Care Home: 45 Jubilee Road (Chartwell House)

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Kestrel House, St Anne`s Opportunity Centre,
• Pinta

What the care home does well The home welcomes people who will use the service and their families or representatives, to visit the home and assess the facilities of the home. The manager actively seeks information from external healthcare professionals as part of the assessment where necessary, to ensure that the home is able to meet assessed needs. People who live at the home receive good support for a wide range of needs, which can be challenging both to them as individuals and to the staff. The staff are able to provide a good service because it is based on their knowledge, experience and training. This is supported by the detailed care plans and other written documentation, which have been agreed by the individuals or their representatives. People moving into the home are assured that the home that they are entering will meet their needs. For example, staff are well trained and show perception and professionalism in the way they deliver care, which enables people who live at the home to feel safe and enjoy a varied and companionable way of life. Staff treat people who live at the home with respect; they share their companionship and give support sensitively. Detailed records were in placethat gave staff information that enabled them to provide the help that individuals needs and encourage risk taking as part of daily life activities. Health care was promoted through the use of tools that assist with monitoring the nutritional needs of individuals when that was necessary. The home has also developed good working relationships with healthcare specialists. Daily routines in the home were flexible and people who use the service being encouraged to make choices for themselves and exercise personal autonomy as far as was reasonably possible. People who live at the home were positive about the food that the home provided and were pleased with the range of activities in which they could participate and the condition of the accommodation that they occupied. People at the home, relatives and staff had confidence in the effectiveness of the home`s manager. Systems and procedures in the home worked well including, dealing with complaints, quality monitoring, and health and safety. The residents are encouraged to communicate freely about how they feel and what they want. The staff appear to be supported by the manager and the company to meet the support needs of the people who use the service. What has improved since the last inspection? There were no requirements for action from the last visit. However the home has made improvements in its care plans with more detailed information on how staff can support individuals. The home has been decorated and new furnishings bought. What the care home could do better: There were no requirements for action made as result of this visit. CARE HOME ADULTS 18-65 45 Jubilee Road (Chartwell House) Waterlooville Hampshire PO7 7RE Lead Inspector Val Sevier Unannounced Inspection 14 March 2008 09:30 th 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 45 Jubilee Road (Chartwell House) Address Waterlooville Hampshire PO7 7RE 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) 023 9243 3699 Mr David Rodgers To Be Confirmed Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2006 Brief Description of the Service: 45 Jubilee Road is a privately owned service for three people who have learning disabilities. Since the last inspection a new manager has been employed, although they are not yet registered with the CSCI. The home is a three-bedded bungalow with an office in the roof space. It is in a residential area of similar properties and within walking distance to local shops and leisure facilities. Twenty - four hour staffing is provided which is flexible to the needs of the service users. There is a vehicle available for service users, which is unmarked. This service would not be suitable for wheelchair users as the rooms and door sizes would not be able to accommodate a wheelchair. However, due to the needs of service users accommodated a ramp has been installed from the lounge and kitchen doors to secure access for all to the small garden to the rear. The weekly fees at the home are between £472 and £1350 depending on the needs of the service user. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 2 star. This means the people that use this service experience good quality outcomes. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These included: the Annual Quality Assurance Assessment (AQAA) completed by the home, and an unannounced visit to the home, which was carried out on the 14th March 2008 during which we were able to have discussions with the manager, staff and have interaction with the one person who uses the service. During the visit we looked around the inside and outside of the home, which included a sample of bedrooms and bathrooms. Staff and care records were sampled and in addition to speaking with staff and people at the home, their day-to-day interaction was observed. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. What the service does well: The home welcomes people who will use the service and their families or representatives, to visit the home and assess the facilities of the home. The manager actively seeks information from external healthcare professionals as part of the assessment where necessary, to ensure that the home is able to meet assessed needs. People who live at the home receive good support for a wide range of needs, which can be challenging both to them as individuals and to the staff. The staff are able to provide a good service because it is based on their knowledge, experience and training. This is supported by the detailed care plans and other written documentation, which have been agreed by the individuals or their representatives. People moving into the home are assured that the home that they are entering will meet their needs. For example, staff are well trained and show perception and professionalism in the way they deliver care, which enables people who live at the home to feel safe and enjoy a varied and companionable way of life. Staff treat people who live at the home with respect; they share their companionship and give support sensitively. Detailed records were in place 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 6 that gave staff information that enabled them to provide the help that individuals needs and encourage risk taking as part of daily life activities. Health care was promoted through the use of tools that assist with monitoring the nutritional needs of individuals when that was necessary. The home has also developed good working relationships with healthcare specialists. Daily routines in the home were flexible and people who use the service being encouraged to make choices for themselves and exercise personal autonomy as far as was reasonably possible. People who live at the home were positive about the food that the home provided and were pleased with the range of activities in which they could participate and the condition of the accommodation that they occupied. People at the home, relatives and staff had confidence in the effectiveness of the home’s manager. Systems and procedures in the home worked well including, dealing with complaints, quality monitoring, and health and safety. The residents are encouraged to communicate freely about how they feel and what they want. The staff appear to be supported by the manager and the company to meet the support needs of the people who use the service. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that use the service can feel assured that their needs will be assessed and that the service has an understanding of their needs using the assessment process. EVIDENCE: The home has not had a new placement since the last inspection in 2006. We looked at the three files of people who use the service, which included the most recent pre placement assessment forms, which were completed by the individual’s social workers and the home’s manager. The information included educational and recreational wishes, likes and dislikes, profile of general appearance, medical and social history and comprehensive risk assessments for all activities. Service users are supported by family/representatives in the completing the assessment, this ensures as much information as possible is included in completing a full assessment. The manager reported that before a service user moved in they would be invited to visit the home and meet service users and staff. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 9 The AQAA for the home stated that: “we promote core values within the home. All residents receive a service users guide. Full assessments are completed before a placement. Potential residents can make introductory visits before deciding to move to the home”. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service receive the level of support and guidance they need in order to meet their specific requirements, with staff giving information to enable the individual to make decisions and understand their care plans. People who use the service are supported to take risks in their daily lives. EVIDENCE: The AQAA stated that: “we promote core values at all times. Residents have at least three monthly house meetings and an individual key worker to assist with their needs and choices. All residents’ help with their care plan and they are reviewed monthly or as needed. All residents have an annual review with families, and questionnaires are sent out on a regular basis”. There was discussion with the manager at the last visit about the clarity of the care plans. It was seen on this visit that the care plans gave instructions on how staff could best support the needs of the individuals at the home. We 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 11 found that the care plan is referred to daily with a record of activities that the individuals carry out as part of their plan. This file contains the views of the individual their life story, what they hope to achieve, goals and ambitions and the assessment by their key worker. It also contains their progress. The people who live at the home, are closely involved in all aspects of life at the home, where more rigid frameworks are required for the well-being or safety of an individual, for example these instances are identified, recorded, agreed and reviewed. It had been suggested at one individuals recent review that a ‘picture mat’ be used to enable their communication and decision making, it was seen that the home has created one following advice and that the individual is able to use it to comment on their daily life and make choices with meals. Risk assessments were in place for all three individuals who live at the home. These documents set out the assessed hazards to individuals and action to minimise the risk of harm for example: personal care needs, manual handling assessment, wheelchair assessment, travelling in a vehicle, going on holiday, attending activities, swimming/hydrotherapy pool, a concert, fire evacuation and daily activities. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to fulfil their personal development and leisure activities, which are based on their individual abilities and aspirations. People who sue the service are supported in the preparation and choice of their meals, with specific dietary needs also being addressed with encouragement to carry out these tasks on their own. EVIDENCE: Individuals are supported to take part in a range of educational and leisure activities in the community for example local day services, college courses and sessions at a local garden centre. It was seen in the reviews recently held with social services that the individual has been asked if there is anything they would like to do in addition to what they have been doing for activities, one 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 13 asked to go horse riding and the staff at the home are working with social services to arrange this. It was also seen that there are regular ‘house’ meetings the last one was January 2008 when the people who use the service and staff discussed this years holiday, they are going to Selsey where they went last year as they enjoyed it. Individuals are supported to keep in touch with family and friends, with support provided to go to visit relatives and well as people being visited at the home. People at the home participate in the complete household jobs, such as cleaning and cooking, and any support they need to carry out these tasks is recorded in their care plans. People who live at the home can have a key to their bedroom. The home has a planned menu that takes into account the likes and dislikes of service users and provides a varied and balanced diet. The kitchen was well stocked with a variety of good quality food. Mealtimes are variable depending on the individual daily activities of the residents. Residents are able to have their meals or snacks where they wish. Staff may join the residents for meals and the group tries to meet up once a day to ‘catch up’ on what has been happening. Individuals are supported to cook/prepare their own lunches with the tea time meal being more communal, although individual choice was evident with alternatives being prepared. The notice board in the lounge has both pictures and words describing the day’s events and what is available for meal times. These observations supported the AQAA, which said: “We encourage residents to have interaction with families; to continue with placements at day services as well as accessing the community as much as possible. We encourage activities in-house as well as in the community. We provide a healthy well balanced diet”. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and emotional needs of people who use the service are known, well met and reviewed with evidence of good multidisciplinary working taking place on a regular basis. EVIDENCE: We were able to see from care plans and from discussion with staff and the manager that needs are being met. The individuals at the home have a wide range of needs, including mental health difficulties and/or physical needs including poor sight. People who use the service have access to GP’s, community psychiatric nurses and other healthcare services such as opticians, dentists and chiropody. Care plans seen at the visit have detail on how mental and physical healthcare needs are identified and met. It was seen that all three individuals who live at the home had been reviewed by social services in the three months prior to our visit. The individual, staff at the home and their representatives were involved and the format used for the review was both pictorial and with words enabling the individual to be involved. It was seen that a review had taken place of the action requested from the last review and a 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 15 new action plan made for the forthcoming year. For the individuals with mobility needs there were detailed instructions on how to use equipment such as hoist including the sling to use, wheelchairs and how to assist the individual in and out of the bath from the physiotherapist. An individual who had used a whirlpool when on holiday last year who enjoyed it so much has been enabled to go to a centre with a hydro pool. On the day of the visit one of the individuals who lives at the home was unwell and had been all week. It was seen that the manager had called the doctor on three occasions with their concerns and had taken the agreed action. On the day of the visit the manager was still concerned about the health of the individual knowing that they were not their usual self. The manager requested a doctor’s visit again and with their concern increasing they rang the emergency number the doctor came within 15 minutes and after examining the individual arranged for hospital admission. We were able to speak with the doctor who commented that the ‘home always has the well being of the individuals at heart, and if they are concerned it is usually with good reason we are happy to visit as they know the individuals they care for’. The home uses a monitored dosage system arranged with a local chemist. Medication records and storage were seen and were appropriate to the needs of the residents and in line with the homes policy. Regular checks of stock are undertaken by staff to ensure that there is no over ordering and that medication remains in date. Medication is stored in a locked cupboard and records relating to administration of medication had been fully completed. All staff have completed medication training. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected through the open complaints process and the staff’s knowledge and understanding of safeguarding adult issues. EVIDENCE: We spoke with the manager and staff, who confirmed the way they ensure that people who use the service views are listened to is to communicate in the style and pace appropriate to the individual, spend one to one time with individual’s, arrange regular review meetings, form positive relationships with families, friends and outside agencies. It was seen that the way in which staff communicate with individuals was recorded on their care plans. The home has a complaints procedure available, which sets out who will deal with a complaint and how long the provider will take to respond to a complaint. The homes complaints procedure was seen to be available in the information given to people who use the service in both written format and pictures. There have been no complaints received by the home or the commission since the last inspection visit in 2006. The manager advised that the home promotes an open door approach to relatives and people who use the service, to help resolve complaints and issues effectively. The home uses the Hampshire safeguarding adult policy and staff were seen to have training in adult protection as part of their induction as well as regular updates. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 17 Any concerns raised by people who use the service, staff, relatives or others, have been recorded with action taken, staff are aware of the adult protection policy and whistle blowing. This supported the AQAA from the home, which said: “There is a clear complaints procedure and all concerned have received a copy. A picture format is displayed on the notice board for all to see. Residents can complain through their key worker”. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have a pleasant, safe and homely environment to live in. EVIDENCE: The AQAA received from the home said that: “we ensure that the premises are clean and tidy and comply with currents standards. Cleaning rotas are in place and reviewed on a regular basis. In the last twelve months we have redecorated the home and supplied new furnishings”. We found that there are good internal and external facilities. Communal areas enable individuals to have space, comfort and privacy. The home was clean and well maintained and the manager reported that she was able to access money to repair and replace items when necessary. All individuals who live at the home have access and use of the kitchen and laundry and they are supported to be as independent as they can in their own care and daily household activities. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 19 The bedrooms seen were brightly decorated and had evidence of individual personalities with posters and the individual’s photographs on the walls, and other personal effects. People who live at the home are encouraged to furnish the room with personal belongings such as furniture and pictures, to make it feel like home. The lounge are had a selection of chairs in different heights and fabrics and each individual had their own chosen chair which in one case was a recliner to assist them to sit comfortably. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the services have their needs met by staff who are trained, supportive and sufficient in numbers. People who use the services are protected through the home’s current recruitment procedure. EVIDENCE: The AQAA stated that four of the five care staff have the National Vocational Qualification (NVQ) at level 2 or above. A staff member on the day of the inspection confirmed that they had completed their NVQ level 3 since the last inspection visit. We looked at the records of the most recently recruited staff and found that they contained all of the information and checks required. Staff spoken with said they felt there are sufficient staff on duty at all times. Staff complete the skills for care induction which includes: values, understanding the organisation and the role of the worker, health and safety 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 21 for example fire and incidents, communication for example call bells and methods of communication, abuse and neglect and developing as a worker. Staff have undertaken training in first aid, fire safety, health and safety, food hygiene, moving and handling, adult protection and medication. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a well run home; with systems and procedures in place which monitor and maintain the quality of the service provided and promotes the safety and welfare of everyone living and working in the home. EVIDENCE: The manager has been at the home for two years and has yet to make an application to be registered with the commission. This was discussed with the manager on the day of the visit, who stated that the registered provider would download the application forms and she would make her application. She has completed the NVQ level 4 in care and the registered manager’s award. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 23 The registered provider completes monthly visits to the home and makes a report of his findings, including an action plan to address any deficiencies. The home has a development plan and regularly consults with people who use the service, including an annual survey. The manager has implemented weekly quality assurance checks, to ensure that the service is continuing to meet the needs of individuals living at the home. During the inspection visit, it was clear from observation and sampling records such as care plans, that individual needs were identified and individual programmes of care were agreed and in place, with needs and aspirations being an important part of their personal development. The manager had completed the AQAA and returned it the commission, which detailed that all necessary safety checks and associated certificates were in place. This information was sampled and it was found that a file is maintained in which such safety certificates/information are kept. The manager was confident that all safety checks have been carried out. There was evidence of risk assessment procedures being in place and training standards are such that the vulnerabilities of residents are known and addressed in operational activities. The AQAA also stated the improvements since the last visits and planned areas of development for the coming year. 45 Jubilee Road (Chartwell House) DS0000011746.V359114.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 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 45 Jubilee Road (Chartwell House) DS0000011746.V359114.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!