Care Home: Clayton House

Similar services:

• Thorndene
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well What has improved since the last inspection? Previous requirements made concerning maintenance of the premises and seeking views on the service provided were found to have been met. The home has been seeking the views of relatives, stakeholders in the community, and people living in the home on the service provided through the use of feedback forms and other means. Improvements to the premises since the previous inspection have included the redecoration of the hall, stairs and landing, two bedrooms and a communal lounge. The furniture in three bedrooms have also been updated, and flooring in the hall, kitchen and dining room have been replaced. Non slip floors have been fitted in the kitchen and dining room to improve safety in the home. Adaptations which have been fitted have included grab rails (at the top of the stairs and in a bathroom), and the garden has been re-landscaped to meet the mobility needs of people. What the care home could do better: No requirements were made. CARE HOME ADULTS 18-65 Clayton House 49 Brighton Road Southgate Crawley West Sussex RH10 6AX Lead Inspector Ed McLeod Unannounced Inspection 5th August 2008 14:30 Clayton House DS0000014458.V369042.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 Clayton House DS0000014458.V369042.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. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clayton House Address 49 Brighton Road Southgate Crawley West Sussex RH10 6AX 01293 553722 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) kate.saunders@outreach3way.org Outreach 3 Way Manager post vacant Care Home 6 Category(ies) of Learning disability (0) registration, with number of places Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning Disability - (LD) The maximum number of service users to be accommodated is 6. Date of last inspection 8th June 2006 Brief Description of the Service: Clayton House is a care home that is registered to provide accommodation for up to six adults with a learning disability. The house is set in the grounds of two other services belonging to the Outreach 3 Way group. The establishment is close to Crawley town centre and the local facilities and amenities including public transport. The weekly fees range from £729.87 per week to £819.93 per week. Extras include hairdressing/barbers, toiletries, holidays, and activities out, transport. There was not a manager registered for the service at the time of our visit. The responsible individual on behalf of the providers is Mrs Vanessa Keen. Clayton House DS0000014458.V369042.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. The visit was arranged to follow up requirements made at the previous inspection and to review the performance of the service against the key national minimum standards for care homes for adults (18-65). In preparation for the visit, we received a CSCI annual quality assurance selfaudit from the provider. CSCI survey responses were received from four of the people who receive a service, which had been completed with staff support. We received survey responses from two staff who work for the service. Other information received on the service since the previous inspection, including notifications, reports from other agencies, the most recent CSCI annual service review and the previous inspection report supported our planning for this visit. The visit was carried out by one inspector who was on the premises for three hours and twenty minutes. During the visit we spoke to one member of care staff and the temporary manager for the service, and observed interactions between staff and people living in the home. We sampled three sets of assessment and care records, and three sets of staff recruitment and training records. Other records sampled included the record of complaints and reports of the monthly visits carried out by the provider. What the service does well: The home has a relaxed and supportive atmosphere, and staff interact well with people living in the home. Care plans set out how the person wishes their care to be provided and how staff are to support them. People are consulted around changes to the environment, décor and furnishings and are supported to personalise their bedrooms in ways that reflect their individual preferences and character. All required checks and references are obtained for staff before they begin Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 6 working in the home. People are supported to lead an independent and active lifestyle. What has improved since the last inspection? What they could do better: No requirements were made. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Clayton House DS0000014458.V369042.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 Clayton House DS0000014458.V369042.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident the home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. EVIDENCE: The home has completed a CSCI annual audit (the AQAA) which tells us that information about Clayton House is available in accessible formats, and is regularly updated. We looked at how the admission was arranged for one person admitted to the home since our previous visit. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 10 We found that appropriate information on the person’s needs had been obtained, and that the home had undertaken an assessment of their needs which also refers to information received from relevant professionals and other significant people. We asked the manager what visits to the home had taken place, and how the person’s admission to the home had been managed. The manager told us that usually there is a gradual transition for someone moving into the home, but on this occasion due to the person’s living arrangements admission was arranged on the day of the visit, and reviewed with the placing authority three days after admission. Clayton House DS0000014458.V369042.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. EVIDENCE: Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 12 We looked at the care plans for three people living in the home. We found that care plans were clearly setting out how the person wishes their care to be provided and how staff are to support them. The care plans are being reviewed monthly by the person’s key worker and reviews with the placing authority are arranged. We received CSCI survey forms from four people living in the home which had been completed with staff assistance, and which told us that people are being supported to make their own decisions, and that they have a positive view of the way staff support them. Staff told us that one person has been enabled to participate more effectively in his care plan reviews with the use of photos and pictures. The home has also implemented observation forms which are used to record how the persons expressed or observed needs or wishes are being met. One observation record we looked at was written about a takeaway dinner which was arranged, and noted the reactions of different people to the meal. The AQAA tells us that many documents for people receiving a service are now presented in picture format, to support their communication and choice. The service has also purchased the Change symbols package, to promote service users understanding using accessible formats. We received completed CSCI survey forms from two people working in the home which included comments such as “our service promotes independence of service users – trying to do things with them not for them”. The CSCI annual service review carried out on 10/8/07 noted concerns about how the home was supporting one person with challenging behaviour. We discussed this with the manager who gave us examples of how by providing better structure for the person and by having a consistent staff approach the person has been supported to improve their communication and their understanding of boundaries of behaviour. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 13 Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives, and the home supports people to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks at a time and place to suit them. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 15 People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. EVIDENCE: The AQAA tells us that people have regular opportunities to access a wide range of community facilities and activities, including hairdressing, cafes, restaurants, pubs, church, supermarkets, leisure centres and theatres. Care plans we looked at recorded outings which had taken place such as shopping, attendance at church, and attending a show. We discussed the social and activity needs of one person with the manager, and examples were given of how more consistent care management has helped them attend a number of social events and educational opportunities which had previously been problematic. We discussed with the manager four incidents that had taken place during communal outings, and the manager told us what had been learned from those incidents and how staff had subsequently changed how they managed communal outings. The AQAA tells us that holidays and days out are offered to each individual and that these are providing opportunities for new experiences. In one care plan we looked at, advice around the planning of a holiday for one person who suffers from a particular condition had been obtained from a psychologist. The AQAA tells us that people are supported and enabled to maintain contact with friends and family, both within and outside the home. Care plans we looked at provided examples of people being supported to maintain contact with their families and friends including through telephone calls and visits. The AQAA tells us that menus are planned to meet individual preferences, dietary needs and ability to eat different types of food. Meal times were said to be flexible according the individual’s preference. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 16 We observed the preparation for an evening meal, in which fresh ingredients were used. The meal was well presented and it was our observation that people were greatly enjoying the meal. The meal was relaxed and unhurried, and one person who wished to eat later was given the opportunity to do this. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine the care home supports them with it in a safe way. EVIDENCE: The AQAA tells us that healthcare needs are met including by referral to relevant healthcare professionals, including GP and specialist support from the C.T.P.L.D. as necessary. Care records we looked at confirmed that people were accessing the health care services they are need of. We are also told in the AQAA that discussion books are providing information Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 18 in the form of picture prompts to promote healthy living and accessing relevant health support. People are supported to attend any health appointments and medication is reviewed regularly. In the care plans we looked at, we found that records of health care appointments and, if relevant monitoring charts are being maintained, such as weight charts. We discussed medication administration with the manager, who told us that she undertakes random checks on medication administration records twice a week. Staff training records we looked at indicated that staff are accessing training in the safe storage and handling of medication. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. If people have concerns about their care, they or other people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. EVIDENCE: The complaints procedure in the home is set out in the Statement of Purpose and Service User’s Guide. People living in the home indicated in their CSCI survey forms (which they were assisted to complete by the manager) that they would know who to talk to if they were unhappy or had a complaint. We looked at the home’s record of complaints and found that complaints were investigated and responded to in a fair and appropriate way. The home has policies and procedures for protecting people against bullying and to enable staff to voice their concerns to ensure people are being safely supported (referred to as whistle blowing). Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 20 The AQAA tells us that staff seek to ensure the wellbeing of people living in the home by observing their demeanour and behaviour and how they are communicating their wishes and needs. Staff training records we looked at indicated that staff are undertaking safeguarding vulnerable adults training on a regular basis. The AQAA tells us that team meetings and supervisions help raise the awareness of staff awareness in maintaining a safe environment in the home by the implementation of relevant strategies and interventions. We discussed some incidents which had taken place with the manager and found that appropriate referrals had been made and appropriate action had been taken. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People stay in a well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their rooms feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. EVIDENCE: The AQAA tells us that improvements to the premises since the previous Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 22 inspection have included the redecoration of the hall, stairs and landing, two bedrooms and a communal lounge. The furniture in three bedrooms have also been updated, and flooring in the hall, kitchen and dining room have been replaced. To enhance independence and privacy, the service is also introducing fingerprint locks on some doors. There are two sitting rooms, a dining room and a conservatory which provide a choice of communal area for people living in the home. The garden is in a good state of repair and has been appropriately adapted. The AQAA tells us that people are consulted around changes to the environment, décor and furnishings and are supported to personalise their bedrooms in ways that reflect their individual preferences and character. People are being supported to clean and tidy their bedrooms. The two bedrooms we visited had been individualised by or for the person being accommodated, and seemed to reflect the person’s individual lifestyle and interests. The bedroom doorway which was in need of repair at the time of the last inspection was found to have been repaired to a good standard, and the requirement concerning this was assessed as met. Hot water temperatures are being recorded when people are taking a bath or shower to better ensure safety. All parts of the home visited were clean and in a good state of repair, and the laundry room has facilities to wash all types of laundry. Non slip floors have been fitted in the kitchen and dining room to improve safety in the home. Adaptations which have been fitted have included grab rails (at the top of the stairs and in a bathroom), and the garden has been re-landscaped to meet the mobility needs of people. While people accommodated at present can easily access all communal parts Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 23 of the building and the garden, the manager agreed with us that wheelchair users would have difficulty in accessing some parts of the building and the provider would need to review this if someone with more mobility needs was being considered for admission to the home. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 24 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. People have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. EVIDENCE: A survey form received from a staff member previous to this visit indicated that sometimes there are not enough staff provided to ensure a level of support which ensures safety for people on outings. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 25 A feedback form received by the home from a relative of a person living in the home suggested that there was a need for more staff so that more one to one outings for people in the home could be provided. On the afternoon of our visit, there were two care staff provided. The two staff were responsible for tasks such as driving and escorting people home from their day centres, preparing, cooking and serving the evening meal, and supporting people to prepare their lunch for day centre the next day. The manager was on duty and occupied with tasks such as answering the telephone, speaking to the inspector, and sit-down supervision with a member of staff. Where staff were too busy to notice, for example, that one person needed assistance to go to the toilet, the manager made time to assist. We discussed our concerns about staffing levels with the manager, who told us that while good staff recruitment had resulted in there being no care staff vacancies at present, the service was at present recruiting for extra staff to ensure that more one to one support could be provided. No requirement concerning staffing levels was therefore made. We looked at the recruitment records for three members of staff and found that all required checks and references were in place before they began working in the home. The AQAA tells us that of six permanent care staff, five have the National Vocational Qualification (NVQ) in care at least at level 2, and that two staff are presently undertaking NVQ training. We received completed CSCI survey forms from two people working in the home which told us that staff are receiving the induction training they need, and that regular supervision is provided for staff. We looked at supervision records for three members of staff and found that supervision including required topics is being provided on a regular basis. We looked at training records for three members of staff and found that people are receiving training in core topics which is renewed on a regular basis. The manager told us that the provider is intending to arrange training in dementia for members of staff. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 26 We are told in the AQAA that annual equality and diversity training is now included in the organisations mandatory training programme, and literature on the Human Rights Act and the Mental Capacity Act is available to staff. The AQAA tells us that an equality and diversity section has been added to the supervision forms to prompt discussion and reflection around practice issues. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 27 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s opinions are central to how the home develops and reviews their practice as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. EVIDENCE: Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 28 The manager previously registered for the service had left her post on 4/7/08, and there is at present no manager registered in respect of this service. On the day of our visit, the previously registered manager was managing the home. She told us that this was a temporary arrangement to provide managerial continuity until a manager who has recently been appointed takes up post. Since our previous visit the home has been seeking the views of relatives, stakeholders in the community, and people living in the home on the service provided through the use of feedback forms and other means. We sampled some of the written feedback the home has received, and found there were many positive comments on the service being made. The AQAA tells that the service has listened to suggestions people living in the home and others have made, and have implemented suggestions such as going on holiday to the New Forest, going to the theatre, staff photographs being displayed, and changes to menus. The previous requirement concerning implementing a quality assurance system was found to have been met. Where the service is holding money on behalf of people living in the home, arrangements are in place for transactions to be recorded and signed for, and monies are held separately for each individual. The AQAA tells us that tests for electrical appliances and fire equipment services have been undertaken in the past year. The AQAA tells us that nine staff have received training in infection control which will assist in containing the spread of infections. The AQAA tells us that the fire system is checked and maintained (weekly inhouse and quarterly by a qualified contractor), including lighting, fire panel, extinguishers, fire exits and fire door closures. Staff training records told us that staff receive training in health and safety topics such as safe working practices around food hygiene, infection control, health and safety and fire safety. We sampled monthly safety audits carried out by the home for the months of May, June and July 2008, and noted that action is being taken on issues Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 29 identified. We noted that the Food Standards Agencys Safer Food, Better Business system for food safety has been implemented in the home. Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 30 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 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 x Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 31 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. Refer to Standard Good Practice Recommendations Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 32 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 Clayton House DS0000014458.V369042.R01.S.doc Version 5.2 Page 33 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!