Inspection on 22/05/07 for Watson House

This inspection was carried out on 22nd May 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

Watson House 20/04/05

Watson House 16/08/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Watson House 12 Huckleberry Close Purley on Thames Berkshire RG8 8EH Lead Inspector Marie Carvell Unannounced Inspection 22 nd May 2007 10:45 Watson House DS0000057606.V342681.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 Watson House DS0000057606.V342681.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. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Watson House Address 12 Huckleberry Close Purley on Thames Berkshire RG8 8EH 0118 942 7608 0118 942 6671 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) Purley Park Trust Limited Miss Emma Jane O’Connor Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (7), Physical disability (7) of places Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: Watson House is a one storey seven-bedded unit providing residential and day care support to adults with learning disabilities. The house provides care to residents with higher dependencies, although nursing care isnt provided. Each resident has their own personalised bedroom with en-suite shower rooms and toilets, with sanitary and bathing equipment adapted to their individual needs. There is an assisted bath that is available to all residents. Watson House is part of Purley Park Trust. Purley Park Trust has eight registered Homes, comprising of a variety of accommodation and support facilities. All of these homes are situated in Purley Park. All residents will have access to the grounds and other services provided by the Trust including, horticultural therapy, day services, social, recreational and leisure pursuits and the on site club house. Local facilities accessed include shopping facilities and the local village including Church. The current scales of charges as at May 2007 are between £ 506.30 and £1477.00 per week. There are additional charges for haircuts, toiletries, clothing, daytrips, outings and personal items. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘key Inspection’. The inspector arrived at the service at 10.45am and was in the service until 6.30pm. It was a thorough look at how well the service was doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection. Two service users, relatives of five service users, a care manager (social Worker) and a healthcare professional responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standards of the service. Time was spent with all the residents, the manager and staff on duty, a tour of the premises was carried out and a sample of records required to be kept in the home were examined, including the case tracking of two service user’s files. Time was also spent with the student social worker on placement, Operations Manager and Chief Executive of Purley Park. At the last inspection carried out in April 2005, two requirements and one good practice recommendation were made. The requirements were that the temperature of the drug storage fridge is checked and recorded and that all staff receive challenging behaviour training. These have been complied with. The good practice recommendation was that a record is kept of supervision meetings to ensure that all staff receive a minimum of six sessions per year. This has been actioned. Feedback was given to the manager at the end of the inspection. Throughout this report the term resident will be used in place of service user at the managers request. What the service does well: Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 6 Five relatives who completed surveys confirmed that they are kept informed of important matters affecting their relative. A survey completed by a healthcare professional stated ‘ Staff at Watson House really care about their residents ensuring all their needs are met and always respond to residents with respect. Residents are always responded to as individuals’. All residents have a weekly programme of activities. There is a “ Club House” on site, which offers a wide range of activities including a well equipped kitchen for cookery sessions and each week teachers from Reading College provided classes in numeracy, drama and music. Residents told the inspector that they enjoyed cooking, singing and the entertainment provided. Within the grounds is a Horticultural cabin, with well established vegetable and plant growing plots. There are plans for a hydrotherapy pool to be built. Resident’s rights and responsibilities are respected and this was evidenced in resident’s reviews and care plans. Daily routines are relaxed and flexible to meet resident’s preferences. From the evidence seen and discussion with the manager, the inspector considers that the home is able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Resident’s records evidenced that healthcare professionals are in regular contact with the resident and home staff. Several residents have high dependency needs, which is provided by the home staff, under the direction of the district nursing team. Comments made on a survey completed by a healthcare professional included ‘Any concerns concerning individuals healthcare needs are always raised with the district nurse/GP, advice taken and acted upon appropriately. Each resident is responded to as an individual, the staff work tirelessly to fulfil all their different needs’. In discussion with staff on duty and observation of staff interacting with residents, it was evident that illness and ageing of residents is handled with sensitivity, dignity and respect and as the resident and resident’s relatives would wish. What has improved since the last inspection? Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 7 The manager has recently devised a more a comprehensive care planning document, which will be introduced within the next few weeks. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 8 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. Watson House DS0000057606.V342681.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 Watson House DS0000057606.V342681.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 4. Quality in this outcome area is good. All residents are assessed prior to admission and are given the opportunity to visit the home before moving in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents have lived together in the home for many years. There is a comprehensive referral and admission process in place and previous inspection reports have indicated that all residents have, had a full assessment undertaken prior to moving into the home. Watson House DS0000057606.V342681.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): Standards 6,7 and 9. Quality in this outcome area is good. All residents have a care plan and appropriate risk assessments are in place. The manager has recently developed a new care planning document, which was discussed during the inspection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have a care plan in place; these are reviewed on a regular basis and updated as necessary. Care plans are detailed and include likes and dislikes and how the resident’s care needs are to be met. Residents and their representatives are involved as much as possible. The manager has recently devised a more a comprehensive care planning document, which will be introduced within the next few weeks. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 12 Risk assessments are in place to support care plans with guidelines from healthcare professionals as necessary. From discussion with the manager, staff on duty and observation, all members of staff were able to demonstrate a clear knowledge of the residents needs and preferred lifestyle. From observation residents were treated with dignity and respect from all members of staff. Some records are brief and do not evidence how staff promote choice or how residents are assisted with decision making on a daily basis. This was discussed with the manager, during the inspection and has been addressed by the manager and staff team who have developed resident’s daily records to evidence choice, decision making and validate resident’s care plans. Resident meetings take place and as several residents are not able to communicate verbally, their views are sought on an individual basis. Five relatives who completed surveys confirmed that they are kept informed of important matters affecting their relative. A survey completed by a healthcare professional stated ‘ Staff at Watson House really care about their residents, ensuring all their needs are met and always respond to residents with respect. Residents are always responded to as individuals’. Watson House DS0000057606.V342681.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): Standards 12,13,15,16 and 17. Quality in this outcome area is good. Residents are assisted to make informed choices regarding all aspects of their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have a weekly programme of activities. There is a “ Club House” on site, which offers a wide range of activities including a well equipped kitchen for cookery sessions and each week teachers from Reading College provided classes in numeracy, drama and music. Residents told the inspector that they enjoyed cooking, singing and the entertainment provided. Within the grounds is a Horticultural cabin, with well established vegetable and plant growing plots. There are plans for a hydrotherapy pool to be built. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 14 One resident has a piano and several residents enjoy listening to music and watching videos. The home is to purchase a barbeque and hope to invite other residents to attend. The home also has a cat and tropical fish. A survey completed by a care manager stated ‘ staff work hard to communicate with our service user to establish his/her needs and wishes. He/she is unable to verbally communicate; therefore all efforts are made to understand his/her choices made through gestures and emotions, to ensure he/she engages in activities, which he/she enjoys’. Comments made on surveys completed by relatives included ‘I understand that X is taken out on various theatre visits, out to lunch and other social activities’ and ‘we feel like moving into the home ourselves’. Two residents are planning a holiday in Blackpool with residents living in other Purley Park homes and told the inspector that they were looking forward to the trip. Visitors are made welcome and invited to telephone or visit at any time. Surveys completed by relatives commented ‘ we are able to keep in touch by telephone’ and ‘ we are able to phone at any time and nothing is kept from us that we want to know’. Resident’s rights and responsibilities are respected and this was evidenced in resident’s reviews and care plans. Daily routines are relaxed and flexible to meet resident’s preferences. From the evidence seen and discussion with the manager, the inspector considers that the home is able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Service users are involved in menu planning and food preparation. Three residents due to medical conditions require all food to be pureed. Detailed guidelines are in place from dieticians and/or speak and language therapists to assist staff with food preparations and to ensure that residents are able to have as varied a range of food as is possible. Daily records did not evidence food eaten by residents. This is especially relevant to those residents, who are dependent on staff for assistance with all aspects of care due to physical disability or dementia. The manager has agreed to address this immediately. Food stocks were plentiful with fresh fruit, salad and vegetables. Residents who were able to express an opinion said that the food was ‘very good’ and staff were ‘quite good cooks’. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19, 20 and 21. Quality in this outcome area is good. Resident’s personal and healthcare needs are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Resident’s records evidenced that healthcare professionals are in regular contact with the residents and home staff. Several residents have high dependency needs, which is provided by the home staff, under the direction of the district nursing team. Daily records need to be more detailed to evidence the care provided on a daily basis, this has now been addressed. Comments made on a survey completed by a healthcare professional included ‘Any concerns concerning individuals healthcare needs are always raised with the district nurse/GP, advice taken and acted upon appropriately. Each resident is responded to as an individual, the staff work tirelessly to fulfil all their different needs’. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 16 Several residents require short periods of bed rest, throughout the day. Residents seen were made comfortable and staff were observed to be attentive. Comments made by relatives on surveys included ‘ X has been in care for over 50years and he/her considers Watson House to be his/her home’, ‘ X health and well being has been greatly improved since he/she came to Purley Park. Which I feel is because of the care and attention given by the staff. I am very happy that the needs of my X are met and the care he/she is given. I feel at last after many years X has now settled into a home that understands his/her needs’, ‘X has been in care all of his/her life. Since being at Purley Park, X well being has been second to none. Every thing X is capable of doing has been nurtured and encouraged’, ‘ I know that X is well cared for and receives all the things that he/she needs. I am quite happy at the care provided. They take care of my X and meet all of his/her needs; they are kind, considerate and put him/her first. They are very good and I don’t think I could wish for any better’. Comments made by a care manager included ‘our service user has complex healthcare needs, which are responded to appropriately by staff. There is generally evidence of a consistent work team who are familiar with our service user’s needs. I am aware that all new staff are provided with adequate training to develop these skills. The service adopts, a person centred approach, which ensures that individual care needs are met. There is also a real sense of commitment and devotion by staff to provide the best quality of care possible to service users. Communication between Purley Park Trust and Social Services is good in terms of relaying significant events’. None of the residents are able to take responsibility for the administration of their own medication. Medication is administered by staff, following appropriate training. At the last inspection a requirement was made that the temperature of the drug storage fridge is checked and recorded. This has been addressed. Medication is stored securely in locked cabinets. It was noted during this inspection that the room, where medication is stored was very warm and may exceed the recommended temperature for medication storage. The manager has agreed to discuss this with the community pharmacist who provides medication to the home. In discussion with staff on duty and observation of staff interacting with residents, it was evident that illness and ageing of residents is handled with sensitivity, dignity and respect and as the resident and resident’s relatives would wish. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home has a complaints procedure in an appropriate format for residents. Procedures are in place to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints procedure in place and is available in pictorial format for residents. Surveys completed by residents and relatives said that they knew who to talk to if they had a complaint or concern. Two residents said that they would speak to the manager or staff if they were unhappy. The home has received one complaint since the last inspection, which was substantiated. The complaint was clearly recorded, with action taken and outcome. The Commission has received no information concerning complaints about this service since the last inspection. All staff have undertaken training in safeguarding adults from abuse. In discussion staff were familiar with the home’s policies and procedures and were clear about the home’s whistle blowing policy. Policies and procedures are in place for dealing with resident’s monies and bank accounts. The organisations finance department manages resident’s financial affairs. The manager holds small amounts of money for resident’s day to day requirements, but larger amounts need to be requested. Clear, detailed and up to date records are maintained of all expenditure undertaken on behalf Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 18 of the residents. A member of staff signs each transaction and receipts are obtained. Financial records are audited on an annual basis. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,25,29 and 30. Quality in this outcome area is good. Residents live in a homely, comfortable, clean and safe environment, which is able to meet the needs of individual residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built, in good decorative order and furnished to a good standard. Since the last inspection some areas of the home has been redecorated. Units in the kitchen are due to be replaced and are waiting for a date for the work to commence. Three bedrooms were seen at the invitation of the resident. Bedrooms were appropriately furnished and reflected the interests of the resident and personalised with photographs of family, friends and holidays taken. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 20 Doorways and access to the good size rooms meet the needs of the residents who are wheelchair dependent. Appropriate aids and adaptations are in place throughout the home to maximise resident’s independence. The home was found to be clean and free from unpleasant odours. The manager attention was drawn to the overflowing dustbin and black bags, stored outside the kitchen door, which on a warm spring day was smelling strongly and attracting flies. The manager addressed this problem immediately. The home has a well equipped laundry. The washing machine has a sluicing facility. Policies and procedures are in place regarding infection control measures and all staff have received health and safety training. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34,35 and 36. Standard 36 was subject to a good practice recommendation at the last inspection. Quality in this outcome area is good. Residents’ benefit from an experienced staff team in sufficient numbers to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff on duty were clear about their roles and responsibilities. Since the last inspection two full time and two part time support workers have been recruited. The majority of support workers have worked in the home for a number of years. Staff on duty said that the staff team work well together. In discussion with staff and from observation it was evident that they are fully aware of the residents needs, wishes and choices. Staff were observed carrying out their duties in a calm and professional manner. When asked staff were knowledgeable about individual care needs and behavioural guidelines in place. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 22 From examination of a sample of staff personnel files, it was evident that recruitment procedures are robust. The manager agreed to ensure that an up to date photograph of individual members of staff is placed on their personnel file. Where possible residents are involved in staff interviews. The home currently has two full time vacancies for support workers. There is a detailed staff training and development programme in place, all staff complete mandatory as well as specialist training. All newly appointed staff complete an induction training programme and mentoring by an experienced member of staff. This forms part of the probationary period and is seen as part of the recruitment process. There is a staff team of thirteen part and full time support workers and a part time general assistant; four have complete NVQ level II training in care, two are working towards NVQ level III and three member of staff is working towards NVQ level II. It is anticipated that additional staff will commence NVQ training, later this year. Staffing levels reflect the needs of the service users and rosters are flexible to fit around the lifestyles of individuals. The home does not use agency staff, during periods of leave or sickness staff are prepared to work additional shifts. There is always a minimum of three staff on duty from 7am until 9.30pm. In addition a general assistant works from 9am until 2pm for five days per week. From 9.15 pm until 7.17am there is a support worker in the home on duty with a second support worker, who provides assistance to four homes, as necessary. The manager said that staffing levels would be increased in the case of a resident needing more support. At the last inspection a requirement was made that a record is kept of supervision sessions to ensure that all staff received a minimum of six sessions per year. This has been addressed. It is anticipated that following supervisory training, the team leader will assist the manager with staff supervision. Staff training is promoted and all requests for training are sent to the training officer. There is a staff training and development programme in place. Training records evidence that all staff receive mandatory training and specialist training as necessary. Staff have recently undertaken dementia training, bereavement training and the manager is looking into training in infection control. A requirement was made at the last inspection that all staff receive training in dealing with behaviours that may challenge the service, this has been addressed. Staff on duty said that they enjoyed working at the home and felt well supported by the manager and that their views were listened to and taken into consideration. Staff receive regular supervision and staff meetings are held on a regular basis, records are maintained and were available for examination by the inspector. Staff handovers take place at the start of each shift and staff Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 23 confirmed that communication between the manager and staff team was very good and staff feel valued. Watson House DS0000057606.V342681.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): Standards 37, 39 and 42. Standard 42 was subject to two requirements at the last inspection. Quality in this outcome area is good. Residents’ benefit from a well managed home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An experienced and well qualified manager has been in place since the home opened in 2004. She has a NVQ level IV in Care and Management and has completed the Registered Managers Award. It is very evident that the manager is well respected by her staff team, colleagues and relatives. Residents who were able to express an opinion were positive about the care that they receive, the management of the home, the staff team and facilities available. Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 25 The manager advised the inspector that the home’s business and development plan is currently being updated. A recent Quality Assurance survey has been undertaken and the information received is currently being collated. Reports are written following a monthly visit to the home on behalf of the proprietor, a sample of these records were examined and were detailed. From discussion with the Operations Manager and Chief Executive, it was clear that they are frequent visitors to the home. The Operations Manager has been supporting the staff team, during the manager’s recent sickness leave. A sample of records relating to health, safety and welfare were examined and found to up to date and well maintained. At the last inspection two requirements were made, that the temperature of the drug storage fridge is checked and recorded. This has been addressed and is referred to under standard 20 and the second requirement was that all staff receive challenging behaviour training, this has been addressed and is referred to in standard 35. Watson House DS0000057606.V342681.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 x 2 3 3 x 4 3 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 3 26 x 27 x 28 x 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 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 3 3 x 3 x x 3 x Watson House DS0000057606.V342681.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. Refer to Standard Good Practice Recommendations Watson House DS0000057606.V342681.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Watson House DS0000057606.V342681.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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