Care Home: Cornerleigh

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What the care home does well People who use the service are enabled to use a variety of educational and recreational activities. They are supported to be part of the local community and to maintain contact with relatives and friends. The premises are suitably adapted, well maintained and homely. Individual bedrooms are furnished to that person`s particular needs and reflect their choices and lifestyles. The registered manager is experienced and qualified and ensures that the home is run in a way that promotes the welfare of the people using the service. Comments obtained through the homes` quality assurance questionnaire included these: A person`s relative said "my relative has always been cared for in an amazingly calm and very personal way." A community nurse commented that "the home responds positively to advice." A doctor `found staff very effective and caring.` What has improved since the last inspection? Since the last inspection there has been a change of ownership of the service. The service is currently working to further improve the care planning system to make sure it is clear and accessible to all who need to use it. The organisation has made improvements to the environment including the fixtures and fittings within the home. CARE HOME ADULTS 18-65 Cornerleigh 1 Fourth Avenue Denvilles Havant Hampshire PO9 2QU Lead Inspector Laurie Stride Unannounced Inspection 28th May 2008 09:50 Cornerleigh DS0000070887.V363375.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 Cornerleigh DS0000070887.V363375.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. Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornerleigh Address 1 Fourth Avenue Denvilles Havant Hampshire PO9 2QU 02392 470457 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) cornerleigh@regard.co.uk The Regard Partnership Ltd Mrs Carole Keens Care Home 14 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies 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: Learning disability (LD) 2. Physical disability (PD). The maximum number of service users to be accommodated is 14. Date of last inspection Brief Description of the Service: Cornerleigh is a registered home for 14 adults with learning disability, 6 of whom may have a physical disability. Situated in the quiet residential area of Denvilles, Havant, with local shops and amenities close by. The home is able to provide support and care for persons with varying levels of need and is well integrated into the community, having links with the local authority and health care support services. Some of the people who use the service and staff have been at the home for many years. The home has been registered under the ownership of The Regard Partnership since 30/11/07. The current range of fee is £336.65 - £1,189.25 per week. This information was obtained at the time of the inspection visit. Members of the public may wish to obtain more up-to-date information from the care home. Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was the first unannounced key inspection of this service since it has changed ownership. The visit lasted approximately seven hours during which, we (the commission), spoke with three people who use the service, two members of staff and the registered manager. We received two surveys from members of staff. We also looked at samples of the records kept in the home and undertook a tour of the premises. Further evidence used in this report was obtained from the home’s annual quality assurance assessment (AQAA). What the service does well: What has improved since the last inspection? Since the last inspection there has been a change of ownership of the service. The service is currently working to further improve the care planning system to make sure it is clear and accessible to all who need to use it. The organisation Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 6 has made improvements to the environment including the fixtures and fittings within the home. 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. Cornerleigh DS0000070887.V363375.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 Cornerleigh DS0000070887.V363375.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 1 & 2 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service and their representatives have the information they need to choose a home that will meet their needs. There are systems in place to assess the needs of individuals before they move into the home. EVIDENCE: The homes’ annual quality assurance assessment (AQAA) indicated that the home is currently in the process of updating a lot of the service paperwork, to reflect the new ownership and improve on existing documentation. During this visit we saw that the Statement of Purpose and Service User Guide had been reviewed and updated, so that current and prospective users of the service have up-to-date information about the home. The registered manager confirmed there have been no new admissions to the home since the new owners took over in November 2007. Many of the people who use the service have lived there for many years. We saw that the home has copies of the new owners policies and procedures, including those for admissions to the home. These stated that any people who are interested in using the service will have their needs assessed before admission, will have Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 9 opportunities for introductory visits and trial periods, and have their care needs reviewed. Updated terms and conditions of residence have been put in place for people who live in the home. The registered manager said that each person has a key worker who will assist the individual to understand the changes to the contract if necessary. Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service benefit through being involved in making decisions about their lives, and playing an active role in planning the care and support they receive. EVIDENCE: The homes’ annual quality assurance assessment (AQAA) states that the home has improved in the last twelve months ‘by constantly reviewing the care plans providing service users with information, assistance and communication support that they need to make decisions’. The AQAA also says that ‘the key worker enables each service user to take responsible risks, ensuring they have information on which to base decisions’. During this visit we looked at the care plans for three of the people who use the service. Some sections of care plans are in a previous format but a good deal of work had already been undertaken by the home’s staff team in Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 11 updating care plans using the new format. For example we saw one individual’s ‘essential life plan’, which was well structured and gave clear information about what is important to the individual and what others need to know to support them. Staff members we spoke to demonstrated good knowledge of peoples’ individual needs and the agreed ways of working with them. Two staff members who completed survey questionnaires indicated that they are always given up to date information about the needs of the people they support. We also saw other examples of individualised support planning. For example, one person showed us their photo-book of relaxation techniques and another had a detailed ‘this is your life’ history that they also showed us and talked to us about. The home has a system of reviewing care plans on a monthly basis and we also saw evidence of wider ranging reviews involving peoples’ care managers and family members or representatives. The registered manager told us that one of the people whose care plan we looked at now has an advocate involved. The new support plans include the individuals’ views about the plan, to ensure there is agreement. Risk assessments are also in the process of being updated into the new formats. For example where more than one member of staff is required to assist in providing support, this is clearly recorded. Through discussion with staff members it was further confirmed that two staff are always present at these times. Other people had risk assessments for accessing the community independently, showing that they can come and go as they please and that individual choice is respected. Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 & 17 People who use the service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are supported to take part in suitable activities, to maintain relationships with family and friends and to have a balanced diet of food they enjoy. Staff members work in a manner that respects the rights and responsibilities of people who use the service. EVIDENCE: The previous inspection report for the home identified excellent outcomes in this area for people who use the service. Individuals are supported to take part in a range of educational and leisure activities, including attending a local day service, visiting the library and church coffee mornings, shopping, indoor activities and social clubs. People we spoke with indicated they enjoyed their activities and we observed that there were enough staff to support them. Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 13 Structured programmes of activities were in place, which the registered manager said are also in the process of being updated and reviewed to suit peoples’ changing needs and preferences. Structured activities included resident meetings, pub nights, music and bingo provided by people from outside of the home, themed menu nights and one-to-one sessions with staff members. Nine of the people who live in the home currently attend a day service. The one-to-one sessions are clearly marked on the rota, which we saw is flexible to promote opportunities for individual’s activities. One member of staff we spoke with commented that it would be good to have more time to provide additional stimulation for those who do not attend a day service. This member of staff also said that the home now has a cleaner and this has improved things by freeing up staff more to provide further individualised support. Care plans and daily records show that individuals are able to maintain and develop independent living skills such as tidying their rooms, bringing their laundry down and shopping for food. As mentioned in a previous section, some individuals choose activities that they do independently of staff support, such as going on walks and bike rides. The home has a mini-bus that is used for trips out. Significant relationships are detailed in people’s care plans and the home involves people’s relatives and representatives in care reviews if appropriate to do so. We saw that the home provides a varied menu that gives a choice of meals, which people who use the service are involved in planning and shopping for. The registered manager said the freezer is refilled on a weekly basis, so that further meal options are available if needed. A record is kept of each person’s food likes and dislikes. Individuals’ dietary needs are recorded, for example we saw that concerns about one person’s appetite had led to the involvement of a dietician and the person’s care needs had been reviewed. Cornerleigh DS0000070887.V363375.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 & 20 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Details of the personal care and support individuals need are set out in their care plans. For example we saw one individual’s support plan for personal care that includes ‘things I am good at doing’, this was written in a way that promotes the person’s dignity and independence, while providing guidance for staff about levels of support required by the individual for various tasks and activities. Staff spoken with demonstrated a good understanding of the needs of individuals. One staff member who returned a questionnaire said they feel that they always have the right support, experience and knowledge to meet the different needs of people who use the service. Another staff member said they feel they usually do. People who use the service who we spoke with indicated that they are happy with the support they receive within the home. Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 15 The home keeps records of health appointments and visits by healthcare professionals. In the sample of care records we looked at, we saw that the home had involved the services of a dietician, speech and language therapist and the community learning disability team to promote the health and welfare of two individuals. New specialist mobility equipment had been provided for one person in their bedroom. The registered manager said that no one living at Cornerleigh currently manages their own medication. The service has copies of the new owners policies and procedures for the management and administration of medication in the home. A sample of medication records that we saw was up-to-date and had been signed by the staff member giving out the medication. The registered manager told us that all staff members were booked to attend refresher training in medication the following week, with two new staff receiving the full training. The home has an annual inspection by the pharmacist. During this visit we advised the registered manager about changes to the requirements for the correct storage of controlled drugs. Cornerleigh DS0000070887.V363375.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 & 23 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are able to feel confident to express any concerns and that these will be listened to and acted on. People who live in the home are protected from abuse and have their rights protected by the homes policies and procedures, this will be further enhanced through training for all staff in safeguarding procedures and individual bank accounts. EVIDENCE: The home has a complaints procedure available, which sets out who will deal with a complaint and how long the service provider will take to respond. The procedure is also provided in a user-friendly format. The registered manager confirmed that no complaints have been received by the home since the new owners took over and said a logbook is in place to record any complaints that come in and the action taken by the home. One of the people who live in the home told us that they know who to speak to if they are not happy. Survey questionnaires returned by two staff members indicated that they know what to do if someone has concerns about the home. There is a safeguarding policy and procedure and there have been no safeguarding referrals or investigations. The new service providers intend for all staff to attend safeguarding training in the future. The registered manager and deputy manager undertook training in 2006. In discussion with the registered manager and two members of staff, all demonstrated their Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 17 understanding of the procedure to follow if any form of abuse was suspected. A member of staff said that some guidance in relation to abuse issues is included in the National Vocational Qualification (NVQ) training that staff members who work in the home undertake. Risk assessment and management plans were in place in relation to individuals who may exhibit challenging behaviours. All staff members who work at the home had recently completed a two- day training course on non-violent crisis intervention. The service operates a thorough staff recruitment process, including all the necessary checks, which also protects those who use the service. The home supports people to manage their personal money and the registered manager said that the new owners had conducted a recent audit of these arrangements. We saw that people’s personal allowance is kept in individual wallets and the person signs the record if they are able to. The registered manager told us about the difficulties the home is having in trying to establish individual bank accounts for some people who use the service, but that the new company is trying to resolve this through local negotiations. Five people who live at Cornerleigh do have their own bank accounts, however it was not clear at the time of our visit what the current arrangements were in relation to the other people who use the service. The registered manager contacted us following our visit to inform us about the arrangements. Currently those people who use the service and do not have individual bank accounts have their money in an account that is in the name of The Regard Partnership, but which is not joined with the business accounts – this protects people who use the service in the event of insolvency. Within the account the money is allocated to individual accounts using national insurance numbers, however the account does not gain any interest. Through the registered manager it was confirmed that the company are in negotiations with a bank to see if they are able to change the arrangement to enable people who use the service to gain interest on their money. Cornerleigh DS0000070887.V363375.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 & 30 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service benefit from a clean, comfortable and homely environment. EVIDENCE: Cornerleigh is a detached house situated in a quiet residential area of Denvilles. The home’s annual quality assurance assessment (AQAA) states that the service provides ‘a beautiful home, a flat and gardens which have been adapted to meet the needs of all our service users in a comfortable and homely way’. The AQAA also told us that ‘The Regard Partnership are planning several improvements to the home’ and that a new hoist and new toilet in the bathroom had recently been installed. On the day of our visit the home was clean and tidy. The house is well decorated and maintained, providing a homely and comfortable environment for people who use the service. Adaptations for the specific needs of individuals Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 19 were in place throughout the home. We saw that further improvements have been made since the new company took over, such as new patio windows and a wardrobe for one person, the office has been moved to a more suitable location within the home and automatic fire door closers have been installed. The garden is accessible and well maintained, stocked with a variety of plants, and has seating for people who live in the home, their visitors and staff. The home has seven single bedrooms, some of which have en-suite facilities, three double rooms and a flat providing more independent accommodation. Bedrooms are suitably furnished and decorated to reflect peoples’ individual needs and tastes. Rooms are personalised with photos, pictures and personal belongings. One of the people who use the service told us that they are happy with their room. The laundry is suitably situated, has an impermeable floor and readily cleanable walls. The laundry room does not have a hand washing facility, but is adjacent to a bathroom. New washing and tumble drier machines have been installed. The home has policies and procedures in place regarding the control of infection. Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34, 35 & 36 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are supported by a qualified and trained staff team and are protected by the home’s recruitment procedures. EVIDENCE: The home’s annual quality assurance assessment (AQAA) told us that ‘we have a highly qualified, committed, dedicated and caring staff team, the majority have been working at Cornerleigh for ten years or more. The continuity of our staff team is a major factor in the quality, reassurance, stability and wellbeing of our service users.’ During our visit we observed staff interacting with people who use the service in a friendly and respectful manner. The registered manager said that the home does not use agency staff. People who use the service benefit from being supported by a consistent staff team who help out at times when there is a shortage of staff. Two staff members who completed survey questionnaires indicated that there are usually enough staff on duty in the home to meet the individual needs of all the people who use the service. The Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 21 rota showed a minimum of four support staff on duty during weekdays until 3 pm and 6pm on weekends. There are three staff members on duty after these times until 10pm when two night staff members come on duty. The rota is also flexible and on two evenings a week people have one-to-one time with their key worker so that further individual activities can take place. The AQAA also stated that all staff recruitment checks were carried out and we confirmed this by inspecting a sample of staff files. The two recently recruited staff members’ files contained evidence of Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks, two written references, completed application forms with employment histories. These also included information about staff induction and supervision. The organisation has an agreement with the commission that some staff records are held in a central location, while details required for inspection are recorded on a form. We discussed with the registered manager the need for all details, such as CRB reference numbers and the date on which such checks are obtained, to be recorded on the forms. The home uses the Skills for Care common induction standards when orientating new staff to the home. Survey questionnaires returned by two staff members indicated that their induction covered everything they needed to know to do the job when they started. They also confirmed that they are given training which is relevant to their role, helps them to understand and meet the individual needs of service users, and keeps them up to date with new ways of working. We looked at training records held in the home in relation to three staff members who act as key workers for the people whose support records we had seen. All had undertaken up-to-date statutory training, such as fire safety, moving and handling, first aid and health and safety. The registered manager said that all staff are due training updates in food hygiene. Other training that staff members have completed included epilepsy, Makaton, dementia, nonviolent crisis intervention and medication. The home employs 16 staff, excluding the registered manager. The registered manager reported that 13 have obtained or are working towards being qualified to National Vocational Qualification (NVQ) level 2 or above. Two recently recruited staff will be put forward to do this training. One staff member who returned a questionnaire said they feel that they always have the right support, experience and knowledge to meet the different needs Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 22 of people who use the service. Another staff member said they feel they usually do. Two staff members we spoke with and two who provided comment through surveys confirmed that their manager meets with them regularly/often to give them support and discuss how they are working. We saw that dates for held and planned supervisions are recorded. Cornerleigh DS0000070887.V363375.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): Standards 37, 39 & 42 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is well run and management practices promote the wellbeing and best interests of the people who use the service. EVIDENCE: The registered manager, Mrs Carole Keens, is qualified to NVQ Level 4 and holds the Registered Managers Award. She is responsible for the day-to-day management of Cornerleigh and currently also oversees the running of 2, Kingfisher Court, a nearby flat providing accommodation for two mostly independent people who used to live at Cornerleigh. Throughout the inspection we saw that the registered manager was open and responsive to people who use the service and staff. Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 24 The home has recently formalised the quality assurance system and we saw that positive comments have been received from relatives, a doctor and a community nurse, which are reflected in the summary section of this report. We noted that the comment cards for peoples’ representatives to use to say what they think of the service had been adapted from those previously used by the commission. Questions on these were out of date and not reflective on what the organisation would need to know about the running of the service and the views of those using it. The comment cards appeared more geared towards commenting on inspection processes. While we understand that the first year of the service under new ownership will be focussed on a number of changes we discussed with the registered manager the need to obtain information to inform the development plan for the service and ensure it is meeting the wishes and needs of those using it. We also noted that a full quality audit of the service by the new service provider was scheduled for 03/06/08. We saw records of regular tests and service checks carried out on domestic appliances and equipment, including fire safety systems, electrical appliances and hoists. The registered manager said that the new owners plan to upgrade the hot water temperature controls so that temperatures can be controlled at the tap outlet, rather than at the boiler. There are window restrictors fitted on the upper floors and staff monitor and record fridge/freezer and food temperatures. Cornerleigh DS0000070887.V363375.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 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 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 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 2 X X 3 X Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 26 N/A 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 YA23 Good Practice Recommendations That the registered provider continues to look for ways to ensure that people who use the service gain interest on their savings. That the registered provider develops a quality assurance system that seeks the views of people who use the service to inform service development. 2 YA39 Cornerleigh DS0000070887.V363375.R01.S.doc Version 5.2 Page 27 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 Cornerleigh DS0000070887.V363375.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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