Care Home: 34 Lancaster Gardens

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What the care home does well What has improved since the last inspection? Since the last inspection visit the company`s contracts have been re-designed outlining what the service provides and the fees. Various parts of the home and garden have been improved to make it more homely. A new laundry has been built for no 34 as part of the new works being carried out when developing no. 32 Lancaster Gardens. The home have purchased a new car so there are now three for the people who live in the home to use. The quality assurance system has been developed. The manager has designed a development plan for the home outlining how the service is going to improve and based on the views of service users and their advocates. This is an ongoing process of achieving the goals set and designing the next plan. CARE HOME ADULTS 18-65 34 Lancaster Gardens 34 Lancaster Gardens Herne Bay Kent CT6 6PU Lead Inspector Julie Sumner Unannounced Inspection 9th August 2008 2:00 34 Lancaster Gardens DS0000023297.V366940.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 34 Lancaster Gardens DS0000023297.V366940.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. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 34 Lancaster Gardens Address 34 Lancaster Gardens Herne Bay Kent CT6 6PU 01227 368915 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) scottthompson@fchltd.co.uk fchltd.headoffice@virgin.net Family Care Homes Ltd Mr Scott Thompson Care Home 12 Category(ies) of Learning disability (0) registration, with number of places 34 Lancaster Gardens DS0000023297.V366940.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 - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: 2. Learning disability - LD The maximum number of service users who can be accommodated is: 12 14th August 2006 Date of last inspection Brief Description of the Service: 34 Lancaster Gardens is a detached house situated in a quiet residential area of Herne Bay and is owned by the private company ‘Family Care Homes Ltd’. The home is registered to provide personal care and support to up to 12 adults with learning disabilities between 18 to 65 years of age. The registered service is in two parts one based at 34 Lancaster Gardens and one based at 32 Lancaster Gardens. The service focuses on developing social skills, providing support with communication difficulties and providing positive behaviour support for people who have learnt to behave in a way that limits their lifestyle opportunities. The service provided at number 32 is designed for people with more complex health and communication needs. The service at 34 is for people with more challenging behaviour. The current fees for the service at the time of the visit range from £480.29 to £971.00. Information on the home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The provider web address is included in the previous page with other contact details. All rooms are for single occupancy and have a wash hand basin unless this is not required. One room has en suite facilities. There are 2 bathrooms. There are 2 lounges and a separate dining room. There is a garden to the front with plenty of off street parking at the front. The garden to the rear has seating 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 5 including a swing seat. There is a small summerhouse where some of the administration is carried out. The home is decorated and furnished in a style that suits the people living in the home and effort is made to provide a homely environment in consideration to safety and some individuals’ preference for minimal belongings. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 6 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. This report is based on information received about Lancaster Gardens including an annual quality assurance assessment (AQAA) completed by the registered manager and a visit to the home lasting just over 5 hours. The visit was unannounced, which means that the people living in the home, staff and homeowners did not know that we (the commission for social care inspection CSCI) were calling. Since the last inspection visit the home has changed. There is now another building that is part of the registration. This is at no 32 Lancaster Gardens. Information was gathered for this inspection in a variety of ways throughout the year, since the last inspection visit and during the visit to the home. The visit included talking with people living in the home, the manager and staff. General observations were made during the day of how people are supported. There was a tour of the building and various records were inspected. Requirements and recommendations made at the previous inspection visit had been acted on and none were made at this visit. What the service does well: There are good assessments and support plans. Work is progressing with making the plans person centred. The staff team work hard to provide different communication methods and work with other professionals to support individuals to express themselves. Opportunities and safeguards are also put into place with advice from other professionals to provide a secure, safe environment. The aim is to enable service users to develop skills to overcome behaviour that challenges and widen lifestyle choices. There is a good range of activities available and people are supported to attend college and participate in activities in the community as independently as possible. Both homes are clean and well organised with service users’ preferences and needs in mind. Bedrooms are personalised and the décor dependent on individual preferences. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 7 The people living in the home are supported to maintain contact with their families. People are supported well to manage their own health care as much as they are able. There is a good complement of staff working different shifts to accommodate service users’ lifestyles. A good range of training is provided to give staff the skills and confidence to support individuals effectively. The people living in the home are supported to express their views and concerns and say what they want to do. They are also well supported to develop their confidence and skills in social situations. The home is well managed. The manager has a clear idea of what needs to be achieved to continue to develop service provided. What has improved since the last inspection? What they could do better: The person centred plans need to be continued so that they are the central part of the written plan of support for each person. Continue to improve and develop the service provided in the direction that the manager is steering it. Please contact the provider for advice of actions taken in response to this 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 8 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. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Significant time and effort is spent making admission to the home personal and well managed. Individuals are well supported to settle into the home and the assessment process is thorough and person centred. EVIDENCE: No one has moved in or out of 34 Lancaster Gardens. Since the last inspection visit 32 Lancaster Gardens has been modified, registered and was made ready for people to move in. Four have moved in and one person is provided with phased care at the week ends. It has been decided for the time being that the other bedroom will remain vacant and is being used as an office. Statement of purpose and service user guides have been reviewed and updated. The service user guide can be made available in various formats. The registered manager designed a service user induction. This sets out guidelines for staff and a plan of how the individual assessments would be conducted in a structured way over the first 3 months of living in the home. It is also the basis of a plan of support for each individual to assist them settling into the home and initiate their personal support plan. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 11 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 12 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, 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service recognises the right of individuals to make their own decisions and support people in a positive way. EVIDENCE: Service user plans contain a person centred part which is written from the individuals’ perspective. There is a widely differing level of ability throughout the home. Some people fully understand and agree the contents of their plan and others have less understanding and the contents are agreed with care managers. One of the plans was looked at during the discussion with the registered manager. The registered manager has started to formulate short term medium and long term goal planning in anticipation of the person centred plans format being agreed. He has designed a framework and examples for staff. The examples seen showed good, valuable activities, realistic timescales and something that 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 13 would be meaningful to the person and improve the quality of their life. And increase the actual opportunities for doing something interesting and fun. The company hold manager’s meetings monthly where the home managers get together. At the recent meetings there has been discussion about the format of the care plans and developing the person centred plans has been debated. Shortly after the inspection visit the area manager said that at the last meeting the new person centred format had been decided. The community speech and language therapist has been involved and given the staff team advice to increase individual communication skills. There are communication aids around the home for individuals in making decisions about their lifestyle. Keyworkers get to know individuals and ascertain their wishes from behaviour and facial expressions. Some of the reports and individual information were looked at. There are meetings every 3 months for the people living in the home to express their views. These are taken into account when making decisions around the home. The systems for supporting individuals with their money were discussed. There are various budgets and a clear recording system to account for transactions made on behalf of individuals. Senior staff are able to access the cash so that if anyone wants to go out they can go. Risk assessments are in the same format as they were at the last inspection visit. There clear guidelines for staff to minimise risk and include assessments for activities like swimming and going on the trampoline outside in the garden. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 14 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): 12, 13, 15, 16, 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use services are able to enjoy a full a stimulating lifestyle with a variety of options to choose from. EVIDENCE: A variety of activities are organised in the home and in the local community. Each person has an assessment of what support they need, what social skills they need to develop and what their interests are. Different types of activities are arranged around this. There are communication notice boards on the wall in the hall of no 34, to assist service users in knowing what tasks need to be completed and what events are happening so that they can make an informed choice throughout the day. There is a chest full of games and indoor activities in no 32. It was raining on the day of the visit. We had a cup of tea and talked about what happens in the home. People said that they had been out in the morning. There are outdoor games, a swing and a trampoline in the 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 15 back garden. They had been playing football and had bounced on the trampoline in the morning. Some of the records were looked at and also the staff talked about the different activities provided. These include going swimming at a local hotel where the pool can be hired exclusively, going out to college, arts and crafts and going out for drives and walks. Some of the people living in number 34 are more able and they also enjoy hobbies like playing golf and going out for meals and to the pub, which they have spoken about previously. One person has a touch screen computer and records showed that when he uses this he gets a lot of enjoyment from it. In one of the service user meetings held in the home, one person asked for a new car and said he wanted a big, green one. The company have purchased a 7 seater car and it is green. In the written support plan there is a section about who is important to each person and details of families and friends are included with records of contact. One person was at home with his family for the day. The home work with families to support contact by assisting with transport and drawing up guidelines to minimise challenging behaviour. The people living in the home participate with the menus and the meal preparation. The amount depends on their ability and whether they like cooking. Mealtimes are flexible and are arranged around activities. There are communication aids to assist with food choices. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Personal support is responsive to the varied and individual needs and preferences of the people who live in the homes. Individuals are healthy and are encouraged to participate in the management of their own health. EVIDENCE: The way each person likes to be supported is assessed and written in their support plan. The staff are getting to know the people who have moved into no 32 and reviewing the initial assessments as needed. Health action plans have been written for each person and have been designed to assist them to understand as much as possible about their own health care. Health care appointments are kept in diary for each home. There are 3 vehicles so staff can take individuals for health appointments. Staff commented there is good communication in the home in the surveys received. Support is also given by the local learning disability team for speech and language, occupational therapy and psychology when required. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 17 Staff spoke about medication administration and the training. All the staff have attended the medication asset training and the Boots monitored dosage administration training. New staff do not give medication out until they have completed the training and have had a competency assessment. Staff said they are always supervised with medication administration at least twice before they can do it. The registered manager audits the medication to prevent and pick up on any errors. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people living in the home are supported to voice their concerns and the procedures in the home protect people from abuse. EVIDENCE: The home has a complaints procedure, whistle blowing procedure and safeguarding adults procedure. Staff have signed the procedures to say that they have read and understand them. There is a quick reference to numbers of who to call if there is an alert or if staff need support. All contact numbers and addresses are in this. Staff are clear about what to do if there is an incident during the evening or weekend. There has been one complaint about noise coming from the home. The home have not had any direct contact with the complainants and have not yet had the opportunity to resolve it themselves. This inspection visit was made during the weekend and the home was calm and quiet at this time. All staff have attended safeguarding adults training. There are procedures in the home and written guidelines for staff to manage challenging behaviour in each person’s support plan. Staff spoken to demonstrated an awareness of how to support each person appropriately and safely. 34 Lancaster Gardens DS0000023297.V366940.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): 24, 30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The living environment is appropriate for the particular lifestyle and needs of the people living there and is clean, safe and comfortable. EVIDENCE: The staff showed us around the homes with particular attention to no 32 as this was the first inspection visit since its inclusion in the homes registration. The kitchen is large enough to include people wanting to help prepare meals if they wish to. There are also sitting areas that people could use should they wish to talk to or be with staff while they are preparing meals. The lounge and dining area is large enough to accommodate five people and staff to support them and is big enough if people want to have friends or family over. All the doorways have been adjusted to meet the standard for wheelchair use. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 20 There are five large bedrooms well above the national minimum standard for new registration. All have en-suits, three have walk in shower in the en-suits. The room has sufficient storage space. These bedrooms are on the ground floor. One person has en-suite toilet without shower prefers baths and the bathroom is next door has flush floor shower and specialist bath. There is one communal toilet and one communal bathroom both at ground level. Specialist lifting equipment has been purchased to support individuals. There is a good size garden which has a very large patio with ramps to the side of the house and the access into the patio and garden area is wide enough for large wheelchair use. The manager and staff have been making improvements to both homes to make they more homely as they were sparse. There is carpet in hall and pictures on walls to make it more homely. Staff said they are planning to find out which colours individuals like, as they get to know them, to decorate their bedrooms. Bedrooms have pictures and belongings, a sensory room has been provided and there have been some improvements to the garden making the home and garden more colourfull and attractive. Laundry is carried out in the two homes separately. A new laundry has been built for no 34. There is one sluice in this laundry area. This is a new machine and has been deemed suitable by an environmental health officer. There is a separate washing machine and tumble dryer is situ in the Kitchen of no 32. All staff have attended infection control training and are aware of health and safety procedures with regard to the cleaning products that are used in the home. 34 Lancaster Gardens DS0000023297.V366940.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): 32, 34, 35 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people living in the home have confidence that the staff will support them to meet their needs. EVIDENCE: Both homes in Lancaster Gardens have almost a full compliment of staff but they are losing two staff to the new home in the company, Heron House. This home has just been registered with CSCI and one of the senior staff has been successful in becoming the registered manager. Each home has a core staff group. Two people in 32 need one-to-one support. Staffing level reflects this. 2 hour overlap of shifts for staff during day between 1-3 We discussed staff recruitment and looked at the recruitment folder. Staff send out application forms if a person enquires about a job. And there is a form that is filled in for the manager. The manager explained that senior staff carry out the initial interview for new staff. They write their comments in folder for the manager to take into consideration. When looking at the information during the visit, it was easy to see which stage the recruitment was at for each person. Two references are requested and these are taken into account at the 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 22 second interview. All staff have a POVA first check before starting work. Criminal record bureau checks are requested at the same time as the POVA checks and are usually returned in two weeks. New staff have an induction that is based on the Skills for Care ‘common induction standards’. This includes essential training needed to support the individual needs of the people who live in the home. Training in management of challenging and aggressive behaviour is planned for new staff to occur in the next few days. The company have also related the induction training to the policies in the home. The staff induction file contains all the policies and staff sign when they have read them. There is a good staff training programme. This includes training in the related health conditions and aging process of people with Down’s Syndrome, training in autism, epilepsy and different communication methods. Advice has been given by the speech and language therapist and the community learning disability team to assist in providing the right support for individuals. Staff talked enthusiastically about the training they had attended recently. They explained about the intensive communication training they had received to support one of the people in the home and how they felt this had really improved his ability to interact with everyone. 34 Lancaster Gardens DS0000023297.V366940.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): 37, 39, 42 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The manager has a clear understanding of the aims and focus of the service. The manager promotes equal opportunities, has good people skills and understands the importance of person centred care and effective outcomes for people who use the service. EVIDENCE: The registered manager has developed and improved parts of the service since the last inspection. All requirements and recommendations made at the previous inspection that are within the registered manager’s control have been met or are in the process. 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 24 The company has developed the quality monitoring system in the homes. The manager showed us the recent meetings that have been held where people living in the home and staff express their opinions. The manager has created a development plan for the home and some of the plans have been put into place. Since the last inspection visit the company have employed an area manager who supports the home managers and provides a link between the home and the directors. The area manager carries out unannounced visits to the home, to comply with regulation 26, to monitor the service and bring any issues to the attention of the manager and staff. At the management meeting last month it was agreed that each manager is reviewing one policy each a month so that all the company policies get reviewed. The manager said he is currently reviewing the physical intervention policy. The environmental health officer gave the home 5 stars at the most recent food hygiene inspection. The home have produced a file to use in emergencies. It is clearly marked and designed to grab in the event of an emergency so that they can easily access all necessary information. This includes the plan and guidelines for full evacuation in emergency including fire, next of kin contact numbers and contact numbers for directors and other homes. The staff have attended fire training and other training required by law for health, safety and wellbeing. The training matrix is on the office wall and was looked at and showed that the necessary training is up to date and ongoing. Staff talked about their fire training. This had been held in the home and they had had the opportunity to set off fire extinguishers. One senior staff in each house is responsible to monitor and carry out checks on the fire equipment in the home. Another member of staff is also trained so they can cover when the allocated senior is off. Another member of staff has been here about 9 months and he said he is going to be trained in this too. 34 Lancaster Gardens DS0000023297.V366940.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 3 2 4 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 4 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 4 x 3 x x 3 x 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 26 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 34 Lancaster Gardens DS0000023297.V366940.R01.S.doc Version 5.2 Page 27 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 34 Lancaster Gardens DS0000023297.V366940.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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