Inspection on 30/04/07 for Udal Garth

This inspection was carried out on 30th April 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

Udal Garth 03/01/06

Udal Garth 01/08/05

Udal Garth 28/02/05

Udal Garth 12/10/04

Udal Garth 22/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Udal Garth Udal Garth 2 North Road Torpoint Cornwall PL11 2DH Lead Inspector Wendy Baines Key Unannounced Inspection 30th April 2007 10:00 Udal Garth DS0000045077.V332072.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 Udal Garth DS0000045077.V332072.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. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Udal Garth Address Udal Garth 2 North Road Torpoint Cornwall PL11 2DH 01752 815999 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) Peninsula Autism Services & Support Limited Nicola Jane Brown Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 03.01.2006 Brief Description of the Service: Udal Garth provides care and accommodation for adults with a learning disability that falls within the autistic spectrum. The house is situated centrally in Torpoint. It is an older detached house with a garden whose boundaries have been made safe and secure for the service users. It offers accommodation on two floors in single rooms. There is communal space on the ground floor with additional areas that can be used for quiet or 1:1 activities in portable buildings in the garden. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is a summary of a cycle of Inspection activity at Udal Garth since the last inspection visit. To help CSCI make decisions about the home the Provider gave us information in writing about how the home is run; any documents submitted since the last inspection were examined along with the records of what was found at the last visit; a site visit totaling 9 hours was carried out with no prior notice being given to the home as to the date and timing; discussions were held with the Registered manager and staff on duty; various records were sampled, such as care plans and risk assessments; and a tour was made of the house and garden; time was spent with the service users and the inspector was able to talk with, and observe the staff on duty. In addition a sample group of service users were selected and their experience of care was tracked through records and discussions with staff and management from the early days of their admission to the current date, looking at how well the home understands their needs and the opportunities and lifestyles they experience. Where possible time was then spent with these service users, and questionnaires were sent to their advocates, care managers and other specialist services where appropriate. This approach hopes to gather as much information about what the experience of living at the home is really like, and make sure that service users views of the home forms the basis of this report. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 7 The previous manager has now left Udal Garth and the organisation has appointed a new Registered Manager to run the home. A large activity hut has been purchased for the garden to allow service users more space to partake in organised activities within the home. This facility has a range of sensory and craft equipment. As part of the homes on-going programme to improve and maintain the environment for service users six bedrooms and the kitchen have been redecorated. The manager has undertaken a review to ensure that all staff listed to administer medication have the required skills to fulfil this task. 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. Udal Garth DS0000045077.V332072.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 Udal Garth DS0000045077.V332072.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): Quality in this outcome area is excellent. 1,2,3,4,5. This judgement has been made using available evidence including a visit to this service. The home provides prospective service users and their representatives with sufficient information for them to make an informed choice about where they live. The admissions process ensures that the home has adequate information to decide whether or not they can meet an individuals’ assessed needs. EVIDENCE: The home had a statement of purpose and service user guide, which described the environment and services available. A range of communication aids including signs, symbols and photographs are used to give any new residents information about the home and the support they could expect to receive. One service user had moved into the home since the last inspection and records were tracked to establish the quality of the homes admission procedure, and the experience of all those involved in the move. Following referral a thorough pre-admission assessment had been completed by the home to confirm whether or not the individuals needs could be met. The service user then visited the home on several occasions, and a weekend stay was arranged. A review meeting was then held to confirm the placement and to agree a transition plan. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 10 The pre-assessment information was used to develop an initial care plan for the home and a written contract was agreed and signed by all parties. Any restrictions imposed on the individual due to specific care needs had been agreed and documented prior to admission. The manager said that any restrictions and guidelines would be reviewed regularly as part of the homes care plan process. The inspector spoke with a representative from Social Services who said that that prior to moving into the home the manager had worked closely with the prospective service user and their family. Udal Garth DS0000045077.V332072.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): Quality in this outcome area is excellent. 6,7,8,9. This judgement has been made using available evidence including a visit to this service. The home has a clear, consistent care planning process, which provides staff with the information they need to satisfactorily meet service users needs. Staff have a good understanding of how service users communicate and use this knowledge to encourage them to make choices and have control where possible about their care and lifestyle. EVIDENCE: The care plans and records relating to three residents living in the home were looked at during the inspection. The information included good information about each individuals needs. Each area of care was supported by a detailed assessment, behaviour management guidelines, activities plan, risk assessments and information about any involvement from other agencies. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 12 The care notes for one service user highlighted the need for consistency and structure to their daily routine. To support this need detailed records were available for staff describing the support required from when the service user wakes up to when they go to bed. Staff spoken to were familiar with these guidelines and recognised the importance of consistency when providing care to this person. Throughout the inspection staff were observed supporting residents to make choices about their daily routines. Care plans included detailed information about how each resident communicates and staff spoken to said they were able to use this knowledge to further encourage choice and independence. A range of communication tools are used dependent on the assessed needs of the individual. Several service users had pictorial timetables in their bedrooms, some of these had been adapted so that they could be used outside the home. Signs, symbols and photographs were available around the home to help service users recognise and understand daily routines, different rooms, and facilities in the house and the different staff members on duty. Risk assessments had been written for all activities inside and outside the home. These were found to be detailed, signed and included a date for review. All records inspected were found to be well maintained, up to date and stored safely. Udal Garth DS0000045077.V332072.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): Quality in this outcome area is good. 12,13,14,15,16. This judgement has been made using available evidence including a visit to this service. Service users have appropriate individualised activities to ensure a good quality of life while living at the home. The meals in the home are good, offering both choice and variety and catering for special dietary needs. EVIDENCE: The atmosphere in the home was warm and welcoming. When the inspector arrived one service user was being supported to get ready for a trip out and others were being supported by staff to get ready for their daily activities. The manager and staff were able to talk in detail about the personalities of each resident and the activities that they enjoy. Care planning, and daily activity charts supported this verbal information. All the residents had Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 14 individualised activities, taking place through support from the home. The service has continuously developed new activities for each resident to maintain their presence in the community and to give the residents’ valued activity and good quality of life. In many cases this activity has contributed to the residents improved stability and reduced challenging behaviour. The home had a detailed process of recording and analysing the outcome of activities to ensure that they remain appropriate. Activities external to the house are thoroughly risk assessed and continuously reviewed to ensure that they continue to be safe. Two, seven seat company vehicles are available to transport service users to and from their activities. There is a large secure garden area with swing seats and a trampoline, which service users can enjoy during the summer months. Also within the garden there are two large activity sheds. One is used for sensory and craft activities and the other for cooking. On the day of the inspection one service user was being supported by a staff member to make buns and was keen for everyone to have a taste! Discussion with the manager and feedback from family confirmed that every effort is made to support residents to maintain their links with family and friends. Service users often visit other homes owned by the organisation and access social events and facilities in the local community. Where possible service users are involved in daily routines and domestic activities in the home. One service user was observed being supported by staff to sort out their own laundry. The manager said that staff are aware of the importance of these routines and consistency of support. A written weekly menu was available, which showed that residents are offered a well-balanced and varied selection of meals. The inspector was able to observe the lunchtime in the home, which confirmed that staff support and encourage residents to make choices, participate and enjoy their meal in a relaxed and unrushed environment. This was obviously a time when residents and staff can sit together, enjoy friendly conversation and laughter and make any plans for the afternoon. The residents appeared to enjoy this busy part of the house and the interaction with the staff team. Any special dietary requirements or eating plans were documented with clear guidelines for staff. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 15 Udal Garth DS0000045077.V332072.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. 18,19,20. This judgement has been made using available evidence including a visit to this service. Personal support in the home is offered in a way that promotes and protects service users’ privacy, dignity and independence. Service users’ health care needs are regularly monitored and any changes are addressed with specialist input when necessary. EVIDENCE: Service user records contained detailed information about their personal, emotional and healthcare needs. Information was documented in a way that helped staff understand their daily routines, likes and dislikes, and how they prefer to be supported. Records confirmed that residents are supported to attend regular routine health checks including hearing, sight and dental checks. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 17 The home has a consistent staff team who have a good awareness of service users needs. The manager said that this consistency and the homes daily recording procedures ensures that health needs are closely monitored and any concerns are dealt with promptly. Throughout the inspection staff were observed treating service users in a respectful and dignified way. Despite the need for high staffing levels it was evident that staff were aware of residents need for privacy and personal space. Records confirmed that external advice and guidance was sought when necessary from local Health Care professionals and the specialist learning disability services. The home has written procedures for the receipt, storage and administration of medication. There is also a medication profile on each service users care plan. The home uses a monitored dosage system and administration records for this system are well maintained. There is clear information for care staff on the nature of the service users’ medication and any possible side effects. Follow up from reports sent to CSCI regarding an error in the administration of medication. The manager advised that following this episode there has been a review to ensure that all staff are confident and competent to fulfil the role of administering medication. The home provided CSCI with a list of staff who are able to administer medication in the home and the manager said that they have all received updated and regular training. Training records seen during the visit confirmed this information. Udal Garth DS0000045077.V332072.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. 22,23. This judgement has been made using available evidence including a visit to this service. Systems in the home ensure that all service users are listened to and any concerns or complaints are dealt with promptly and appropriately. Service users are protected from abuse, neglect and self-harm. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any formal complaints since the last visit. There had been one concern passed by a relative regarding an incident that had occurred involving a service user in the home. The relative had asked the Commission to consider this incident during the inspection process. All records relating to the incident were inspected and were found to be up to date and accurate. The home had reported the incident to CSCI and had undertaken their own internal investigation. Appropriate action was taken and the relative and social services were Kept fully informed. The Commission would consider that the home acted appropriately and have since undertaken a review of the relevant policies and procedures to prevent any similar incidents occurring again. The manager said that due to the complex needs of service users living in the home they might not always express their views and concerns clearly to those providing care. She emphasised that a good understanding of each individuals’ communication methods and their behaviours and moods is crucial to ensure Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 19 that any concerns are addressed. An example was given about how staff monitored a service users choice of colours for her room by painting the room in stages using the colours of her clothes and monitoring her response when she walked in the room. The home has a generally consistent staff team who were able to talk in detail about each service user. Staff were seen to respond promptly and sensitively to behaviours which without support and understanding may have escalated and caused distress. Daily recording, hand-over meetings and charts to record incidents/behaviour are used to monitor the well being of each individual and to ensure that staff are aware of any changes. The home has written adult protection procedures and a copy of the local Alerters guide. Staff spoken to had a good awareness of issues relating to abuse and said they were able to attend in-house and multi-agency Adult Protection training as part of the homes staff training plan. Files contained Behaviour management guidelines and these are regularly monitored and reviewed as part of the care plan process. The manager said that all the service users need support to manage their finances. The reason for this support and how the support is provided is well documented within care files. Service users have their own bank account and a clear, up to date record was available for all in-coming and out-going expenditure. Service users pay an agreed mileage for the use of the homes transport and are sent an invoice on a monthly basis. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing residents with an attractive, homely and safe place to live. EVIDENCE: On the day of the inspection the home was found to be clean and hygienic throughout. The home has been organised so that service users can partake in individualised activities in different parts of the house. Since the last inspection a large activity shed has been added to the rear garden. This new facility has been divided into a quiet sensory area and separate craft/activity room. Staff were in the process of supporting some service users to use this facility as part Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 21 of their daily activity programme. The garden also has a large shed with cooking equipment and a range of swings and garden furniture. During the inspection several service users were relaxing with staff in the main sitting room. Other than the dining area this room is the only communal area inside the house. Seating was limited and due to the behaviours of some service users it felt as though this room could at times be too small. This observation was also noted in feedback from staff who felt that ‘service users would benefit from a larger or additional sitting area where they could relax’. All of the bedrooms were seen during the inspection. The décor and fixtures in individuals room varied dependent on individual needs and personal preference. One of the bedrooms seen had minimal furnishings and few personal possessions. The manager said that this was necessary due to the behaviours of the service users although consideration would continue to be given to how the individuals’ rooms could be made more homely. Since the last inspection there has been some general redecoration throughout the house including the kitchen and some of the bedrooms. It was noted that the tables and chairs in the dining room were very scratched, and the room would benefit from some general redecoration. Several items of specialist equipment had been purchased to meet the assessed needs of service users and to ensure their on-going safety. These included, alarm pads and specialist mattresses for service users who suffer from epilepsy. The reason for this equipment and guidelines for use were documented within service user records. Laundry and kitchen facilities are satisfactory and previous inspections have shown that infection control procedures are in place. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. 31,32,33,34,35,36. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by a sufficient number of competent, well-trained and motivated staff. EVIDENCE: Staffing rotas were available, which confirmed that sufficient numbers of staff were available to meet the assessed needs of the service users. Staffing levels are high as most service users have been assessed as requiring 1:1 or 2:1 to access opportunities inside and outside the home. Throughout the inspection staff were observed responding sensitively and respectfully to service users requests, and were able to use their knowledge of each individual to encourage choice and independence whenever possible. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 23 Staff were friendly and good-natured. They interacted with residents and as well as being courteous and respectful were also humorous and fun, which the residents clearly enjoyed. There is a generally consistent staff team and the manager said that as consistency is very important the home makes every effort to avoid the use of agency staff. The staff spoken to were very clear about their role, and the role of others within the team and the organisation. A thorough training programme is run by the organisation to ensure that resident’s needs are fully met by skilled staff. Records confirmed that all staff undertake regular health and safety training as well as a range of specialised training courses relevant to service users needs. A sample of staff records were seen and confirmed that the homes recruitment procedure is robust and ensures the protection of residents. Staff spoken to said they felt well supported by the staff team and management. One member of staff who completed a questionnaire said that staff are treated well and their views and contributions are valued. Records confirmed that structured, 1:1 supervision sessions take place every 6-8 weeks. Feedback from a representative of the specialist Learning disability service included; ‘The service provides tailor made packages of care designed to meet each individuals needs. Staff have developed good relationships with the healthcare services and are keen to explore new avenues for advise and guidance’ Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 24 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): Quality in this outcome area is good. 37,38,39,40,41,42. This judgement has been made using available evidence including a visit to this service. The management approach is open and inclusive, providing clear leadership and guidance. Service users rights, health, safety and welfare are protected and promoted. EVIDENCE: Since the last inspection the organisation has appointed Nicola Brown as the new Registered Manager for the home. The manager is well supported by the company’s senior management team who visit the home on a regular basis. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 25 Throughout the inspection the manager demonstrated a Person Centred approach to planning care for service users, and was keen to discuss areas where the home could continue to improve and provide an increased quality of life for service users. All staff spoken to were aware of their roles and had a good understanding of the needs of the service users. Staff said they felt well supported by management and other members of the team. The home currently holds an, ‘Investors in People’ award and has recently been inspected by the National Autistic Society. At the time of the inspection the report had not been published. Records and discussion confirmed that the home regularly liaises with relatives and other professionals. The review undertaken by the National Autistic Society noted that the home regularly consults with service users, their families and other agencies about the services provided. However, there was no evidence that feedback is gathered from service users and their representatives as part of an on-going Quality Assurance process. All records inspected were found to be well maintained and up to date. Records were organised in a way that made it easy for the inspector to get a picture of the individuals needs, and to understand how their needs were being met by the home and other agencies. The information passed to the Commission prior to the visit confirmed that the home had carried out recent health and safety checks, including, Legionella, Gas and electrical appliances and fire equipment. Radiators and pipes had been covered and thermostatic control valves had been fitted to all hot water outlets. Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 26 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 3 4 4 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 X 28 3 29 3 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 4 4 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 3 3 3 X Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 27 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. 1. Refer to Standard YA24 Good Practice Recommendations Consideration should be given to improving the standard of décor and furnishings in the dining area to ensure that this is pleasant environment for service users to eat their meal. Service users living in the home should have sufficient communal space to relax when they are not partaking in organised activities. The home should seek the views of service users, their families and other agencies as part of the organisations on-going Quality Assurance process. 2 3 YA28 YA38 Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Udal Garth DS0000045077.V332072.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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