Care Home: 38 Redgate Court

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What the care home does well The home offers accommodation and care for people with learning disabilities together with a sensory impairment. Prospective residents are invited to visit the home as often as they need to before a decision is made about whether they will live there. This makes sure that staff are able to fully assess that person`s needs in the home and everyone who lives at the home can meet the new person. Assessments are completed before people move into the home, they have contracts with the home and they say they have enough information before they move in. Referrals to healthcare professionals are made when needed and everyone at the home has access to a behavioural specialist on a regular basis. Personal care and support is given in the way each person prefers and this is recorded in the care records so all staff members are familiar with preferences that cannot be easily expressed. People told us in returned surveys that they are able to do what they want and there is a range of activities inside and outside the home. Activities take place within areas used by the local community, such as swimming pools and cinemas, or those used by other people with learning disability. One person is able to visit stables and help take care of the horses. The family and relatives of people who live at the home are included in their lives. The home takes steps to make sure contact is maintained and keeps notes of conversations so that the person living at the home is able to refer back to them. The home has policies and procedures that guide staff in dealing with complaints and protection from abuse issues. There have been no complaints or adult protection issues since the last key inspection. A quality assurance survey is carried out every year at the home, where people are asked what they think of the care and the environment in which they live. Staff members have enough training to make sure they can care for people properly. All staff are given training in British sign language and other communication techniques when they start working for the home, if they don`t already know these. Records are also kept of the health and safety checks that are carried out, which means the home can show if things are in good working order and what they have done to repair problems. There are also records of the any money that is kept on behalf of people living at the home, which shows clearly what the money is spent on. What has improved since the last inspection? There were two requirements and one recommendation made at the last inspection. Both requirements have been met. We could not see if the home has considered the recommendation as no new people have started living at the home. We carried out a random inspection in January 2008 to look at medication practices. There were some issues at that time and three requirements were made. During this inspection we found that there has been an improvement in the recording and the storage of medication. Recruitment checks are completed properly before people start working at the home, so that new staff members are safe to work there. Work that we asked the home to do to make sure people are safe when first floor windows are open has been done and restrictors have been put on these windows. What the care home could do better: The amount of information written in care plans is good, but the plans are not always updated when things change. This information can be found in other documents, but needs to be part of the care plan so that staff can quickly find it and it can be included in reviews of the plan.One third of the staff has a National Vocational Qualification, or its learning disability equivalent (LDAF) at level 2 or above. The recommended level is 50% of staff with this qualification. Although there are a range of activities available and people are able to use community facilities, staff members told us there are not always enough staff available to take people out. Staffing levels are usually high enough for people to do what they want, but there are occasions when this is not possible. Staff members said, "sometimes when staff are on annual leave or sick or a vacancy we can`t do activities outside the home because of staff numbers" and "people can`t always go out and do socialising, but I understand staff levels cannot always be met". CARE HOME ADULTS 18-65 Redgate Court (38) Peterborough PE1 4XZ Lead Inspector Lesley Richardson Unannounced Inspection 6 October 2008 12:10 th Redgate Court (38) DS0000015130.V370998.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 Redgate Court (38) DS0000015130.V370998.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. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redgate Court (38) Address Peterborough PE1 4XZ 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) 01733 313501 01733 313501 www.sense.org.uk Sense, The National Deafblind and Rubella Association Sally Porteious Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD only in association with SI Date of last inspection 10th October 2007 Brief Description of the Service: 38 Redgate Court consists of a purpose built property, situated on a residential estate on the north - eastern edge of Peterborough. The home is a two-storey, semi-detached property in an accommodation complex catering for adults with learning disability. It is owned by Sense and provides care and support for up to 6 people with learning disability, associated with sensory impairment. Fees for the home range between £1,287.63 and £1,777.05 per week. The home has 6 individual bedrooms; 5 on the upper floor and 1 on the ground floor. There is a bathroom with shower and toilet on both floors, an open planned lounge dining area and a kitchen. There is a conservatory leading to the large, well-maintained garden, which is shared with the adjoining house. The home is within walking distance of local shops, pubs, a post-office and public transport. Peterborough city centre is about 5 miles away and is easily accessed by public transport. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection of this service and it took place over 4 hours and 20 minutes as an unannounced visit to the premises. It was spent talking to the manager and staff working in the home, observing the interaction between people living at the home and the staff, and examining records and documents. The requirements from the last inspection have been met. There have been no further requirements or recommendations made as a result of this inspection. Information obtained from the Annual Quality Assurance Assessment (AQAA) and from returned surveys was used in this report. Three surveys were returned from people living at the home. We also received six surveys from staff members. What the service does well: The home offers accommodation and care for people with learning disabilities together with a sensory impairment. Prospective residents are invited to visit the home as often as they need to before a decision is made about whether they will live there. This makes sure that staff are able to fully assess that person’s needs in the home and everyone who lives at the home can meet the new person. Assessments are completed before people move into the home, they have contracts with the home and they say they have enough information before they move in. Referrals to healthcare professionals are made when needed and everyone at the home has access to a behavioural specialist on a regular basis. Personal care and support is given in the way each person prefers and this is recorded in the care records so all staff members are familiar with preferences that cannot be easily expressed. People told us in returned surveys that they are able to do what they want and there is a range of activities inside and outside the home. Activities take place within areas used by the local community, such as swimming pools and cinemas, or those used by other people with learning disability. One person is able to visit stables and help take care of the horses. The family and relatives of people who live at the home are included in their lives. The home takes steps to make sure contact is maintained and keeps Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 6 notes of conversations so that the person living at the home is able to refer back to them. The home has policies and procedures that guide staff in dealing with complaints and protection from abuse issues. There have been no complaints or adult protection issues since the last key inspection. A quality assurance survey is carried out every year at the home, where people are asked what they think of the care and the environment in which they live. Staff members have enough training to make sure they can care for people properly. All staff are given training in British sign language and other communication techniques when they start working for the home, if they don’t already know these. Records are also kept of the health and safety checks that are carried out, which means the home can show if things are in good working order and what they have done to repair problems. There are also records of the any money that is kept on behalf of people living at the home, which shows clearly what the money is spent on. What has improved since the last inspection? What they could do better: The amount of information written in care plans is good, but the plans are not always updated when things change. This information can be found in other documents, but needs to be part of the care plan so that staff can quickly find it and it can be included in reviews of the plan. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 7 One third of the staff has a National Vocational Qualification, or its learning disability equivalent (LDAF) at level 2 or above. The recommended level is 50 of staff with this qualification. Although there are a range of activities available and people are able to use community facilities, staff members told us there are not always enough staff available to take people out. Staffing levels are usually high enough for people to do what they want, but there are occasions when this is not possible. Staff members said, “sometimes when staff are on annual leave or sick or a vacancy we can’t do activities outside the home because of staff numbers” and “people can’t always go out and do socialising, but I understand staff levels cannot always be met”. 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. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. People and staff have enough information before anyone moves into the home, which means they are able to make a well thought out decision about living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a policy and procedure to guide staff members when people are referred to the Sense organisation or express an interest in living at the home. A pre-admission assessment is obtained from the placing authority, and the home completes its own assessment of needs. Staff said people are able to visit the home for increasing amounts of time until a decision can be made about whether they can live at the home or not. This is because the communication difficulties and challenging behaviours experienced by people who live at this home can sometimes mean that even if individual needs can be met, this would not be the best outcome for people already living at the home. We received three surveys from people living at the home and they all said they had been asked about moving to the home before they did move in, and they had enough information. No new people have been admitted to the home since the last inspection. Redgate Court (38) DS0000015130.V370998.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 and 9 Quality in this outcome area is good. People are able to make their own decision and staff support them to do this safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who commented in surveys said they get the care and support they need from staff members. We saw that during the inspection staff talk to people with respect and have a good understanding of their routines, likes and dislikes. One person commented in a survey, “staff, happy”. Care plans for 3 people were looked at as part of this inspection. They show that each person has a plan that gives staff members’ information about what they need to do to meet most of the identified needs. Risk assessments, for things like falls and moving and handling, are completed and reviewed regularly. Each person also has a daily log, which is a smaller folder that contains only the current information and a brief care plan. This is much easier to manage and people are able to take these with them during the day for other care and education professionals to use. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 11 We found the care plans give staff members’ advice about how to meet each person’s needs, but that they hadn’t all been updated when reviews show there has been a change. However, this information is available in other documents used by staff at the home, so the information is available. For example, there are behaviour guidance documents that give staff a lot of information about people, how people behave when they are not happy, what may trigger these and what staff should do to support the person and find out what the problem is. We expect staff at the home to be able to improve the amount of information that is written in care plans when there are changes without the need for a requirement. People are able to make everyday choices about when to get up and go to bed, how to spend their days, whether that is in their own room, in the main lounge/dining area. We saw and listened to how staff members interact with people and found they ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. Risk assessments are available and show staff what they need to do to support people in helping around the home. We saw in one person’s care records that they like to go out for a drink at the end of the week, but tend to drink quickly. There is a risk assessment for this person drinking hot drinks and what staff should do to reduce the risk of injury, and a risk assessment for drinking alcohol and what staff should do to make sure the person isn’t at risk in this situation. Redgate Court (38) DS0000015130.V370998.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 and 17 Quality in this outcome area is good. Social and educational activities provide stimulation and opportunities for community links for people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living at the home take part in day placement and workshop activities during the day for four days a week. Each person has a day at home during the week, so that they can also take part in specific activities they enjoy. For example, one person visits stables run by Sense and helps look after the horses. Staff at the home work closely with each placement to make sure there is continuity and the placement is aware of any ongoing issues that arise. People living at the home are able to take part in activities, such as swimming and bowling, at local venues, and attend clubs and entertainment venues aimed at the general public and their peer group. The three people who returned surveys said they are able to do what they want at all times during Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 13 the week. One staff members said the service “makes sure they make decisions for themselves and have lots of opportunities to access the community”. However, comments made by four other staff members returning surveys show that staffing levels are not always high enough for this to happen and that sometimes people are not able to go out. People are able to go to their rooms alone and their movement around the home is not restricted. Doorbells and flashing lights are fitted to room doors to make sure privacy is maintained. Staff support people to take part in housekeeping tasks, which makes sure they are able to develop and keep skills and take responsibility for their home. One person said, “we all help clean my bedroom”. Staff encourage people to keep in contact with family and friends; they are able to communicate by telephone or letter and staff members help them to organise visits to relatives. Care records show details of telephone conversations with family members, so that people are able to refer back to them. The people who live at the home go with staff members on shopping trips and help with food preparation. Snacks are available throughout the day and people, who are able to, can make drinks when they wish. Fresh fruit and vegetables are offered and meals are prepared on a daily basis. There is clear information and guidance in care records for people who have difficulty eating a balanced diet. Redgate Court (38) DS0000015130.V370998.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 and 20 Quality in this outcome area is good. Care and medication records are completed accurately and in enough detail to ensure the health and welfare of people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is information in care records to show health care professionals, such as opticians, dentists and audiologists are contacted for advice and treatment. Each person has a health information report that includes details of latest visits by health care professionals and how staff are to care for specific health concerns. A separate file is also kept that records immediate and short-term medical needs and medication arrangements. No one living at the home is responsible for giving their own medication. A random inspection was carried out in January 2008 to look at medication administration after we were told about concerns by a health care professional. The random inspection found concerns in the way medication is stored, information about changes to medication, and records to show the reason medication wasn’t given. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 15 Medication administration records (MAR) were looked at for the people whose care records we looked at. The MAR sheets are completed and there are no records with entries missing. Entries for medications that have not been given show the reason for this and staff clearly record the amount of medication given when there is a variable dosage. Care records include information about ‘as required’ medication, why and when it should be given. Amounts of medication remaining in blister packs of medication tally with the amount the MAR indicates are remaining. Medication is now stored in a locked trolley in a lockable cupboard and storage temperatures are at a more acceptable level for the safe storage of medication. Redgate Court (38) DS0000015130.V370998.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 and 23 Quality in this outcome area is good. People know how to make complaints and concerns known and can be confident that these will be listened to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the people who returned surveys said they know who to speak to and they know how to make a complaint if they have to. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. Most staff members said they know what to do if they receive a complaint. We were told before the inspection there have been no complaints made to the home in the last 12 months. One person told us about concerns about medication and we looked into this during the random inspection. There were some issues found and the home has changed how it carries out medication procedures and improvements have been made. The staff training matrix shows that all staff members have received training in safeguarding (adults protection) within the last year. We talked to one staff member who told us what should be done if abuse was suspected. Information provided to CSCI before the inspection shows there have been no safeguarding referrals or investigations in the last 12 months, although one has since been started. An allegation was made about three staff members and the organisation has taken appropriate measures to investigate this and keep people safe. One staff member is no longer employed by the service. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 17 We looked at the records that are kept to show money kept at the home on behalf of the people who live there. The records are accurate and clearly show when money has been taken out, what it was spent on, and how much has been returned. The deputy manager audits the system regularly to make sure any mistakes are quickly found and resolved. Redgate Court (38) DS0000015130.V370998.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 and 30 Quality in this outcome area is good. The home is generally clean and provides a safe environment, giving most people a pleasant place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was generally clean and tidy, décor is domestic in appearance and people who live there are comfortable with the layout. There were no offensive odours and the risk of cross infection is reduced, as access to the laundry is away from the kitchen and eating areas. One person who returned a survey said the home is always fresh and clean, the other two people said the home is sometimes fresh and clean. Work has been completed to put restrictors on first floor bedroom windows and straighten patio paving in the garden. This means people can safely open their windows and walk in the garden. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 19 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, 33, 34 and 35 Quality in this outcome area is good. There are enough staff members most of the time with the training and skills to be able to care for people properly. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The training matrix shows new staff members are given induction training, which includes mandatory health and safety training and ‘Skills for Care’ induction training. Staff members who returned surveys said, I have worked in a few houses in the last eight months and am very impressed with how well the houses are ran and how well trained all the workers are to support the service users and apart from regular Sense training our manager picks out relevant things at the time either to do with things that involve the deafblind persons such as long care training but also include things like the capacity act. Additional training is given to staff so that they are able to properly meet peoples needs, for example training to properly manage challenging behaviour, communicate with people and to be able to give specialised medication. The matrix shows all staff members have received training in Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 20 these subjects, although there are a few people that have not received updated training in some areas. We spoke to one staff member who told us they a have National Vocational Qualification at level 2, but information in the AQAA tells us no staff have this qualification. The manager told us that 4 staff members have the qualification and another staff member is completing it, which will make the total only 33 . The recommended number of staff with a NVQ is 50 . We spoke to two staff members during the inspection who said staffing levels are high enough and are at the same level at weekends as during the week. Two thirds (4 out of 6) of the staff members who returned surveys said staffing levels are high enough to be able to meet people’s needs. Comments show that the manager tries to fill staff vacancies with bank staff or permanent staff working extra shifts, but that covering sick leave is difficult. People living at the home who returned surveys said they are able to do what they want at all times. However, there were a lot of comments in the returned surveys saying that because of the high dependency needs of people living at the home, staffing levels do not always allow for them to go out. From the comments made this doesn’t appear to be all the time, but may be enough to prevent people going out on more than the odd occasion. Staff members said, “sometimes when staff are on annual leave or sick or a vacancy we can’t do activities outside the home because of staff numbers” and “people can’t always go out and do socialising, but I understand staff levels cannot always be met”. We looked at recruitment records for three staff members employed since the last inspection and they all contained the appropriate recruitment documents including references, application forms, and POVA/CRB checks. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 21 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, 41 and 42 Quality in this outcome area is good. The home is a safe place to live and people are asked their opinion so that things they are not happy with are changed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been working at the home since 2006 and registered with The Commission for Social Care Inspection in October 2006. She has previous experience caring for people with learning disability and associated sensory impairment, and was the registered manager in another home within the Sense organisation. She also has a Registered Managers Award and has completed a NVQ level 4 qualification in management. We spoke to the deputy manager about the most recent quality assurance survey. She said a survey has been done this year, although the report is not Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 22 yet out. Last years survey is available in office, and gives a thorough report of what was found and shows how issues are to be addressed. We asked the home to complete and return an Annual Quality Assurance Assessment (AQAA) before the inspection. They did this within the time we asked for it and they gave us the information we asked for. Money is kept by the home on behalf of people living there; access can be gained through staff members who keep an accounting system for credits and withdrawals. The records for three people were looked at and found to tally with the money available for these people. Information provided before this inspection shows equipment, like hoists, lifts and fire-fighting equipment has been serviced or tested as recommended by the manufacturer. We looked at fire equipment around the home and checks for emergency lighting and alarm testing. These have been tested and checked when they should be and the information recorded. Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 23 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 2 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 2 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 Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 24 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 Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Redgate Court (38) DS0000015130.V370998.R01.S.doc Version 5.2 Page 26 - 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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