Care Home: Ashcott House

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What the care home does well The home provides a good standard of accommodation and residents are obviously encouraged to personalise their own rooms. The two different styles of accommodation, one house and one bungalow enables the more independent residents to live together. The atmosphere in the home was relaxed and warm. Staff and residents had a good rapport and residents spoke highly of the support that they receive. Residents have access to a wide range of occupational and social activities and were working with staff to get their outfits ready to attend a "glitter ball ". Residents spoke about how they were looking forward to some of the other activities planned in the next few weeks, which included a day at the races and the Suffolk show. All residents are enabled to go on holiday if they wish. There is a clear management structure and the deputy and three team leaders support the manager. Daily handovers take place to ensure that staff are up to date with any changes to residents needs. What has improved since the last inspection? Care plans have been improved and were detailed and informative. New metal cupboards have been fitted for the storage of medication. The kitchens have been refurbished. A new system for auditing complaints has been set up. What the care home could do better: A Statement of Purpose and Service User guide was in place but in a standard format. The homes management have identified that they could make these documents more accessible to residents by changing the format and including photographs and signposting. The environment is generally of a good standard and the planned refurbishment of one of the bathroom will create a more pleasant area for residents to use. The patio linking the two properties has also been identified as an area requiring attention. Improvements to the levels would minimise the risks of residents falling and provide better access for wheelchair users. Door locks has been a long-standing issue. The home initially replaced some of the locks to the resident`s bedrooms, as they did not allow the resident to lock their door from the outside. However the replacement lock remains unsatisfactory as it does not allow staff to access in the event of an emergency and staff have disabled the locks on a number of the bedroom doors. It was agreed that the manager would seek the advice of a locksmith to resolve the issue and enable residents to have a lock on their door, which they could lock with a key but which would allow staff emergency access. A new medication cupboard has been purchased since the last inspection however medication continues to be stored in the Kitchen. The kitchen is large and airy but not the less there is the risk of significant temperatures changes, which could impact on medication being stored. The Royal Pharmaceutical Society states that medication storage areas should not exceed 25 degrees C and it was agreed that the manager would monitor the temperature to ensure that it does not exceed this temperature. Recruitment of staff was found to be satisfactory although the reason for gaps in employment should be recorded. CARE HOME ADULTS 18-65 Ashcott House 12 Tokio Road Ipswich Suffolk IP4 5BE Lead Inspector Cecilia McKillop Unannounced Inspection 28th April 2008 11:15 Ashcott House DS0000064918.V363506.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 Ashcott House DS0000064918.V363506.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. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashcott House Address 12 Tokio Road Ipswich Suffolk IP4 5BE 01473 273590 01473 710607 ashcott12.house@virgin.net 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) Alliance Home Care Limited Mrs Claire Elizabeth Collins Care Home 15 Category(ies) of Learning disability (15), Physical disability (2) registration, with number of places Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1st June 2006 Brief Description of the Service: Ashcott House is a service for adults with learning disabilities situated in a residential area to the east of Ipswich town centre. The home was first registered in 1986, and comprises two separate buildings (formerly known as Cotswold and Hillside) but latterly renamed Side A and Side B Ashcott House. Side A is a seven bedroomed bungalow, plus staff office. Side B is a twostorey house with six single bedrooms and one shared bedroom. The main office facilities are based in Side A, although both houses have sleeping-in facilities for staff. Both properties have their own bathrooms, toilets, and communal living areas including a lounge, kitchen / diner, conservatory, and laundry. The more physically dependent service users live in the bungalow, Side A. The garden is shared by all fifteen service users, and can be accessed directly from either property. The front of the property is mainly a car parking area, which provides off-road car parking for staff and visitors, and parking for the minibus. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good outcomes. This report includes information gathered from a visit to the home on 28th April 2008, lasting nearly 7 hours. During this visit time was spent with people who live and work in the home as well as the inspection of records and documents relating to the provision of care. A tour of the home was also undertaken. Information received by the Commission for Social Care Inspection since the last inspection was taken into account. This includes information contained in the Annual Quality Assurance Assessment, completed by the manager of the home. What the service does well: The home provides a good standard of accommodation and residents are obviously encouraged to personalise their own rooms. The two different styles of accommodation, one house and one bungalow enables the more independent residents to live together. The atmosphere in the home was relaxed and warm. Staff and residents had a good rapport and residents spoke highly of the support that they receive. Residents have access to a wide range of occupational and social activities and were working with staff to get their outfits ready to attend a “glitter ball ”. Residents spoke about how they were looking forward to some of the other activities planned in the next few weeks, which included a day at the races and the Suffolk show. All residents are enabled to go on holiday if they wish. There is a clear management structure and the deputy and three team leaders support the manager. Daily handovers take place to ensure that staff are up to date with any changes to residents needs. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: A Statement of Purpose and Service User guide was in place but in a standard format. The homes management have identified that they could make these documents more accessible to residents by changing the format and including photographs and signposting. The environment is generally of a good standard and the planned refurbishment of one of the bathroom will create a more pleasant area for residents to use. The patio linking the two properties has also been identified as an area requiring attention. Improvements to the levels would minimise the risks of residents falling and provide better access for wheelchair users. Door locks has been a long-standing issue. The home initially replaced some of the locks to the resident’s bedrooms, as they did not allow the resident to lock their door from the outside. However the replacement lock remains unsatisfactory as it does not allow staff to access in the event of an emergency and staff have disabled the locks on a number of the bedroom doors. It was agreed that the manager would seek the advice of a locksmith to resolve the issue and enable residents to have a lock on their door, which they could lock with a key but which would allow staff emergency access. A new medication cupboard has been purchased since the last inspection however medication continues to be stored in the Kitchen. The kitchen is large and airy but not the less there is the risk of significant temperatures changes, which could impact on medication being stored. The Royal Pharmaceutical Society states that medication storage areas should not exceed 25 degrees C and it was agreed that the manager would monitor the temperature to ensure that it does not exceed this temperature. Recruitment of staff was found to be satisfactory although the reason for gaps in employment should be recorded. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 7 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. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2,4. Quality in this outcome area is adequate. Prospective residents can expect to have their needs assessed before moving into the home and to have information provided but it may not be in a meaningful format. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose has complied with the statutory requirements at previous inspections. Combined with the Statement of Purpose is a Service User Guide, which provides information on the services and facilities available at the home. The Statement of Purpose and the Service User guide had been updated the month before the inspection. The home had said their in their AQAA that they would like the Statement Of Purpose and Service User guide to include photographs and signs to help prospective residents to understand it better. The manager said that this had not yet been undertaken although it was still planned. Two senior staff undertake all assessments of prospective residents to ensure that the home can meet their needs. Staff visit the prospective resident and undertake a preadmission assessment. The manager said that prospective Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 10 resident usually visit the home on a number of occasions to meet the other residents before moving in. Two new service users have been admitted since the homes last inspection and there was evidence from the files that an assessment had been completed. One of the new service users was spoken with as part of the inspection said that that they had visited the home before they were admitted, although could not recall receiving a service users guide. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 11 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. Quality in this outcome area is good. People using this service are involved in decisions about their lives and the care that they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans of four residents were examined as part of the inspection. These were detailed and informative and gave clear guidance to staff on the level of prompts required to meet the assessed needs. The plans addressed the residents care preferences and routines and inherent in them was resident choice. One of the plans examined gave guidance to staff on the level of support needed if the resident chose a bath as well as guidance if the resident chose a shower. The was a mixed gender team of staff on duty on the day of the inspection and the manager said that the home aims to provide same gender care where possible. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 12 Health needs were clearly documented and there was evidence that the home worked in conjunction with a range of health professionals. The plans seen had been reviewed and updated on a regular basis. Residents spoken with were aware of their plans. The home holds joint reviews with day care services where a need has been identified. Risk assessments were in place and these outlined how the home were intending to address risks, which had been identified. Residents who were spoken with reported that they were able to make decisions about their lives and how they spend their time. One resident said, “This is a good home they listen to us”. Resident meetings are held on a regular basis and it was clear from the minutes that resident’s views are sought on a range of areas. Service users reported that they had good access to their money and were able to make choices as to how the money was spent. A Director of Alliance, the company owning the home acts as an appointee for a number of the residents. Records and receipts of day to day expenditure are maintained within the home and a small sample was examined as part of the inspection. The records and the amounts were found to correspond. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 13 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 good. People using this service are provided with a range of opportunities and can make choices about how they spend their time. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection, the home was able to evidence that residents are provided with a range of activities either via community day services or at the home itself. The focus is on meeting resident’s individual needs and a number of the residents attend a day services, which include local authority resource units, and supported work projects. The majority of the residents were out on the morning of the inspection pursuing their interests. However three residents who did not have a planned activity went with a member of staff to a local coffee shop/ craft centre and returned for lunch. An art therapy session was held in the afternoon. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 14 The home is located close to town and residents spoke about going out independently and accessing the local bus service. During evenings and weekends residents attend various learning disability social groups and enjoy outings to the pub and cinema. Residents interviewed spoke about how they had enjoyed a pub lunch the previous day to celebrate two of the resident’s birthdays. All residents are supported to go on an annual holiday, which the manager said are arranged on the basis of friendship groups and needs. This year three separate holidays had been planned to the Isle of Wight and Norfolk. Several residents spoke about how much they were looking forward to their forthcoming trips. In the AQAA the home stated that they had a good relationships with families and seek their views as part of their quality assurance systems. The homes last relative survey identified communication as an area that could be improved and the manager said that they subsequently organised a garden party so that staff and relatives could better get to know each other. A personal relationship councillor regularly visits the home to provide information and guidance to residents who have been referred. A person centred planning officer is working on an individual basis with another resident and the manager said that an advocate could be arranged if identified as being beneficial. Staff were observed to knock before entering bedrooms and one residents regularly locks their bedroom door. Residents did not raise any concerns about privacy but there have been ongoing problems with the homes bedroom door locks, as the current lock does not allow access in an emergency. The locks have been immobilised in a number of rooms because of health and safety concerns. The manager was advised to seek advice from a locksmith as to whether a solution could be found which would allow residents to have a key to lock their door if they wished but which could be overridden in an emergency. Residents are able play a role in the daily life of the home and participate in domestic chores. The home operates two five week menus which run alongside each other in each house. Menus are discussed regularly at residents meetings and at the last meeting residents were noted as requesting more regular curries, fishcakes and toad in the hole. The meal prepared on the evening of the inspection looked appetising and nutritious. Residents spoken with reported that the food was good and said that they enjoyed cooking although they were not actively involved in meal preparation on the day of the inspection. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. People who use this service can expect their care needs and medication needs to be thought through and individualised, therefore making it more likely that their requirements will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of care plans were examined as part of the inspection and were each different taking account of individual needs. The home was able to evidence that the physical and medical needs of residents were being monitored and met. Care preferences are recorded and the care planning systems contained detailed information on all medical interventions and support received from community health services. All residents have a key worker who takes responsibility for updating the care plans and working on a one to one basis with residents. Staff interviewed said that they had received guidance on specialist conditions such as cerebral palsy, dementia and autism. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 16 The home reported that it had good working relationships with professionals such as those based in the community team at Walker close. Residents reported that they were well looked after and that routines were flexible. Since the last inspection the home has purchased two new metal storage cupboards, to provide secure storage for medication. The cupboards are located in the homes kitchens and it was agreed that the temperature of medication should be regularly monitored given the proximity to cooking areas. As part of the inspection process, the medication administration system was observed. The home uses the monitored dosage blister pack system and medication was administered and recorded appropriately. In the AQAA the home reported that only trained staff administer medication and refresher training in medication is provided. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. People who use this service can expect to have any complaint handled properly and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which is outlined in the service user guide, which as outlined earlier in the report would benefit from being written in a more accessible format. None the less residents spoken with were clear about what they would do if they had a concern and expressed confidence that their concerns would be addressed. One resident spoke about an item breaking in their bedroom, which was important to them. The residents said they “told staff and they fixed it.” The homes procedures manual provides guidance to staff on managing complaints. The homes records indicated that there had been no recent formal complaints. Staff who were interviewed as part of the inspection confirmed that they had undertaken training in safeguarding vulnerable people and were clear as to the procedures that they should follow should a concern come to their attention. The staff have raised concerns in the past when they had concerns about residents welfare. The manager had responded appropriately and made safeguarding referrals. Ashcott House DS0000064918.V363506.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. Quality in this outcome area is good. People who live in the service can expect the home to be clean and comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Ashcott House comprises two separate buildings named Side A and Side B. Side A is a seven-bedroomed bungalow and accommodates more physically dependant service users. Side B is a two-storey building, able to accommodate eight residents, in six single bedrooms and one shared room. Both houses have their own kitchen, bathroom, toilet, dining and lounge facilities. Side A would not be appropriate for physically dependant residents, as it does not have any lift facilities. The bedrooms visited were comfortable and clean and had been personalised reflecting the tastes and interests of the occupants. Several residents had bought their own televisions, DVD players and hi-fi systems. The home Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 19 stated in the AQAA that all communal areas are decorated after consultation with residents. Communal lounge facilities were very pleasant, furnished comfortably and provided a very homely environment in which residents could socialise. Each house has its own laundry room and good infection control procedures were followed with the use of red dissolvable bags for soiled linen and clothing. The bathrooms were clean but one was worn and dated. The manager said that there were plans in place to refurbish this area. The home employs an handyman to undertake minor repairs. The property stands in very attractive gardens, although some of the paving linking the two properties was uneven. The home identified in their AQAA that this was an area, which they would like to resurface. In the interim staff had painted the edge of the path and any uneven paving with high visibility paint to assist one resident with limited vision. All areas of the home were maintained to a good standard of hygiene and cleanliness and no unpleasant odours were detected. Ashcott House DS0000064918.V363506.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): 32,33,34 and 35. Quality in this outcome area is good. People living in this home are supported by sufficient numbers of trained staff, who have been adequately recruited. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the AQAA the home stated that they had developed an induction pack, which works to the Common Induction Standards, and all new staff work through this pack. Staff interviewed on the day of the inspection reported that the quality of the training was good and were able to outline a range of training which they had recently attended which included first aid, food hygiene, safeguarding and mental capacity act. In the AQAA the home indicated that over 50 of staff had achieved NVQ level 2 and another 30 were working towards this level. The home generally operates with between three to four staff on duty. The manager said that they prefer to operate with four but this was not always possible. A new member of staff had recently been appointed which should increase the number of shifts with four staff. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 21 Staffing levels on the day of the inspection were satisfactory. One member of staff had gone off sick at short notice and staff had reorganised their duties to provide cover. Staff were observed as being busy but able to respond to residents needs. Residents interviewed said that they were normally sufficient number of staff available but sometimes they would like more staff as they could go out more. The records of two recently appointed members of staff were examined as part of the inspection. The homes recruitment procedures were satisfactory and they were able to evidence that references and CRB checks were obtained prior to any prospective staff member commencing duties. Interview records were in place but there was a gap in one member of staffs’ employment record, which the manager was able to account for but this had not been documented, which is not best practice. Ashcott House DS0000064918.V363506.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. People who use this service can expect the home to be well managed and administered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager has been in post for approximately four years and has achieved the Registered Manager’s Award. A Deputy Manager and three team leaders assist the manager. Staff interviewed spoke positively about how the home was managed and described the manager as approachable and supportive. There was evidence of regular staff supervision and team meetings. There are handovers at the beginning of each shift to ensure that staff coming on duty are aware of any changes since they were last on duty. Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 23 The manager said that there are monthly managers meeting and opportunities to meet with the organisations area manager. Regulation 26 visits were being undertaken with the last visit recorded as the 28th of March. The reports were comprehensive. As stated earlier in the report, residents meetings are held to ascertain resident’s views and questionnaires are sent out to residents and relatives as part of the homes quality assurance systems. The manager said the home was about to undertaken another survey to seek peoples views on the service. In the homes AQAA they indicated that policies and procedures were regularly updated and maintenance checks were being undertaken as required. As part of the inspection a sample of maintenance records were examined. Certificates were seen in relation to hoists and gas safety. Regular checks were being undertaken on water temperatures and portable electrical items. Checks on fire safety equipment and drills were being undertaken on a regular basis. Ashcott House DS0000064918.V363506.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 3 3 X 4 3 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 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 x Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 25 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 Ashcott House DS0000064918.V363506.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashcott House DS0000064918.V363506.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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