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Care Home: 35 Worth Crescent

  • 35 Worth Crescent Stourport on Severn Worcestershire DY13 8RR
  • Tel: 01299822515
  • Fax: 01299829087

The home is a large, detached building located in a residential area on the outskirts of Stourport -on-Severn. Accommodation is provided on two floors and service users are accommodated in single bedrooms. The home does not have a lift. However, people who have mobility problems or require the use of a wheelchair can be accommodated in the two single bedrooms on the ground floor. The home has ramped access at the front entrance and ramped access to the rear garden. Worcestershire County Council operates the home and the Responsible Individual is Amanda Nally. The registered manager is Miss Tanveer Shah. The main purpose of the home is to provide a respite or short stay service for younger adults with mild to moderate learning disabilities. Some of the people who use the service may also have physical disabilities or mental health problems. The home is able to provide accommodation and care for a maximum of ten people or `guests`. In addition, the home is also able to provide day and evening care for a further five people at any given time. Details of the fees for staying at Worth Crescent are available in the Service User Guide.

  • Latitude: 52.348999023438
    Longitude: -2.2950000762939
  • Manager: Miss Tanveer Zahra Shah
  • UK
  • Total Capacity: 10
  • Type: Care home only
  • Provider: Worcestershire County Council Home Care Services (DCA)
  • Ownership: Local Authority
  • Care Home ID: 18382
Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 28th December 2007. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for 35 Worth Crescent.

What the care home does well People are given information about the home, and the chance to visit before they stay for short breaks at Worth Crescent. People are given help and support to do the activities they choose. People who stay at Worth Crescent are supported to keep in touch with their families and friends. People can choose what they want to eat from the healthy menu that is available. Worth Crescent looks after people well and writes down what help everyone needs. Worth Crescent makes sure that all staff are trained to give medication safely. Staff are trained to help them understand how to give people the support they want. Worth Crescent makes sure that suitable staff are employed and that all checks are made to keep people safe. The manager has the skills and experience to make sure the service is well run. The management team supports staff. What has improved since the last inspection? The statement of purpose and service user guide has been updated to show the changes in senior management for the service. More information is now obtained for people when they are admitted as an emergency to stay at Worth Crescent. Up to date risk assessments are now held on everyone`s file. Activity records are being kept to show how people spend their time when they stay at Worth Crescent. The choice of meals and the selection of food people can have is much better. More fresh vegetables and fruit are available for people to eat. Some areas of the home have been decorated and there are now pictures and decorations that make the building seem more homely. There is now a small office at the front of the building that is easier to access for everyone. The kitchen has been redecorated and new equipment fitted. A review of the service provided at Worth Crescent has been completed. This has included asking for comments from other people such as medical professionals and families. All staff now have their own training plan where all training is recorded. The plan is kept up to date. What the care home could do better: The service at Worth Crescent has improved and this needs to continue. It is very positive to see such progress. CARE HOME ADULTS 18-65 Worth Crescent, 35 35 Worth Crescent Stourport on Severn Worcs DY13 8RR Lead Inspector Dianne Thompson Key Unannounced Inspection 28th December 2007 10:00 Worth Crescent, 35 DS0000037501.V347780.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 Worth Crescent, 35 DS0000037501.V347780.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. Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Worth Crescent, 35 Address 35 Worth Crescent Stourport on Severn Worcs DY13 8RR 01299 822515 01299 829087 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) www.worcestershire.gov.uk Worcestershire County Council Miss Tanveer Zahra Shah Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate people for short-term care only. The home may provide day and evening care for up to five additional persons at any time. The home may accommodate service users who have an additional physical disability, sensory impairment or mental disorder. 16th November 2006 Date of last inspection Brief Description of the Service: The home is a large, detached building located in a residential area on the outskirts of Stourport -on-Severn. Accommodation is provided on two floors and service users are accommodated in single bedrooms. The home does not have a lift. However, people who have mobility problems or require the use of a wheelchair can be accommodated in the two single bedrooms on the ground floor. The home has ramped access at the front entrance and ramped access to the rear garden. Worcestershire County Council operates the home and the Responsible Individual is Amanda Nally. The registered manager is Miss Tanveer Shah. The main purpose of the home is to provide a respite or short stay service for younger adults with mild to moderate learning disabilities. Some of the people who use the service may also have physical disabilities or mental health problems. The home is able to provide accommodation and care for a maximum of ten people or guests. In addition, the home is also able to provide day and evening care for a further five people at any given time. Details of the fees for staying at Worth Crescent are available in the Service User Guide. Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to see what it was like for people to stay for short breaks at Worth Crescent. Time was spent talking with the manager and some of the staff working at Worth Crescent. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. We spent some time looking at records in the office. We sent out surveys to get views about the service from other people. There was no-one staying at the service at the time of the inspection visit, but comments received from surveys have been included in this report. The registered manager completed an Annual Quality Assurance Assessment (AQAA) and sent this to the Commission for Social Care Inspection (CSCI). Information from the regular monthly visit reports and notifications sent to the CSCI have been included in this report. What the service does well: What has improved since the last inspection? The statement of purpose and service user guide has been updated to show the changes in senior management for the service. More information is now obtained for people when they are admitted as an emergency to stay at Worth Crescent. Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 6 Up to date risk assessments are now held on everyone’s file. Activity records are being kept to show how people spend their time when they stay at Worth Crescent. The choice of meals and the selection of food people can have is much better. More fresh vegetables and fruit are available for people to eat. Some areas of the home have been decorated and there are now pictures and decorations that make the building seem more homely. There is now a small office at the front of the building that is easier to access for everyone. The kitchen has been redecorated and new equipment fitted. A review of the service provided at Worth Crescent has been completed. This has included asking for comments from other people such as medical professionals and families. All staff now have their own training plan where all training is recorded. The plan is kept up to date. 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. Worth Crescent, 35 DS0000037501.V347780.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 Worth Crescent, 35 DS0000037501.V347780.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information about the service provided at Worth Crescent is made available in different formats so people can understand it. Assessments are completed before people start using Worth Crescent short break service. These assessments make sure that individual needs can be met. EVIDENCE: Information about the service, a Statement of Purpose and Service User guide are available. Information is available in different formats such as pictures and symbols, large print and audio to make it is easier for people to understand. Details of fees are available in the Service User Guide. There are policies and procedures in place for assessing potential people who wish to use the service. It is evident that these are followed for new admissions to the service. Surveys confirmed that information about the service is shared, and that people are kept up to date with important issues. Evidence was seen to show that full Community Care Assessments have been received and that in addition Worth Crescent completes their own assessment. When a person comes to Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 9 stay at Worth Crescent care plans are written based on the information from the assessments, visits and discussions with families and other interested parties. The manager states in the AQAA that ‘Each service user who is refered to Worth Crescent will have a Short Term Breaks Assessment completed in partnership with the service user, parents and carers which states likes and dislikes’. ‘A service user guide has been developed in pictorial form. This is issued to all service users maximising the information about accessing Worth Crescent for Short Term Breaks to enable an informed choice to be made if they wish to access Worth Crescent’. Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual needs are being well met by the staff at Worth Crescent. Care plans are completed to make sure that information is available so staff can provide consistent support. Risk assessments show how risks are to be reduced and how independence is promoted and maintained. EVIDENCE: Care plans for two people were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. From the plans examined it was evident that support is being provided in an individual way to make sure each person’s needs are being met. Information provided in care plans includes details of likes and dislikes, diet, Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 11 communication and personal care. One member of staff said that ‘it is easy to look up stuff’ in the care plans. Evidence includes information about the methods of communication people use or understands, such as signs and symbols, makaton, audiotapes, and objects of reference. There is evidence to show that the service works with other agencies to make sure they are involved in the review of support plans for people. Each person is allocated a key worker to oversee his or her care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Staff said they work with the care plans to ‘make sure everyone works in the same way’. Regular key worker meetings are held and the agenda for the forthcoming meeting was seen. Minutes of these meetings are available. Regular team building exercises are carried out during the staff meetings, with the aim to encourage diversity and an open approach. Risk assessments are completed to keep people safe, with suitable guidelines for assistance as necessary. Completed risk assessments have dates for planned reviews and explore ways to make sure that people are able to be as independent as possible. All risk assessments have been transferred to the new Worcestershire County Council (WCC) format and have been reviewed as part of this process. Family surveys confirmed that care given is what they expected or agreed with the service. Survey comments include ‘the staff are very welcoming and helpful’ and ‘the staff make sure that people enjoy their stay at Worth Crescent’. Worth Crescent, 35 DS0000037501.V347780.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): 12, 13, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People receive help and encouragement to enjoy their stay at Worth Crescent. Everyone is encouraged and supported to make new friends and keep in touch with existing friends. Dietary needs are generally well catered for with a varied and healthy menu provided. EVIDENCE: A range of activities is promoted for people who use the service, both in-house and within the local community. Activities include going into town, shopping, watching TV, going to the local pub and day trips, swimming, bowling and arts and crafts. Everyone is given the opportunity to take part with events arranged to each person’s abilities. Staff said that opportunities are discussed regularly with people who use the service and the planning of more activities is being developed. At the time of Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 13 the inspection visit the service was waiting for the quiet room to be fitted with sensory equipment, which will include a soft area, projectors and bubble tubes. A newsletter has been produced which tells people what is happening in the service. The manager said this has been well received and plans to produce these newsletters regularly. Comments received from people who use the service include ‘I like the staff at Worth Crescent’, ‘we do lots of different things’ and ‘I like going to the pub’. Evidence shows that regular contact with friends and family is essential in the running of the short break service. The manager and staff talked of the importance of communication with families to make sure that all information is up to date, but also to make sure good communication links are maintained. Records show that varied and nutritional meals are provided and alternative meals where these have been chosen. This is much improved since the previous inspection visit. Fruit and vegetables are freely available and used regularly. Hot foods are regularly temperature tested. Worth Crescent, 35 DS0000037501.V347780.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, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Details of all personal and healthcare needs are clearly identified in care plans. These plans inform staff how care is preferred and makes sure that support is provided in a consistent way. Worth Crescent has a medication policy and procedure for staff to follow to ensure that all medication is administered and stored safely for the protection of everyone who uses the service and staff. EVIDENCE: All care plans include detailed information about each person’s health needs. These plans sets out how health needs are to be met. Records show that regular checks and monitoring are being carried out, and that all records are updated each time people stay at Worth Crescent. Evidence shows how information is used to make any changes to each persons support if it is needed. The manager states in the AQAA that ‘all service users have their personal and health care needs and routines documented in their Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 15 care plans so these needs can be met in the way they prefer and require’. People have good access to medical support during their stay at Worth Crescent. The manager states in the AQAA that ‘The service has positive links and input with other relevant professionals such as the communication team, behavioural service, community and district nurses, OTs, psychiatrists and with psychology professionals’. Medication is well managed by the staff at Worth Crescent. Medication is stored securely and given to people at the right time and full records are kept which show this. A medication policy and procedure is in place and provide guidelines to follow should any medication error occur. Additionally, procedures advise that errors are to be reported to the CSCI. Survey comments received from health professionals include ‘staff are competent, confident and comfortable in supporting people with diverse needs’. Worth Crescent, 35 DS0000037501.V347780.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are protected from abuse. They have access to easy to understand information about how to complain and staff support people to express their views and any concerns they may have. There are suitable procedures in place for the management of complaints. EVIDENCE: Procedures are in place that guide responses to any allegations of abuse and in managing any complaints made about the service provided. Staff receive training in abuse awareness. A copy of the local WCC procedures is also available. The complaints procedure is available in different formats so that people who use the service can access the information more easily. Staff support people who stay at Worth Crescent should they wish to make a complaint. Survey responses show that people are aware of the complaints procedure and that no complaints have been made. The manager said the service has received one complaint and that all procedures were followed within the required timescales. The CSCI has not received any complaints about Worth Crescent. The manager states in the AQAA that ‘the service has a open and transparent culture about complaints and concerns. All service users, parents and carers have received a copy of the complaints procedure in the most appropriate Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 17 format. All complaints and concerns are recorded and dealt with in the timeframe set by Worcestershire County Council’. There are suitable finance procedures in place. Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who stay at Worth Crescent enjoy a comfortable and homely living environment. The home is spacious and is kept clean and well maintained. EVIDENCE: A tour of the home was conducted. The home is a large, detached building located in a residential area on the outskirts of Stourport -on-Severn. Accommodation is provided on two floors and people are accommodated in single bedrooms. The home does not have a lift. People who have mobility problems or require the use of a wheelchair can be accommodated in the two single bedrooms on the ground floor. The home has ramped access at the front entrance and ramped access to the rear garden. Rooms are well equipped and individually decorated. Some areas of the home have been redecorated since the previous inspection visit. The manager said that everyone has worked to make the building seem more homely, and this is Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 19 evident in the range of pictures and photographs that are hanging on the previously bare walls. The kitchen has been refurbished since the last inspection visit. This has been very well done and the manager said that the building work was well planned and this meant that disruption to the service was reduced. There is evidence that specialist equipment is used. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Paper towels and liquid soap is available in communal bathrooms. All cleaning materials are locked in the laundry room. Staff were seen wearing suitable protective clothing for the work they were doing. Worth Crescent, 35 DS0000037501.V347780.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, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are sufficient staff on duty with the right skills and knowledge to meet the needs of people who stay at Worth Crescent. Staff are well supported and work together to provide consistent and good quality care. Staff receive relevant training to help them meet the needs of people who use the service. Recruitment policy and procedures make sure that suitable staff are employed. All necessary checks are made to ensure the safety of everyone who stays at Worth Crescent. EVIDENCE: Worth Crescent has a committed and stable staff team. Agency staff are not employed. The manager said the staff team are very well motivated and actively seek ways to improve the lives of the people who use the service. Time was spent with two members of staff on duty at the time of the inspection visit. All staff confirmed that they receive regular support and supervision. One person said ‘everybody is really supportive’ and feels ‘comfortable asking questions’. Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 21 The service now has waking night staff and the staff say this means that ‘they are not doing sleep ins now, so people are more alert and not so tired on shift’. WCC provides regular staff training. Staff complete mandatory training such as Health and Safety, Fire Safety, First Aid, Food Hygiene, Moving and Handling, Infection Control and Vulnerable Adults. Staff said that the training provided is very good. The manager states in the AQAA that ‘the staff team are positive about training and the service promotes training that build upon skills and competencies of the team to enable them to support service users appropriately’. Feedback from surveys was positive, indicating that staff support was ‘excellent’ and that the ‘they look for ways to help people develop their skills while they stay at Worth Crescent’. Recruitment policy and procedures ensure that everyone completes an appropriate application form and that required references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. Recruitment records were seen for two members of staff. The records are well maintained and contain all the required information and safety checks. The manager states in the AQAA that ‘the service undertakes recruitment in line with the organisations policy that meets CSCI requirements’. All newly employed staff complete the LDAF Induction Course and Service Induction. The Induction process makes sure new staff familiarise themselves with the home, with people who use the service and in safety matters. Worth Crescent, 35 DS0000037501.V347780.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and staff receive the leadership and support they need. Worcestershire County Council monitors the service to make sure that the health and welfare of people using the service is protected. EVIDENCE: The Registered Manager Tanveer Shah is well qualified and has many years experience working with people who have learning disabilities. Ms Shah regularly completes training relevant to her position. Management responsibilities in the home are shared with a deputy manager and two seniors. They are involved in organising the running of the home, health and safety promotion, staff supervision and induction. An administrator also supports the home. Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 23 The Annual Quality Assurance Assessment (AQAA) was completed and submitted prior to the inspection visit. The AQAA was informative and provided relevant insight into the strengths of the service and areas where future work will focus. The provider’s monthly visits are one of the ways to monitor the service and how it is being run. These visits include interviews with staff and people who use the service. The planned audit of the service includes checking records, environment, complaints received, finance and safety. Any actions that may be needed to address shortfalls are specified. Additionally, the service carries out a six monthly quality audit which incorporates collecting the views of a sample of service users accessing Short Term Breaks at Worth Crescent. A copy of the most recent quality audit was provided during the inspection visit. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff undertake all mandatory health and safety training topics. Generic risk assessments are in place. Worth Crescent, 35 DS0000037501.V347780.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 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 Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Worth Crescent, 35 DS0000037501.V347780.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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