CARE HOME ADULTS 18-65
The Old Rectory Stubb Lane Brede East Sussex TN31 6ES Lead Inspector
Jeanette Denereaz Key Unannounced Inspection 9th May 2007 09:30 The Old Rectory DS0000021256.V337199.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 DS0000021256.V337199.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 DS0000021256.V337199.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Old Rectory Address Stubb Lane Brede East Sussex TN31 6ES 01424 882600 01424 882066 old-rectory@craegmoor.co.uk www.craegmoor.co.uk Parkcare Homes Limited 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) Mrs Kelly Lisa Mendis-Gunasekera Care Home 16 Category(ies) of Learning disability (16) registration, with number of places The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is three (3) in the cottage and thirteen (13) in the main house Service users must be aged between eighteen (18) and sixty-five (65) years on admission Service users with a learning disability only to be accommodated Date of last inspection 30th September 2006 Brief Description of the Service: The Old Rectory is registered to accommodate thirteen adults with learning disabilities in the main house, and three adults in the cottage. The property is set in extensive grounds close to the village of Brede near Rye. Whilst Brede offers some amenities the village of Westfield approximately two miles away is used for shops and post office facilities. The main property is a three-storey building and service users accommodation is now on all floors. The cottage is adjacent to the main house, is detached with all three bedrooms having ensuite facilities and a private garden area. The properties are owned by Parkcare Homes Limited, which in turn is owned by Craegmoor Healthcare Limited. The current scale of fees range from £581 to £1250 The Old Rectory DS0000021256.V337199.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 Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at The Old Rectory are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection and an unannounced site visit conducted by an Inspector on the 9th May 2007 starting at 09.30am. The site visit included a tour of the premises and an examination of various records including medication, care and staffing records. The Inspector met with the Registered manager and the staff on duty. Staff where spoken to during the inspection whilst they were working and in private. During this site inspection visit, the inspector met four of the residents only, as most people were out at college, shopping, swimming and visiting family. It should be noted that due to the limited verbal communication of three of the residents spoken to, much of the evidence from this report has been gleaned from observation, examination of records and conversation with staff. However one resident was willing to speak to the inspector and he confirmed that he enjoyed living at The Old Rectory. The CSCI received a completed and very comprehensive Annual Quality Assurance Assessment from the registered manager and 5 ‘Have you say about The Old Rectory surveys from residents. What the service does well:
The home now has leadership and direction from the registered manager. All prospective residents are only admitted following a full assessment undertaken by the manager and other stakeholders to ensure as far as possible the home can meet the needs of the individual. Training for staff in the safeguarding of resident from all forms of abuse has taken place, and staff when interviewed at this inspection visit had a good awareness of their role. The quality and quantity of the food is very good and the inspector met with the Chef, and she discussed her plans and new menus, which offers healthier eating, but still offering the residents’ their favourite foods The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 6 The residents are encouraged to maintain contact with their family and friends, and the home support certain resident to visit their parents regularly, and one resident was visiting his mother on the day of this inspection visit. All staff now have regular supervision, and a sample of supervisions records were examined and were found to be relevant, well recorded and supported by training and staff meetings. What has improved since the last inspection?
The manager has been pro-active to address the poor practices and work performances of the staff team. She has undertaken regular supervisions and team meetings with the staff, and she in turn has had regularly supervision and the Area Manager of the Creagmoor Healthcare organisation. The overall maintenance of the home has improved since the last inspection, and outstanding requirements from previous inspections are being dealt with and many areas have greatly improved. The home is now well decorated, and the dining area as been extended, so residents live in a comfortable home. The staff team are appropriately recruited, supervised and trained so are able and competent to support the residents within the home and in the community. Also, since the last inspection the registered manager has reviewed the preadmission procedures and now there is a very detailed and comprehensive process is in place. Staff spoke positively about their jobs and the home, and one staff member commented that:‘ “ I enjoy my Job”. Another stated: “I enjoys the work and gets great satisfaction.” Training is now very important to the management and the staff are encourage to undertake training. Training that, as been undertaken and future training information was included in the information given to the CSCI prior to this inspection visit, and a copy of the training matrix was also received.
The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 7 Since the last inspection the manager and staff have reviewed and revised all care plans and all care plan documentation and risk assessments are place and the introduction of Person Centred Planning (PCP) is in progress. The staff have received training with the community psychologist with regards to managing aggressive behaviour and guidelines have been written, and incidents of aggressive behaviour from certain residents has reduced, and staff are more confident in supporting people. Also the home has reviewed and rewritten the guidelines regarding the procedures and risk assessments for absconding residents. There is evidence that since the guidelines has been implemented, the resident that there were concerns about at previous inspections, has not attempted to leave the home. The resident’s daily activities have increased within the home and in the community. The establishment was found to in good order, homely and clean and to maintain this good standard seven staff have recently undertaken infection control training, and all staff have the Basic Food Hygiene certificate. There was an Environmental Health inspection in January 2007 and the report was very positive. The Old Rectory has lovely grounds in the summer months the residents enjoy the gardens, which now has garden furniture, and garden games and equipment is available for residents. The manager stated and the lawns are now regularly cut and they were well cut on the day of the inspection visit. 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 DS0000021256.V337199.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 Rectory DS0000021256.V337199.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): 1,2,3,4 & 5 People who use the service experience good quality outcomes in this area Prospective residents and their representatives are given the information about The Old Rectory to enable them to ascertain if this service can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the last inspection where it was identified a young man had been inappropriately placed to the home. It was revealed the registered manager had not been given vital information during the assessment process. When it became apparent that the young man was inappropriately placed he was removed from the home to more suitable accommodation. Since this time the registered manager has reviewed the pre-admission procedures and now there is a very detailed and comprehensive process is in place. There have not been any new residents to the service since the last inspection, but a prospective resident has been identified. The pre admission process in underway, with the registered manager meeting with the prospective resident, her care manager and family. There are detailed assessments and including proposed care outcomes and long- The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 10 term goals. The plan is for the resident to live in the cottage with a longterm goal to move into more independent accommodation. The Old Rectory DS0000021256.V337199.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): 6,7,8 & 9 People who use the service experience good quality outcomes in this area. The care plans and the documentation including risk assessments are in place and met the individual resident’s needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the manager and staff have reviewed and revised all care plans and all care plan documentation and risk assessments are in place and the introduction of Person Centred Planning (PCP) is in progress ensuring the individual resident’s needs are met. Each resident as a key worker and it is their responsibility to ensure the individual needs are met. The care plans are being formatting in a pictorial form for people in the service with communication difficulties, and it was evident the document is reviewed regularly. The Manager recognises the care
The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 12 plans files are large and full of information, she is in the process of developing the care plan into a working document with the relevant information for staff working with the individual resident. The home has frequent contact with the Community Learning Disability Team (CLDT), when appropriate, to ensure the needs of the individual are constantly met. The home has on-going support from the CLDT physiologist, which includes staff training. The office has now been moved to a large room and it was evident all confidential files and information is stored appropriately in lockable cabinets, and the files relating to the cottage is stored securely in the cottage. The Old Rectory DS0000021256.V337199.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): 11,12,13,14,15,16 & 17 People who use the service experience good quality outcomes in this area The home’s links the local community are good and enrich residents’ lives The life at The Old Rectory also enriches the residents’ lives, and their can choice from a variety of activities that they can enjoy and met their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been incidents reported to the CSCI regarding certain residents displaying violent behaviour to other residents, and these incidents mainly occurred in the home’s lounge. The manager has been very proactive and staffing levels and training has been reviewed and action taken. The residents of The Old Rectory now have a variety of activities and during the inspection visit there were many activities taking place, which included, residents going swimming, others had gone into town, attending college and
The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 14 one resident was visiting his mother. The residents still at home were offered activities and one went out to lunch, but the other preferred to stay at home. The inspector spoke to the residents at home, three had limited communication, but they seemed very relaxed and happy, but one did speak about his live at The Old Rectory. He told the inspector he enjoyed living at The Old Rectory and said he does lots of things including going to college. The home’s activities co-ordinator job description has been reviewed and now the post holder is now called the activities co-coordinator/driver and has the responsibility of being the main minibus driver and co-ordinator for college courses and supporting residents with special interests and hobbies. The home does have an in-house day centre but there has been an infestation of rodents, which has been resolved, and the centre is in the progress of being decorated. However, the craft activities have continued within the house. The quality and quantity of the food is very good and the inspectors met with the Chef, and she discussed the menus, which offers healthier eating, but still offering the residents’ their favourite foods. The home has also introduced a pictorial menu choice book to encourage residents to be more involved in menu planning and express choice. There is a menu board displayed in the newly decorated dining room, which stated the menu was a choice of sandwiches for lunch and a roast dinner in the evening, and the roast dinner was being prepared during the inspection visit. The Old Rectory DS0000021256.V337199.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): 18,19 & 20 People who use the service experience good quality outcomes in this area Residents receive personal support appropriate to their physical, emotional and healthcare needs. The home has a good rapport with other health care professionals and the wider community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents are registered with local GP and health checks are regularly carried out and all personal and healthcare needs are well documented, including full reviews. Input from other health professionals is sought when required. Since the last inspection the staff have received training with the community psychologist with regards to managing aggressive behaviour and guidelines have been written, and incidents of aggressive behaviour from certain residents has reduced, and staff are more confident in supporting people. The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 16 Also since the last inspections the home has reviewed and rewritten the guidelines regarding the procedures and risk assessments for absconding residents. There is evidence that since the guidelines has been implemented the resident that there were concerns at previous inspections, has not attempted to leave the home, and his daily organised activities have increased within the home and in the community. The Cottage was registered in December 2005, and has provided opportunities for residents to have a more independent lifestyle, and one resident feels ready to move into the wider community in a more independent accommodation. The registered manager has just become the registered manager of the Craegmoor Domiciliary Care for people living in the community and therefore will continue to support the resident. All staff that administers medication has been fully trained, and the training matrix for the home confirms this and review dates to update training. There was a medication error which was appropriate reported to the CSCI and disciplinary action taken within the home, with the staff member involved is now not involved in the administrating of medication to residents. The residents are encouraged to maintain contact with their family and friends, and the home support certain resident to visit their parents regularly, and one resident was visiting his mother on the day of this inspection visit. The Old Rectory DS0000021256.V337199.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): 22 & 23 People who use the service experience good quality outcomes in this area Residents and their relatives’ complaints would be taken seriously and investigated. The management and staff have the knowledge and understanding to take the correct action to safeguard residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive complaints procedure and residents who replied to the CSCI survey called ‘Have your Say’ said they would always speak to the staff if they had concerns or were unhappy. The Inspector interviewed one resident privately and asked if they felt safe in the home, and if he had concerns of worries did he feel able talk to the staff. He was adamant he felt safe and able to talk to the staff. There are no recorded complaints or concerns from residents or their families since the last inspection. From information given to the CSCI within the training matrix and the information given on the Annual Quality Assurance Assessment (AQAA) completed by the registered manager confirmed training in adult abuse, equal opportunities and managing challenging behaviour has been undertaken for the majority of the staff team. An infringement of rights file has now been set up and entry seen was about a resident wanting a dartboard with real darts. This was refused because of
The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 18 the resident at times has challenging behaviour and a disregard for others. The resident was offered a board with magnet darts and the reason for this, but the resident has refused this and all conversations have been recorded. The residents care plans have been reviewed and now have robust risk assessments to identify challenging behaviour. There have been frequent incidents relating to residents hitting other residents whilst in the lounge. The manager had identified this and residents’ activities have been reviewed and there have been more meaningful organised activities in the community and within the home. An example given was one resident who was frequently a victim because she sat for long periods of time watching TV in the lounge. The resident’s daily activities were reviewed and now she attends art sessions and other outings with 1:1 support. Likewise other victims and the perpetrators daily activities have been reviewed, and incidents have greatly reduced. The home had a very relaxed atmosphere during the inspection visit, with only 5 people at home. The manager stated the majority of residents go out to various activities most days, with most people not returning home until late afternoon. The Old Rectory DS0000021256.V337199.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): 24,25,26,27,28 & 30 People who use the service experience good quality outcomes in this area The residents now live in a safe, well-maintained and comfortable environment. The overall standard of the environment including the décor and furnishing are good and provide a homely and attractive place for residents to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector toured communal parts of the main house and the cottage, which including the lounges, dining areas, kitchens, and bathrooms finding them all to be clean. She also viewed a most bedrooms and they were found to be in good order and reflecting the interests and hobbies of the individual resident. The establishment was found to in good order, homely and clean and to maintain this good standard seven staff have recently undertaken infection
The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 20 control training, and all staff have the Basic Food Hygiene certificate. There was an Environmental Health inspection of the home on the 17th January 2007 and the report was very positive. The registered manager confirmed that maintenance and repairs has improved and she explained the procedure for requesting works to be carried out. The Old Rectory has lovely grounds in the summer months the residents enjoy the gardens, which now has garden furniture, and garden games and equipment is available for residents. The manager stated and the lawns are now regularly cut and they were well cut on the day of the inspection visit. There are extensive grounds and there are plans to landscape the garden around the cottage. The Old Rectory DS0000021256.V337199.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): 32,33,34,35 & 36 People who use the service experience good quality outcomes in this area The Residents of The Old Rectory are protected by the home’s recruitment procedures and staff training programme. The manager and staff are enthusiastic and are gaining the skills and experience to meet the residents’ needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector observed the staff working with the residents, and saw respect and empathy shown by the staff on duty. When questioned the staff had a good knowledge of the residents, and feel they give the residents a personal touch to their care. One staff member was interviews privately and she stated that: ”I enjoy my Job”, and is always willing to do overtime when offered. Training is very important to the management and the staff and all are encourage to undertake training. Training that, as been undertaken and future training information was included in the information given to the CSCI prior to this inspection visit, and a copy of the training matrix was also received.
The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 22 Recruitment records were seen in relation to three staff members. The home’s procedures had been followed; applications forms were completed and two references were obtained. All files contained recent photographs and other forms of identification. All staff have had Criminal records bureau checks (CRB) and were in order. All staff now have regularly supervision, and a sample of supervisions records were examined and were found to be relevant, well recorded and supported by training and staff meetings. The Old Rectory DS0000021256.V337199.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): 37,38,39,40,41,42 & 43 People who use the service experience good quality outcomes in this area The manager has a good understanding on the area in which the home needs to improve, she has a clear development plan and vision for the home. The day-to-day management of the home is now good and residents live in a safe and friendly environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is enthusiastic but realistic with good ideas on how to improve the service. She is well qualified and holds many relevant qualifications, including the Registered Manager’s Award (RMA). . The Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 24 The manager has been pro-active to address the poor practices and work performances of the staff team. She has undertaken regular supervisions and team meetings with the staff, and she in turn has had regularly supervision and the Area Manager of the Creagmoor Healthcare organisation. The overall maintenance of the home has improved since the last inspection, and outstanding requirements from previous inspections are being dealt with and many areas have greatly improved. The home is now well decorated so residents live in a comfortable home. The staff team are appropriately recruited, supervised and trained so are able and competent to support the residents within the home and in the community. Information provided in the Annual Quality Assurance Assessment (AQAA) and confirmed by reviewing records seen during the inspection visit Health and Safety is taken very seriously, audited and equipment serviced regularly. The manager and the Craegmoor Healthcare organisation are taking Quality Assurance seriously and involvement of residents is evident. The staff at The Old Rectory support residents with regular ‘resident meetings’, which are minuted, and cover all aspects of live within the home. There is also an organisational resident forum called ‘Your Voice’ which people from The Old Rectory attend. Also as mentioned earlier in this report the home has an Infringement of rights document in place. The Clinical Governance of Craegmoor undertake an Annual Audit of the service, which is followed, by a details report with a quality improvement plan, also the area manager undertakes regular visit to the home to review the conduct of the home. The Old Rectory DS0000021256.V337199.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 3 2 4 3 4 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 3 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 3 3 3 3 The Old Rectory DS0000021256.V337199.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 Old Rectory DS0000021256.V337199.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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
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