Care Home: Care at Stennings

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What the care home does well This service supports people with Learning Disabilities to develop their daily life skills and to become more independent. Everyone has a care plan so that staff know how to meet their needs in the way they prefer. The service listens to people and shapes the support around what people say they want and need. People tell us they are very happy in the home and that they feel they can have a say about how it is run. People are supported to manage their own shopping budgets and to plan their own menus. Everyone has the support they need to go out and do the activities they choose. People in the home told the inspector they go out for meals, to the pub and to the cinema in the evenings. Some people have jobs and some people go to college. The staff that work in the home have a good understanding of the needs and rights of the people that live there. They spend time with people ensuring they understand their rights and supporting them to challenge any discrimination they may face in their daily lives. There are lots of communication aids in the home. This helps people to understand and get involved in their care plans. It also helps people to understand the policies in the home, such as how to make a complaint. What has improved since the last inspection? Staff have been trained in how to safely support people with their medication. Everyone has also completed some training in Sexuality. Over half of the staff team have started their NVQ award since the last inspection. The new Manager is looking at the training needs of the staff in the home to see what other training help them to support the people that live in the home. The way staff are recruited has improved and all new staff now complete a `skills for care` induction workbook to help them understand their role. New staff work under supervision now for at least two weeks until they are trained and competent to support people with their needs. The care plans have been reviewed and they are now easier for staff to follow. This means that staff can easily see the information they need so that they can provide the correct support for people. The care plans are also now easier for the residents to understand and be involved in. When people in the home complete surveys about the quality of the service the results are now published on the notice board so that people can see the overall view of the home. Staff have completed some training in good report writing and the records in the home have improved as a result. This means that there is better evidence of how people`s needs are being met. What the care home could do better: It is recommended that an action plan be produced, from the surveys residents fill in, to tell residents what improvements are planned for the service. CARE HOME ADULTS 18-65 Care at Stennings Stennings Brookview Copthorne West Sussex RH10 3PL Lead Inspector Jo Griffiths Unannounced Inspection 17 September 2008 11:00 th Care at Stennings DS0000047546.V371332.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 Care at Stennings DS0000047546.V371332.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. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Care at Stennings Address Stennings Brookview Copthorne West Sussex RH10 3PL 01342 719388 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) careatstennings@aol.com Ms Susan Margaret Snelling Mrs J Day Manager post vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th December 2007 Brief Description of the Service: Stennings is a home for up to eight younger adults with learning disabilities situated in the village of Copthorne, on the outskirts of Crawley, West Sussex. The premises are two large detached houses situated at the end of a residential close. The houses are connected by a conservatory, and form one residential home, which offers comfortable and well-equipped accommodation. Attractive gardens surround the property and there is good access to local transport, leisure and shopping facilities. Care at Stennings DS0000047546.V371332.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 3 Star. This means the people who use this service experience excellent quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 use the term service user to describe those living in care home settings. For the purpose of this report people living at Care at Stennings will be referred to as residents or people. An Annual Quality Assurance Assessment (AQAA) was completed by the Registered Providers and returned to the CSCI prior to the inspection. This gave the service the opportunity to tell the CSCI about how they are performing and how they ensure that the views of people using the service are incorporated into what they do. A visit to the care home took place on 17th September 2008 between 11.00am and 3.30pm. The new Manager of the home was present. There were seven people living in the home at the time of the inspection. Three people that live in the home were spoken with during the visit. The other residents were out at work or at their daily activities. Some of the records and care plans were viewed as part of the inspection and the inspector had a look around the home. One person showed the inspector their bedroom. What the service does well: This service supports people with Learning Disabilities to develop their daily life skills and to become more independent. Everyone has a care plan so that staff know how to meet their needs in the way they prefer. The service listens to people and shapes the support around what people say they want and need. People tell us they are very happy in the home and that they feel they can have a say about how it is run. People are supported to manage their own shopping budgets and to plan their own menus. Everyone has the support they need to go out and do the activities they choose. People in the home told the inspector they go out for meals, to the pub and to the cinema in the evenings. Some people have jobs and some people go to college. The staff that work in the home have a good understanding of the needs and rights of the people that live there. They spend time with people ensuring they understand their rights and supporting them to challenge any discrimination they may face in their daily lives. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 6 There are lots of communication aids in the home. This helps people to understand and get involved in their care plans. It also helps people to understand the policies in the home, such as how to make a complaint. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Care at Stennings DS0000047546.V371332.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 Care at Stennings DS0000047546.V371332.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): Standards 2 and 3 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have an assessment of their needs before they move to the home and can be assured that the home will be able to meet these needs before they move in. EVIDENCE: The assessment documentation was seen for three people that currently live in the home. This was detailed and covered their physical health, emotional, social, educational and personal care needs. The assessments had been completed before the person moved into the home and had been updated within the last 11 months. All people living in the home have had an assessment of their needs by their funding authority before they moved to the home. Through observation of practice it was evident that staff have a good understanding of peoples needs and communication methods. The Manager is currently reviewing the training plan for next year to include further training in areas of residents needs. This is likely to include epilepsy, autism, and the needs of people with various learning disabilities. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 9 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): Standards 6, 7, 8 and 9 People that use the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have a person centred plan that ensures their needs are met and that they retain control of the decisions made in their lives. People in the home are supported to have a say about how the home is run. People are supported to take appropriate and assessed risks as part of an independent lifestyle. EVIDENCE: All service users have a care plan that has been written with their involvement. The plans for three people were examined in detail. The plans include guidelines for how the person likes to be supported with certain daily tasks and for some people the guidelines had been produced in symbol format so that they could follow it easily themselves. Since the last key inspection the care plans have been reviewed and the format made easier to use. This means that staff are able to access the information they need in order to provide the Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 10 correct level of support. Staff on duty confirmed that the plans were now easier to use. The new style plans are also more accessible to the residents. All three people whose files were examined knew where they were kept and knew that they could access them. The plans are reviewed six monthly with the care Manager and other relevant people. There was evidence in the files that the resident is enabled to control and plan the review by deciding who to invite and what things to add to the agenda. Where the persons right to have this control of their review has been compromised the staff team have supported the person to challenge this with the relevant person. Person centred planning has been used with each person to help them plan their future dreams and goals. These were seen to be recorded on three care plan files and updated regularly to show the progress made or goals achieved. The keyworker completes a quarterly review of goals achieved with the individual. Examples of recent goals achieved include one person who visited Graceland in the USA, one person who wanted to manage their own shopping online and another person who wanted to go abroad for a holiday. Peoples wishes regarding where they wish to live are revisited with them regularly and their decisions are respected. Where the funding authority makes suggestions for other placements the person is supported by the home to have their say in the decision. A document called My Views, My Decisions has been used with people to reinforce their understanding of their rights. Residents meetings are held monthly in the home and the minutes are placed on the residents notice boards. There are also weekly menu planning sessions for each person, which include nutrition planning and budget and shopping planning. There are various communication aids used within the home. These were seen to include picture cards to help people develop money skills, pictorial step by step recipe cards, photo staff rota, activity plan charts and the use of Makaton sign language. An easy read version of the Valuing People document was in the home. Risk assessments were in place for various activities for individuals and these had been reviewed recently. A risk assessment had been put in place for residents regarding their use of transport following a reported incident earlier this year. Some residents have their own mobile phones. Where residents wish to go out to work and activities unsupported there are risk assessments in place and safeguarding systems to ensure they can access support by phone if they need it. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 11 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): Standards 12, 13, 14, 15, 16 and 17 People that use the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are supported to do the activities they prefer and are supported to gain employment or further their education if they wish to. People use facilities and services within the local community and are supported to enjoy their leisure time in the way they choose. The residents rights and responsibilities within the home are clearly outlined to them and they are supported in their right to make and maintain personal relationships. People are supported to plan and prepare their meals. They enjoy a balanced and healthy diet. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 12 EVIDENCE: At time of the visit two people were out at work, one was out for a haircut and two people were at their day centre. One person phoned the home, using their mobile phone, to say that they were going to the cinema after work. Each person has an individual activity plan as part of their care plan. The activity planners for three people were seen. Activities were individual to each person and included day centre sessions, college courses, drama class, textiles class, pub, cinema, walks, shopping, budget and menu planning, football, and aqua aerobics. Some people also go and stay with their parents at weekends. One person told the inspector that they enjoy going to the day centre to do money skills and exercise classes. The person also confirmed they are supported to go out in the evenings to pubs, cinema and for meals out if they wish. People have been supported to obtain ID cards, as there have been incidents where they have been refused service in a pub. The residents have been supported to challenge any discrimination they face in the community. Cycling on the local bike track and art sessions have been introduced as a result of feedback from the people in the home. Another resident said they go to a day centre at the moment, but that they are working toward getting a job and would like to work in a music store. There are good public transport links that people use to get to college and to work. There are shops and services within a walking distance of the home. Some people have a pictorial day planner to help them plan their activities and tasks. These are on their notice board in their house and staff support them to complete these each evening. Person centred planning is used to help people decide where they would like to go on holiday. Holidays are planned individually with people. When at home residents can relax in the lounge, where there is a TV, music and DVD player, or they can relax in their rooms. People can have their own TVs and other entertainment in their rooms if they choose. Three evenings a week the two houses get together and host meals for each other. Peoples needs with regard to developing and maintaining social relationships have been addressed through the care plan. There are many opportunities through college, work and leisure activities to meet new people. Peoples right to privacy and relationships is understood and respected by staff and the appropriate support is given through the care plan. Two people spoken with confirmed that they are responsible for keeping their room clean and for doing their own laundry. They said the staff help them with this. Everyone has been issued with their own key to their room and the front door. Two people were seen to use these during the inspection. Post racks Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 13 labelled for each resident are fitted in the hallways for their incoming personal mail. The menus are planned individually for each person. They are supported to plan their own menu each week, Staff were seen to support someone with this during the visit. Advice charts about healthy eating are available. Some people choose to do their shopping online whilst others prefer to go to the supermarket. Staff provide weekly support to budget and plan the shopping list, based on the menu the person has written. Everyone has their own cupboard and fridge space. In addition to the individual shopping people do, the home also provides staples including bread, milk, tea, coffee and fresh fruit, which was seen to be placed in each house. Risk assessments have been completed with individuals for the safe handling of food. One person said that they were planning to cook a chicken curry that night. When asked they said they liked to be able to do their own shopping and cook their own meals. Two people spoken with confirmed they always have plenty of food in stock for their meals and get the support they need from staff to plan their menus. Care at Stennings DS0000047546.V371332.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): Standards 18, 19 and 20 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have their health and personal care needs met through their individual care and support plan. They are supported to manage their medication in a safe way. EVIDENCE: The care plans for three people were inspected. These showed that peoples health care needs had been addressed through the care plan and each person had a Health Action Plan. The Health Action Plans had been updated as needed. There were clear records maintained of the involvement of health care professionals. This included the GP, dentist, optician, dietician and the community learning disability team. Peoples personal care needs were also outlined in the care plan. Guidance sheets had been devised to show the way the person prefers to be supported. Residents are encouraged to be as self managing as possible with regard to their personal care and picture reminder sheets are in place to help some people develop their independence in this area. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 15 Some people manage their own medication. Risk assessments and safeguarding systems are in place to ensure the person continues to do this safely. Some medication is administered by staff. All staff have been trained in administering medication since the last key inspection. They have also completed a competency assessment. The storage of medication was secure and appropriate. The records of medication administered had improved since the last inspection, but a member of staff had not signed for one medication over the previous weekend. The Manager undertook to investigate this immediately. Care at Stennings DS0000047546.V371332.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): Standards 22 and 23 People that use the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People in the home know how to make a complaint if they need to and feel confident they will be listened to. People in the home are safeguarded against harm and abuse and feel safe in their home. EVIDENCE: The home has a complaints procedure and complaints forms that are in picture format so that residents can easily use them. Examples were seen where residents had been supported to make a complaint and the action taken had been recorded on the form. The action taken showed that all complaints are taken seriously and dealt with quickly. A record of all complaints made is held by the Manager for monitoring purposes. The people spoken with during the visit knew how to make a complaint if they needed to and said they felt comfortable to talk to staff. Peoples rights and responsibilities have been discussed with them through residents house meetings and through the use of person centred planning tools. The My Views, My Decisions document has been used with some residents to reiterate their rights. All staff have been trained in safeguarding adults and the home has a clear policy for preventing and reporting abuse. An easy to follow flow chart for Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 17 reporting any allegations is available to staff on the office notice board. The residents house meetings are used to discuss with people what abuse means and what their rights are. People spoken with as part of the inspection said they felt safe living in the home. Various communication aids are available to residents to enable them to communicate their feelings and any concerns. There has been one safeguarding adult alert raised since the last key inspection. This was reported appropriately and was investigated by the safeguarding team. The allegation was unsubstantiated and the case closed. All staff have a criminal records check and a check made against the Protection Of Vulnerable Adults (POVA) register before they start work in the home. Care at Stennings DS0000047546.V371332.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): Standards 24 and 30 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is comfortable, clean and hygienic and meets the need of the people that live there. EVIDENCE: The home is fully furnished and well maintained. All areas were seen to be clean and hygienic during the inspection visit. Two people gave their views of the house and said that they were happy with the home. They said, when asked, that they had everything they needed in the home and in their rooms. The environment of the home is comfortable and homely with plenty of shared and personal space and facilities for residents to use. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 19 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): Standards 32, 33, 34, and 35 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People in the home are supported by sufficient numbers of trained staff who are able to meet their needs. They will benefit from the qualifications staff are working to achieve. The staff recruitment procedure for the home contributes to the safeguarding of people from harm and abuse. EVIDENCE: Since the last key inspection the use of agency staff is no longer required. All the staff on the team, with the exception of two relief staff, are now employed on permanent contracts. This provides residents with continuity in their care and ensures that all staff are inducted and trained. There are three staff on duty during the day and one staff on a sleep in shift. The two registered providers visit the service daily and are on call at all times for staff to contact them. The staff rotas showed that staff work the hours required to support residents with their daily activities, this includes working late into the evenings to allow residents to go out in the community for the activities of their choice. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 20 All new staff now complete the skills for care induction workbook. This was seen on the files of two new employees. The new Manager has been carrying out a training needs analysis for the staff team in order to plan the training programme for 2009. The Manager said that the plan is likely to include training in epilepsy, learning disabilities and autism. Staff have recently completed training in report writing, sexuality and Makaton sign language. The training records for three members of staff were inspected. These showed that staff have completed the core training they require for their roles. The Manager said the new training programme will provide staff with further skills specific to the needs of the people living in the home. Updates in Moving and Handling and Infection Control are booked for October 2008. One member of the staff team has completed the NVQ award level 2. Five staff are working toward the level 2 and two are working toward the level 3. It is planned that the remaining staff will begin the NVQ award next year. The recruitment files for two staff were seen and found to contain evidence that the required checks had been made before they were employed. The necessary documentation was included in the files, including written references, criminal records check, proof of identity and application form. The people that live in the home are involved in the recruitment of new staff. The new Manager confirmed that some of the residents had been involved in her interview. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 21 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): Standards 37, 39, 42 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from an experienced and qualified Manager and a well run home. They are consulted on their views of the service both formally and informally and their views influence the way the service is run. The health and welfare of the people using the service is promoted and protected. EVIDENCE: A new Manager has been recruited to the home since the last key inspection. She is currently applying for registration with the Commission. The Manager has previously managed services for people with learning disabilities and holds the Registered Managers Award and the NVQ level 4 in Care. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 22 At the time of the inspection the Manager had only been in post for one month. The registered providers were visiting the service daily and providing regular supervision to the Manager. Since commencement in post the Manager said she had been getting to know the residents and carrying out supervisions with all staff and looking at their training needs. The Manager demonstrated a good understanding of the needs of the residents and had an action plan for the service for areas she wishes to improve. The home uses a care consultant to carry out the monthly quality audits of the service. A report is produced for the registered providers and the Manager that details the findings and any action that is required to ensure the National Minimum Standards are complied with. A copy of the report for August 2008 was seen and the Manager provided evidence that all the requirements made had been met. In May 2008 the residents were asked to complete surveys to give their views of the service provided. The responses were collated and published in easy to read format on the residents notice board. It is recommended that an action plan be added to the published quality report to show residents how the provider plans to improve the service in response to their feedback. The Manager has delegated the responsibility for various health and safety checks to staff members in the team. These health and safety checks are carried out weekly and any concerns are fed back to the Manager. The Manager audits the medication storage and residents finances on a monthly basis. The medication and money in the home is checked daily by support staff. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 23 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 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 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 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 24 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 Refer to Standard YA39 Good Practice Recommendations It is recommended that the registered person provide an action plan for improvement alongside the published results of the annual quality surveys. Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Care at Stennings DS0000047546.V371332.R01.S.doc Version 5.2 Page 26 Care at Stennings DS0000047546.V371332.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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