Care Home: 50 Burton Road

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What the care home does well The manager holds strong values and has developed the service with a focus on person centred thinking, with people who use the service, shaping service delivery. The are manager and staff are open and transparent in all areas of running of the home, and the home is run in the interests of the people who live there. Being small in registration, the home is able to provide a homely and friendly environment. Staff have a friendly and professional approach, and privacy and dignity are upheld within the home.People are able to lead an individual lifestyle based around their interests and aspirations. People can choose which activities to be involved in and how are supported to access educational opportunities. Staff give support so the individuals can live an ordinary life, and have the same rights and opportunities as people of the same age. Individuals are able to dress according to their own style. The home supports people to be independent and individuals are involved in all areas of daily living in the home. People are responsible for looking after their home, domestic activities including shopping and cooking. The manager has demonstrated that the home is striving to achieve a good standard and positive outcomes for people; this is demonstrated in practice and in the documentation, care planning and reviews, risk assessments, records, and day-to-day operations. What has improved since the last inspection? This is the first inspection of the home since re-opening in July 2007. What the care home could do better: The service needs to ensure that all staff have received suitable training and gained experienced for working alone and when left in charge, to ensure the welfare of people using the service. The service is without a registered manager. The service provider needs to ensure that an application is made by the proposed Care manager to begin the Fit person process. CARE HOME ADULTS 18-65 50 Burton Road Branston Burton On Trent Staffordshire DE14 3DN Lead Inspector Mandy Brassington Key Unannounced Inspection 11th February 2008 09:45 50 Burton Road DS0000004924.V355780.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 50 Burton Road DS0000004924.V355780.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. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 50 Burton Road Address Branston Burton On Trent Staffordshire DE14 3DN 01283 512766 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) Robinia Care Homes (2) Limited vacant post Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2004 Brief Description of the Service: The service is registered to provide 24-hour support and care for four younger adults with a learning disability and complex needs, and may have a diagnosis on the Autistic Spectrum Disorder. The home currently provides accommodation for two female individuals. This is the first inspection of the home since the home re-opened in August 2007. The property is a period semi-detached house located in the residential area of Branston, on the outskirts of Burton-on-Trent. The home is conveniently situated close to a town, on a bus route and close to shops and amenities. The premises are set back from the main road and have tall metal gates leading to the gravel frontage and drive. The building is on three floors and comprises: four bedrooms, an office/sleep-in room, lounge, dining/activity room, bathroom and toilet facilities, laundry room and additional storage. One of the bedrooms has an en-suite shower and toilet facility. Parking space is adequate and to the rear of the house is a large grassed area and patio. People who use the service have access to a wide variety of activities in the home and the community, including educational opportunities. The home is managed to support people to develop living skills and take the lead role in their care. The Service User Guide recorded that the annual fees for the home are from £81,830 to £91,624. The fee includes a contribution of £500 towards a cost of a holiday, and an agreed number of additional one to one support hours. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was an unannounced key inspection and therefore covered all of the core standards. The inspection took place over 5.5 hours by one inspector who used the National Minimum Standards for Younger Adults as the basis for the inspection. Prior to the inspection the manager completed an Annual Quality Assurance Audit (AQAA) for the Commission for Social Care Inspection. Questionnaires were sent to people who used the service, staff and professionals working with people who lived in the home. Two completed questionnaires were received from staff members. A tour of the home was undertaken and a meal was eaten with people who use the service. On the day of the inspection, the home was accommodating two people. The inspection included an examination of records, indirect observation, discussion and observation of two people who use the service, and two staff on duty. Case tracking of two care plans was undertaken. Three staff records were examined and observation of daily events took place. Inspection of the storage system and medication procedures were inspected. This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means that people who use the service experience good quality outcomes. What the service does well: The manager holds strong values and has developed the service with a focus on person centred thinking, with people who use the service, shaping service delivery. The are manager and staff are open and transparent in all areas of running of the home, and the home is run in the interests of the people who live there. Being small in registration, the home is able to provide a homely and friendly environment. Staff have a friendly and professional approach, and privacy and dignity are upheld within the home. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 6 People are able to lead an individual lifestyle based around their interests and aspirations. People can choose which activities to be involved in and how are supported to access educational opportunities. Staff give support so the individuals can live an ordinary life, and have the same rights and opportunities as people of the same age. Individuals are able to dress according to their own style. The home supports people to be independent and individuals are involved in all areas of daily living in the home. People are responsible for looking after their home, domestic activities including shopping and cooking. The manager has demonstrated that the home is striving to achieve a good standard and positive outcomes for people; this is demonstrated in practice and in the documentation, care planning and reviews, risk assessments, records, and day-to-day operations. 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. 50 Burton Road DS0000004924.V355780.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 50 Burton Road DS0000004924.V355780.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): 1, 2, 3, 4, 5. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Significant time is spent planning to make admission to the home personal and well managed. People receive a comprehensive needs assessment before moving into the home and receive a contract that gives clear information about fees and support to be provided. EVIDENCE: Two people have moved into the home since re-opening in July 2007. We examined each person’s records and found that both people had a Service User Guide that had been completed in large print and used pictorial symbols. The Guide detailed the fees payable and any additional support that had been agreed. Each person also had an agreement, which recorded how the service was to provide support. Discussion with staff and one person who used the service, confirmed they had been able to visit the home and receive information prior to deciding to move in. The person confirmed they had visited the home for meal visits and over night stays, and had many opportunities to speak to the other person already resident in the home and to staff. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 9 We inspected the person’s records and found that a care management assessment had been completed along with an assessment carried out by the home. Staff reported that they had participated in the assessment and information had also been obtained from a home visit from family members. 50 Burton Road DS0000004924.V355780.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, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plan is developed with, and owned by the person using the service. The plan is person centred and focuses on the individual’s strengths and personal preferences. EVIDENCE: We examined two plans of care and found each person had taken the lead role for writing and completing their plan of care. The plan had been specifically designed to support people with a learning disability and/or having needs on the Autistic Spectrum. The plans were in large print and used pictures to support completion and were written in the first person. The Support plans were focused upon the individual needs of the person. The individuals had been able to write about what was a typical ‘good’ day and 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 11 what was a typical ‘bad’ day. Information was included about the circle of support around each person and relationships with those people identified. One plan included information relating to whom the person wanted staff support from. Discussion with the staff and manager confirmed this was managed sensitively, and they had recognised the importance of being able to choose how and who delivered support. The plans contained personal details and information relating to likes and dislikes; information included people and family they enjoyed being with, places they liked or didn’t like to go, food preferences and preferred activities. Each document contained specific support action plans, which recorded how staff could help to achieve a goal. The plans were agreed with the person and included, how to look after a pet, and arranging a home visit. One person had moved into the home the previous month and was in the process of completing the document. Staff reported that this was being completed at a pace to suit the individual. It was evident from discussion that staff were committed to ensuring the individuals were able to being supported to take control of their own lives, and throughout the day, people who used the service were given every opportunity to make informed choices. Staff ensured that people using the service were informed of their rights and if necessary supported to make necessary decisions. 50 Burton Road DS0000004924.V355780.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, 14, 15, 16, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The home has considered people’s diverse interests when planning the routines of daily living and arranging activities both in the home and the community. EVIDENCE: The manager reported within the Annual Quality Assurance Questionnaire (AQAA) that individuals were encouraged to follow a lifestyle they felt comfortable with, have unrestricted time in the community, maintain hobbies of their choice and be encouraged to participate in a variety of activities. Discussion with people who used the service, and staff on duty confirmed that people are able to choose how to spend their time, and were able to choose 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 13 their activities and education support. People were actively supported to be independent and involved in all areas of daily living in the home. On the day of the inspection, one person had completed a daily activity plan. Routines were flexible, but completing the plan had been identified as helping to reduce anxiety. The person had chosen to go personal shopping and swimming. Discussion with the person revealed since moving to the home, they had identified they wanted to find voluntary work and to gain retail work experience, and to complete a National Vocational Qualification (NVQ). Staff reported the Organisation had an Educational Co-ordinator, who was trying to accommodate the person’s requests, and was liaising with local establishments. One person attended a Computer Maintenance Course on a part time basis. The person reported that when at home they enjoyed reading, activity books, watching television and cooking. On the day of the inspection, the person was supported to cook lunch, which was Spaghetti Bolognese and garlic bread. The person reported, ‘I like cooking; I choose what I want to eat, then we cook it’, ‘I made a cake for my parents last week’. Staff confirmed menus are flexible and people who use the service are responsible for food shopping, preparation and cooking. One person chose to spend time in her room, playing games until after lunch, when they received support to go shopping. During the evening the person had planned to go to Karate, where she has been successful at several gradings. There were photographs around the home that displayed this achievement. One person commented, ‘I love going out and going to clubs and pubs’. Staff confirmed this had been arranged. The staff reported that people were able to have access to appropriate activities like their peer group, and enjoy the same rights and responsibilities. People are able to continue and develop relationships with family and friends. Staff reported that the people are able to visit at any time and people who use the service also enjoyed visits within the family home. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The delivery of personal care is individual, flexible, and person centred. Staff respect privacy and dignity and are sensitive to changing needs. EVIDENCE: The Annual Quality Assurance Audit completed by the manager reported that all people had a Health Action Plan and health visits were recorded on a professional contact form, including a record of health visit outcomes on appointment summaries, and the next visit where required. We examined two plans, which confirmed individual’s health needs were recorded and outcomes monitored. One person had a local General Practitioner (GP) and the manager has written to the Primary Care Trust to have a local GP appointed. The staff reported that people were able to attend appointments alone or with support from staff. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 15 From discussion with people who used the service and observation, it was evident that personal support was flexible and based on the individual needs of people. Staff demonstrated they were committed to providing an individual service and supporting the person to take control and make decisions. Staff commented, ‘we’re here to support the individuals, this is their home, and our job is to work with people so they can make their own choices about their life.’ The Monitored Dosage System (MDS) was used and medicines were administered from blister packs. Medication was stored securely and details of staff who had completed the training for safe administration of medication was available. Discussion with staff revealed a good knowledge of medicines, policies and procedures. We discussed medicines with one person who used the service. The person clearly recalled the colour and type of medicine taken and at what time of day, and consented to the support required to safely administer this. The plans of care included a protocol for ‘as required’ (p.r.n.) medicines and described when this should be used and why. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is supplied to everyone living at the home and is in a suitable format. The home has an open culture that allows people to express their views and concerns. EVIDENCE: The service has a complaints procedure that is clearly written and easy to understand and available using pictorial symbols and photographs. There has been one complaint since the home opened which was recorded in the complaint book. The manager clearly recorded the concern and a written response and action to be taken was given to the person. As a result of the complaint, which was around noise, the person’s bedroom has been fitted with a false wall to reduce the noise level from an adjacent property. It is pleasing to us that the complaint addressed and appropriate action taken. The policies and procedures for safeguarding adults were available in the home and staff received training during their induction. Discussion with staff revealed that staff working at the home know when incidents need external input and who to refer the incident to. Staff were familiar with the home’s 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 17 ‘Whistle Blowing Policy’, which supported staff to disclose information regarding bad practice in the home. All staff had received training around dealing with physical and verbal aggression, and staff were confident that they were able to de-escalate any behaviour exhibited in the home. Staff often work alone, but can access additional support from the adjacent home by activating the nurse call system. One staff on duty had recently started working at the home and the manager had arranged for the person to attend this training. 50 Burton Road DS0000004924.V355780.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, 25, 27, 28, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is suitable for the people who live there and is small and homely. People are able to personalise all areas of the home and decorate their bedrooms to reflect their interests. EVIDENCE: The home is a period semi-detached house located in the residential area of Branston, on the outskirts of Burton-on-Trent, on a bus route and close to shops and amenities. The premises are set back from the main road and have tall metal gates leading to the gravel frontage and drive. The building is on three floors and comprises: four bedrooms, an office/sleep-in room, lounge, dining/activity 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 19 room, bathroom and toilet facilities, laundry room and additional storage. One of the bedrooms has an en-suite shower and toilet facility. All rooms inspected contained a good amount of personal furniture, personal electrical equipment and were individually decorated to reflect the personal preferences of the individuals. Suitable locks had been fitted and people were able to have a key to their room. All areas of the home were clean, and people were supported by staff to carry out domestic duties and take care of their home. From observation, it was evident that individuals were relaxed and comfortable, and people reported that they felt at home there. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are enough staff available to meet the needs of the people, with more staff being available at peak times of activity. The staffing structure is based around delivering outcomes for people. Staff gaining necessary skills and experience need to be supervised to ensure the safety of all people. EVIDENCE: On the day of the inspection, the manager was working in a supernumerary capacity. Support staff on duty consisted of:1 Team Leader working 7.30am – 2.00pm 1 Support staff working 1.00pm – 8.30pm 1 Support staff working 1.00pm – 10.00pm and completing a sleep in shift. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 21 The manager confirmed this was the usual pattern of shifts, though this was flexible to support planned activities. Each person had an agreed number of additional one to one support hours, and the manager arranged these hours to support activities. We examined three staff records, which demonstrated the organisation has robust recruitment practices. All records included a photograph, an application form, two written references, a Protection of Vulnerable Adults (PoVA first) check and details of a Criminal Records Bureau Check (CRB). Discussion with one member of staff revealed they were able to work in a supernumerary capacity at the beginning of their induction, and an training induction had been arranged for the following week. The manager confirmed this included medication, personal safety, and mandatory training. Training to support people with complex behaviour is mandatory for all staff. Staff reported that the service provider supported staff development and there were opportunities to attended training for Health and Safety, Moving and Handling, Safe administration of Medication, Managing Complex Behaviour, Safe guarding Adults, Emergency First Aid and Autism. One person had started work in January 2008, and had no prior experience of working with people with complex needs. The induction and mandatory training had not been completed at the time of the visit. On some shifts the person was working alone. It is required the people are suitably trained and experienced when left in charge to ensure the health and welfare of people who use the service, and the welfare of the staff member. It is recommended that people are a minimum of age of twenty one. Discussion with staff demonstrated people had a commitment to providing a good quality service, and had a good knowledge of individual’s needs and how to support people. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has a clear understanding of the key principles and aims of the service. There is a focus on person centred thinking, with people who use the service shaping service delivery. EVIDENCE: The manager reported that she is awaiting verification of NVQ 4 and will upon completion start the Registered Managers Award. The manager has completed a Criminal Records Bureau Check with us and must submit an application to begin the Fit Person Process. 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 23 It is evident from observation and discussion with staff, that the manager is extremely enthusiastic and committed to promoting people’s rights and providing a quality service. The manager understands the importance of person centred care and effective outcomes for people who use the service. Staff commented they feel valued and part of a supportive team and would have no hesitation approaching the manager. Records are of a good standard and care plans have been developed with the people who use the service. The plans are person-centred and have been reviewed to ensure they include up to date information. People are supported to manage their own money where possible. Individuals have a bank account and access to funds. A record of personal monies was maintained in the home. The AQAA contained clear, relevant information and was supported by a wide range of evidence. The AQAA recorded how changes have been made and where they still need to make improvements. A sample of records including Fire records were sampled from the data section of the AQAA, and found to be accurately and fully completed. 50 Burton Road DS0000004924.V355780.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 3 2 4 3 4 4 4 5 3 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 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA33 Regulation 18(1) Requirement Staff left in charge of the home and working alone need to be experienced, trained and competent to ensure to welfare of people who use the service. The Care Manager is to submit an application to begin the Fit Person Process, seeking registration for the home. Timescale for action 11/03/08 2 YA37 8(1) 11/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA33 Good Practice Recommendations Staff left in charge of the home should be a minimum of twenty one years of age 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 50 Burton Road DS0000004924.V355780.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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