Care Home: Floshfield

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What the care home does well The staff team receive the necessary training and support to ensure they have the skills to offer individualised care to enable people living at Floshfield to have a good quality of life. The care plans to support individuals are carried out particularly well and staff are constantly updating them to meet the changing needs of residents. Relatives say " We feel as a family that our relative is well cared for in all aspects of their life and the staff are more like family members than carers." Healthcare professionals stated "The staff team are skilled in managing peoples health positively and they offer quality of life to residents". The manager leads by example and was judged to be competent and effective and her style reflects the type of leadership required for this service. She has created an open and friendly atmosphere where the needs of people living at the home are always put first. What has improved since the last inspection? People live in a well kept and safely maintained home with a continuous programme of renewal, for example the kitchen has been refurbished and plans are underway to adapt the bathroom to make it more easy to use for people with limited mobility. What the care home could do better: No areas identified on this inspection. CARE HOME ADULTS 18-65 Floshfield Cleator Moor Cumbria CA23 3DT Lead Inspector Liz Kelley Unannounced Inspection 2 October 2008 09:30p nd Floshfield DS0000022553.V369975.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 Floshfield DS0000022553.V369975.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. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Floshfield Address Cleator Moor Cumbria CA23 3DT 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) 01946 810987 West House Miss Doreen Holding Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 19th June 2006 Date of last inspection Brief Description of the Service: West House provide the service and care at Floshfield, a home for six people who have a learning disability. The home is a dormer style bungalow set back off the main Cockermouth to Egremont Road, next to the Ennerdale Country House Hotel. Floshfield is close to the centre of Cleator and blends naturally into the surrounding area. Accommodation is comprised of kitchen, lounge and dining room on the ground floor. Sufficient bathing, shower and toilet facilities can be accessed on both the ground and upper floors. Single occupancy bedrooms are provided on both floors, with the office and staff accommodation on the first floor. Car parking facilities are available to the front of the home and garden areas are to the front and rear of the building. All referrals are arranged through Social Services. The current scale for charging is £563.32. A Handbook is available for prospective residents, which includes a summary of the latest Commission for Social Care Inspection report. Floshfield DS0000022553.V369975.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. This inspection visit took place over one day. We (Commission for Social Care Inspection, CSCI) spent time with people living in the home and talking to them about their experiences. We also met with the manager and the staff on duty and looked at records relating to the running of the home and how people like to be supported to live their lives. We also sent out surveys as part of this inspection to get feedback from people living in the home, their relatives and representatives and other professionals involved with the home. Before the visit the manager completed an Annual Quality Assurance Assessment, which provided information about all aspects of the running of the home. This included a self-assessment against the National Minimum Standards (NMS) recording what the home does well, what has improved and plans for the future. It also included information about policies and procedures, health and safety and information about the people living and working there. The overall picture gained by the Inspector was that people living at the home are being offered an individually tailored service that promotes choice and a good quality of life. What the service does well: The staff team receive the necessary training and support to ensure they have the skills to offer individualised care to enable people living at Floshfield to have a good quality of life. The care plans to support individuals are carried out particularly well and staff are constantly updating them to meet the changing needs of residents. Relatives say “ We feel as a family that our relative is well cared for in all aspects of their life and the staff are more like family members than carers.” Healthcare professionals stated “The staff team are skilled in managing peoples health positively and they offer quality of life to residents”. The manager leads by example and was judged to be competent and effective and her style reflects the type of leadership required for this service. She has created an open and friendly atmosphere where the needs of people living at the home are always put first. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 6 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. Floshfield DS0000022553.V369975.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 Floshfield DS0000022553.V369975.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust procedures in place if anyone new where to be introduced to the home. EVIDENCE: However everyone has lived at the home for many years. People’s files demonstrated that information and assessments were available at the time they moved in which assisted in ensuring successful placements. These assessments formed the basis of the individual’s plan of care and included any potential restrictions on choice, which were agreed by the resident. Since then the plans of care have evolved as peoples needs have changed. Clear information was also available to ensure that residents and relatives can make informed choices. The home’s Statement of Purpose and Service Users Guide contain relevant details to assist new residents, relatives and professionals in making an informed choice on the appropriateness of the home in meeting their needs. The latest Statement of Purpose includes pictures of staff and the training they have had, photographs of the house and symbols which make the document user friendly. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 9 Copies of these documents have been given to everyone and made available to relatives as well so that they know what to expect and the conditions attached to living in the home. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at this home are given opportunities and support to make major life decisions as well as everyday choices. EVIDENCE: The home demonstrated that its key principle is to put people using the service in control of their lives and that the service is designed around their needs. People were observed making choices about what to do on a daily basis, and to alter their plans at short notice. Staff are fully committed to supporting individuals to lead purposeful and fulfilling lives as independently as possible. Over the last twelve months the staff team have, after a number of training sessions, worked hard with people to develop individual care plans that support them in a way that’s particular to them and developed to fulfil their own individual needs. The term person centred planning is used for this style of working and focuses on the individual’s strengths and personal preferences. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 11 This ensures that people using the service make their own informed decisions and have the right to take managed risks in their daily lives. Plans are all different and highly individualised and they include evidence that the service values improving outcomes for people using the service. A variety of different and creative methods are used to help people who use the service to contribute to the development of their care plan and the ongoing review process. For example one plan was in the style of a scrap book as a preference of the person, another liked using a large wall chart. A person had strongly objected to doing any style of plan and chose to communicate their needs to staff in other ways and staff had developed documents to instruct them on the delivery of this persons care. Staff have the specialised training and skills to support, engage and encourage the individual to be fully involved. Key workers actively provide one to one support, keep the care plan up to date and make sure that other staff always know the person’s current needs and wishes. The care plan includes a comprehensive risk assessment, which is regularly reviewed. The service has a ‘can do’ attitude and risks are managed positively to help people using the service lead the life they want. Any limitations on freedom, choice or facilities are always in the person’s best interests. Staff are aware of the Mental Capacity Act and how this translates to their role in supporting people to make informed decisions. The manager had also called “Best Interest” meetings to gain support from relatives and professionals in helping people to make balanced decisions. The service works creatively and actively with other services and organisations to ensure that the person’s whole life needs are met, and goals addressed. The service recognises its own limitations and when to seek support from others to meet the individual needs of people. This was seen in the development of Health Care plans that were set out in a user friendly style and staff had sought out advice from a variety of health care professionals in their development. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to lead meaningful lives, having opportunities to participate in the community where they live, and to make choices on their lifestyle. EVIDENCE: The increased use of person centred plans ensures that each individual has a tailor made plan which includes details of their background, family, past interests and has very good detail on a persons likes, dislikes and their future aspirations. People spoke of their varied lives at the home; people said they chose to have individual holidays or to go with other people in the home. Two residents spoke of a recent holiday to a caravan in a seaside resort which was chosen by them and had been very enjoyable. The service is committed to the principles of Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 13 inclusion and promotes and fosters good relationships with neighbours and other members of the community. People living in the home have the opportunity to develop and maintain important personal and family relationships. Staff support this with sensitivity and respect of each family’s circumstances. Relatives who returned comment cards as part of this inspection all commented positively on the support their relative receives from the staff team. Where appropriate, people are involved in the domestic routines of the home, and were observed carrying out everyday chores such as preparing a casserole for tea time and making cups of tea. The meal arrangements are very flexible and staff are able to respond to individual requests. Menus and records sampled demonstrate that meals are of a good quality, and provide good nutritional value. The weekly menu is planned with residents and purchases for the menu carried out with residents who take turns to both cook and shop. Individual shopping is also encouraged to develop independence and daily living skills. People living in the home also enjoyed a variety of take away meals and meals out. Specials diets and healthily meals are offered and conversation between with staff and residents demonstrated that they were aware of promoting healthy choices. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good systems have been developed to monitor individual’s health and medication ensuring that each person has access to services that promotes good health. EVIDENCE: Staff have a good understanding of peoples healthcare needs. The staff team work positively with local health care professionals to offer a responsive and supportive approach in assisting people to maintain good health. A feedback card from a healthcare professional stated “The home continues to provide a good service to people with complex needs”. Records on healthcare needs are well maintained and kept up-to-date, these are linked to care plans to alert staff on any changes, and include monitoring sheets for specific issues. The home has sensitively handled the ageing process and offered good support to minimise any impact on independence. For example the manager has arranged for training for staff and is in the process of adapting the bathroom to make it easier to use. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 15 Residents are registered with a GP of their choice and have access to other members of the Primary Health Care team. Other checks such as opticians and dental checks are also recorded on Healthcare files. Health care plans are developed in a user friendly format and the same attention to detail is given as is to the care plans to make them individualised. The majority of care delivered is in directing and enabling people to do as much as possible for themselves. Any personal care is delivered in people’s own bedrooms and staff are aware of issues of dignity and privacy. Interactions were observed with staff and this was carried out in a sensitive and respectful manner to the people living in the home. The full staff team have completed medicines training to NVQ level 2, and in addition also receive training from the pharmacy supplying peoples medication on the handling of that system. The manager audits medicines every week, and the manager ensures that any updates are also discussed at team meetings. When spoken to the staff team felt confident about handling medications and seeking reviews from GPs if they felt this was needed. A recent change that they had requested was to have one persons medication changed to liquid form to make it easier for the person to take. When a person takes their medication off the premises the manager carries out a risk assessment for example when going to stay with relatives, day centre trips or on a holiday. This is all good practice and ensures peoples medication is safely handled and managed in the persons best interest. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes policies and procedures ensure that residents are safeguarded from harm and their views and concerns are listened to, and acted upon. EVIDENCE: People living in the home have good and varied links with outside organisations and advocate groups which ensures that they have channels to express views and concerns if necessary. The manager and senior team also carry out an annual survey of residents which leads to an action plan to demonstrate how they have acted upon these views. Staff have received Adult protection training and demonstrate an awareness of the content of the policy and know the immediate action to take, and who to refer to. The staff team have demonstrated that they take action to safe guard people. This year the staff team have all received training in a different style of managing challenging behaviours which moves away from the previous style training termed Physical Intervention. The Annual Quality Assurance Assessment completed by the manager stated “All staff have now been trained in Team Teach Techniques this is an holistic approach to the encouragement and development of positive behaviours through the use of positive communication skills and diversionary strategies where necessary. The main focus of Team Teach Techniques is changing the Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 17 perception of how to communicate, so that it is in the best interests of the service user.” As a result the staff team report that incidents of challenging behaviour are mostly less frequent and are handled in a more consistent and positive manner. Polices and practices are followed that safeguard the handling of peoples monies. Personal monies and records were examined and found to be correct, with the signatures of both staff and the person whose money it is, where appropriate. The service has a complaints procedure that is up to date, clearly written, and is easy to understand. It can be made available on request in a number of formats to enable anyone associated with the service to complain or make suggestions for improvement. People living in the home were observed freely expressing opinions to staff. People said that they would feel able to speak to any of the staff and approach the manager with any issues they had and felt confident that any concerns would be sorted out. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, homely and comfortable environment that match their lifestyle needs. EVIDENCE: The Home is located on the outskirts of a well-served community, and is similar to the surrounding properties. The furnishings and decoration are of a good standard and homely in style. The gardens have been made attractive through the efforts of staff to plant up flower beds, and by employing the services of a gardener to help maintain the large garden. People’s individuals bedrooms are of a good size and individualised to each persons tastes and interests. The home has identified that the bathing facility need to change as peoples needs change and they are in the process of having facilities for that will assist people with limited mobility more easily. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 19 The Home meets the requirements of the Fire and Environmental Health services and has a maintenance and renewal programme to ensure that people live in a safe and well maintain home. Floshfield DS0000022553.V369975.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): 32,33,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by a competent, well-qualified and vetted staff team who offer a high quality service to the people living at Floshfield. EVIDENCE: Floshfield has a core group of staff with a good mix of skills, experience, and gender, which reflects the profile of the people living at the home. The manager has identified the need to bring in male carers on a regular basis to support the men in the house to access the activities they like doing, such as going to football matches and to the pub. There are staff in sufficient numbers to be flexible to meet people’s needs and to support individual activities. When interviewed staff are clear regarding their role and what is expected of them. The manager said they had adopted a much more thorough approach at selection and interview of the type of person they were looking for and the nature of the job. New employees are also expected to undergo induction training and sign an undertaking to attend core skills training essential for the role of supporting people with a learning disability. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 21 This leads to good levels of confidence and satisfaction from people living in the home, relatives and professionals with the care that is delivered. Relative comment cards stated that staff know what they are meant to do, and that they are able to meet their needs. Another said “There is a feeling of “home” at Floshfield.” A healthcare professional said of the staff: “ Neither myself or any of my colleagues have had any problems with the care provided. Medical problems are brought to our attention promptly.” The Home follows the recruitment procedures of the organisation, West House. Staff recruitment files are held at the organisations head office, and a copy is also held in the home with access only by the manager to maintain confidentiality. All staff have CRB disclosure checks and a checklist ensures that all safeguards are put in place prior to an appointment. The manager also personally ensures that full checks have been carried out for bank staff. Upon appointment staff are issued with a handbook, which includes job descriptions and terms and conditions. Appointments are subject to a sixmonth probationary period. West House has a code of conduct and all members of staff have a statement of terms and conditions. A member of staff who was interviewed confirmed these practices. People living in the home are involved in the selection procedure for new staff. These are all good practices to ensure that people are supported by a carefully selected and vetted staff team. The home has a framework for supervisions and appraisals, and these have been carried out to good standards; staff reported that these are helpful and they feel well supported by the manager and the organisation. Staff training continues to have a high profile in the home and staff are keen to gain new knowledge and skills that will assist them in supporting residents. For example all staff have recently completed a Safe Handling of Medication training course to level 2 NVQ, and all staff have an NVQ2/3. This is the nationally recognised qualification for care workers. Staff also receive varied training to equip them with skills and knowledge to support residents. A rolling programme of training includes first aid, safeguarding vulnerable adults, fire wardens, moving and handling, health and safety and courses relating to specific healthcare needs to support people. The manager has become a moving and handling facilitator so that she can deliver training directly to staff now that this has become more of a need for people living in the home. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed by an experienced and competent manager, who in turn is supported by a committed staff team, and together they run the home in people’s best interests. EVIDENCE: The manager promotes an open, positive and inclusive atmosphere in the home through a variety of ways, for example: regular staff meetings and supervision; regular residents meetings and frequent reviews and meeting with people to give them the opportunity to speak up. The manager communicates a clear sense of direction, and is able to evidence a sound understanding and application of ‘best practice’ in care and in operational systems. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 23 The manager uses measures that monitor practice and compliance with the homes plans, policies and procedures. For example her input and checking of care planning was more in evidence on this visit. Quality Assurance, a core management tool, gives a good framework for close monitoring of the quality of care delivered, health and safety matters and on staffing issues. This is further complimented by the provider, West House, having its own monitoring that includes service user input and by also carrying out regulation 26 monitoring visits and sending a copies of these into the Commission for Social Care Inspection. The manager demonstrates a commitment to improving the service, for example by playing an active part in groups that promote good practice such as the Person Centred Planning groups and a recent forum looking at how to better communicate Development plans. There is full and clearly written recording of all safety checks and accidents, including analysis, and there is no evidence of a failure to comply with statutory reporting requirements and other relevant legislation. For example staff have implemented “Safer Food, Better Business” in the home as recommended by the Department of Health. The home was recently assessed as delivering a five star service by environmental health, which is the top rating. The home proactively monitors its health and safety performance and consults other experts and specialist agencies about health and safety issues as required. The organisation uses a fire safety consultant to advise all of its services to ensure they are up to date and comply with legislation. Floshfiled’s manager had recently requested advice and help on updating the homes Fire Risk assessment, and amendments to follow this advice where well documented. Record keeping is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. The administration systems within the home were found to be up-to-date and in good order, ensuring the home was run in an efficient and safe manner. Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 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 3 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 4 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 3 3 x x 3 x Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Floshfield DS0000022553.V369975.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Floshfield DS0000022553.V369975.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. 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!