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Care Home: Augusta Close (5 & 6)

  • Augusta Close (5 & 6) Parnwell Peterborough PE1 5NJ
  • Tel: 01733890889
  • Fax:

Augusta Close consists of 2 properties, situated on a residential estate on the north eastern edge of Peterborough. Both houses are two-storey, detached properties in the same road. They are owned by Mr Alan Atchison and provide care and support for up to 9 people with learning disability. 5 Augusta Close has 4 bedrooms and 6 Augusta Close has 5 bedrooms, both houses have a lounge/dining room, kitchen, bathrooms with shower and toilet and a separate toilet. The houses share access to a large back garden with patio and lawn. The houses are within walking distance of local shops, pubs, a post-office and public transport. Peterborough city centre is about 5 miles away and is easily accessed by public transport. A copy of the CSCI inspection report is available in the manager`s office.

Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 30th June 2008. CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Augusta Close (5 & 6).

What the care home does well People that used this service were very independent. They were proud of their independence and the respect they get from staff when and how they needed. Majority of users of the service were in this home for a number of years and were completely settled and felt at home. Their files showed that their needs were well addressed in their care plans and both users of the service and staff knew how to work towards achieving set goals for each individual. Not only the homely arrangement and setting, but the complete atmosphere in the home pictured why users of the service felt "at home," as two of them stated when they spoke about their life in the home. People did not spend all their time in the house, they had a range of a structured and valued activities outside the home. Some of them attended colleges for education, some were working and some were involved in voluntary work. Although the position of manager was not filled in with some stability, the staff team was consistent for about two years, knew users of the service well and developed respectful and caring relationship with users of the service. What has improved since the last inspection? Just before resigning, the previous manager established a consistent and well devised system for recording needs of people living in the home. Staff members commented that records were now much better and clearly recordedneeds and events that helped staff support users of the service in the way agreed with them and with clear instructions. The new office created in the conservatory was an excellent improvement, as staff were more accessible. Users stated: "Now we can easily find staff when we need them. They respond better when we call them now." The front garden with new flowers was another improvement and a lady, a user of the service said: "Aren`t they lovely? Look how nice the garden is." The home arranged for a mixing valve to be installed on hot water taps, so the water temperature was brought into safe range, protecting users of the service. What the care home could do better: The home identified areas that needed improvement and acted in a planned way executing actions to improve services and provisions for users. A few minor elements were identified during the inspection that would help further improvements and safety: regular fire drills would help users learn how to act automatically in case of a fire; metal boxes for the money held by the home on behalf of users of the service would be more secure. Appointment of a permanent manager would help both users of the service and staff achieve consistency without needing to change systems for records constantly and maintain good quality of records. CARE HOME ADULTS 18-65 Augusta Close (5 & 6) Parnwell, Peterborough PE1 5NJ Lead Inspector Dragan Cvejic Unannounced Inspection 30th June 2008 08:30 Augusta Close (5 & 6) DS0000015142.V367467.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 Augusta Close (5 & 6) DS0000015142.V367467.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. Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Augusta Close (5 & 6) Address Parnwell, Peterborough PE1 5NJ 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) 01733 890889 Mr Alan Atchison Manager post vacant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Augusta Close consists of 2 properties, situated on a residential estate on the north eastern edge of Peterborough. Both houses are two-storey, detached properties in the same road. They are owned by Mr Alan Atchison and provide care and support for up to 9 people with learning disability. 5 Augusta Close has 4 bedrooms and 6 Augusta Close has 5 bedrooms, both houses have a lounge/dining room, kitchen, bathrooms with shower and toilet and a separate toilet. The houses share access to a large back garden with patio and lawn. The houses are within walking distance of local shops, pubs, a post-office and public transport. Peterborough city centre is about 5 miles away and is easily accessed by public transport. A copy of the CSCI inspection report is available in the manager’s office. Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection that started at 8.30 in the morning when people living in the home were getting ready to go on holiday. Seven peopleusers of the service were present and 3 staff, and all commented on life in the home. Three files with care plans and daily notes were inspected. Two users of the service were case tracked. A tour of the communal areas of the houses, mainly downstairs, took place. The main method used for this inspection was talking to people that use the service and observing them while they were supported by staff to pack and get ready for their holiday. As the home submitted their self assessment, AQAA, this document was also used to inform this inspection. What the service does well: What has improved since the last inspection? Just before resigning, the previous manager established a consistent and well devised system for recording needs of people living in the home. Staff members commented that records were now much better and clearly recorded Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 6 needs and events that helped staff support users of the service in the way agreed with them and with clear instructions. The new office created in the conservatory was an excellent improvement, as staff were more accessible. Users stated: “Now we can easily find staff when we need them. They respond better when we call them now.” The front garden with new flowers was another improvement and a lady, a user of the service said: “Aren’t they lovely? Look how nice the garden is.” The home arranged for a mixing valve to be installed on hot water taps, so the water temperature was brought into safe range, protecting users of the service. 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. Augusta Close (5 & 6) DS0000015142.V367467.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 Augusta Close (5 & 6) DS0000015142.V367467.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, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People that use the service had enough information to help them make their own choice of the place where they live and proper assessment reassured them that their needs could be met how they wanted. EVIDENCE: In their self assessment, AQAA(Annual Quality Assurance Assessment), the home reported: “Residents choose to live at Augusta Close and are supported when they want to move on.” Speaking to seven users of the service confirmed that they chose this home. One of them expained: “I had enough information to choose this home. I like it here.” The files checked showed that the initial assessment and on-going assessments were regularly and properly conducted to make sure users’ needs were clearly identified and could be met in the setting they chose to live in. “I know about my care plan, I signed it and agreed with it”, stated a user of a service. Staff were observed helping people get ready for their holiday. They approached users with respect and care, checked sensibly their final needs Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 9 before leaving for their holiday destination and showed that care needs of people were met. A lady from the service explained how her needs related to diabetes were met and added: “I am very happy how they help me.” Augusta Close (5 & 6) DS0000015142.V367467.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Users of the service enjoyed the atmosphere where their independence was promoted, encouraged and respected. They participated in many areas of running the service, making it their home. EVIDENCE: Three care plans were checked and showed that all relevant, identified needs were properly recorded. These records directed staff to help users of the service in the way they wanted. One of the plans showed the involvement of a language therapist. Another plan explained how to calm a user of the service when necessary. One of the checked care plans stated that a user needed help and support with finances and she stated: “Staff do not restrict my money, I always get as much as I want.” A young person, a user of the service proudly stated that he packed his rucksack for the holiday independently. He stated that he was respected in Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 11 making the decision of what he would take with him. Another user showed her favourite “Music Award” file and got it ready to take it with her on holiday. Two ladies, users of the service, explained together that they were making decisions about shopping, food, cleaning and added: “We decide basically all.” A young man stated: “I have a money box in my room. That’s how I keep my money I earn from my work.” Personal money kept by the staff was safely locked, but some users’ money boxes were improvised, while some have proper metal boxes for their money. Records checked demonstrated that balances on records signed by users matched the amounts of money in boxes. Two ladies stated that most everyday activities were organised according to users wishes. “We do cooking, shopping cleaning and go to day centres.” A senior staff member stated that users get feedback on their comments during quality assurance reviews. Augusta Close (5 & 6) DS0000015142.V367467.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. Lifestyle was completely determined by users choices and wishes and they were supported to independently but with support, creating the lifestyle they wanted. EVIDENCE: Very independent people that used the service were able to choose and join activities that promoted their personal development. This was stated in the AQAA when the home reported in their self assessment: “Residents who wish to and where possible (space dependant) get the opportunity to take part in various college courses and supported employment; staff motivate and support residents to choose what they would like to do and facilitate this where possible to happen; we are good at supporting residents to access the community and communal areas and promote social inclusion. Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 13 We are flexible in our approach to activities and encourage residents to try new leisure activities both in the home and away from it. We encourage relationships between residents and family/friends/peers and facilitate contact in many ways, phone, visits (both at home and away from it) letters/ cards. We liaise with family members and encourage them to visit whenever they want. We promote an inclusive environment to residents family and friends and often extend invitations to them at the residents request to social events. We also facilitate residents to visit friends/family etc away from the home and liaise with other agency support staff to arrange this. All residents are treated with respect and dignity, residents have their own personal space, which is decorated and furnished to their choice and if so wished residents can have a lock to restrict others entering their own area, staff will always seek permission to enter personal areas prior to doing so and will always knock before entering residents bedrooms. Residents are free to use all communal areas of the house as are their visitors and are also free to spend time alone when wished. Residents actively get involved with meal choices and preparation, all residents have 3 meals a day and in addition snacks and refreshments through the day. Residents are supported to make healthy choices and staff are aware of any dietary requirements, meal times are flexible to accommodate activity should residents choose something other than what is on the menu, staff will also attempt accommodate their wishes” All users spoken to confirmed that they led fulfilled lives and that their choice of day activities is respected and supported. The holiday in Skegness also showed how users of the service decided where to go and observation of preparation on a day of departure showed how staff fully respected users wishes. Two rented cars were used for the trip and users were delighted with the car model chosen for the trip. A user proudly stated that he worked and was earning his own (small) money. Choice of food, organised way of food preparation, even food shopping determined the exceeded standard. Augusta Close (5 & 6) DS0000015142.V367467.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. New care plans contained well described needs and goals for users of the service, making it easy for staff to follow them when support is provided to the users. Users were fully aware of their care plans and agreed with recorded elements that ensured they received support as they wanted and needed. EVIDENCE: The users of the service chose their clothes, make up and were fully in control of their appearance. A user was proud that he chose the military outfit and even rucksack for his holiday. He stated: “I have a nice back pack, I like it. I packed it myself.” Care plans checked showed that recorded elements of personal care coincided with what users explained as their needs for help and support. A user hurt his hand and all related records demonstrated a good recording system. He explained how he was helped with this and his explanation matched the recorded event. A staff member sensibly and gently discussed the current state of his hand, showing respect for individuality, personality and his needs. Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 15 Records of involvement of external health professionals were accurate and complete. In the self assessment the home reported: “Health and well being is continually monitored and residents are supported to attend and access specialist health services where required. Staff ensure that all health appointments are booked and attended or arrangements are made in order to access these services.” Medication was checked for 3 users of the service and records and medication were correct. Three users stated that they were happy with medication arrangements. The use of homely remedies were signed on the consent form. The guidance from the CSCI was used to organise medication process. Augusta Close (5 & 6) DS0000015142.V367467.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. Clear complaints procedure helped protect users of the service, as well as procedure set to protect them from any form of abuse. Financial protection could be improved by introducing lockable metal money boxes for all money held on behalf of users of the service. EVIDENCE: In their self assessment, AQAA, the home stated: “We deal with all/any complaints/concerns in a timely fashion, we have a policy to set out the procedure if a complaint is made and to inform residents or the family/friends/etc of the timescale and process.” Two users of the service confirmed that they would know how to complain if they wanted to. A senior carer stated that users of the service would be able to comlain if they wanted to and that any potential complaint would be recorded and dealt with according to the set procedure. The home provided good protection of users of the service through their robust protection procedure. In their self-assessment, they stated: “We report any suspected cases of abuse to residents to the appropriate agencies and liase with residents/advocates/multi displinary teams.” Procedure for helping users of the services with their personal money also protected users from any potential abuse. Records kept for three users were checked agaist the actual cash amounts showed the right figures and were Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 17 correct. The money kept on behalf of users was safe, but not all money was kept in metal lockable boxes. Augusta Close (5 & 6) DS0000015142.V367467.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. This judgement has been made using available evidence including a visit to this service. Users of the service enjoyed the environment they lived in that was decorated and furnished according to users’ preferences. EVIDENCE: The home’s self assessment explained: “All residents have their own room which have been decorated in colours of residents choice after consultation. Residents have chosen furniture and soft furnishings in their own rooms. The home and gardens are well maintained, with a weekly gardener on site, and requirements such as health and safety and testing of fire equipment are carried out. Weekly inspection of all areas is carried out on building and garden and any areas requiring repair/cleaning/replacement are identified and actioned.” The front garden had newly planted flowers, making it similar to other properties in the neighbourhood and creating a residential feeling to both people that lived and worked in the home and to visitors. Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 19 Records of testing fire equipment were checked and found to be up to date. There were no records of fire drills and the staff member could not quote the dates when and how these precautionary measures were implemented. Hot water temperatures were checked regularly after the mixing valves were installed to control water temperatures. Records showed that temperatures were within the safe range. A tour of communal areas showed that they were well maintained, pleasant and clean. Users of the service spoken to stated that they liked their bedrooms and were responsible for cleaning them. Users of the service used the laundry facilities that were safe and contained required equipment. The home was clean and free from any offensive odours. Augusta Close (5 & 6) DS0000015142.V367467.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): 31,32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good, stable and skilled staff team ensured that users of the service did not suffer from the frequent change of manager, which had happened lately. EVIDENCE: The main asset of the home was a consistent and experienced staff team. All staff were working here for the last two years and knew the users well. Carers, including seniors, were clear of their responsibilities and duties. A senior staff member spoken to stated that she felt well supported. “We get quite a lot of training that help us doing our job.” Several users confirmed that staff were really responsive, understanding and supportive. Two users judged them: “They are excellent”. Observation of staff helping users to get ready for their holiday proved the statement that they were really good, respective and a real asset to the home and users of the service. Staff members were visibly approachable and accessible. Users did not have any problems communicating with staff and also were able to ask for privacy when they wanted, as they did, to speak about their views of the home for the inspection. Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 21 A staff member was pleased to state: “I am pleased I achieved my NVQ 3 (National Vocational Qualification). I feel supported even when manager is not present.” However there was a period when the managers did not stay long enough to establish set and stable procedures. Every new manager was bringing in some personal aspirations and rules, making it more difficult for staff to follow everchanging rules. Users of the service were not affected directly by the changes of managers, as they saw managers in the same light as they did the other staff: supportive, caring and trustworthy. Staff were united into a good team and worked consistently with users of the service, which was observed during the inspection. There were no new staff, as the staff team was stable, but the recruitment of a permanent and stable manager was still in front of the providers. Training that staff received covered basic, mandatory subject and subjects related to users conditions. The temporary manager would need to ensure that training does not fall behind schedule while the recruitment of permanent manager takes place, as the staff were anxious about this transitional period. Support through supervision and training, at the time of the inspection site visit, was not greatly affected and staff did feel supported both by the temporary manager and among themselves. Augusta Close (5 & 6) DS0000015142.V367467.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 home was well managed despite the fact that the current manager was in this post only temporarily and users of the service have not been greatly affected by the management changes. EVIDENCE: Although the home was run by an experienced and skilled manager, this arrangement was temporary after the previous manager left without notice. The provider would need to address filling the manager’s post on a stable permanent basis in order to reduce the pressure of manager’s individual initiative and changes. Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 23 Two staff members spoken to wanted to have a stable and permanent manager. Once appointed, this manager would need to register with the regulation authority, the CSCI. The current manager was successfully running the home, created much better care plans and had brought some other improvements in, among others those related to quality assurance review. The self assessment confirmed this progress: “We have evidence in the form of the returned questionnaires, and all updates/ replaced/reviews which have been undertaken have been documented as proof it is being carried out.” Health and safety was seen as the responsibitly of all staff and users of the service and, being emphasised in this way, ensured progress in this area. Higher hot water temperatures had been addressed and brought into line with the safe range. Health and safety records were checked and were all up to date, well planned and conducted. Augusta Close (5 & 6) DS0000015142.V367467.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 3 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 3 32 3 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Augusta Close (5 & 6) DS0000015142.V367467.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA23 YA24 Good Practice Recommendations All service users’ money kept securely by the home should be kept in lockable metal boxes to improve safety and protect users interests. Introduction of regular fire drills would help users learn how to protect themselves better in case of fire in this otherwise safe environment. Augusta Close (5 & 6) DS0000015142.V367467.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 Augusta Close (5 & 6) DS0000015142.V367467.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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