Inspection on 27/03/07 for The Old Rectory

This inspection was carried out on 27th March 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 Old Rectory 27/10/05

The Old Rectory 14/06/05

The Old Rectory 24/09/04

The Old Rectory 25/05/04

The Old Rectory 11/01/04

The Old Rectory 29/09/03

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

CARE HOME ADULTS 18-65 The Old Rectory Singleton Chichester West Sussex PO18 0HF Lead Inspector Mrs J Aston Unannounced Inspection 27th March 2007 09:30 The Old Rectory DS0000014787.V327484.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 Rectory DS0000014787.V327484.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 Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Rectory Address Singleton Chichester West Sussex PO18 0HF 01243 811482 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) Dignity Group Limited Mr Clive Lucas Care Home 27 Category(ies) of Learning disability (27), Learning disability over registration, with number 65 years of age (27) of places The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only Service users under the age of 65 years of age may be admitted Date of last inspection 27th October 2005 Brief Description of the Service: The Old Rectory is registered to accommodate twenty seven Younger Adults with Learning Disabilities. The current registration allows current service users who reach the age of 65 to continue living at the home however, no service user over the age of 65 can be admitted. The Old Rectory is set in extensive grounds and gardens within the quiet village of Singleton. The accommodation is split into four sections within two buildings; the Old Rectory, Rafters and the Garden Flat are within the main house. Segal House is a separate bungalow within the grounds that accommodates service users with more severe disabilities or challenging behaviour. The Dignity Group Ltd privately owns the service. The person acting on behalf of the organisation is Mr Tim Salmon. The Registered Manager responsible for the day to day running of the home is Mr Clive Lucas. The fees range from £660.00 to £946.00 The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. This inspection is the first inspection in 2006-2007. It is called a key inspection and will determine the frequency of inspections hereafter. Only the key standards determined by the Commission have been assessed during this inspection. Planning for this inspection took place prior to the visit to the home. A preinspection questionnaire was received prior to the visit and some of the information provided will be referred to in this report. Surveys were sent to all service users prior to the visit. Eighteen were received and they have been completed by the service users themselves or with support from members of staff. A visit to the home took place on the 27th March 2007 and was an unannounced visit. A tour of the premises was undertaken, six service users and six members of staff were spoken with and a sample of records was examined. Six hours were spent in the home, mainly in Segal House and in the main building. What the service does well: The evidence obtained through this inspection indicates that the service provided by the Dignity organisation at the Old Rectory supports service users well. The atmosphere in the home was relaxed, friendly and cheerful. The Inspector observed caring and appropriate interactions between staff and service users and between service users themselves. Members of staff have good information available to them to ensure that they understand the needs and wishes of the service users accommodated. New members of staff receive a comprehensive induction programme and the level of training for all staff is good and relevant to the needs of the service users. Recruitment procedures are followed well and all the necessary checks are undertaken prior to a new member of staff working in the home. The Old Rectory DS0000014787.V327484.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 summary of this inspection report can be made available in other formats on request. The Old Rectory DS0000014787.V327484.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 Old Rectory DS0000014787.V327484.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. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The organisations admission policies and procedures ensure that a prospective service user’s needs are assessed appropriately before admission to the home to ensure that the home has the capacity to meet those needs. EVIDENCE: The organisation has a comprehensive admission policy and procedure in place that ensures the needs of a new service user can be met and their admission to the home is undertaken in a planned way. During the visit to the home a service user was visiting the home regularly to establish a relationship with the home prior to that service user being admitted in the future. It was demonstrated at the last inspection that full assessments of service users’ needs had been undertaken prior to moving into the home. There has been one new service user admitted to the home since the last inspection. From surveys received prior to the visit to the home this service user indicated that he was asked if he wanted to move into the home and received enough information about the home before he moved in. The surveys also indicated that fifteen service users said they were asked if they wanted to move into this home and seventeen said they had enough information about the home before moving in. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs and wishes are recorded appropriately. Service users’ receive support and assistance from members of staff to make choices and decisions in their lives. Potential risks for residents in their daily lives are considered and minimised as far as possible. EVIDENCE: The needs of each service user, the support they require and their goals are recorded on a care plan. During the visit to the home four care plans were examined. The care plans contained sufficient information about each service user and along with a key worker instruction plan that is linked to the care plan members of staff have good information available about how to support each person. The resident’s key worker also writes a monthly summary about how each service user is progressing. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 10 A daily log is also kept that indicates the activities, appointments and any other important information. In order for members of staff or agency staff to obtain basic information easily and quickly each service user has a personal profile. Segal House has developed a guide to working in that unit that provides a brief overview of each service user and what is expected of staff. It was noted that the care plans had been reviewed within the home within the last six months. The review meetings included the service user, family and the care manager or other professionals where appropriate. From the information gained through surveys from service users received prior to the inspection and from speaking with service users during the visit it has been demonstrated that members of staff support residents with making choices and decisions. From the eighteen surveys that were received: sixteen said that they were always or sometimes able to make decisions about what they did each day. Sixteen said they could do what they wanted during the day, fifteen said they could do what they wanted in the evenings and all of them said they could do what they wanted at the weekend. Where service users said no the Inspector is aware that this is due to their level of disability and not being capable of making decisions. Some service users due to their level of disability require some support with making decisions or choices. Where their choice or wish is known it is recorded on their individual plan. The home also uses different ways and aids to communicate with service users e.g. photos, pictures and some sign language. The staff team very much promote service users to communicate their needs as far as they are able. It is recommended that the Manager obtain information about the requirements of the Mental Capacity Act that will come into effect in 2007 for where members of staff have to make decisions for service users. This will ensure that the home is acting appropriately on behalf of residents where decisions have to be made in their best interests. The Manager and staff team support residents to keep safe through highlighting any potential risks for residents within the home and in the community. It was seen that potential risks had been assessed for each resident and recorded on a separate risk assessment for each risk. Members of that were staff spoken with during the visit confirmed that they would be attending a training course about risks and risk assessments shortly. Where there had been an incident involving a service user the Registered Manager was advised to review the risk assessments for that service user as they had not been reviewed for some time. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 11 To also undertake a risk assessment in respect of her heat sensitivity and all that related to during her day. It is also recommended that members of staff ensure that all risk assessments have been reviewed recently. The Old Rectory DS0000014787.V327484.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): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports service users to access a range of activities that include leisure and educational activities. Daily routines within the home take account of service users activities and wishes. The home has maintained good links and relationships with relatives. Service users are supported to maintain a healthy diet. EVIDENCE: Through examining service user files and from speaking with members of staff and service users it was demonstrated that there is a wide range of activities undertaken and available that includes educational, leisure and community activities. Service users attend day centres and a local college. They are supported to visit pubs, restaurants and shops and to be involved in other community activities where appropriate. Some service users are supported to go horse riding or swimming. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 13 Each service user has a weekly programme of activities outside and within the home that includes cleaning room, doing laundry and personal shopping. The home has two vehicles to transport service users. It was evident from viewing photographs and from speaking with service users that they have regular holidays some have several a year. Holidays are usually individual and of the service users choice. The Inspector did not see any evidence of service users undertaking work experience or of having work opportunities, however it was noted that a service user had been invited to attend a job centre advice day in March 07. This demonstrates that where service users are able they are supported to access appropriate information and support. Daily routines in the home are based around activities but can be flexible dependent upon a service user’s wishes or behaviour. Service users spoken with said that they could get up when they wanted and could go to bed when they wanted. It was noted during the visit to the home that service users are free to choose where they wish to spend their time when in the home. As previously stated most service users have indicated through surveys that they do choose how they spend their time in the day, evenings and weekends. It was observed that service users privacy was respected and where able service users kept their rooms locked. Service users spoken with said they were in contact with their relatives and had the facility to telephone them or to visit them for a day or weekend. It was evident that relatives are invited to attend reviews in order to give their views about the service. A sample of menus was provided to the Inspector prior to the visit to the home. It was noted that there was a wide range of meals available. The member of staff who complies the menus for the main house was spoken with during the visit to the home who confirmed that the menus take account of service users choices however at times these have to be altered as this would lead to service users having a very unhealthy diet. All meals apart from Rafters meals are cooked and prepared by members of staff, service users assist where able. Sandwiches are usually served at lunch time and the main meal of the day is served in the evening. Service users in the Segal House unti do not have access to the kitchen due to their level of disability. The Inspector ate lunch with the service users in the main building. Lunch time was observed to be relaxed with a friendly and cheerful atmosphere. Members of staff were observed to include service users in conversation and sat with service users not separate from them. Service users were supported to have sandwiches of their choice and fresh fruit was made available and encouraged. The Old Rectory DS0000014787.V327484.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): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ personal care and health needs are met appropriately. There are generally good practices in relation to the storage and handling of medication however improvements are required in the security of medication in one unit. EVIDENCE: Service users have a range of needs in respect of personal care from being completely independent, to needing supervision or reminding to providing full support. From the sample of care plans examined it was seen that they provide comprehensive information about how to support each service user with all aspects of their personal care needs. From examining training records it was apparent that training in moving and handling is provided and a refresher course has been booked. The Common induction programme undertaken by new members of staff provides training and guidance in providing personal care and in respect service users privacy and dignity. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 15 Service users are supported with any health matter. Through examining service user records it could be seen that health professionals are contacted as required and a record is kept of the advice and treatment. There was evidence that the staff team consult with the Community Team for People with Learning Disabilities. It was noted that all service users now have a Health Action Plan in place that provides details and a history of their health. From these it was seen that health check up in respect of dentist, chiropodist, optician and hearing test had been accessed for service users as and when necessary. During the visit to the home the storage and handling of medication was examined. The Inspector found that there were clear policies and procedures in place that included a second person checking the administration of medication. This is good practice. Medication in the home was stored appropriately. There is a risk however in one of the units of the medication cupboard easily being left open if staff have to attend to a service user. The Inspector was informed that this has happened. It is recommended therefore that the security of the storage of medication in this unit be improved. The records relating to the medication administered were in good order. The record provides a photograph of each service user and information about what medication he or she is taking and what it is for. This enables staff to understand what each type of medication is for and to be aware of any side affects from the medication. The Old Rectory DS0000014787.V327484.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): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure to ensure that service users know who to speak to if they wish to complain and that complaints are dealt with appropriately. The service has ensured as far as possible that service users are safeguarded from any form of abuse. EVIDENCE: There is a complaints policy and procedure in place. The Commission has not received any complaints about this service. The pre-inspection questionnaire and the Manager confirmed that there had been no complaints received in respect of the service. There were no complaints recorded in the homes complaints record. From the information obtained from service users through surveys it was indicated that seventeen out of the eighteen service users knew who to speak to if they were unhappy about anything. Sixteen out of the eighteen said that staff treated them well. There have been no allegations of abuse in respect of this home. At the last inspection training records examined confirmed that members of staff had received training in recognising signs of abuse and adult protection procedures. Where members of staff work with challenging behaviour specific training is provided in how to deal with this behaviour in a safe manner. The Inspector was informed that there is no restraint used as members of staff are trained adequately to diffuse any situation appropriately. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 17 Service users’ benefits are paid directly into an individual Building Society Account. Members of staff assist service users with managing their personal allowances. All transactions are recorded and receipts kept. The records are monitored and audited by Team Leaders, the Registered Manager, as part of the Regulation 26 inspections and through a more formal audit by the organisation. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 18 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): Key Standards were assessed. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of accommodation provided for service users is adequate and provides a safe environment. The property however the cleaning and hygiene in two of the kitchen areas must be improved. EVIDENCE: The accommodation at The Old Rectory is split into four units and consists of the garden flat, the main house and Rafters all within the main building and Segal House, which is a separate unit within the grounds. The service is registered to accommodate twenty seven service users. There are currently four vacant rooms within the service. The service is situated in fantastic grounds that provide plenty of space for all service users and there are many walks around the area. The property is set off a main road but is on a bus route that some service users are supported to use with members of staff or alone where they are capable. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 19 The accommodation at Segal House reflects the challenging needs of the service users residing in the unit. There is a limited amount of furnishings including curtains, as service users will not tolerate these. The unit shows signs of wear and tear along corridors and on doors in particular. Service user rooms are furnished and personalised and are in a good state of decoration. The kitchen in this unit that is only accessed by staff was quite dirty and unhygienic on the day of the visit. This was pointed out to the Team Leader on duty and the Registered Manager who confirmed that this would be addressed. The same was found in the kitchen in Rafters however service users mainly use this kitchen so they require further support to ensure that the cleanliness and hygiene are kept up to the required standard. Within the main building service users’ bedrooms looked individually furnished and decorated to a good standard and personalised with their belongings. Two service users who were spoken with confirmed that their rooms had recently been decorated and they had chosen the colour. Bathrooms and toilets looked clean. Lounges and dining areas were clean and comfortably furnished. A maintenance and refurbishment programme is in place and a log is kept of repairs that need attention. There is an intention to refurbish kitchen areas however there is no timescale. Maintenance staff also have responsibility for the upkeep of other homes belonging to the organisation so the time they have available for refurbishment or redecoration is limited. Service users are supported to undertake laundry and keep their rooms and the home clean. It was pointed out to the Inspector that a washing machine has now been fitted into the kitchen in the garden flat to make this more of a domestic style kitchen. It was confirmed that infection control measures are still in place and being used in respect of foul linen and this is only washed in the main laundry. The information sent as part of the pre-inspection material prior to the inspection confirmed that regular safety inspections are undertaken on utilities and equipment. The home employs a member of staff to ensure compliance with health and safety legislation and to undertake Health and Safety checks. There was evidence that fire alarms had been tested regularly and members of staff had undertaken fire training. The records of the testing of emergency lights were not up to date and this was discussed with the Registered Manager. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 20 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): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The organisation operates a safe recruitment procedure. The level of training available and provided for members of staff is good and ensures that they have the appropriate knowledge and skills to meet the needs of the service users and to undertake their practice in a safe manner. EVIDENCE: On the day of the visit to the home the staffing levels were appropriate to meet the needs of the service users. Members of staff spoken with confirmed that generally staffing levels are appropriate however there is a need to improve numbers of staff on duty in the evenings and weekends when most of the service users are in the home. There was evidence that the organisation are constantly reviewing and looking at different ways of employing staff. They have recently recruited from overseas and now have five qualified members of staff from the Philippines. Members of staff spoken with confirmed that this has worked well and has improved the continuity of staff working in the home. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 21 This combined with members of staff being paid overtime has resulted a drastic decrease of agency staff used in the home particularly since January of this year. Where agency staff are used block bookings are made so that service users generally only see members of staff who are known to them. A sample of records relating to the recruitment of new members of staff was examined. This demonstrated that the necessary recruitment checks had been undertaken prior to them working in the home. Where overseas staff had been employed there was evidence of the persons identity, passports, permission to enter the country and to work, two references and a police check from their country of origin. Criminal Record Checks are applied for once the person arrives in this country. Within the sample all the Criminal record checks were in place and one had just been applied for as the member of staff has only just arrived from overseas. Training records were examined at the visit to the home. The records demonstrated that members of staff receive an appropriate induction, training in health and safety topics and in topics relevant to the service users’ needs. The range of training provided covers induction through to National Vocational Qualifications (NVQ) level 2 & 3. The pre-inspection material provided prior to the inspection confirmed that 64 of the staff team are trained to NVQ Level 2 and above or have an equivalent qualification. Members of staff spoken with confirmed that they had received this training and felt that the training provided was very good. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 22 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): Key Standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and service users are safeguarded from harm through the Health and Safety procedures and checks within the home. EVIDENCE: The Registered Manager is qualified, competent and experienced to run the home. Mr Lucas has achieved National Vocational Qualification level 4 in management and care. The atmosphere in the home on the day of the visit was friendly, helpful and cheerful. Members of staff were approachable and enthusiastic about talking about the service and how they support service users. They demonstrated good knowledge about service users needs and commitment in meeting those needs. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 23 Members of staff spoken with confirmed that they were supported well by the manager and Team Leaders within the home. They receive regular supervision and monthly staff meetings were arranged and on call support in the evening and weekends. A quality assurance system is in place and the Registered Manager has produced questionnaires to be given to service users to obtain their views about the service. A letter and questionnaires have also been compiled in preparation to send to relatives, care managers and health professionals. This ensures that the home and organisation are consulting service users, staff, relatives and other stakeholders about the quality of the service provided. The Registered Manager and the Responsible Individual are on site and are in regular contact with service users and staff. The monthly inspections required under Regulation 26 have been regularly undertaken throughout 2006. Out of the eighteen service users who responded to the inspection through surveys fourteen said that members of staff listened to them and acted upon what they said. Training records examined demonstrated and members of staff spoken with confirmed that training in the Health & Safety topics: Moving & Handling, First Aid, Food Hygiene, Fire and Health & safety is undertaken as part of their induction programme and then updated as required. Incidents have been appropriately recorded and the Commission informed where necessary. The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 24 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Old Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 25 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 Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Rectory DS0000014787.V327484.R01.S.doc Version 5.2 Page 27 - 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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