Care Home: 4 Vallance Gardens

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What the care home does well People have an assessment of their needs before they move to the home so that they know their needs will be met. People that live in the home are supported with their health needs and are kept safe from harm. People in the home benefit from a comfortable home environment and support with their daily activities in the home and the local community. Person centred planning is in place to help people take control of their lives and make their own decisions. The people that run the home listen to the views of the people that live there and make regular checks of the service to make sure it provides high quality support. Each person that lives in the home has their own keyworker who helps them to review their plan and meets with them to discuss their support each month. People`s different ways of communicating are respected and lots of aids to communication are in place, including signing, photo books and objects of reference. What has improved since the last inspection? Since the last inspection lots of areas of the service have improved. Person centred planning has been introduced to support people to make their own decisions about their care and their futures. Staff have had training in Person centred planning and also in other important areas of care. An activities coordinator has been employed to help people to plan their daily activities. Since the last inspection people are going out to activities in the community more frequently. Photos are now being used to help people keep a record of the activities they enjoy doing.Staff have had more training in the values and principles of care. The Manager has reviewed the routines of the home and the service is now being run around the needs of the people that live there. A new picture menu and photo menu book has been developed to help people make choices about their meals. New lighting has been added to the hallways to make it easier for people to make their way to their rooms independently. New carpets have been fitted to some areas of the home. What the care home could do better: The people that live in the home must have the use of dining tables that meet their needs. Enough dining chairs should be available for service users and the staff that support them. It is recommended that the seating arrangements for mealtimes be reviewed to ensure that everyone has a comfortable dining experience. People`s preferences about who supports them with intimate personal care should be included in their person centred plan. People in the home would benefit from more staff achieving the NVQ qualification in care. CARE HOME ADULTS 18-65 4 Vallance Gardens Hove East Sussex BN3 2DD Lead Inspector Jo Griffiths Key Unannounced Inspection 22nd February 2008 11:00 4 Vallance Gardens DS0000014142.V357967.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 4 Vallance Gardens DS0000014142.V357967.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. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 4 Vallance Gardens Address Hove East Sussex BN3 2DD 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) 01273 749626 01273 749695 www.caremanagementgroup.com Care Management Group Ltd Mrs Sharon Lesley Lacey Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. That service users are aged between 25 and 65 years upon their admission The maximum service users to be accommodated is 10. That the category of service users admitted have a learning disability, not falling within any other category Two service users aged over 65 years at the time of admission, within the service user category of learning disability (LD) may be accommodated. 21st March 2007 Date of last inspection Brief Description of the Service: 4 Vallance Gardens is a care home, which is registered to provide accommodation for up to 10 residents with physical and learning disabilities. The home is owned and run by Care Management Group (CMG) who are a large organisation that provides care for people with learning disabilities. The home is located in a quiet residential area in Hove near to the seafront. There is good access to local amenities and public transport. There is no parking available at the home, but parking is available in the adjacent streets. The home is a three-storey building, which comprises of 10 single bedrooms, three of which have en-suite facilities, in addition to two bathrooms. There is a large communal dining / living room area on the ground floor with level access to a rear garden. The home also has a user-friendly kitchen and a sensory room. All bedrooms are located over the ground and first floor. There is a stair lift available to assist residents to access the first floor landing. The home provides personal care and support to residents who are funded by Social Services. The home’s fees as of 22nd November 2006 range between £971.00 and £1621.00 per person per week. Additional costs are charged for hairdressing (£20 - £25, personal toiletries (£3 - £5 per week) and some social activities (£ variable). Prospective residents and their relatives are provided with written information regarding the services and facilities provided at the home prior to admission. A copy of the home’s most recent inspection report is available on request. 4 Vallance Gardens DS0000014142.V357967.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 is the report of a key inspection of 4 Vallance Gardens. This inspection was unannounced. As part of the inspection the manager of the home completed an Annual Quality Assurance Assessment (AQAA) and sent it to the Commission. The inspector also visited the care home on 22nd February 2008 between 11.00am and 3.30pm. The manager was at the home during the inspection and all the service users were at home at various points during the inspection. What the service does well: What has improved since the last inspection? Since the last inspection lots of areas of the service have improved. Person centred planning has been introduced to support people to make their own decisions about their care and their futures. Staff have had training in Person centred planning and also in other important areas of care. An activities coordinator has been employed to help people to plan their daily activities. Since the last inspection people are going out to activities in the community more frequently. Photos are now being used to help people keep a record of the activities they enjoy doing. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 6 Staff have had more training in the values and principles of care. The Manager has reviewed the routines of the home and the service is now being run around the needs of the people that live there. A new picture menu and photo menu book has been developed to help people make choices about their meals. New lighting has been added to the hallways to make it easier for people to make their way to their rooms independently. New carpets have been fitted to some areas of the home. 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. 4 Vallance Gardens DS0000014142.V357967.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 4 Vallance Gardens DS0000014142.V357967.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): Standard 2 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have a full assessment of their needs before they move into the home and have their needs kept under review. EVIDENCE: There have been no new people admitted to the care home since the last inspection. The people in the home had an assessment of their needs before they moved into the home and since then have had regular reviews of their needs to ensure their care plan continues to meet them. The assessment of people’s needs covers their physical care and support needs, emotional and social needs and any cultural or religious requirements. Their preferences regarding their care have been acknowledged. The home is able to support people from a wide range of backgrounds and with a variety of needs and disabilities. Staff undertake training in Equality and Diversity as part of their induction. The care plans for two people were inspected and they showed that regular reviews had taken place and where individuals’ needs had changed this had been reflected in their care plan. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 9 Comprehensive documentation is available for assessing the needs of any person looking to move into the home. The organisation has a clear referrals and admissions policy. 4 Vallance Gardens DS0000014142.V357967.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): Standards 6, 7 and 9 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have a Person centred plan that meets their needs and aspirations. People are supported to make decisions about their lives. People are supported to take reasonable and assessed risks as part of an independent lifestyle. EVIDENCE: The care plans for two of the people using the service were inspected. The plans have been changed since the last inspection to ensure they are more person centred. The plans clearly acknowledge people’s views about what is important in their lives, what activities they enjoy and would like to do in the future and what support they need on a daily basis. The plans also include photos as well as the written text so that service users can understand their own plan. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 11 The daily notes evidenced that people are supported to make choices about things each day, such as the meals they would like, and how they would like to spend their time. Again these were complemented with photographs to aid service users understanding and involvement in their records. Some service users use objects of reference or signing to help them to communicate with others. These methods were seen to be used during the inspection. Staff were observed to respect service users decisions, for example, where they would like to go for the afternoon, what they would like to eat or which staff member supports them. The Manager said that some service users prefer to have carers of the opposite gender to support them with their personal care. People’s preferences should be included in their care plan to ensure staff are aware of them. These should be reviewed with service users at regular intervals so that they are aware they can request a carer of the same gender at any time. Each person has a monthly meeting with their keyworker to discuss their care plan, how things are going and make future plans. Records are kept of these meetings and it was evident through the records that issues raised by service users are followed up and responded to. Risk assessments had been completed for daily living activities, the environment and any personal risks to service users. These had been kept under review. 4 Vallance Gardens DS0000014142.V357967.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): Standards 12, 13, 15, 16 and 17 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People in the home are supported to take part in activities that suit their preferences and interests. They are supported to be a part of their local community. People are supported to build and maintain relationships and friendships. The routines of the home are person centred and people’s rights are respected. People enjoy a healthy diet and plenty of choice in their meals. EVIDENCE: There is a new activities coordinator in post. He works 5 days a week and supports service users to plan their daily activities. Activities are arranged on 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 13 an individual basis and service users are supported to undertake them by the staff on duty. New opportunities are explored with people as well as regular activities that they have enjoyed doing for some time. Some people use day centres and others use local community facilities. Records are kept each day of the activities each person has done and how successful they have been. Photographs are used to support the records so that service users can relate to them and be involved in writing the records. A photo book of activities has been developed to help service users choose how they would like to spend their time. There was evidence in the two care plans inspected that people have been supported to choose their holiday. People spoke about going to shows at the local theatres and Brighton Centre. There were posters in the home advertising events. The activities coordinator helps staff to plans activities for when he is not on duty and the staff report back on the success of these. The Manager and staff said that since the creation of the activity coordinator role the levels of community activities for service users had improved. People are supported through their person centred plans to maintain contact with friends outside of the home. Daily records showed this was happening. At the time of the inspection people in the home were preparing for a 60th birthday party for one of the service users. They were enjoying making decorations for the room. The person whose birthday it was said that she was having a party the following day and had been able to invite whomever she wanted. Everyone said they were looking forward to the party. During the inspection people were seen to come and go from various activities, including a walk on the seafront, coffee out and shopping. The staff said that each week the service users plan the menu and all have the opportunity to choose a dish for that week. A picture book has been developed to help people to choose their meals. If people do not want the planned menu option for that day they can choose to have something else. This was seen during the visit as one person chose to have something different and staff respected this decision. The routines of the home have been reviewed and staff have undertaken training in values and principles of care. The routines of the home are now more flexible and based around the needs of the people that live there. For example, people were seen to be engaging with staff and their choices and decisions were respected. At the mealtime staff were seen to talk with service users and not just with staff. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 14 The midday mealtime was observed. Most people sat at one of the two dining tables. Two people that use wheelchairs sat in the lounge area with a tabletop tray between their two wheelchairs. Staff were supporting these people to eat their meals. One service user had their meal plate balanced on their lap. The Manager said that both people had been uncomfortable sitting at the meal table with others and were happier to sit in the lounge. The Manager must ensure suitable tables are available for people in wheelchairs. It is recommended that the Manager review the seating arrangements at mealtimes to ensure that both these people experience a comfortable dining experience. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported with their personal care in the way they prefer. People have their health needs met and are supported to take their medication in a safe way. EVIDENCE: People’s Person centred plans state the support that they need from staff with their personal care. Personal care is always delivered in private in bathrooms or bedrooms. The planned improvements to the bathroom facilities will make this more comfortable for service users with mobility difficulties. As described earlier in this report, the Manager said some service users prefer support with their personal care to be given by a member of the opposite gender. It is positive that staff respect people’s decisions regarding this, but the Manager should ensure that these preferences are recorded on the plan and kept under review so that the person maintains control over this support. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 16 Each person has a health action plan and two of these were inspected. They are written in a person centred way and include all areas of health need and screening. Records of support from healthcare professionals are maintained. It was evident that health issues had been followed up and recorded. The medication policy has been reviewed since the last inspection to include how any medication errors will be avoided and managed. All staff have read and signed this new policy. A staff member was observed giving out medication during the visit. This was done in a manner that demonstrated respect for the service users and maintained their dignity. A minor issue was noted as the staff member did not lock the medication cabinet whilst going elsewhere in the room to give out medicines. This could present a risk to service users if they were to access the cabinet. The Manager noticed and dealt with the situation immediately. All staff that administer medication have an assessment of their competence to do so and records of this were seen on the staff files. The Manager said that eight members of staff are currently undertaking a distance-learning course in medication to increase their knowledge of good and safe practice. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People know how to make a complaint and can be assured they will have their concerns taken seriously. People living in the home are safeguarded from harm and abuse. EVIDENCE: The home has a complaints procedure that is produced in an easy to read format and is displayed in the home and in the Service User Guide. Service users spoken with said they knew that they could speak with a staff member if they were worried about anything. There are regular opportunities for service users to raise concerns about their support. There are monthly keyworker meetings and the Manager or Deputy Manager are always available for service users to speak to. The Manager sees relatives that visit the home regularly and some people have the support of advocates. There have been no complaints received by the home or by the Commission since the last inspection. The home has a policy for safeguarding the people in the home from harm and abuse. All staff have a Criminal Records check before they start work and 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 18 references are taken up. All staff undergo a full induction to working with people with learning disabilities and how to safeguard people. Staff on duty were aware of the Safeguarding adults policy and the whistle blowing policy. They understood how to report any concerns in the home. There have been no Safeguarding adults alerts in the home. 4 Vallance Gardens DS0000014142.V357967.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): Standards 24, 27, 28, 29 and 30 People that use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a safe, clean and hygienic home and have access to appropriate communal space. People would benefit from some improvements to the bathroom facilities to ensure they are comfortable and have the specialist equipment to meet their needs. EVIDENCE: Currently the bathroom facilities include a bathroom with standard bath and tracking hoist to ensure that people with mobility difficulties can access the bath. Most bedrooms have an ensuite toilet and basin. There is also a separate toilet to the ground floor. The main bathroom has some damp to the walls and so is not a comfortable environment for service users to use. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 20 At the last inspection a requirement was made to improve and update the bathroom facilities, particularly for people with limited mobility. This issue has been acknowledged by the provider and plans are being developed to improve the facilities. The Manager said that a surveyor had visited to assess the facilities, but that timescales for completion of the works have not yet been issued. The provider should inform CSCI of the timescale for completion for these works. The home has a large lounge/dining room. Most service users were seen to be relaxing in the lounge or joining in with the activities in the home during the inspection. Not all service users eat their meals at the dining tables as the Manager says they have chosen not to. Staff that were supporting people to eat their meals had to collect plastic garden chairs from the garden to sit on as there are insufficient numbers of dining chairs. More dining facilities should be provided to ensure everyone can be seated comfortably when being supported with their meals. New lighting has been fitted one of the hallways following a requirement at the previous inspection. This has improved visibility for service users, particularly those with visual impairments. New carpets have been fitted in some areas. The kitchen is spacious and fitted with lowered worktops so that service users who use wheelchairs can assist in preparing their meals. All areas of the home were clean and hygienic. 4 Vallance Gardens DS0000014142.V357967.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): Standards 32, 34 and 35 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are supported by a trained and competent team, but would benefit from more staff achieving the NVQ qualification. Service users are safeguarded by the procedures for recruiting staff to the service. EVIDENCE: The staff recruitment files that were inspected showed that safe and robust systems are in place to ensure that staff only commence employment after all the necessary background checks have been made. This is part of the home systems for safeguarding the people in the home from abuse. The staff training files that were inspected showed that new staff complete the ‘skills for care’ induction programme and undertake all the core training they need to ensure they can safely support service users. In addition they have completed training courses in Learning disabilities, Dementia and Loss and 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 22 Bereavement. Since the last inspection some staff have undertaken training in Person centred planning and Intensive Interaction. This has helped them to begin developing person centred plans with individuals in the home. 9 staff members have completed or are working toward their NVQ award. The Manager stated that some staff who had achieved the award have moved on from the home since the last inspection. There are plans in place to register more staff to complete the award this year in order to meet the minimum standard of 50 of the team being qualified to this level. This will benefit service users who can be assured they will be supported by qualified and competent staff. 4 Vallance Gardens DS0000014142.V357967.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): Standards 37, 39 and 42 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home. They are consulted on their views of how the service is run and can be assured their views will inform any review of the service. The health, safety and welfare of service users is promoted in the home. EVIDENCE: The Registered Manager of the home has completed the Registered Managers Award and plans to undertake the NVQ level 4 award in Care. The Manager has been running the home for many years and has a good understanding of the 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 24 needs of the service users. The Manager keeps herself up to date through various training courses and through networking with other agencies. The people that live in the home are consulted on their views of the service formally once a year by the organisation. This also includes surveying other stakeholders and relatives. The results of the annual survey are published and each home has its own action plan. The Manager is currently working toward the recent Quality Assurance action plan and had a copy available to show the inspector. In addition, service users have regular opportunities to give their views of the service through the keyworker meetings they have each month. There are also weekly menu planning meetings and the Manager ensure she spends time with each person during the week. The provider ensures that the home is assessed each month by a visiting Quality Manager to ensure the standards of care are meeting the expectations of the service users. Reports of these visits (regulation 26 visits) are held in the home. The Manager has updated risk assessments for the home since the last inspection and has taken action to improve areas of the home, such as the lighting, to ensure the safety of service users. Staff are trained in health and safety matters and the Manager carries out regular health and safety assessments of the care home. The Manager has recently consulted with the fire regulation officer to ensure fire safety regulations continue to be met in the home. The health and welfare of service users has been further promoted since the last inspection through the reviewing of practices and routines in the home. People are being supported in a more individualised and person centred way. 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 2 28 2 29 2 30 3 STAFFING Standard No Score 31 X 32 2 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 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X 3 3 X X 3 X Version 5.2 Page 26 4 Vallance Gardens DS0000014142.V357967.R01.S.doc 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. 1. Standard YA29 Regulation 23(2)(j) Requirement That suitable assisted bathing facilities are provided in order to meet the assessed needs of residents. The provider has assessed the building and is developing plans to update the bathroom facilities. 2. YA28 23(2)(g) That sufficient numbers of suitable dining tables and chairs be provided for use by service users and the staff that are supporting them. 31/05/08 Timescale for action 30/06/08 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 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 27 1. YA6 That people’s preferences about the gender of the staff that support them with intimate personal care be recorded in the person centred plan. That the seating arrangements for mealtimes be reviewed to ensure that all service users experience a comfortable and relaxing mealtime. That a minimum ratio of 50 of care staff are qualified to at least NVQ Level 2 or equivalent. 2. YA17 3. YA32 4 Vallance Gardens DS0000014142.V357967.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent 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. 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