Inspection on 10/11/06 for The Trees

This inspection was carried out on 10th November 2006.

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 Trees 28/10/08

The Trees 12/12/05

The Trees 11/05/05

The Trees 20/12/04

The Trees 24/06/04

The Trees 23/03/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

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

CARE HOME ADULTS 18-65 The Trees Deveron Way Hinckley Leicestershire LE10 0XS Lead Inspector Keith Williamson Unannounced Inspection 10th November 2006 09:00 The Trees DS0000035333.V312662.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 Trees DS0000035333.V312662.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 Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Trees Address Deveron Way Hinckley Leicestershire LE10 0XS 01455 615523 01455 614317 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.leicestershire.gov.uk Leicestershire County Council Social Services Mrs Karen Julie Maxted Care Home 23 Category(ies) of Learning disability (23), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (8), Physical disability (9), Sensory impairment (4) The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. No one falling within category MD may be admitted into the home where there are 8 persons of category MD already accommodated within the home No person falling within category MD may be admitted to the home unless that person also falls within category LD ie dual disability No one falling within category PD may be admitted into the home where there are 9 persons of category PD already accommodated within the home No person falling within category PD may be admitted to the home unless that person also falls within category LD ie dual disability No one falling within the category SI may be admitted into the home where there are already 4 persons of category SI already accommodated in the home No one falling within category SI may be admitted to the home unless that person also falls within category LD ie dual disability 12/12/05 Date of last inspection Brief Description of the Service: The Trees is a purpose built home for people with learning disabilities, situated in a residential area of Hinckley. The home is a provision of the Leicestershire County Council. The Trees is located close to a public bus route and train station. The town centre is approximately 1 mile from the home. There are shops and other local amenities close to the home. The home provides care on a short and long term basis for twenty-three adult residents in the categories of learning disabilities, mental disorder, physical disorder and sensory impairment. The home has five separate units within the main building, some of these being adapted to provide services for residents’ complex needs. The accommodation for most residents is in single bedrooms, some with en-suite facilities. There are a number of lounges throughout the home. Bathing, shower and toilet facilities are spread throughout the home. The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection (csci) is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. This inspection took place over one weekday, commencing at 10.00am took eight hours to complete, and was assisted by the registered provider and manager. An opportunity was taken to look around the home, view records, policies and care plans and to talk to the service users and staff. Eight of the service users were seen during the inspection any comments made to the inspector on their impressions of the home are included in this report. No questionnaires forwarded by the commission for social care inspection, to the service users in the home, their relatives or other interested professionals, have yet been returned, and have therefore not been included as part of this report. There are no privately funded service users at the home, and the cost of each placement is £679.00 per week. Ten Service Users and six health care professionals were sent comment cards. Five of the Service User and four of the health professional comment cards were returned, however no additional comments other than yes / no answers were made, so no written comments from those questionnaires have been included in this report. The Commission for Social Care Inspection are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people whose knowledge about social care services comes directly from using those services. Positive comments made by the Expert by Experience indicated The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 6 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Everybody choosing to do their own thing, not restricted Some people stayed in their rooms, some went to lounge X chose to keep her door open People spend their own money with support; X said she brought a nice nightie; X goes shopping for music and clothes People have care plans and got support to write them. X’s PCP was well laid out with photos and it was on audio cd which was more accessible. X had lots of photos for his. A lot to do in daytime and evening X likes painting and listening to music X like to play games and going to pub X works in a shop X & X go to day centre (The home) is well organised and run. Information in symbols and easy words including how too complain. Suggestion box in central area Visitors book and folder with different information of what’s on and about in local area Everyone has a choice to go to Mencap Club and Sunshine Club People are able to do their favourite things X likes to eat Curry, Y & Z likes to watch television; W likes to help with cooking Everybody choosing to do their own thing, not restricted Some people stayed in their rooms, some went to lounge Y chose to keep the bedroom door open People have visitors X, Y and Z all have family to visit. W said that his brother could sleep on the floor and staff said they would make people welcome to stay People spend their own money with support Residents group meeting with independent Advocate Y and Z said they are planning what to do for Christmas & New Year. X said they bought a minibus Staff are very good People talking to each other and asking residents questions X said they (the staff) do support us well Well laid out. Wide access for wheelchairs. Lots of paths to choose where you want to go. Garden out side Some less positive comments made by the Expert by Experience The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 7 • • • Some restriction of movement due too much furniture in certain areas I would think that it would be good if they had their person centred plan in their own rooms so that they could show people, this could be a short version of what is in their care plan. I think a care plan and PCP are 2 different things. In some areas I thought the lighting wasn’t so good as I thought there should be a big light in hallway Comments to the Inspector received from service users included: • “My bedroom is nice and big”. • “I like it here”. What the service does well: Service Users have an assessment of need carried out prior to admission to the home, and have the opportunity to visit the home meeting other Service Users and staff. Service Users views and opinions are central to the way in which the home is managed. The Service User meetings are assisted by an independent advocate, and focuses on areas important to the Service User. There is a focus on service users having the freedom to continue living independently. Staff use a combination of Person Centred Planning (pcp’s) and care plans in providing care and activities for Service Users. These are well laid out, easy to read and backed up by risk assessments. A number of files were noted to have the final wishes of Service Users included in them. Meals are prepared in each unit for Service Users who receive a choice of nutritious and balanced menu. Service Users have a stimulating and varied lifestyle. Medication procedures are good and well managed. The home provides a relaxed atmosphere and people are assisted by a friendly team of staff. There is lots of information about activities and events available to service users and visitors to the home. Each unit is individual in décor, which creates a warm and comfortable atmosphere. Security has been increased since the last inspection with the inclusion of a closed circuit television system to the exterior of the home and grounds. Staff were observed providing assistance and engaging with service users using appropriate forms of communication. The Trees accesses a variety of specialist care professionals who support the service users Recruitment procedures are secure, and include the appropriate preemployment checks. The home is run in the best interest of the Service Users. The quality assurance system is further assisted by the inclusion of advocates for Service Users, with one specific advocate who assists in the monthly Service User meetings. The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 8 Health and safety records were well kept and up to date. 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 Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 9 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 Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from an admission process, which works well and ensures that the placement is right for the individual. EVIDENCE: The Statement of Purpose, which sets out the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing, was available for inspection on this occasion. The information provided by the Trees now includes the views, comments and feedback from questionnaires of Service Users and their relatives who already reside within the home. The Statement of Purpose and Service User Guide have been produced in other formats, with consideration being given to the range of residents needs for which the Trees is registered to provide for. This information along with the Service User Guide is kept on site, this details the initial assessment and referral process and includes environmental information. Incorporated is information as to how complaints, comments and compliments can be raised. The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 11 Of the Service Users case tracked for this inspection all had an appropriate assessment of their needs, completed prior to commencing their stay in the home. The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are looked after well in relation to health and care needs. EVIDENCE: The Registered Manager has continued to promote and adapt Person Centred Planning (pcp’s) with the long term Service Users in the home. The PCPs are used in conjunction with individual care plans; of the 4 case tracked residents all plans were in place and regularly reviewed. Three permanent service users’ and one short-stay service user’s PCP were examined and found to be holistic reflecting the service users needs, evidence of consultation and their goals and aspirations identified. Any restrictions placed on Service Users is mentioned in the plans produced by the home. The plans were easy to follow by staff and were supported by risk assessments that cover health and safety issues. The plan detailed other professionals and key people involved with the service user ranging from the social worker, consultant, family members, staff at the The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 13 college or the day centres and the key worker. The plans are produced in formats to suit the needs of individual Service Users. Discussions were held with two Service Users whose records were viewed, both Service Users said they were happy with the level of care they received, and found staff to be caring and supportive. Members of staff interviewed confirmed that the development and reviewing of pcps and care plans is conducted with service user involvement, some of the plans were signed by the Service Users. These comments were backed up by the Expert by Experience in his interviews with Service Users. Comments from the Expert by Experience indicated • Everybody choosing to do their own thing, not restricted • Some people stayed in their rooms, some went to lounge X chose to keep her door open • People spend their own money with support; X said she brought a nice nightie; X goes shopping for music and clothes • People have care plans and got support to write them. X’s PCP was well laid out with photos and it was on audio cd which was more accessible. X had lots of photos for his. • Some people didn’t know where their care plan was and the staff had to unlock a cupboard to get them. • I would think that it would be good if they had their person centred plan in their own rooms so that they could show people, this could be a short version of what is in their care plan. I think a care plan and PCP are 2 different things. The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have a stimulating and varied lifestyle at the home that is individually tailored and flexible. EVIDENCE: Educational, social and leisure activities are individually developed for each service user and in consultation with key activities and people involved. Service users are able to access all the communal areas within the agreed rules of the home, as there are restrictions place on accessing the “respite” unit. Service user’s visitors are welcome at any time although can be determined by the service user. Events hosted at the home where family and friends are welcome to attend are displayed on the notice boards in each unit and at the main entrance. The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 15 Each unit has its’ own kitchen and menus that are developed by the service user. The menus for the home were viewed. There is a good choice of breakfast, lunch and evening meals appropriate to the younger adults. Staff spoken with said that where service users have an interest in the preparation of meals, they are encouraged to help. The meal times are flexible. Service Users spoken with stated the key-workers support them participate in social and leisure interests. The four PCP’s viewed detailed the Service Users interests in a written and pictorial format and how these are met. The staff at the home actively fund-raise for the “residents’ fund”. The home has recently purchased an adapted mini-bus, for their sole use. Comments from the Expert by Experience indicated A lot to do in daytime and evening X likes painting and listening to music X like to play games and going to pub X works in a shop • X & X go to day centre • Well organised and run. • Information in symbols and easy words including how too complain. • Suggestion box in central area • Visitors book and folder with different information of what’s on and about in local area • Everyone has a choice e to go to Mencap club and Sunshine Club • People are able to do their favourite things • X likes to eat Curry, Y & Z likes to watch television; W likes to help with cooking • Everybody choosing to do their own thing, not restricted • Some people stayed in their rooms, some went to lounge Y chose to keep the bedroom door open • People have visitors • X, Y and Z all have family to visit. W said that his brother could sleep on the floor and staff said they would make people welcome to stay • People spend their own money with support • Residents group meeting with independent Advocate • Y and Z said they are planning what to do for Christmas & New Year. Ann said they bought a minibus • • • • The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are well looked after in terms of personal support, healthcare and medication administration. EVIDENCE: Personal support is individually detailed in pcps and care plans. Service Users have direct access to their plans, are involved in the compilation and review process. Of the four plans viewed, one had the appropriate confirmation from a health professional, with regard to use of bed rails. Individual records of Service User visits to General Practitioners and other health care workers were noted on files. The medication and medication records of some service users were viewed; all were found to be in good order. Individual instruction and risk assessments were noted to be in place, for occasional medication (or prn) administration, thus increasing Service Users safety in this area. A number of files were noted to have the final wishes of Service Users included in pcp’s and care plans. The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 17 Comments from the Expert by Experience indicated the home was • • • Staff are very good People talking to each other and asking residents questions X said they (the staff) do support us well The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the policies and procedures regarding complaints and adult abuse, produced by the home. EVIDENCE: The Complaints Procedure is displayed on the notice board around the home and is also available in a pictorial formats. Service Users spoken with were aware of whom to contact and speak with should they have any concerns. The Complaints Log was viewed, this detailed information about the complaints received by staff in the home. All ten were acted on appropriately, and were investigated within set timescales. Service Users and staff showed an awareness of Adult protection policies and protocols. An advocate visits the home periodically and assists individual Service Users and the Service User meetings. These are held periodically, with an agenda in a pictorial and written format and meetings are minuted in the same way. Comments included, “I would speak to X (advocate) or my sister”. The Trees DS0000035333.V312662.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable and safe standard of accommodation is provided for the Service Users. EVIDENCE: Service Users live in a homely, comfortable and clean environment. The home continues to provide individual units providing either long or short stays. A programme for upgrading and replacement of worn out furniture and equipment is in place. Since the last inspection a number of ceiling track hoists have been fitted in certain bedrooms within the home. Other areas that have been upgraded include bath and shower rooms. Two service users bedrooms were viewed, and found to be comfortable and clean. A number of long stay Service users were asked as to their view of their individual bedrooms and the communal areas; all expressed a satisfaction with the accommodation provided. Security has been increased since the last inspection with the inclusion of a closed circuit television system to the exterior of the home and grounds. The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 20 Service users have access to equipment such as hoists to assist them and staff in the delivery of personal care. Comments received from service users included: • “My bedroom is nice and big”. • “I like it here”. Comments from the Expert by Experience indicated the home was • Well laid out. • Wide access for wheelchairs. • Lots of paths to choose where you want to go. • Garden out side • Some restriction of movement due too much furniture in certain areas • In some areas I thought the lighting wasn’t so good as I thought there should be a big light in hallway The Trees DS0000035333.V312662.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff employed to work in the home is sufficient in meeting residents’ assessed care needs. The recruitment process is rigorous enough to ensure resident safety. EVIDENCE: Staff are offered a structured programme of training opportunities commencing at the point of induction with a very comprehensive induction training schedule. Staff confirmed the wide range of subjects addressed during induction. Many staff have completed the Learning Disabilities Award Framework (LDAF) training, which contributes towards a National Vocational Qualification. The rota was viewed. This showed a recording of those staff on duty throughout a 24-hour period. Recruitment procedures are secure, and include the appropriate preemployment checks. Staff files are stored securely and individually; the appropriate recruitment and pre-employment checks are in place so ensuring service user safety in the home. The Trees DS0000035333.V312662.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is run in the best interest of the Service Users. The quality assurance system in place within the home continues to develop with questionnaires being circulated by the Registered Manager, and those outcomes being collated and made available to prospective Service Users through the Statement of Purpose. There is still some work necessary in the collated information being produced in an easier read format. Periodic visits to the home by representatives of the Responsible Individual are minuted, and copes of these forwarded to the Inspector. The quality assurance system is further assisted by the inclusion of advocates for Service Users, with one specific advocate who assists in the Service User meetings, The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 23 providing Service Users with independent assistance to influence procedures and development of the home. Fire records examined and dates seen on fire extinguishers indicated that suitable checks of fire safety equipments are being made on a regular basis. Risk assessments were viewed, some including pictorial information. Two staff members spoken with gave good verbal responses on how Service Users care needs must be met, knowledge of Control of Substances Hazardous to Health (COSHH) and control of infection. The Trees DS0000035333.V312662.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 3 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 3 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 3 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 3 3 X 3 X X 3 X The Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 25 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 Trees DS0000035333.V312662.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Trees DS0000035333.V312662.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!