Care Home: 3 Clareville Road

Similar services:

• Thorndene
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well The organisation has policies and procedures in place that ensure people who are thinking about moving into the home have their needs assessed to make sure the home will be suitable for them. They have detailed care plans and risk assessments in place to ensure their needs are met and they are protected form harm whilst being supported to lead fulfilling lives. People who live in the home are encouraged and supported to participate in a range of activities both within the home and the local community. People enjoy a healthy and balanced diet. People who use the service are protected by the safe handling of medication. They can be confident their physical and health care needs will be met. They are listened to and protected from abuse. People who live in the home benefit from the good facilities and the safe, homely and comfortable accommodation. They are supported by staff who have the qualities and training to meet their needs. Robust recruitment procedures protect people from harm. They can be confident the home is run in their best interests. Requirements made following the last inspection have all been met. The health and safety of people who live in the home is promoted. What has improved since the last inspection? The person in charge is qualified and competent to oversee the day to day management of the home and has made a number of improvements in the service including ensuring all requirements form the last inspection have been met. Management and administration of the home has improved to ensure the home is run in the best interests of the people who live there. Person centred care planning is being developed to ensure a holistic approach to meeting individual care needs. People are helped to choose how to live their lives through improved communication methods in line with people`s needs and abilities. Staff wear protective clothing whilst supporting individuals with personal care in order to protect people from the spread of infection. Arrangements are in place through regular supervision, staff training and access to relevant information to ensure staff promote the peoples` rights to be treated with respect and dignity. The laundry has been moved to the first floor of the home to ensure that it is fit for purpose and a safe place for people to use. Floor coverings throughout the home that are in good condition. The relocation of the laundry has improved storage facilities. Appropriate window dressing in bedrooms promotes peoples` privacy and dignity. Staff induction records are accurately maintained in order to evidence a structured induction has been undertaken. CARE HOME ADULTS 18-65 3 Clareville Road Caterham Surrey CR3 6LA Lead Inspector Ruth Burnham Unannounced Inspection 23rd September 2008 08:30 3 Clareville Road DS0000013483.V371682.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 3 Clareville Road DS0000013483.V371682.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. 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 3 Clareville Road Address Caterham Surrey CR3 6LA 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) 01883 340181 clareville@regard.co.uk The Regard Partnership Ltd Manager post vacant Care Home 10 Category(ies) of Learning disability (0) registration, with number of places 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (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 (LD). The maximum number of service users to be accommodated is 10. Date of last inspection 1st October 2007 Brief Description of the Service: 3 Clareville Road, Caterham is a detached three-storey house within the Regard Partnership Ltd, developed to provide accommodation for 10 service users with learning disabilities. The home is sited in a residential road with similar properties, and is within walking distance of local shops and amenities in the town centre of Caterham. Individuals bedrooms are situated on the ground and upper floors. There is a toilet on the ground floor, and all bathing and showering facilities are situated on the upper floors. This limits the homes suitability for individuals with mobility difficulties. Communal and recreational areas are situated on the ground floor with a quiet lounge on the first floor. Weekly charges per person range from £1223.90 to £1892.73 Holidays, clothing, and one to one support are extra and these are negotiated with the placing authority. 3 Clareville Road DS0000013483.V371682.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 the 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 08.30 and was in the Service for four and a half hours. It was a thorough look at how well the Service is doing. It took into account detailed information provided by the Service’s owner or manager and any information that CSCI has received about the Service since the last inspection. There are no Required Developments at the end of this Report. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We would like to thank the person in charge, staff and people who live in the home for their cooperation during this visit. What the service does well: The organisation has policies and procedures in place that ensure people who are thinking about moving into the home have their needs assessed to make sure the home will be suitable for them. They have detailed care plans and risk assessments in place to ensure their needs are met and they are protected form harm whilst being supported to lead fulfilling lives. People who live in the home are encouraged and supported to participate in a range of activities both within the home and the local community. People enjoy a healthy and balanced diet. People who use the service are protected by the safe handling of medication. They can be confident their physical and health care needs will be met. They are listened to and protected from abuse. People who live in the home benefit from the good facilities and the safe, homely and comfortable accommodation. They are supported by staff who have the qualities and training to meet their needs. Robust recruitment procedures protect people from harm. They can be confident the home is run in their best interests. Requirements made following the last inspection have all been met. The health and safety of people who live in the home is promoted. 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 6 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. 3 Clareville Road DS0000013483.V371682.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 3 Clareville Road DS0000013483.V371682.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): 3 People who use the service experience good quality outcomes in this area. People who are considering moving to the home and their representatives are given helpful information and opportunity to visit the home to help them decide if the home will be suitable for them. The homes admission and assessment procedures ensure people’s individual needs are understood and can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new people have moved into the home since the last inspection. The person in charge told us how admission processes are managed. The company have Customer Relationship Managers dedicated to each area of the company whose job is to ensure appropriate referrals are passed on to the most suitable service. Clareville Road has a detailed assessment process where people who are considering moving to the home, their advocates, families and care managers are invited to the home. Helpful information is available to help people decide if the home will be suitable for them. This information is contained in the statement of purpose, service user guide and code of conduct including a statement of terms and conditions. Information is provided in pictorial form to help people understand what the home has to offer. 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 9 People who are considering moving to the home can be confident qualified and competent people carry out their initial assessment to ensure needs can be met by the service and they will fit in with the other people living in the home. Wherever possible the assessment takes place in the person’s current home, so the environment that is currently meeting their needs can be viewed as well, gaining valuable information from current carers and/or family. In addition to this, the previous care homes care plan, risk assessments, historical information and the Care Managers assessment of needs, where available, is used to inform the assessment process and enable a planned transition to take place. Any specialist support needs are also identified at this stage. If the initial assessment shows the home will be suitable and people’s individual needs can be met, then they are invited to visit the home, meet other people who live there and the staff who support them. A transition plan is then agreed with the person. Usually the transition plan involves a few visits with the opportunity to share a meal, progressing to all day visits with lunch and dinner offered, to overnight stays. It is made very clear throughout the transition process that if the person is not happy with the home they can express this view and withdraw form the transition process. 3 Clareville Road DS0000013483.V371682.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): 6–9 People who use the service experience good quality outcomes in this area. People who live in the home have detailed care plans and risk assessments in place to ensure their needs are met and they are protected form harm whilst being supported to lead fulfilling lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People can be confident their individual needs and preferences are understood. Each person is assessed as an individual and their care plan developed according to individual need. Each person is involved in the planning and review of their care through keyworker meetings and regular reviews. People are encouraged to make decisions according to their individual needs and abilities. Staff understand how to support and guide people to make appropriate decisions. Keyworker meetings are held monthly and group resident meetings weekly, this gives people the opportunity to express their 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 11 views on the running of the home, weekly menu, décor of the home, staffing/keyworking and to suggest new activities they wish to do. For those with limited communication and choice making skills, pictures and photographs are used to support them to make choices and express ideas. Three care plans were sampled as part of the case tracking process. These documents include detailed information about each persons physical, personal and health care needs, their social skills, communication, independence, activities and daily living skills. Aims and objectives are clearly recorded. Clear guidance is provided for staff on how each person wishes to be supported with their personal care, their religion, and choices they make about how they wish to spend their day. Regular formal reviews of care plans are carried out and key workers undertake monthly reviews to monitor any changes. The person in charge confirmed that people have chosen not to attend places of worship. Interaction between staff and residents observed throughout the inspection was warm and supportive. People are protected form harm through good risk management processes. Care plans sampled included individual risk assessments, which provide guidance for staff on how to minimise risk in regard to all daily living activities. Risk assessments are reviewed regularly. This evidence found during the site visit supports the information sent to us in the Annual Quality Assurance Assessment (AQAA) completed by the provider as part of our inspection. 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 12 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 – 17 People who use the service experience good quality outcomes in this area. People who live in the home are encouraged and supported to participate in a range of activities both within the home and in the local community. They enjoy a healthy and balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Everyone who lives in the home has an individual weekly activities programme. People are supported to take part in a variety of activities and to be a part of the local community. Activities include the use of local facilities such as colleges, day centres, shops, pubs, restaurants/cafes, bowling alleys, cinema, library, sports centre, gym and trampoling centre. In addition to leisure and education activities, people also have independent living skills on their activity timetables such as 1:1 cookery, laundry and cleaning of their room. 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 13 Peoples rights are respected and the home encourages each person to work towards realistic goals. Each person has a copy of their individual activity timetable in pictorial form in their bedroom. The person in charge has made a number of improvements since the last inspection by revising, expanding and up dating individual timetables; day services have been secured for 2 people; a large package of sensory equipment has been purchased; additional in house games and activities have also been obtained. Regular trips are arranged, through residents and keyworker meetings, to the coast, local farm, theatre etc to take account of individual wishes and interests. People are supported to choose and arrange a holiday at least once a year. People are kept informed through information displayed on the two notice boards in the communal areas of the home including recent minutes if residents meeting, complaints procedure, activity schedules and photographs of staff who are working that day. Information is provided in pictorial form. There are no restrictions on visitors to the home. Staff support people to maintain relationships with their families and friends. Families are invited to be involved in the care of their relatives through attending reviews. Staff respect peoples privacy and dignity by knocking on bedroom doors before entering; calling people by their preferred names and providing personal care in the privacy of their own rooms. Staff at the home continue to use a variety of communication methods to support and promote equal opportunities for residents, enabling choices to be made. During this site visit staff on duty was observed interacting with people in an appropriate manner with patience and good humour, providing support as and when required. Information provided in the AQAA informs that Equality and Diversity are promoted through the organisation’s Equal opportunities Policies and Procedures and training. This evidence found during the site visit supports the information sent to us in the Annual Quality Assurance Assessment (AQAA) completed by the provider as part of our inspection. 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 14 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 – 20 People who use the service experience good quality outcomes in this area. People who live in the home are protected from harm through the safe handling of medication. They can be confident their physical and health care needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home can be confident they will receive the personal care and support they require. Each person is supported to choose the time they go to bed and get up in the morning, the clothes they wish to wear and their hairstyles. Peoples health is promoted. Care plans sampled show people are registered with the local GP practice, and have access to a Dentist, Optician, and Chiropodist, and all National Health Services as required. Records of all appointments and annual medical checks are maintained in individual care files. Records seen show health needs are monitored and any potential 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 15 problems are identified and dealt with. Staff know who to contact in an emergency for any immediate health concerns. The home has good links with the local community learning disability team. Referrals are made for additional support for people who have physical, emotional or health needs where professional input is needed. People who live in the home also have access to psychiatric services where needed, reviews are carried out every 3 months and more if required. The company also employs a behavioural analyst who regularly visits the service to conduct intensive observations and analysis of behavioural charts completed by staff as part of peoples behavioural support plans. People who live in the home are protected through the safe handling of medication. The home uses a monitored dosage system for medication ordering and recording. Internal medication audits are conducted in house every week. The pharmacist carries out a 6 monthly external medication audit. Records of medication received, administered and booked out for disposal are kept to ensure there is no mishandling. Medication is administered by staff working in pairs and individual record sheets and medication is checked 3 times a day at each changeover of shift. Each person has individual guidelines where medication is prescribed to be used as required. Homely remedies forms are agreed by the GP. Staff receive training in medication and do not administer medication until they have completed this course. 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 16 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 People who use the service experience good quality outcomes in this area. People who live in the home are listened to and protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission For Social Care Inspection has received one complaint about this care home since the last inspection, this related to an issue between staff at the home and did not directly impact the people who live there. This issue was investigated by an external agency and is now resolved. People who live in the home are listened to, staff recognise when they are unhappy and respond appropriately. The home has a robust procedure for concerns complaints and protection. The complaints procedure is explained to people who live in the home in residents meetings using role-play to help people to understand the information. The complaints procedure has been adapted in different formats suited to peoples individual needs and abilities. The procedure is displayed in the home. Complaints are recorded in the Complaints Log book. People are protected from abuse through good policies, procedures and staff training. Policies include whistle blowing, and safeguarding vulnerable adults, these are explained to staff as part of their induction, records seen show that all staff have signed to indicate understanding and agreement with these policies. All staff are trained on abuse awareness and refresher courses are 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 17 provided annually. The home has the local Multi Agency Procedure for Protection of Vulnerable Adults (MAPPVA) in place. 3 Clareville Road DS0000013483.V371682.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 People who live in the home benefit from the good facilities and the safe, homely and comfortable accommodation. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from the spacious, comfortable and safe environment. A tour of the premises was undertaken. The property is detached and the accommodation is on three floors, accessed by stairs. Everyone who lives in the home has their own bedroom, there is also a lounge, kitchen, dining room, quiet room, bathrooms, toilets, showers and office. The laundry has been moved inside the house to a room on the first floor, this has improved storage and made it easier for people to do their own washing with appropriate support from staff. There is a spacious, secure garden for people to enjoy. 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 19 Bedrooms are nicely furnished and personalised to the individual taste of the occupant. Everyone has had the opportunity to be involved in choosing the colour of his or her bedroom walls and carpet. Toilets and bathrooms are clean and well equipped. Communal areas of the home were clean, tidy and nicely furnished. There were no unpleasant odours in the home. 3 Clareville Road DS0000013483.V371682.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): 32 & 34 – 36 People who use the service experience good quality outcomes in this area. People who live in the home are supported by staff who have the qualities and training to meet their needs. Robust recruitment procedures protect people from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from the support of the well trained and committed staff team. The staff team consists of male and female staff. There are four staff on duty during each shift, including a senior. Each night there are two waking night staff on duty. Robust recruitment procedures ensure people who live in the home are protected. There are clear recruitment polices and procedures. Three staff files were sampled during this site visit. These show the home complies with the Regulations regarding employment of staff to work in care homes. Files sampled included application forms, two written references, photograph and proof of identification. The Criminal Record Bureau certificates are kept at the 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 21 organisation’s office, however, the reference numbers for all staff working at the home are recorded on the individual files. People are supported by a well-trained and supervised staff team who understand their individual needs. A training matrix is in place that is flexible to accommodate individual training needs. In addition to specialist training currently provided the person in charge agreed to source appropriate mental health training for staff relevant to the individual needs of people who live in the home. Abuse awareness training is refreshed annually. All new staff receive an orientation to the home and company within the first few weeks of employment, over the next 3-6 months all staff complete the Common Induction Programme. Records seen were up to date. All staff have a one to one supervision session each month. Information provided in the AQAA and during the site visit informs that more than 50 of the staff hold the minimum of NVQ level 2 or above. Staff meetings take place each month and staff are encouraged to add the to the meetings agenda in advance, they can contribute to ideas and raise any issues at the meeting. Thorough minutes are typed from every meeting and all staff are instructed to read and sign in agreement. All staff are given a copy of the homes values and the General Social Care Councils Code of Practice and their job description at induction stage. 3 Clareville Road DS0000013483.V371682.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): 37,39 & 42 People who use the service experience good quality outcomes in this area. People who live in the home can be confident the home is run in their best interests. Requirements made following the last inspection have all been met. The health and safety of people who live in the home is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People can be confident the home is run in their best interests. The person in charge at the time of the visit has been acting as manager of the home since January 2008 and intends to submit an application for Registration as soon as possible. The person in charge is qualified and competent to oversee the day to day management of the home and has made a number of improvements in the service including ensuring all requirements form the last inspection have been 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 23 met. The person in charge has completed the NVQ level 4 and Registered manager Award. There is an effective quality assurance system operating in the home ensuring a good service for the people who live there. Evidence found during the site visit supports the information sent to us in the Annual Quality Assurance Assessment (AQAA) completed by the person in charge. This document also shows there is a development plan to further improve services to people who live in the home. People are protected from harm through safe working practices. The home maintains a training matrix for all staff training. This shows staff are receiving the mandatory training as required. Staff at the home follow the organisation’s Health and Safety Policies and Procedures and have attended associated training. Information provided in the AQAA shows that annual safety checks of equipment and installations have been undertaken. 3 Clareville Road DS0000013483.V371682.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 X 2 X 3 3 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 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 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 3 3 X 3 X X 3 x 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA35 Good Practice Recommendations 3 Clareville Road DS0000013483.V371682.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 3 Clareville Road DS0000013483.V371682.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!