old Post Office Residential Home DS0000057119.V341057.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42. The quality in this outcome area is good. This judgment was made using all the available evidence including a visit to the service. The person in charge of the home was seen to be competent and qualified and to be in the final stages of her registration, and indicators such as inspection reports were seen to be used as a trigger to improvements of the service being provided. Health and safety issues arising from the last inspection had all been satisfactorily addressed, and no further issues were noted as a result of this visit to the service. EVIDENCE: Discussion took place with the acting care manager and it was confirmed that her application to be registered had proceeded to the point where she was just two weeks away from her Fit Person interview. The Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 22 She was able to demonstrate the experience and ability to fulfil this role, and to maximise the ability of the home to ensure that each person who uses the service reaches their fullest potential. Through their provider dataset the home had identified the need for more networking with Learning Disability care professionals, they feel this has been a barrier in the past to their development, and are therefore currently developing relationships with other professionals (though as noted elsewhere in this report, they have sometimes met with negative responses and now need to review the implication of such rebuttals) to try and ensure that the people who use the service have the best possible access to appropriate and effective health care services. There was evidence that much of the concern expressed in the previous report had been taken to heart and resulted in reviewing and rethinking as well as positive action. With reference to the new fire regulations and assessments have been strengthened to incorporate information relating to the level of support and assistance the individual using the service would require to enable them to evacuate the building in the event of a fire at any time, day or night. This information had then been collated into a matrix to give an overview of the needs of the whole home in terms of staffing, or environmental change, to ensure the well being of the people who use the service, should there be a fire. Risk assessments were seen in those personal care plans reviewed, and they had been used to determine that one waking member of night staff, and one sleeping in, [on the second floor], would be sufficient to undertake a safe and timely evacuation should a fire break out. The inspector was shown the certificate awarded to the handyman to equip him to undertake portable appliance testing in the home, to minimise the risk of electrocution to people who use the service, and those who work with them. (This person has now ensured that all wall units have been firmly secured, to reduce the potential hazard during a period of challenging behaviour, or from them being accidentally knocked over.) The Old Post Office Residential Home DS0000057119.V341057.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 x 2 3 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 3 27 X 28 3 29 X 30 4 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 Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 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. 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 Old Post Office Residential Home DS0000057119.V341057.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Old Post Office Residential Home DS0000057119.V341057.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. 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