Inspection on 14/03/07 for Timaru

This inspection was carried out on 14th 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

Timaru 14/02/06

Timaru 13/09/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Timaru Great Bridge Road Romsey Hampshire SO51 0HB Lead Inspector Kathryn Kirk Unannounced Inspection 14 and 26 March 2007 11:00 Timaru DS0000063045.V330062.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 Timaru DS0000063045.V330062.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. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Timaru Address Great Bridge Road Romsey Hampshire SO51 0HB 01794 523731 01794 523732 timaru@liaise.co.uk 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) Liaise Loddon Limited Nigel Royston Webster Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 Brief Description of the Service: Timaru is a large, detached modern property, set in large grounds within the area of Romsey, Hampshire. The property provides a home for five younger adults with severe learning disabilities and complex restrictive behaviours, usually associated with autism. The home is spacious and well maintained. A large conservatory to the rear of the property provides additional communal space. All bedrooms are en-suite and are suitably equipped for the current service users. The home has access to local transport and facilities. Adequate car parking is provided to the front of the property. The rear of the property consists of a large lawn area, complete with an attractive fishpond and patio. An equipped sensory room and music and drama therapy are part of the activities of the home. Range of fees as provided in the current statement of purpose range between £3.500-£4.500 per week. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The findings of this inspection are that the overall care provided continues to be good. Judgements made in this report were made after reviewing written documentation, this includes a pre inspection questionnaire, which was completed by the manager. Two visits to the home were made on 14 March 2007 and on 26 March 2007. All bedrooms and communal areas were seen. The needs of current service users are such that they are unable to contribute verbally to the inspection process. Time was therefore spent in their company, and interaction between service users and staff was observed. The manager and six staff members spoke about their experience of working in the home. One senior manager was also present during part of the visit and provided further information. One relative and one involved professional completed a comment card. What the service does well: When asked this question, one relative said “the record keeping is good, personal relationships between staff and families of service users can be developed due to the relative small size of the unit” and the service is “able to respond to moods and needs of service users, i.e. systems are not rigid” One professional said that the service “provides an individual and well supported environment”, staff “respond quickly to changes in needs, and liaise really well with families.” All other evidence gained during this inspection process supports these views. A lot of time is spent when a new person is being considered for the service getting to know them and developing an understanding of their needs and preferences. Alterations are made, if necessary to the environment and to staffing levels to ensure that needs can be met effectively. The detailed information gathered is person centred, accurate and up to date and enables the staff team to respond in a consistent way to the diverse needs of all. Very careful consideration is given to ensure that service users are kept safe, whilst enabling them to have as much freedom of movement and choice as possible. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 6 The staff team are skilled, well trained and employed in sufficient numbers to meet the needs of all. They are supported by a very competent and experienced management team. The environment is spacious. The size of the communal areas means that each service user can make use of the facilities in the way that they want to 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 Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Timaru DS0000063045.V330062.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 Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent Significant time and effort is spent making admission to the home personal and well managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Assessment information was considered at a previous inspection in 205 to be of an excellent standard. The most recent service user to be admitted moved to Timaru a month ago. Records and discussion with staff indicated that this person had received a full assessment of their needs before admission. Information was gathered by staff visiting the individual’s previous placement and the prospective service user also spent some time at Timaru. Staff drew up a detailed pen picture about the person in consultation with people who knew them well. It was then possible to identify staff who had the skills and experience to work effectively with them. Staff said that some of these identified staff team members are on duty at all times. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 10 There was evidence that very careful consideration has been given to ensure that a move to the home is as smooth as possible, for example, the service users bathing preferences had been identified and before they moved in their en suite bathroom had been modified accordingly. Written documentation and discussion provided evidence that the service has a structured and detailed transition procedure in place to ensure that it can meet the needs of new service users. This includes the drawing up of a contract, the identification of key staff to be involved, the review of assessment information and consideration of time frames, to include time to prepare the environment. Timaru DS0000063045.V330062.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 and 9 Quality in this outcome area is good Service users assessed and changing health social and care needs are reflected accurately in records and person centred plans and appropriate action is taken to minimise any identified risks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the previous inspection Care plans were found to be well written, comprehensive and to provide extensive information on services users. Records and person centred plans for two service users were looked at during the site visit to ensure that they continue to accurately reflect individual needs. Information seen included details about what is important to the service user, and gave guidance for staff on how to provide effective support. Ways of Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 12 communicating were described and information about living skills, personal care needs, health and medication was also listed in a great detail. All individual staff spoken with showed that they had a very good knowledge of each persons needs and observation showed that they were working effectively to guidance in care plans, for example, using the objects of reference listed to help with communication, thus ensuring that one service users preferences at mealtimes were observed. One professional said “The assessments are always person centred. The plans and procedures are very comprehensive” Each service user has a very detailed review of their needs and records show that family members and relevant professionals are invited to participate in this process. The review focuses on positives in a person’s life and the quality of information gathered ensures that any periods of crisis can be accurately reflected. It also means that strategies to help staff to provide effective support can be put into place. Service users who live in Timaru have very complex needs and staff said that it is sometimes difficult to establish what individuals’ wishes are. However, staff were observed to allow service users to exercise choice for example at mealtimes and in their daily activities. “The home do try and support individuals to live their lives how they would choose but our client is unable to make choices regarding this, but they do ensure she goes out where possible”. (care manager) There are some limitations on facilities, for example, some toilet doors are locked, discussions with staff indicated that all limitations are made only following very careful consideration and not done unless they are in peoples’ best interests. Records show that consideration of any risk that service users are exposed to is documented in considerable detail. Staff have been provided with very clear guidelines to ensure that service users are kept safe, whilst enjoying as good a quality of life as possible. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 13 Timaru DS0000063045.V330062.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good Service users have a good range of activities to choose from and are well supported by staff to access them. Family involvement is welcomed. The service is particularly good at ensuring individuals rights and preferences are observed and respected, whilst offering enough support to keep them safe. Nutritional needs are well catered for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activities offered to service users are compatible to interests listed in person centred plans, for example, it has been identified that one service user dislikes crowds and likes walks also that they enjoy music. Records show that they go for regular walks in the country, and they were observed during one visit day of the visit to be spending time with one staff member who was playing the guitar. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 15 Feedback from one relative was that the service always supports people to live the life they choose. This was endorsed in the feedback from a professional “there are a number of differing needs within the home and all needs appear to be met. “X” also shows a variety of needs each day and they are always met appropriately” Staff said that they help service users to access local facilities and have transport to help them to travel further afield, for example staff and two service users were going to the New Forest on one of the days of the visits to the home. When asked what the service does well, one staff member said “we go out and about all the time” another said “we try to make service users as independent as possible.” There is a daily schedule for each service user (with instructions for staff as to who is going to support each person) Staff said that this is not always followed rigidly, it depends on the mood and reaction of the individual. Service users were observed to have televisions and musical equipment in their rooms, where this had been identified as an interest. There is also a sensory room, which staff said is very well used. Service users were observed to make good use of the large garden. Staff said in the summer there is sometimes a bouncy castle and a swimming pool in the grounds Staff make detailed daily records of what each service users has done and how they have reacted to the activities, this information then feeds into the reviewing process. The statement of purpose says that there is no restrictions upon visiting, although staff do like to know in advance when someone is going to be taken out so that proper preparations can be made. One person said that they are always kept up to date with important issues their affecting relative “ Letters sent every week. We can visit at any time” A care manager said “They liaise really well with family and always involve them when decisions need to be made and also for general information.” Staff were observed to interact well with service users by using appropriate communication methods. When they were providing one to one support staff maintained a reasonable distance from service users unless the service user approached them and clearly wished them to be in closer proximity. In this way privacy was respected as much as possible whilst the safety of the service user was ensured. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 16 Menus seen show that service users are offered a variety of nutritious food. Staff said that mealtimes are flexible and this was observed to be the case during the visits. Service users were observed to be offered a choice of drinks and snacks when they wanted them. Picture cards were available in the kitchen to facilitate communication. Staff had a good understanding of the dietary needs and preferences in eating, and were observed to cater in line with these, for example, records seen said that one service user liked their food to be served on two plates .Staff ensured that this was done. Service users were seen to choose where to eat and could choose whether to eat alone or in the company of others. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 17 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good Personal and healthcare needs are well monitored. There are appropriate procedures in place for the safe management of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Personal support needs are detailed as part of the planning process and as discussed earlier each service user has a number of identified staff , who have been identified as having skills and experience to support them appropriately, who work primarily with them. All current service users are fully mobile and so do not require any specialist equipment to maximise their independence in this area. The manager said that the home has very good support the GP. The pre inspection questionnaire details the arrangements for access to other medical support services, for example, district nurses, community psychiatric nurses and dieticians are accessed through the General Practitioner. The manager said Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 18 that initial speech therapy assessments for each service user have been arranged through Community Learning Disability Teams although Liaise loddon now employs a speech therapist. Each service user has a detailed health action plan. Records are kept of medical appointments attended. Medical conditions are closely monitored, for example detailed records were seen relating to one service user who has epilepsy. Staff explained this information is shared with specialist medical professionals with a view to managing the condition in the most effective manner. Records show that any incidents of self-injurious behaviour is similarly carefully documented. This means that any possible patterns or triggers to these behaviours can be identified. One care manager concurred that Individuals health care needs are always properly monitored and attended to by the care service “They even provide around the clock support when my client is in hospital, sometimes 2:1 staff”. No service users are able to administer their own medication. Staff said that all medicines are given by team leaders or by other senior staff. They confirmed that no one administers medicine unless they have training to do so. Medication administration records seen had all been completed appropriately. During one of the visits to the home two senior staff were observed to be checking the expiry dates of all medicines stored. One staff member said that this is done at least every month. Staff talked with described the procedures that would be followed should “as required”(PRN) medicines be needed. This was in line with written policy. Staff were also able to say what each medicine was prescribed for. All medication was seen to be securely stored Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 19 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Complaints are listened to and acted upon. Service users are protected by the homes adult protection policies and practices This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is information about how to make a complaint in the Services statement of Purpose. Information about how to complain is also in a more accessible format although current service users are not able to make use of this. Staff depend instead on their understanding of the service users behaviours and reactions to help them to gauge their feelings about what is provided.. One relative confirmed that they know how to make a complaint and said that the service always responded appropriately if they raised concerns One care manager said “No real concerns, but they always contact us when necessary and keep us informed.”. One complaint has been made to the home since the last inspection. Records show that this has been fully and properly investigated. Information is available confirming that all staff receive training on adult protection issues, including SCIP (Strategic Crisis Intervention Prevention) training, the registered manager is also a SCIP instructor. All staff have been registered for L.D.A.F. training, which includes an element on adult protection Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 20 issues. Staff spoken with demonstrated a good understanding of what to do should they suspect that any abuse has taken place. The home’s head office holds the responsibility of maintaining service user finances and each service user has a personal bank book. During previous visits to the home bank statements were seen for individual service users and these were in order. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 21 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 and 30 Quality in this outcome area is good The home provides a very appropriate environment to meet current service users needs and effective systems are in place to control the spread of infection This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour was conducted of all parts of the building, where this did not impinge upon the privacy of service users. The cleanliness of the home was excellent, for example, staff were observed to clean up any spillages immediately. Service users’ bedrooms have been personalised and have en-suite facilities, including a bath or a shower, according to the assessed needs and personal choice. Discussion with staff revealed that the furnishings, fittings and use of communal areas are under continual review and changes are made when necessary, for example alterations were being made to fire safety Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 22 arrangements to ensure that one service users actions did not have a negative impact upon the welfare of themselves or others. In this way, the service demonstrates that it can quickly and effectively respond to changing needs and situations. Service users were observed to be making good use of the internal and external communal areas. One staff said that the home provided “a comfortable and friendly environment.” This was found to be the case during the visits made. It was noted that there are currently no lockable facilities for staff. This was discussed with the manager who agreed that these would be provided. Laundry facilities are appropriately sited. Staff are supplied with plastic gloves and aprons to prevent the spread of infection. Liquid soap and paper towels were observed to be in place in communal toilets. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 23 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 and 35 Quality in this outcome area is good The service employs skilled staff in sufficient numbers to support residents effectively. Training provided for staff is appropriate. Recruitment procedures are thorough. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff on duty during the visits were observed to be accessible to, and comfortable with service users. Through discussion they also demonstrated a high degree of interest in their role, and showed that they were committed to providing a very good service. Staff are “Very highly experienced and skilled”(feedback from a visiting professional)) Records provided show that ten out of the twenty two staff have completed a National Vocational Qualification in Care, level two or above and that the manager and two senior staff are undertaking the Registered Managers Award. Discussion with staff indicated that there are a number of people employed at Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 24 Timaru who have already qualified to a high level in the field of health and/or social care. The manager said that staffing levels are regularly reviewed , for example the number of staff employed at night varies according to changing needs of service users. Staff were observed to be effectively deployed during the visits and to provide each service user with the level of support as indicated in care plans. A concern was expressed by a relative about the use of agency staff, “Some agency staff are good, but it is a difficult client group for those with little experience.” Some staff spoken with echoed this view. This was discussed with the manager who said that the service tries to use regular agency staff who are well suited to the demands of the service. He has made an arrangement with the agency that these agency staff could become permanent members of the staff team, subject to the satisfactory completion of the usual recruitment checks. He said that this is a good system, as these workers have already demonstrated their aptitude for the job. Previous inspections have found that training provided is good. All staff spoken with during this visit felt that they are provided with appropriate and regular training to help them carry out their job effectively. Records show that this includes courses in health and safety, moving and handling, fire safety, food hygiene and first aid as well as in subjects geared towards the particular needs of service users, for example in the management of epilepsy and in SCIP. “Permanent staff are all well trained. Agency staff variable”(relative) Two files of recently appointed staff members were looked at to check whether the home continues to operate a thorough recruitment procedure. They contained all supporting documents needed, this included evidence that a satisfactory Criminal Records Bureau check had been completed, evidence of identity, two written references and a copy of the contract of employment. The manager said that all people who apply for a job spend half a day in the home before they are formally interviewed. This helps to establish their suitability. He also said that he intends to enlist parents of current service users to be involved in the interview process. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good The home is very well managed and the quality of the service is effectively monitored. Good systems are in place to help to protect the health and safety of service users This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is Mr Nigel Webster. He has been employed by the company since October 2004. He is a qualified RMN and has worked specifically in forensic/intensive care/challenging behaviour services. He has been a qualified SCIP instructor since 1994. There is a good management structure within the home and the manager is well supported by senior staff. There is a positive support manager who is Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 26 responsible for person centred planning and activities and a deputy manager who has responsibility for staffing issues. Staff asked said that they felt that the management team provides them with good support. It was evident from discussion with the manager that he has an extremely good understanding of his role and responsibilities. A visit takes place once a month to the home by a senior manager to review the quality of care provided, and to inspect the premises and records. A written report is compiled. The manager said that the most recent visit to the home for this purpose was carried out in February 2007. Relatives and professionals confirmed able to comment on the quality of the service provided. Records show that all policies and procedures are regularly reviewed Previous inspection visits have established that the health and safety of service users is promoted. Evidence gained during the process of this inspection showed that that this is still the case, for example records demonstrate that equipment in the home is regularly maintained and serviced. Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 27 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 4 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 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 28 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 Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 29 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 Timaru DS0000063045.V330062.R01.S.doc Version 5.2 Page 30 - 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!