Care Home: 9 Beverley Road North

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What the care home does well The provider is committed to improving the outcomes for the people who live at Beverley Road; this is demonstrated by the way they have addressed the previous requirement and recommendation that was made by the commission for social care inspection (CSCI).The home is very well managed, giving the assurance that the people in their care receive a good quality service. The staff team have a really good understanding of peoples` needs and receive relevant and satisfactory training. People are positively supported in accessing meaningful and appropriate activities in the community. This demonstrates that social inclusion and community presence is actively promoted. There is a calm, relaxed atmosphere within the home, giving the assurance that people who live and work there are happy and content. The involvement of families is positively encouraged and people are kept up to date with all aspects of their relative`s care and support. What has improved since the last inspection? The grounds have been improved by the removal of disused items and by the renewing of the window frames. Incontinence aids are now correctly stored, helping to show that dignity and respect is maintained. The house manager has successfully completed the registered managers award (RMA). All of the required health and safety documentation (inspection certificates) was readily available for inspection. CARE HOME ADULTS 18-65 9 Beverley Road North 9 Beverley Road North St Annes Lancashire FY8 3EU Lead Inspector Phil McConnell Unannounced Inspection 7th August 2008 09:00 9 Beverley Road North DS0000009992.V370049.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 9 Beverley Road North DS0000009992.V370049.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. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 9 Beverley Road North Address 9 Beverley Road North St Annes Lancashire FY8 3EU 01253 723910 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) Steve.Turner@unitedresponse.org.uk None United Response Mr Stephen Turner Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 5 Date of last inspection 4th August 2006. Brief Description of the Service: 9 Beverley Road North is a small care home, registered for five adults who have a learning disability. The well-established national charitable organisation United Response is the registered provider. The home is a large detached dorma-bungalow providing good access to local services and amenities. The home provides a range of specialist aids and equipment to meet the complex needs of the people currently living at the home. Each bedroom and the bathroom have ceiling tracking and a hoist for lifting purposes and the home also provides a portable hoist e.g. for use on holiday. The organisation provides a vehicle to enable individuals to take part in leisure activities and access amenities. The staff team provide support in all aspects of daily living according to assessed needs and as identified via the care planning process. People are supported and encouraged to develop their independence and take part in all aspects of community living. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 5 The service adopts an active support approach, in a stable environment, which enhances opportunities for personal growth and development. The staff team are supported by an experienced management team and an organisation, which clearly values its employees, and the people they support. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for Care Homes for Younger Adults, including: the Annual Quality Assurance Assessment (AQAA) which had been completed by the registered manager, an unannounced inspection visit to the service on the 7th August 2008 and the annual service review (ASR), which was completed in February 2008. The registered manager (Stephen Turner) and the home manager (Joy Syme) were available throughout the inspection visit. All of the service users’ files were examined and all relevant documentation was in place. Three staff files were examined and they also contained all of the necessary information that is needed for inspection purposes, including recruitment documentation. (See staffing section) There was the opportunity to observe the support and care being provided to people who were using the service during the visit. This was seen to be delivered in a professional, caring, sensitive and dedicated manner. There was also the opportunity to speak to some of the staff who were on duty during the day. All of the discussions were very positive. The home’s policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). The previous requirement and recommendation that had been made following the last inspection visit had been satisfactorily addressed. What the service does well: The provider is committed to improving the outcomes for the people who live at Beverley Road; this is demonstrated by the way they have addressed the previous requirement and recommendation that was made by the commission for social care inspection (CSCI). 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 7 The home is very well managed, giving the assurance that the people in their care receive a good quality service. The staff team have a really good understanding of peoples’ needs and receive relevant and satisfactory training. People are positively supported in accessing meaningful and appropriate activities in the community. This demonstrates that social inclusion and community presence is actively promoted. There is a calm, relaxed atmosphere within the home, giving the assurance that people who live and work there are happy and content. The involvement of families is positively encouraged and people are kept up to date with all aspects of their relative’s care and support. 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. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 8 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. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 9 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 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. People’s needs are correctly assessed and regularly reviewed, helping to give the assurance that their care needs will be satisfactorily provided for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The five service users’ files were examined and they all contained photographs, giving the immediate impression that individuality is actively promoted. No new service users had been admitted to the home since the last inspection, however there was evidence to show that the initial pre admission care assessments have been regularly reviewed, containing good, relevant and sufficient information. It was apparent that staff rotas are organised and amended when needed to ensure that peoples’ assessed needs are appropriately provided for. The AQAA states, “We plan services in an ‘individualised’, person centred manner” and “we have used the ‘Good to Great’ tools to determine ‘what’s important to’ and ‘what’s important for’ the people we support”. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 11 The ‘Good to Great’ is a person centred reviewing system that has developed over the last couple of years and focuses on ‘personal aspirations and individual preferences’. The AQAA also states, “our plan is to ensure that the ‘Good to Great’ initiative remains at the forefront of everything we do and that each individual has regularly reviewed support plans in place. This will help ensure that peoples’ assessed needs are consistently monitored and correctly provided. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is good. People are empowered to take appropriate risks in their daily lives; helping to give the assurance that independence is positively and actively promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA says “we use individual support plans in a more effective and efficient way by being more familiar with the contents and reviewing them more frequently”. It was evident that the ‘support plans’ continue to be informative for the people providing the support, with more than sufficient guidance and detail to help ensure that peoples’ assessed needs will be met. The home continues to operate a key worker system, giving individuals and their families the assurance that peoples changing needs will be quickly identified and addressed. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 13 Another positive tool that is used is the ‘Listen to me’ booklet, which enables individuals and those that know them best, help identify individual needs and aspirations. There was evidence to show that people have either been on holiday this year or have a holiday planned. It was clear that a great deal of planning and thought had gone into providing these individual holidays. This helps to demonstrate that people are empowered with the support and help of carers and relatives to express their needs, wishes and aspirations. It was apparent that peoples’ care plans are used to provide and promote a ‘person centred’ service and the plans are regularly reviewed. It was evident that service users are included, involved and encouraged to make choices and take decisions that affect their daily lives. It was also clear that people’s relatives or representatives are actively included. Individual risk assessments were observed including, visiting the dentist, going on holiday, using the hydrotherapy pool, holding personal monies in own bedroom, swimming, bathing, administering medication, eating (prevention of choking) and risks associated with specific illnesses and conditions, for example epilepsy and self injurious behaviour. These individual risk assessments and the corporate risk assessments, help to show that people are encouraged and empowered to be as independent as possible. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. People are actively encouraged and empowered to access meaningful, appropriate and stimulating activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As previously mentioned peoples’ individual support plans were concise and detailed giving, clear guidance and information about the various interests and activities that individuals are involved in. The ‘listen to me’ booklets contained detailed information, with learning logs and shift reports containing evidence of the activities and tasks that individuals have taken part in. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 15 The AQAA states, “Learning logs and shift reports record evidence of activities taking place and contact with families. These are reviewed monthly” and “We have encouraged a wider spectrum of social/community relationships/involvements and encouraged the people we support to consider more varied activities” As stated earlier service users have been empowered to access independent holidays, which has helped to improve peoples’ confidence and help with their independence. During the visit it was apparent that the staff team work very closely with individuals and there was an obvious rapport between them. Throughout the day there was an ongoing and deliberate attempt to keep people motivated and stimulated, either by providing different activities within the home or by accessing recreational activities in the community. There was documented evidence to show that people are supported and encouraged to access meaningful leisure pursuits away from the immediate area. It was evident that inclusion, community participation and community presence is positively and actively promoted, enabling people to maximise their independence, whilst also initiating self worth, confidence and wellbeing. However, it was noted that at the present time service users don’t have the opportunity to access an appropriate swimming pool. The manager gave an assurance that every effort will be made to ensure that this will be addressed. Records of all meals are maintained and it was evident that consideration is given to promoting nutritious and well balanced diets. It was also observed that individual dietary needs are provided for. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. It is evident that peoples’ health care needs are fully provided in a professional and satisfactory manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Peoples’ plans gave specific information and guidance in how to provide a persons personal support. The people living at Beverley Road all have complex needs and are in need of requiring support in most areas of their daily lives. All of the service users have epilepsy and during the day one person had a seizure and the staff responded in a professional, caring and efficient way. The AQAA states, “We liaise with other health professionals to ensure best healthcare provision”. There were detailed records available to demonstrate that people’s health care needs are provided for and regularly monitored, with 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 17 GP appointments, hospital appointments and other related health consultations and visits carried out and documented. During the inspection visit a Chiropodist visited to provide some care to one of the service users and it was apparent that the service user was completely comfortable and relaxed with this health professional. The AQAA says, “intimate and personal care requirements and specific health needs are identified and recorded with ‘Key workers’ being responsible for monitoring and reviewing”. In the last 12 months ‘Heath Action Plans’ have been fully implemented for all individuals and the AQAA says, “It is planned for all staff to receive ‘Health Action Plan’ training”. It was evident that aids and adaptations are provided to assist people with their individual care needs. There was an appropriate medication policy in the home and the medicines were securely and correctly stored and administered, with medication charts (MAR) being accurately recorded and up to date. It was noted that not all of the medication was in ‘Blister Packs’ and although the storage and the recording of the medicines was good, the manager was advised to contact the pharmacist and enquire if the medicines (if possible) could be placed in blister packs? And to also request an annual audit to be carried out by the chemist. All of the regular staff team have received satisfactory training in the medication process. It was commented that, “Relief staff and agency staff don’t administer any medicines”. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. There are satisfactory policies and procedures in place, helping to give the assurance that vulnerable people will be safeguarded from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a satisfactory complaints policy and procedure in place. The complaints documentation is accessible (picture format) and the procedure is explained to service users and their representatives. A copy of the complaints procedure is also enclosed with the ‘Service User Guide’. No complaints have been received since the last key inspection. The provider states in the AQAA, “Encourage the people we support to articulate any concern/complaints via independent advocates” and “to establish a regular programme of family consultation meetings”. This helps to show that people would be given more opportunity to voice any concerns they may have. The staff who were spoken to during the inspection visit were familiar with the complaints policy and with the whistle blowing policy. Formal ‘Safeguarding Adults’ training is being provided on a regular basis and in discussion with some of the staff it was apparent that people are familiar with safeguarding procedures. It was commented, ‘that all team members are required to familiarise themselves with the organisation’s ‘Prevention of Harm’ 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 19 and ‘Whistle blowing’ policies and the ‘No Secrets in Lancashire’, which is a government white paper, giving guidance on the protection of vulnerable people. The home contained relevant evidence that all members of staff have had criminal record bureau clearance checks carried out (CRB), helping to show that the organisation is committed to protecting the people in their care. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. The environmental standard of the home is good, helping to give the assurance that people live and work in a safe, comfortable and clean home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard, it was clean, homely and fresh smelling. There is a good standard of décor throughout the premises, with peoples’ bedrooms demonstrating their own individuality. It was commented that it is planned to redecorate some of the bedrooms, in order to keep them modern and up to date. All of the bedrooms are of a good size and they are all equipped with ceiling hoists. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 21 The AQAA states, our plans for improvement in the next 12 months is to ‘Provide day time domestic staff with a more structured cleaning/maintenance routine’. This will help ensure that the good standard of cleanliness and maintenance is maintained. The kitchen is very well equipped, bright, airy, clean and hygienic. The laundry contains an industrial washing machine and an equally efficient tumble dryer. These are more than sufficient to cater for the homes washing needs. It was advised at the previous inspection visit to ensure that the tiling in the laundry was fully completed. This has been satisfactorily addressed. There are adequate hand washing facilities throughout the home, helping with the management of infection control. Personal care items are now more discretely stored, than they were previously. This shows that people are being shown more dignity and respect. The outside grounds have been improved since the last inspection visit including the replacement of all the window frames (previous recommendation), a new sensory garden, new outdoor seating and the outside areas are now neat and tidy. (Previous requirement). It was observed that the front door frame was in need of repainting, an assurance was given that this will be carried out in the immediate future. The AQAA states, our plans for the next 12 months, “to provide an enclosure for waste and recycling bins”. In discussion with the manager it was commented that ‘it is planned to carry out this work in the near future’ and that some of the fencing will also be replaced. This will improve the outside of the building and give the outside community a possible awareness that a good level of service is provided to the people who live at Beverley Road. Overall since the last inspection visit a number of positive changes have taken place and it is envisaged that the provider will continue to make further improvements to the home. This will help maintain the changes that have already occurred and make further improvements to the environment for the people who live and work at Beverley Road. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 22 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 and 35. Quality in this outcome area is excellent. People are very well supported and cared for by a dedicated and committed staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although there are three vacancies at the present time, the staffing levels were found to be sufficient, with the vacancies being covered by relief or agency staff and it was clear that the temporary staff are familiar with the specific needs of the service users. Therefore there is a confidence and trust in all of the staff employed at the home. Three staff files were examined and they contained all of the necessary information that is required for inspection purposes regarding recruitment including, application form, two written references and as previously mentioned evidence of CRB checks. It was mentioned that, “service users are involved as much as possible in the recruitment process. This is done by 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 23 informal observation, in the way prospective employees respond to service users, when they visit the home for the first time”. The recruitment procedure was seen to be robust and thorough. This helps to demonstrate that people are only employed when all of the needed checks are satisfactorily carried out. Other information available in peoples’ files included, induction training documentation, supervision notes and training and development documentation. The management of the files was very well organised. There was evidence of other significant training taking place including, mental health awareness, epilepsy, equality and diversity, prevention of harm, the mental capacity act and medication training. It was noted that over 80 of staff have obtained the national vocational qualification (NVQ) in care, at either level 2 or level 3. Comments from some of the staff were, “I have done all different kinds of care work, but I have really found my niche with this client group, I love it” “I haven’t worked anywhere as nice as here” and “I think the standard of care is amazing”. It was commented by the manager, ‘we have a really good staff team, that are dedicated and committed’. It was clear that the staff feel valued and appreciated. It was also evident during the inspection visit that good relationships exist between the members of staff and the service users, which again showed that people are happy and content in their work. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 24 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 and 43. Quality in this outcome area is good. The home is well managed and organised, helping to ensure that people receive a good quality service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager for Beverley Road also has the responsibility for being the registered manager for four other homes in the St Annes area; however, Beverley Road has a house manager who has the responsibility for the day-today running of the home. She has been the manager at the home for over four years and she is adequately qualified and very well experienced in working with people who have learning disabilities. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 25 Since the last inspection the house manager has completed the registered managers award (RMA). It was stated that the registered manager ‘visits at least once a week’. Some of the comments regarding the management were, “There is nothing you can fault about the management” and “I think the management are really nice and very approachable”. The general management regarding all of the homes documentation was very well organised. Beverley Road continues to maintain the ‘Investors in People’ award, which is an external quality assurance-monitoring organisation. The AQAA says, “We have improved in the last twelve months, with all United Response audits being forwarded to the Quality Assurance Manager for comment” and “A programme of monthly and quarterly auditing ensures that systems and procedures are monitored and reviewed appropriately. This shows that the quality monitoring of the service being delivered is important to the provider. The health and safety policy and procedures were examined and found to be up to date, with all of the required safety inspection certificates and records of testing being in place including, electric, gas, all hoists, hydraulic beds, chair scales, burglar alarm, fire fighting equipment, smoke alarms, water temperatures (tested weekly), portable appliance testing (PAT) and fire alarm (tested weekly). Designated members of staff have the responsibility for specific checks, which include, fire safety checks, vehicles, fridge and freezer temperatures, medication, water checks and first aid. These are all then audited / assessed by the house manager. This demonstrates that the provider is committed to providing a safe and secure environment for people to live and work in. 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 26 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 4 33 X 34 3 35 4 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 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 3 X X 3 X 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? NONE 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 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 9 Beverley Road North DS0000009992.V370049.R01.S.doc Version 5.2 Page 29 - 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!