Care Home: Branksome House

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What the care home does well The providers show a strong commitment to ensuring a good quality of life for residents and the importance of constant review of practice. Comprehensive care plans are in place with regular review to meet residents changing needs. What has improved since the last inspection? The provider had ensured that points that had emerged from the last inspection had all been responded to. Residents spoke of being happy with their lives. Staff have encouraged residents to socialise more in the home and also with activities within the community. A staff-training matrix was in place as a management tool to show the training staff have completed and future training needs. The Annual Quality Assurance Assessment and survey responses have started the process of quality assurance to promote further development of practice. The manager has produced valuable individualised communication books, which help a resident to communicate. The provider has increased staffing at key times, within the rota so that staff have more time for one to one and group activity in and away from the home. A new induction pack has been purchased, comprising both hard copy and a disk to use on the home computer. This was examined and seen to be satisfactory and should support a comprehensive staff induction. The provider intends to take all staff through the new induction as a way of reinforcing learning and ensuring consistency. A new water temperature control system has been fitted to ensure the temperature is safe for residents and staff. What the care home could do better: When changes occur to resident`s contacts, a new one must be provided. Staff must receive at least six formal and recorded supervision sessions a year. CARE HOME ADULTS 18-65 Branksome House 26 Tuffley Avenue Gloucester Gloucestershire GL1 5LX Lead Inspector Peter Still Key Unannounced Inspection 25th October 2007 12:10 Branksome House DS0000029218.V353364.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 Branksome House DS0000029218.V353364.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. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Branksome House Address 26 Tuffley Avenue Gloucester Gloucestershire GL1 5LX 01452 535360 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) Mr Bahadar Singhera Mrs Taranjit Kaur Singhera Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (3) of places Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One bed as LD(E) for named service user. Date of last inspection 3rd January 2007 Brief Description of the Service: Branksome House is a three story semi-detached house with accommodation for nine adults with learning disabilities. The home is conveniently situated in Gloucester, which enables residents to access local community facilities. Residents also have transport that is provided by the home and this enables them to use facilities in several other local towns. The home is staffed 24 hours a day, seven days a week. Family and friends are welcome to visit the home at any time and residents can meet them in private if they wish. The residents attend various activities, which include Day Services provided by Gloucester Social Services/Health Authority and college courses. Prospective service users are given a Service User’s Guide that provides them with information about the service provided at the home. In addition to this the home has a Statement of Purpose. Fees to live at the home range from £321.00 to £820.00 per week. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was completed over a period of five hours from mid-day. On arrival an experienced member of staff was on duty with four residents and was joined by the provider shortly after. A further member of staff started work in the afternoon. The provider had been supporting a resident with a dental appointment during the morning. The atmosphere in the home was relaxed and residents were content. During the inspection a resident who had been involved in activities away from the home returned and one resident who was in hospital rang to have a chat and was looking forward to returning to the home the following week. Residents and staff were spoken with and a number of files were examined concerning both the care of residents and the running of the home. Three residents files were considered to case track and gain evidence for the inspection. The provider had completed a detailed Annual Quality Assurance Assessment document, which also provided evidence for the inspection. Surveys had been returned to the Commission for Social Care Inspection by residents (with staff support) and also by relatives and staff. One relative said the quality of life for their relative had improved immensely since being at the home with the providers and their staff. A tour of the building was undertaken and one resident was keen to show the inspector their bedroom, which they were proud of. All bedrooms were personalised and homely. Most residents were seen socialising in the lounge and dining area and enjoying an easy communication with staff. Residents spoke highly of staff, their key workers and the providers. Staff spoken with gave positive feedback about the providers “hands on” approach, and one member of staff said the provider always puts the needs of residents first. The provider talked about the lengthy period of terrible flooding and of how the home coped. The provider gave great praise to the staff team for their amazing commitment to the residents; even though many staff were coping with their own awful experiences, they always turned up for work and the whole staff team pulled together to keep the residents safe. It was also noted that the environmental health officer visited and the only points made were ones of praise. A great deal of initiative was used to deal with the issues like recycling plastic food covering for plates and using the gutters to provide water for the toilets. Staff and residents worked hard to ensure good infection control and had a specific routine for washing hands. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The provider had ensured that points that had emerged from the last inspection had all been responded to. Residents spoke of being happy with their lives. Staff have encouraged residents to socialise more in the home and also with activities within the community. A staff-training matrix was in place as a management tool to show the training staff have completed and future training needs. The Annual Quality Assurance Assessment and survey responses have started the process of quality assurance to promote further development of practice. The manager has produced valuable individualised communication books, which help a resident to communicate. The provider has increased staffing at key times, within the rota so that staff have more time for one to one and group activity in and away from the home. A new induction pack has been purchased, comprising both hard copy and a disk to use on the home computer. This was examined and seen to be satisfactory and should support a comprehensive staff induction. The provider intends to take all staff through the new induction as a way of reinforcing learning and ensuring consistency. A new water temperature control system has been fitted to ensure the temperature is safe for residents and staff. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 7 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. Branksome House DS0000029218.V353364.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 Branksome House DS0000029218.V353364.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): 2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are assessed before they move to the home so the home is able to make an informed decision when considering an admission. Pre admission visits have helped a resident with their decision to move to the home. Whilst residents have contracts of residency, the provider must ensure they are kept up to date. EVIDENCE: Three residents files were examined. Two new people have been admitted to the home over the last twelve months. Community care management team documents were seen, providing information for admission. The file for one resident, which was case tracked showed significant input and also contained a detailed pre admission assessment and very detailed care plan. One resident talked about their admission and of the visits made prior to making the Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 10 decision to move to the home. This person visited a number of care homes and visited Branksome three or four times and spent a few days living at the home to see if they liked it. The resident said they wanted to come to the home because of the good access within the home and the staff were nice. “I chose Branksome”. Three resident’s contracts were seen and found not to be fully up to date. This was due to an increase in the charges for transport. A requirement will be made to ensure contracts are brought up to date within three months. The placing authority should be sent the new contract. Branksome House DS0000029218.V353364.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 excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans ensure staff can meet resident’s needs consistently. Staff support residents to make their own choices and decisions in their lives. Risk assessments are provided to minimise unnecessary risk. EVIDENCE: The files of three residents were examined; they contained detailed care plans covering areas including behaviour management, personal care needs, social and leisure activities, communication, health and medication. The care plans were set out clearly and had been regularly reviewed. One file showed frequent review due to constantly changing needs. Likes and dislikes were clearly set out with details of the way needs should be addressed. A member of staff said they know how to support each resident with their individual decision-making and of how they need to give reminders and prompts. One Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 12 resident spoken with about personal choice, gave an example of shopping for shampoo and how they smell the different ones to make their choice. Each resident has a key worker and one resident spoken with was looking forward to seeing her that day. One resident who has dementia has increasing communication difficulties and the manager showed the inspector flash card books, with pictures and words. The cards are reviewed as the resident loses recognition. The inspector considered the approach taken with this to be excellent in that it ensured the resident could use the cards without being frustrated by cards that could not be identified and that word recognition which was still understood was used rather than pictures where possible. This example of practice also demonstrates the way the home values equal opportunities and diversity. It was clear that Staff know the individual well and the small but vital things, which enhance resident’s lives and help people to stay in control. Resident’s files contained risk assessments, which were detailed and help staff to keep residents safe. One resident spoken with was aware of the risk of carrying too much and how staff give reminders. Risk assessments were reviewed regularly. Branksome House DS0000029218.V353364.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s enjoy an increasing range of activities of their choice. Residents are supported to be open in their relationships, including their rights and responsibilities, recognising equal opportunities and diversity. Staff promote a healthy diet, helping residents to understand its importance. EVIDENCE: Most residents attend activities away from the home during the week, including: day centres, horticulture sessions at a local college, over 55’s and bingo clubs. One resident attends a local church and residents go out frequently to local shops, café and pub; one resident enjoys Elvis concerts. The annual holiday for residents this year was a return to Pontins at Brean Sands, which is understood to be a preferred choice of residents. One resident has dementia and staff have paid particular attention to the activities she enjoys Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 14 such as knitting and 60’s music. They also continue to maintain the resident’s preferences and choices expressed when abilities and communication was good. New equipment helps this resident to do as much activity as possible to maintain dignity and self-respect. Residents individual choices are recorded and responded to for example one resident likes to go out every day with a member of staff and another resident wished to retire from the day centre they attended and said they wished to remain active by carrying out basic tasks around the home. One member of staff talked about a difficulty this resident has with mobility and that the provider had bought a specific cleaning tool, which the resident is able to use. A member of staff spoken with said that at a staff meeting during the summer staff talked about how they could encourage residents further with activity and of helping some residents to socialize more. Some residents were spending a lot of time in their rooms and watching a lot of daytime TV. The outcome in recent months has been positive with evidence of residents engaging in varied activity, within the home and local community. More use is being made of a car to take residents out and recently nearly all residents went together by public transport to Gloucester. The provider gave the inspector a record of the previous two weeks staff rota, which showed times when extra staff had been working, specifically to support activity and trips out with residents. Not all residents have family who visit but many do have contact and records show this to be encouraged and of the ways in which the staff and providers help with the arrangements, for example one resident was supported to attend a wedding. Menus are reviewed at least six monthly and residents are involved in preferences. The inspector listened to discussion between a member of staff and one resident about what they would like to eat and the resident chose the food. The home supports residents to follow a healthy eating programme and fruit, fresh vegetables and low sugar snacks are provided. Dietary needs are assessed and recorded within the care plans. The dietician, district nurse and GP are also involved to help residents with specific difficulties. Two residents spoken with said they enjoy the food and one said they have choice of food. Branksome House DS0000029218.V353364.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. This judgement has been made using available evidence including a visit to this service. Staff use care plans and knowledge of residents to ensure they receive personal support according to individual preference and need. The provider’s ensures resident’s physical and emotional needs are met, with support from external professional agencies. Controls, policies and procedures are in place to ensure administration of medication is effective and risks are minimised. EVIDENCE: The Annual Quality Assurance Assessment produced by the provider, gives evidence of the needs of residents and of support provided. It gives detail of one resident, whose needs “have changed drastically over the last 6/8 months”. It lists the range of external agencies the home is involved with and Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 16 of equipment and adaptations made to the home to support the care now needed. The care plan for this person had been reviewed within two months. Care plans, risk assessments and daily records show similar detail for the other residents. Regular health screening is undertaken by the resident’s GP and there are records of key tests and appointments that have been undertaken. One resident was in hospital at the time of the inspection and due back to the home the following week. Staff have made frequent visits to this resident to provide support. The home uses a monitored dosage system (MDS) for the administration of medication and this was seen and three files were looked at in particular to case track residents for the inspection. Medication records are held in one place, are clear to understand and have a photo of the resident. Medication was seen to be correct and creams and ointments were labelled with date of opening. Branksome House DS0000029218.V353364.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. This judgement has been made using available evidence including a visit to this service. Residents can make complaints about anything they are unhappy with and the home’s complaints procedure supports the process. The training staff receive concerning adult protection, reduces the risk of residents being abused, neglected or harmed. EVIDENCE: The home has a complaints procedure and the complaints book was examined. No complaints had been entered. The commission had likewise received no concerns about the home since the last inspection. Four relatives responded to a survey and all said they knew of how to make a complaint and had no cause for concern. One relative said: “In my opinion they do everything well to a high standard and I have no complaints whatsoever.” The inspector spoke with two residents and both said they knew who to complain to. One resident spoken with was able to verbalise confidence and openness about who to talk to if they had a concern. Residents raise issues, which are responded to so they do not become complaints. One resident spoken to said “I feel safe at the home” but had a difficulty with the fire door to their bedroom, which they had discussed with the provider who was looking at ways of resolving the difficulty. The resident let the inspector try the door causing the problem and the inspector could find no fault with the door, which could be opened easily and closed gently. It was understood that support needed to be given to the resident in relation to the number of things being carried when using the door. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 18 Staff have received training provided by the Gloucestershire adults at risk team called “alerter’s training” and the home has a copy of the alerter’s guide. During the inspection, residents were observed to be relaxed with staff and relationships were positive and open. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 19 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): 24,27,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment meets the current needs of residents at the home. EVIDENCE: The home was clean and tidy, well decorated and free from offensive odours. All bedrooms are personalised and residents clearly appreciated the individuality their rooms provide. One resident spoken with specifically said they liked the fact that there were no stairs to the areas of the home they use. Branksome also benefits from wheel chair access. Since the last inspection new moving and handling equipment had been provided and adaptations made to support care and the dignity of residents with particular needs. The assisted bathroom, which had been completed at the last inspection, has been found to be a valuable facility. It is spacious and very well equipped; it is modern in appearance and has two shower units, which a member of staff said that some residents really enjoy. Staff have their own shower and toilet, however there Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 20 is no staff sleeping in room since the home currently provides for a member of staff to be awake. The provider has plans to replace the kitchen with an area, which can be more user friendly. It was clean and well organised. The inspector couldn’t locate the home when he first arrived and talked with the provider about how well the property blends in with others in the street. The provider said they had tried hard to ensure the property is homely in all respects. The provider completed a document, which listed dates of key tests care homes are required to undertake, including fire, electrical and water temperature. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The training staff undertake ensures residents receive care from staff that are qualified and competent. Recruitment practice provides a protection for residents. Formal and recorded staff supervision is required to be put in place for each member of staff and at least six times a year, to ensure any matters are dealt with, which may have an impact on residents and to support staff in their work. EVIDENCE: The provider maintains up to date training records for staff and uses a stafftraining matrix as a management tool, which was examined. The range of training opportunities has continued to grow since the last inspection and the provider plans to up date the training matrix further to accommodate the range of training, as well as recording training staff are required to undertake. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 22 80 of staff hold an NVQ level 2 award and a further 20 are working towards it; 40 of staff are working towards NVQ level 3. Other training includes: training to increase staff knowledge and skill in working with the aging group of residents at Branksome; Makaton and work on gestures and expressions and the manager has undertaken a reinforcement course in infection control. The new induction pack, which has been recently purchased is detailed and is likely to be valued by new and existing staff for induction and reinforcement training. Staff should be praised for their commitment to training, which the provider’s are promoting with their staff team. The personal files for two members of staff at the home during the inspection were examined and found to contain recruitment information, including two references and a Criminal Records Bureau check. During the inspection, the provider demonstrated the “hands on” approach that he and the manager maintain to running the home. Staff spoken with were motivated and felt well supported and this approach, with the significant time spent at the home by the provider’s has meant that staff receive support and guidance on a daily basis. An example was a recent communication about staff being more effective in their formal written communications. Staff raise issues and the provider takes staff to one side for supervision. Whilst this is excellent, it is also necessary for the provider to comply with the requirement to ensure staff are appropriately supervised with recorded meetings at least six times a year. It is necessary to formalise supervision. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 23 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 commitment to residents needs demonstrated by the providers promotes a well run home. Residents are listened to and the homes desire to continually improve supports the development of good practice. The provider takes steps to monitor risks to protect resident’s health and safety. EVIDENCE: Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 24 The providers are well established at the home and have continued to make improvements, which they have set out within their detailed annual quality assurance assessment. It makes a comment that “We pride ourselves in offering our service users the best care possible” and the inspector felt this was a very positive statement to make. It was supported by comments from residents saying how they like it at the home, by staff too and the comments received from relatives. The provider has demonstrated a willingness to respond to issues identified at inspections by the Commission for Social Care Inspection and there is an openness of communication. Comments received for this inspection from residents, with support, also by relatives and staff were positive and show that people are happy at the home. One relative said “The recent improvements made to the home as regards extensions and refurbishment has made it extremely comfortable and pleasant and improved it enormously and the care is always excellent”. The home has policies and procedures for health and safety and staff sign and date them to show that they have been read. Policies are reviewed on an annual basis. Maintenance of equipment includes servicing or testing and Hoists were reviewed in August 2007 and Gas appliances in September 2007. The policy on the control of substances hazardous to health was reviewed in June 2006. Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 25 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 3 5 2 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 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 26 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. 1. Standard YA5 Regulation 5(b)(c) Requirement Ensure Contracts between the home and the service users are up to date. (This relates to the cost of services not covered by fees) Ensure staff receive at least 6 formal and recorded supervision meetings a year. Timescale for action 01/02/08 2. YA36 18(2) 01/02/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Branksome House DS0000029218.V353364.R01.S.doc Version 5.2 Page 28 - 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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