Care Home: 29 Shaftsbury Road

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What the care home does well The manager and staff on duty had a lot of knowledge about residents. This was evident from speaking to staff and people using the service, as well as being fully recorded on care plans, assessments and daily notes. Residents` are aware of how to make a complaint and had access to the complaint procedure. Recently the service has been successful in supporting several people using the service to access moving on accommodation living in more independent settings. The inspector spoke with one of these people who praised the staff and the service for the support he had received. The house is well presented, in keeping with the immediate locality and provides a valuing environment. The dedicated staff team work well with the people living at the home, and residents` confirmed this. Staff members confirmed that they are receiving good support form the manager and the wider organisation. The service works well with other agencies involved in supporting the people living at the home. What has improved since the last inspection? There has been significant investment in the upgrading and redecoration of the premises. Facilities at the home now promote greater resident independence and opportunities for re-acquiring/re-building the skills needed for independent daily living. There have been improvements in how the home is managed. This was evident by the significant improvement to record keeping in general. Case tracking evidenced good quality assessments, that informed individual plans of support/care. All plans viewed were signed by the resident concerned, who also confirmed they had ownership of their plans. Staff members felt well supported and valued, and as a result were working effectively and efficiently with people living at the home. There was evidence of understanding, sensitivity and good humour at the home. There were good systems for monitoring and reviewing the progress of people living at the home. As identified above this has translated recently into people being enabled to move on into more independent settings. The service is engaging in a local project that supports recovery as part of service provision. This initiative is across a number of different agencies involved in residents` lives. Staffing levels had been improved, and there are now staff available at the service between 8 am and 8.30 pm, with emergency cover available via an on call system or from another Southern Focus Trust residential service nearby that provides night staff cover, that also know the people living at number 29 Shaftsbury Road. What the care home could do better: The service needs to be more explicitly time limited, as it is not appropriate for people to live permanently or for extended periods in a service that aims to move people on to more independent settings. As it is the stated intention of 29 Shaftsbury Road to provide a service that gets people ready for moving on, a time limit will be helpful to both commissioning agencies who buy the service, and the people who are engaged in the project as residents and the staff supporting them.The service provider may need to review the current statement of purpose and the service user guide, in order to ensure that new people moving into the service are fully aware that the accommodation is not intended to be permanent, and is a stepping-stone to greater independence and more permanent housing/accommodation solutions. There is a need to ensure that patterns and routines in the home are kept under regular review. Especially when the service begins to accommodate people who are only staying for time limited periods. This will mean that peoples needs and wishes will be changing constantly within the group accommodated and there will need to be careful consultation about how the home is to run on a day-to-day basis. There was evidence at the time of the visit that the giving out of medications to some people at the office could be reviewed as this practice may lead to institutional responses from both people using the service and potentially staff members. CARE HOME ADULTS 18-65 29 Shaftsbury Road Southsea Hampshire PO5 3JP Lead Inspector Mr Richard Slimm Unannounced Inspection 16 October 2007 09:30 th 29 Shaftsbury Road DS0000011831.V347572.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 29 Shaftsbury Road DS0000011831.V347572.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. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 29 Shaftsbury Road Address Southsea Hampshire PO5 3JP 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) 02392 754771 Southern Focus Trust Silvana David Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be accommodated between 18-55 years of age. Date of last inspection 26th April 2007 Brief Description of the Service: 29 Shaftsbury Road provides accommodation for eight service users within the category of mental health. The service is owned and run by Southern Focus Trust (SFT) and has a registered manager who also has an overview of another care service in the close locality. The home provides accommodation in single bedrooms situated over three floors and the home has two lounges, a kitchen and dining room. To the rear of the property is a small courtyard garden that is maintained by the service users. The home is situated close to local facilities in Southsea and is a short journey away from the city of Portsmouth. The building is only accessible by steps from the street and stairs internally, there is no lift. The service provides staff cover from 8 am to 8.30 pm but does not provide night staff cover. People using the service are assessed as not needing this level of support. However, there are contingency plans in place and residents may access support out of hours from the on-call system, via additional resources made available in their personal care package, or another Southern Focus Trust service in the same road that provides night staff cover, who know the residents. The house provides hostel type facilities, and consequently is more suited to time limited accommodation, aimed specifically at enabling people recovering from mental health problems to re-gain the skills and confidence needed before moving on to more independent living. The service takes most referrals from other Southern Focus Trust services, and links closely with health and other agencies involved in supporting people recovering from mental health problems. The current scale of charges is £57.82 per day with no additional charges. Service users who wish to have a TV in their bedroom contribute an additional £5 per year towards the television licence fee. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection the registered manager, and support staff and a link resident assisted the inspector. Eight men were being accommodated, five residents were spoken with and two support staff members who were based in the home were spoken with. The site visit took place between the hours of 09.30 am and 4.00 pm. Feedback was given at the end of the visit to the registered manager and the manager from Southern Focus Trust who manages the registered manager. One of the residents supported the inspection process by being involved as a link resident. Eight resident surveys were sent out and five were returned. All comments in the surveys and comments made by people interviewed were positive and favourable toward the support provided and the overall quality of service at the home. Pre- inspection material known as the Annual Quality Assurance Assessment (AQAA) was received from the manager. Care manager, GP and other stakeholder surveys including families were sent out and there had been no responses at the time of writing this report. The services statement of purpose and the service user guide were also used to validate outcomes for the people living at the home. A tour of the home was undertaken and two residents showed the inspector their individual bedrooms. All communal areas of the home had benefited from recent upgrading and decoration. People using the service confirmed they had been consulted about colour schemes, and had individually chosen the colours in the own rooms. A case tracking exercise was carried out with three of the people using the service. This exercise involves a process of checking case records, and other documentation, and then validation of the quality of the outcomes for the resident concerned. All three residents were found to be receiving a good quality of service, which they confirmed to the inspector. What the service does well: The manager and staff on duty had a lot of knowledge about residents. This was evident from speaking to staff and people using the service, as well as being fully recorded on care plans, assessments and daily notes. Residents’ are aware of how to make a complaint and had access to the complaint procedure. Recently the service has been successful in supporting several people using the service to access moving on accommodation living in more independent settings. The inspector spoke with one of these people who praised the staff and the service for the support he had received. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 6 The house is well presented, in keeping with the immediate locality and provides a valuing environment. The dedicated staff team work well with the people living at the home, and residents’ confirmed this. Staff members confirmed that they are receiving good support form the manager and the wider organisation. The service works well with other agencies involved in supporting the people living at the home. What has improved since the last inspection? What they could do better: The service needs to be more explicitly time limited, as it is not appropriate for people to live permanently or for extended periods in a service that aims to move people on to more independent settings. As it is the stated intention of 29 Shaftsbury Road to provide a service that gets people ready for moving on, a time limit will be helpful to both commissioning agencies who buy the service, and the people who are engaged in the project as residents and the staff supporting them. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 7 The service provider may need to review the current statement of purpose and the service user guide, in order to ensure that new people moving into the service are fully aware that the accommodation is not intended to be permanent, and is a stepping-stone to greater independence and more permanent housing/accommodation solutions. There is a need to ensure that patterns and routines in the home are kept under regular review. Especially when the service begins to accommodate people who are only staying for time limited periods. This will mean that peoples needs and wishes will be changing constantly within the group accommodated and there will need to be careful consultation about how the home is to run on a day-to-day basis. There was evidence at the time of the visit that the giving out of medications to some people at the office could be reviewed as this practice may lead to institutional responses from both people using the service and potentially staff members. 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. 29 Shaftsbury Road DS0000011831.V347572.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 29 Shaftsbury Road DS0000011831.V347572.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): Key Standard 2 was assessed and quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The needs and aspirations of people moving into the service are assessed and understood. . EVIDENCE: People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. Assessments seen gave a full picture of the service user and information had been recorded from other professional sources where applicable. Assessments including risk assessments were relevant and reflected the current picture for the people concerned. People using the service who were spoken to confirmed that they had ownership of their personal records, and plans of support/care. Both the 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 10 resident and a staff member signed assessments. Five surveys returned from residents confirmed satisfaction. In an interview with a support worker it was clear that she was aware of the needs and the aspirations of differing resident’s accommodated at the home and these were as recorded on individual assessments. It was established that a number of service users had been assessed as able to self medicate. Where risk assessments and the views of prescribing doctors indicate unacceptable risk residents are provided with additional support to manage their medication. The routine observed at the time of the visit where some resident’s come to the office for medications may need to be reviewed, with the residents concerned. This was due to the practice appearing a little institutionalised for a service that is promoting greater independence and self-assertion with service users. The current service user guide and statement of purpose for the service would provide sufficient information for prospective resident’s to make informed choices about using the service. It would be helpful if time limits to residency were explained more explicitly in the guides. 29 Shaftsbury Road DS0000011831.V347572.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): Key Standards 6, 7 and 9 were assessed and quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessed needs and wishes of people using the service inform an individual plan that identifies their goals. People using the service are supported to make decisions about their own lives. Wherever needed, support is offered. People using the service are encouraged to be as independent as possible and are enabled to take risks as part of their daily lives. Risks are assessed and where support needs are identified this is provided. EVIDENCE: People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 12 the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. We case tracked a sample of records and documentation with three people. And was able to confirm good quality outcomes in each case verbally with the resident concerned. As identified above there are good quality assessments in place with appropriate risk assessments where needed. Assessments had clearly informed individual support/care plans and the residents and the staff member helping to complete the plan had signed each plan. Plans identified individual needs, preferences and goals. A daily record is maintained with the resident and this assists in the process of monitoring and review of progress for each person. Independence and social integration where evident as keystones to these documents, and there were many examples of good practice, and of residents leading full and meaningful lives. People using the service are supported and encouraged to take decisions wherever possible in connection with their daily live and their life plans for the future. One resident proudly announced that he was soon to move on to more independent accommodation. Residents’ were observed freely coming and going and where needed a staff member was available to support people. The management of risk appeared to be well handled, as mentioned above risk assessments are in place for activities where risk may be an issue, and residents are encouraged to lead independent lives that are informed by appropriate risk taking. A number of people are about ready to move on from the service to more independent living environments. A successful outcome for them, the staff and the service. 29 Shaftsbury Road DS0000011831.V347572.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): Key Standards 12, 13, 15, 16 and 17 were assessed and quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service People using the service are supported and encouraged to take part in activities that are appropriate to the age, goals, interests and culture of the person concerned. People using the service have opportunities for social inclusion, and take part in their local community as they wish. People are supported to maintain family links, and are encouraged to keep and make relationships as they wish. The rights and responsibilities of people using the service are promoted and respected. People eat when and where they choose, and eat what they want to eat. Staff offer guidance and support where needed, but resident rights are not infringed. Healthy eating is promoted, and people are supported in this area of daily living when needed. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 14 EVIDENCE: Records indicated that residents’ are supported to engage in a range of meaningful activities that are of interest, and use, to them personally. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. Members of the resident group also confirmed this verbally and in surveys. Each person is treated as an individual; this was evident from documents such as assessments and plans of support, to observing interactions on the day of the visit. People using the service also confirmed they are treated with dignity and respect by staff. People confirmed that they are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, and family relationships. There was evidence that people staying at the home are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. As identified above a number of people are soon to be moving on to more independent living. People are supported to eat healthily, but this does not infringe on their rights to make adult and informed choices. Feedback from residents at the time of the visit and via surveys confirmed that people were happy with the quality, quantity and level of support provided in this area of their lives. 29 Shaftsbury Road DS0000011831.V347572.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): Key Standards 18, 19 and 20 were assessed and quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service People are provided with support in ways that they control. People using the service take ownership of their support plans. People using the service are supported to access whatever help they need in such areas as physical and/or emotional health needs. People are supported to be as independent as possible in the area of selfmedication. There is clear guidance for staff members involved in any aspect of supporting self-medication or administering medicines. . EVIDENCE: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff members follow. If people take medicine, they manage it themselves if they can. If they cannot 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 16 manage their medicine, the care home supports them with it in a safe way. Risk assessments and consultations with prescribing medical professionals support safe practices in this area. The home works closely with other professionals and agencies involved in supporting the people who use the service. When staff members are involved in supporting people with their medication they follow clearly defined procedures based on guidance from the Royal Pharmaceutical Society, and they have been provided with appropriate training. 29 Shaftsbury Road DS0000011831.V347572.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): Key Standards 22 and 23 were assessed and quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The organisation listens to the views of people who use their services. People living at the home know how to make a complaint and who to speak to if they have a concern. The organisation has clear guidance with regard to promoting the protection of vulnerable adults who may use their services. Staff are trained in adult safeguarding, and are able to recognise signs of potential concern, and who to refer such concerns to. EVIDENCE: If people have concerns about the service, they know how to complain. Their concern is looked into and action taken to put things right. People confirmed this verbally and in the surveys. People said they felt the staff team listened them to. The statement of purpose given to all residents’ states – “There is a complaints procedure, including a step by step guide on how to make a complaint of which every service user is given a copy, and we actively encourage complaints to ensure that we are providing the best service possible. Service users can approach any member of staff or the manager with a complaint in the strictest confidence. The complaints leaflet gives details of how to take the complaint higher if necessary or to CSCI. Service users can access the local Advocacy service and we will support them to do this.” 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 18 The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. Staff members are provided with training in safeguarding, including the recognition of signs of abuse and/or neglect. 29 Shaftsbury Road DS0000011831.V347572.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): Key Standards 24 and 30 were assessed and quality in this outcome area is good This judgement has been made using available evidence including a visit to this service The home’s facilities are provided in the style of a hostel. The environment is well maintained, valuing, homely and safe. The home is clean and hygienic. . EVIDENCE: The home has enough space and facilities for people living there to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. The home are looking into closer working with an occupational therapist to further enhance and promote resident independence. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 20 Residents’ said their rooms feel like their own, the rooms seen were comfortable and residents said they feel safe at the home. People have privacy when using their own rooms, the toilets and bathrooms. All rooms are single. Other areas of the home are shared communally by all of the residents’. This means the home, which is quite large, is laid out like a hostel. Given this it would not be appropriate for people to be accommodated long term, and with this in mind the organisation were considering the reprovision of the service. However, since the investment in the environment the service could continue to provide a useful moving on facility to people seeking more independent living, but who still need some degree of guidance and support to re-gain or to gain skills, and confidence to live more independently. 29 Shaftsbury Road DS0000011831.V347572.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): Key Standards 32, 34and 35 were assessed and quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by competent staff who received training relevant to the needs of the people using the service. The organisation ensures that newly appointed staff members receive the necessary checks to promote the protection and safety of residents’. Staff members are supported and trained in areas that ensure that the joint and individual needs of people using the service are met. EVIDENCE: People have safe and appropriate support as there are enough competent, qualified staff on duty at the necessary times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. This service does not provide night staff cover. People are assessed as not needing this at the point of moving into the service. There are contingency 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 22 arrangements in place that people know how to use in emergency situations when staff are not on the premises. The statement of purpose states – “The service provides support between the hours 8:00am and 8:30pm. (This can change dependant upon the needs of the service users).” People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. There are two full time staff and one part time employed in this service, one that has completed her NVQ 3 on Promoting Independence and two who are about to start. All staff members have completed VRQ level two in medication. All staff members undergo a thorough induction, which includes gaining certificates in Food Hygiene, COSH, Fire and Manual Handling and also First Aid. All training is ongoing and updated regularly. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 23 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): Key Standards 37, 39 and 42 were assessed and quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is run to the benefit of people who use the service. People using the home have their views listened to, and the views of service users inform the development of the service. The health, safety and welfare of people using the service is promoted and protected. EVIDENCE: The Registered Manager of the service has completed her NVQ 4 in Management and her Registered Managers Award. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 24 People have confidence in the care home because it is run and managed appropriately. The manager of the home is qualified and continues to train in relevant areas as part of her ongoing personal and professional development. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. People confirmed that they felt listened to and that staff and management valued their views. The environment is safe for people and staff because health and safety practices are carried out, training is provided and appropriate procedures are followed. Staff members are aware of good practice in such areas as food hygiene, fire, manual handling and first aid. The organisation ensures that essential training in such areas as health and safety are provided and kept up to date. 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 25 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 26 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 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 29 Shaftsbury Road DS0000011831.V347572.R01.S.doc Version 5.2 Page 28 - 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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