Care Home: 20, Glamorgan Road

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What the care home does well People are happy living at the home. People are able to make choices about the way they live their lives. There is a nice friendly atmosphere at the home. The staff feel well supported. The staff work closely with other professionals to support everybody. The records and systems for running the home are really well organised. What has improved since the last inspection? There is a new welcome pack for people when they move to the home. Each person has made their own person centred plan which is attractive and personal to them. There have been improvements to the environment. Some new staff have been employed and were due to start work shortly after our visit. A new Manager has started working at the home. One person has been supported to move to a new home. There have been improvements to the way people are supported to manage their own medication. Everyone is being supported to go on a holiday of their choice. The staff have got better at using Makaton to help them communicate with everyone. CARE HOME ADULTS 18-65 20, Glamorgan Road Hampton Wick Middlesex KT1 4HP Lead Inspector Sandy Patrick Key Unannounced Inspection 30th April 2008 11:00 20, Glamorgan Road DS0000017365.V361638.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 20, Glamorgan Road DS0000017365.V361638.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. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 20, Glamorgan Road Address Hampton Wick Middlesex KT1 4HP 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) 020 8296 8187 H4M069Doncaster@mencap.org.uk www.mencap.org.uk Royal Mencap Society Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 10 8th August 2006 Date of last inspection Brief Description of the Service: 20 Glamorgan Road is a large house converted out of two buildings. The home is managed by Mencap and is registered for ten people with a learning disability. The building is owned by Richmond Churches Housing Trust. The home was set up to offer accommodation for residents leaving Normansfield Hospital, many of the original residents remain at the house. The philosophy of care is to offer ongoing support for residents to live within the local community and to develop and maintain skills of community living. The home is situated in a quiet residential street in Hampton Wick and is close to local amenities. Staff support is offered twenty-four hours a day, and residents access a range of local services with support. Residents are individually assessed for fees. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. For this inspection we made an unannounced visit to the home. We met eight of the people who live there, the Manager, other staff and a visitor. We looked at the environment, records and spoke to the people we met. We also asked the Manager to complete a quality self assessment. We looked at all the information we had received from the home and about the home since we last visited. We wrote to the people who live at the home, their relatives, other visitors and staff and asked them to complete surveys telling us what they thought. 5 residents, 5 of their relatives, 3 visiting professionals and 4 members of staff completed and returned surveys to us. People told us that they were happy with the home and that staff were kind and listened to them. They said that they could make choices about their lives. Some of the comments included, ‘I am very happy’ and ‘I am happy with the food and I like the staff’. Relatives told us that the staff were good at contacting them and letting them know about important things. They said that they could visit when they wanted and they felt their relatives were well cared for. Comments included, ‘they are there to help and support the residents and its nice if you have any worries you can talk to staff’ and ‘I am extremely satisfied with everything’. The professionals who work with people at the home felt that they were well cared for and that staff worked with them offering good support. One comment was that the staff ‘employ a holistic approach to the care of everyone’. The staff said that they were happy at the home and felt supported. What the service does well: People are happy living at the home. People are able to make choices about the way they live their lives. There is a nice friendly atmosphere at the home. The staff feel well supported. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 6 The staff work closely with other professionals to support everybody. The records and systems for running the home are really well organised. 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 be made available in other formats on request. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 7 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 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the information they need to help them to make a decision about moving to the home. There are thorough assessments and reviews to make sure everyone’s needs can be met. EVIDENCE: A new welcome pack has been developed, this includes information for the residents on the service they can expect, what they will do when they live at the home and information about the local area. The staff are working on a DVD which will be included in the welcome pack and help give people clearer information. The Manager works closely with other professionals to make sure potential residents have their needs fully assessed. People are invited to visit the home and stay for meals, activities and over night before they make a decision about whether to move there. Their needs are reviewed shortly after they have moved into the home. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 9 People told us that they were able to visit and had information to help them make a decision about moving into the home. One person said ‘I came for an over night stay and decided I liked the home and my new bedroom’. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are supported to achieve the things they want to and their needs are met by staff. They are able to choose the way in which their likes, dislikes and needs are recorded. People are consulted about their own lives and the things that happen in the home. They are able to take risks and are confident that staff will respect their rights. EVIDENCE: Everyone has their own person centred plan which they have created with staff. The plan gives information which people wish to share with staff and others who support them, including information on their likes and dislikes, the things they can do and the things they need help with. These plans are owned by each person and they keep them in their own rooms to share with whoever they chose. The plans are highly personalised and reflect each person’s 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 11 interests and likes. Plans are recorded in a format of each persons’ choosing. We saw a plan recorded on a vinyl record collection, a collection of jigsaws which made up a plan, a comic and a collection of items in a decorated bag. These plans are original, very personal and attractively designed. Residents and staff have worked hard to make these. There are also written guidelines to give the staff a bit more information about the areas where they need to offer support. These are regularly updated and reviewed. Each person has an annual review which looks at whether their needs are being met and the things that they would like to achieve. The resident contributes to these reviews. Every few months the resident and their keyworker make sure they are being supported the way in which everyone agreed at the review. This is all recorded. One person told us ‘the care plans are worked out well and with my relatives interests taken into account’ and a staff member said ‘care plans are thorough and detailed. We discuss residents at the team meeting and talk about the goals they want to achieve’. One health care professional said that staff ‘responded to needs in a person centred way’. The people we spoke to all felt that they were treated as individuals and able to make choices about their lives. Their relatives agreed with this and the staff said that this was a key area of their work. One relative said, ‘treating the residents as individuals is so important and we feel that they manage to achieve this to the best of their ability’. Another person said, ‘the home provides a calm family type atmosphere whilst also recognising individual need’. There are weekly household meetings where everyone talks about changes to the home, the menu, activities and anything else they wish to. The meetings are recorded and the Manager is looking at new ways of recording these meetings so that people can look at the minutes whenever they want. All the staff are trained to use makaton and use this to help communicate with people. There are pictorial menus, staffing rotas and signs and symbols around the house to help people identify where their own and communal belongings go. Equipment in the kitchen and around the house is accessible for the people who live there. For example there is a urn kept at a constant temperature for people to make themselves a hot drink when ever they wish and the telephone has large buttons and numbers to make it easier to use. Some of the people living at the home have helped to recruit the new staff. One person told us how they had helped to interview the staff by asking questions and helping to make a decision about who they thought was 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 12 suitable. Staff interviews are held at the home so that people have the opportunity to meet potential staff. The Manager said that she was hoping that some of the residents would take part in the induction training for new staff. People are supported to take risks and to try new things. The staff spoke about some of the things that they had done to help people to be independent but to minimise the risk of them harming themselves or others. These included changing equipment or parts of the environment and giving people extra support and training to learn new skills. There are recorded assessments to show how residents and staff have looked at different risks. One health professional said, ‘the staff are very good at recognising risks and reacting accordingly’. Records are stored appropriately so that confidential information is kept that way. The Manager talked to all the residents about the CSCI before the inspection visit and asked for their written permission if they were happy for an Inspector to see their rooms and person centred plans. Residents we spoke to understood their rights to privacy and knew that the staff should respect these. Some of the things people said about the home were, ‘the staff are very sensitive about people’s privacy whilst looking after them carefully’ and ‘I have observed good practice examples where staff have upheld a residents’ privacy and dignity’. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Everyone is supported to do a variety of things for leisure, education and work. People are supported to learn new skills and to use the local community. Visitors are welcome at the home and people are supported to have a varied and healthy diet. EVIDENCE: Everyone at the home does different activities during the days, evening and at weekends. Some people go to colleges and day centres and some people have jobs. The staff help people to do the things that they want to do and to learn new skills. People told us that they were happy with the things that they did. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 14 Everybody uses the local community for leisure, shopping, education and work. Most of the people have lived in the area for a long time and know the area well. People are supported to learn household skills, money management, shopping and cooking according to their own needs. One person said that they would like to live more independently and they have been supported to learn the skills so that they can do this. We saw that everyone was able to use the kitchen to make themselves snacks and drinks. The home is well equipped with leisure facilities including a new TV and exercise equipment. There are lots of games and puzzles which people can use when they want. One person told us, ‘the staff are always very positive about developing any creative or recreation opportunities’. Everyone is being supported to go on a holiday of their choice this year. Planned holidays include trips to America, Spain and Jersey. Visitors are made welcome at the home and people are supported to stay in contact with relatives and friends, through visits, telephone, internet and letters and through social events. Relatives told us, ‘we have regular phone calls and are invited to special parties and events at the home throughout the year’, ‘it is so very nice to be able to ask or say something just as you would at home yourself’ and ‘there is a welcoming and open atmosphere’. Most relatives felt that the staff gave them the information they needed about the residents. One person said ‘sometimes more information about changes would be nice’. People living at the home choose the food that they want to eat and help shop and prepare for this. We saw people being consulted about food that was being bought and about their evening meal. There is a menu of main meals chosen by the group, however, people can chose to eat something different if they wish to. Food is appropriately stored and the kitchen is kept clean and hazard free. People are able to help themselves to fruit and snacks as they wish. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to meet their person care, health and medication needs. EVIDENCE: Personal care guidelines for professionals appointments and health needs are recorded within person centred plans and the staff. The staff work closely with doctors and other health to make sure people’s needs are met. All health care are recorded. One person told us, ‘I find them unfailingly thorough and responsible about medicine and doctors appointments’. Professionals who support people to meet different health needs said that the staff work well with them. They said that the staff were open, communicated well and acted on their advice and guidance. One health professional who contacted us said that the staff had worked very hard to support some people with mental health needs. They said that there 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 16 was ‘excellent input from staff’ and another person said, ‘the staff have very good links with the GPs and other professionals’. We saw how the staff had responded to changes in health needs and had worked with others to make sure people stayed safe and independent. There are good procedures for managing medication and these have been improved since we last visited the home. Some people manage their own medication and have the support to do this. All medication is stored safely and records are clear and accurate. There is good information for residents and staff on all medicines in the home, including a photographic guide. All the staff are trained in administering medication and medicine supplies and records are checked daily. Everyone has their own health action plan and medication plan which is written in a way which they can understand. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are appropriate procedures for investigating complaints and protection of vulnerable adults. Staff follow these procedures. EVIDENCE: There is an appropriate complaints procedure and everyone we spoke to knew what to do if they had a concern or complaint. There is a record of all concerns and the action taken to investigate these and put things right. One person told us, ‘when we raised a concern it was sorted out in a reasonable manner’. The home works with the local authority to make sure protection of vulnerable adult procedures are followed. The staff receive training in this area. All residents are signatories for their own bank accounts and have support to manage their money. Small amounts of cash are held on behalf of residents at the home. Records for this and for all financial transactions are accurate and up to date. These are checked regularly by the Manager and Area Manager. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 18 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 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People live in a safe, attractive and well maintained home. EVIDENCE: The house is a three storey building in a residential street in Hampton Wick. Everyone has their own bedroom and there are bathroom, shower and toilet facilities on each floor. There is a large lounge, a separate dining room and a conservatory on the ground floor for everyone to use. There is a well maintained garden accessible through the kitchen and conservatory. Over the past year there has been a lot of refurbishment, repair and decoration. New equipment has been bought for some rooms. The home had been decorated, there was new furniture in the dining room and lounge, the 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 19 conservatory had been refurbished and the home has been equipped with new windows. The flooring throughout the ground floor was due to be replaced and blinds had been purchased for the lounge and conservatory. This work was due to be completed within a month of our visit. The home is attractively decorated with art work done by the people who live there and photographs of them. People living at the home have helped chose the décor and furnishings. Bathrooms, corridors and the kitchen have been equipped with adaptations to meet the needs of people who live there. There is a part time cleaner and staff and residents help with the cleaning. The home was very clean, tidy and fresh throughout when we visited. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 20 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): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home are supported and kept safe by a well trained, effective and appropriate staff team. EVIDENCE: There have been some staff shortages over the past year and this has been difficult for the staff team and residents. However, most people we spoke to said that the care and standards in the home had remained very good. Additional 1:1 support is agreed and funded by the local authority for people who need it and is provided by part time staff. The Manager told us that she has recruited three new members of staff to fill the vacancies and these people were due to start work shortly after our visit. People we spoke to said that they found the staff supportive, friendly and kind. Some of the comments people made were, ‘we find the staff to be dedicated 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 21 and caring. But worry about the high turnover of staff’ and ‘the staff approach is friendly and cheerful’. The staff we spoke to and those who completed surveys said that they were happy at the home. They felt they worked well as a team. They said that there was good communication, training and support. Some people said that they felt the service was short staffed at times. Staff said that they had a range of checks and an in-depth interview before they were employed. Some of the things the staff told us were, ‘ there is good communication between staff’, ‘the induction was very thorough’, ‘I receive a good range of training’, ‘supervisions are regular and informal discussions occur as and when necessary’, ‘we have good communication both written and verbal, with daily handovers and regular team meetings’ and ‘I have useful feedback and support from my manager’. The procedures for recruiting staff are thorough and include a series of checks, a formal interview and an induction. Records of recruitment, staff checks and induction are kept at the home. The training for staff is comprehensive. There is in depth induction training for all staff within the first few months of their employment. There is ongoing training in all aspects of the role for the staff. This includes NVQ training and specialist training provided by other agencies. The staff told us that Mencap training is very good. The Manager is involved in providing some of the training for staff from this and other Mencap homes. There is support for staff to develop their own skills and for career progression, including specialist training. The staff are all working towards or have achieved NVQs. There are good systems for staff communication through diaries, communication books and daily handovers. We saw that the staff were very good at telling each other what was going on and checking that everyone understood. All the staff contribute their own ideas and we saw that the Manager values these and listened to the staff. There are monthly team meetings and these are recorded. Everyone has a chance to contribute their ideas. Everyone has regular supervision with their manager and this is recorded. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 & 42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People are kept safe and are supported by a well managed home. management approach is open and inclusive. EVIDENCE: Since we last visited a new Manager has started at the home. She has applied to be registered with the Commission for Social Care Inspection. She is undertaking two management qualifications. Some of the things people told us were, ‘there is strong leadership in the home’, ‘I am very supported by my knowledgeable manager’ and ‘the home manager is enthusiastic, positive and knowledgeable and has made changes that have improved the service we provide’. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 23 The We found that the Manager was very knowledgeable about the home, the people who live there and the staff. She wanted to improve the service and listened to our ideas and the ideas of others about how to do this. She showed that she was committed to supporting people to make choices about their own lives. The staff have their own responsibilities to help the smooth running of the home. They told us that they were well supported with these extra responsibilities. The records and systems at the home are very well organised. Everything we saw was up to date and accurate. The systems help the smooth running of the home. People told us, ‘the service is well organised and homely’ and ‘everything in the house is very organised’. The Manager and staff make sure people living at the home make decisions about how it is run and things are organised so that they can understand about changes, who will be working with them and what is happening each day. The staff also work closely with other professionals to make sure there is a high standard of care for everyone. One member of staff told us, ‘we work well with other agencies and professionals to meet the needs of residents’. The Area Manager visits the home monthly and writes a report on his findings, making recommendations for change as needed. His visits include an audit of residents’ money, records and medication. The organisation also conducts an annual quality review by a senior manager from another area. The review includes looking at all areas of people’s care and general management. The home recently had this review. The report indicates that the home did very well and exceeded expectations in many areas. The Manager had started to implement recommendations made from the visit. There is a continuous development plan which the Manager and staff use to record what things need to improve in the home and the work that has been done to achieve these. Improvements include residents’ needs, environmental needs, records and any other areas of need. Once a need is identified this is recorded and so is all progress in meeting this. There are regular checks on health and safety throughout the home, including water safety, fire safety and electricity. These are recorded and any identified hazards are made safe. 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 4 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 4 X 4 3 X 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 20, Glamorgan Road DS0000017365.V361638.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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