Care Home: Georgina House

What the care home does well The routines, activities and plans are person centered, individualised and reflect all the individuals` needs, incorporating personal goals, aspirations, preferences and wishes. Independence is encouraged and supported, and actively promotes the right of individuals to make informed choices. People living in this home receive personal and healthcare support using a person centered approach with support provided that is based on dignity, equality, fairness, autonomy and respect. Staff listen to the residents and take account of what is important to them as individuals. This service has a complaints procedure that is clearly produced in a format that the residents understand. Training for safeguarding is provided for staff in this home, and other training around de-escalation and managing verbal and physical aggression is also on the training programme for all staff. This home provides a physical environment that is appropriate to the specific needs of the residents. The home is clean and tidy and promotes privacy, dignity and autonomy for the residents. Staffing levels reflect the needs of the people who use the service. The rotas are flexible to fit around the lifestyles and daily activities of the residents. The manager is competent in delivering effective care. She has good people skills and understands the importance of person centred care and the effective outcomes for the residents who live in this home. This home uses different methods to ensure that the information they provide about the service is meaningful and understood by the residents. All prospective clients receive a full assessment of needs, by a suitably skilled person, and are then invited to make unlimited visits to the home, in order to assess compatibility with other residents and the staff. What has improved since the last inspection? Records that we looked at showed that staff supervision and appraisals were being carried out on a regular basis, and both mandatory and specialist training was in place for all staff. At the last inspection a requirement was issued regarding a freezer being situated in the sitting room. This has now been addressed and is now sited more appropriately in the garage. Quality assurance is addressed both through family and relative questionnaires and comment cards. Resident`s questionnaires, which are produced in an appropriate format, and ask simple questions such as; Does the home smell nice? Or do you think the chores are shared fairly? What the care home could do better: This home does not presently have facilities for the storage of Controlled Drugs (CD) s. Although at present their are no residents prescribed these drugs, the home needs to be mindful that in the event that this was necessary, they would no longer be able to legally meet the individuals needs, purely due to inappropriate storage. CARE HOME ADULTS 18-65 Georgina House 20 Malzeard Road Luton LU3 1BD Lead Inspector Mrs Louise Trainor Key Unannounced Inspection 23rd January 2009 12:00 Georgina House DS0000015011.V373895.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 Georgina House DS0000015011.V373895.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. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Georgina House Address 20 Malzeard Road Luton LU3 1BD 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) 01582 456574 F/P 01582 456574 georgina.house@craegmoor.co.uk Craegmore.co.uk Parkcare Homes Ltd Miss Kellie Marie Ryan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th March 2007 Brief Description of the Service: Georgina House is a semi-detached house situated in a residential area of Luton, close to Luton town centre and is owned by Craegmoor Healthcare. There are local shops and a park close to the home and a bus service available to the town centre. The home is registered for three people with learning disabilities. Each person has a good sized single bedroom, two on the first floor and one on the ground floor. The bathroom and toilet are located upstairs, along with the office/staff room. There is a lounge/diner and kitchen on the ground floor. The home has a large enclosed rear garden and a paved area at the front of the building with parking for two cars. The fees for this home presently range from £780.00 per week. Georgina House DS0000015011.V373895.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 inspection was carried out in accordance with the Commission for Social Care Inspection’s (CSCI) policy and methodologies, which require review of the key standards for the provision of a Care Home for Adults (18-65) that takes account of service users’ views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. This was the first Key Inspection for this service since March 2007, when it was rated as a good service. An Annual Service Review (ASR) was carried out in March 2008. This was an unannounced visit and was carried out on the 23rd of January 2009 by Lead Inspector Louise Trainor between the hours of 12:00 hours and 16:15 hours. The manager of the home was present to assist throughout the inspection and guided the inspector on a full tour of the premises. There are presently only two residents living at Georgina House. Both are male, and have been living in this home for more than a year. The inspector met both of the residents, though one was only briefly, the second was in more depth. We looked at one of the resident’s file for case tracking purposes with his agreement. This involved viewing all the documentation relating to his care, visiting him in his personal bedroom area and chatting with him informally. Documentation relating to medication administration, service users’ finances, staff personal files, including supervision and training records, quality assurance, and health and safety checks, were also made available for inspection. This home has a small workforce of three staff including the manager, however the inspector only had the opportunity of speaking with two of them during this visit. The inspector would like to thank everyone involved for their assistance and support during this inspection. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 6 What the service does well: The routines, activities and plans are person centered, individualised and reflect all the individuals’ needs, incorporating personal goals, aspirations, preferences and wishes. Independence is encouraged and supported, and actively promotes the right of individuals to make informed choices. People living in this home receive personal and healthcare support using a person centered approach with support provided that is based on dignity, equality, fairness, autonomy and respect. Staff listen to the residents and take account of what is important to them as individuals. This service has a complaints procedure that is clearly produced in a format that the residents understand. Training for safeguarding is provided for staff in this home, and other training around de-escalation and managing verbal and physical aggression is also on the training programme for all staff. This home provides a physical environment that is appropriate to the specific needs of the residents. The home is clean and tidy and promotes privacy, dignity and autonomy for the residents. Staffing levels reflect the needs of the people who use the service. The rotas are flexible to fit around the lifestyles and daily activities of the residents. The manager is competent in delivering effective care. She has good people skills and understands the importance of person centred care and the effective outcomes for the residents who live in this home. This home uses different methods to ensure that the information they provide about the service is meaningful and understood by the residents. All prospective clients receive a full assessment of needs, by a suitably skilled person, and are then invited to make unlimited visits to the home, in order to assess compatibility with other residents and the staff. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 7 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. Georgina House DS0000015011.V373895.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 Georgina House DS0000015011.V373895.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): 1, 2, 3, 4, 5, People who use this service experience good quality outcomes in this area. This home uses different methods to ensure that the information they provide about the service is meaningful and understood by the residents. All prospective clients receive a full assessment of needs, by a suitably skilled person, and are then invited to make unlimited visits to the home, in order to assess compatibility with other residents and the staff. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Discussions with the manager revealed that this home has not had any new residents admitted over the past year. Although one resident moved away from the home more than six months ago, the home have not yet found a new resident that has been compatible with the other residents who live here. However she was able to discuss in depth the protocols that are in place for this process, and she was clearly familiar with the documentation. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 10 We looked at the pre admission documentation for one of the residents. It was appropriately completed and addressed personal needs as well as issues such as ‘perceived loss of home life’, which they had assessed as potentially having a profound effect on him, as he had lived with his family all his life, and living independently with carer support was going to be a completely new experience for him. Prior to any new admissions being considered prospective residents are fully assessed to ensure that all of their individual needs and goals will be successfully addressed and met within this environment. They are then invited to visit the home, and overnight/weekend stays are arranged. This enables the team to assess how compatible an individual would be with the rest of the residents who live here. Only then is a permanent placement considered, involving input from: the resident, the family and representatives of the resident, social workers and other specific professionals as appropriate. All placements are then reviewed on a regular basis to ensure the placement is successful. All the residents who live in this home have extensive information about the service they will receive. This information is produced in sign / pictorial format so that everyone has a clear understanding of all the relevant information. The home is planning to put these information documents onto an audio tape for those residents who are less able to understand literacy. We look forward to seeing these in place. We were unable to look at contracts of Terms and Conditions, as these documents are held at Head Office. . Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 People who use this service experience good quality outcomes in this area. The service involves the residents in the planning of care, which affects their lifestyles and the quality of life. Residents are encouraged to make their own decisions and make choices. The staff understands the importance of residents being supported to take control over their lives. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The files were all well organised, and the care plans had been produced using Widget, which is a system that produces documents using pictures and symbols so that the residents can understand them more easily. The manager also told us that they are looking into using video and audio processes, to assist residents who have problems with signs and pictures, to ensure residents are involved with the care planning process to their fullest potential. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 12 The care files and health action plans were all written in the first person and residents had signed their names to indicate agreement with their content. These care plans were detailed, and gave clear specific instruction to staff, so that there is a continuity of approach with care delivery. The file that we looked at gave very specific information. This ranged from dental care, requiring a medium toothbrush and preferring mint toothpaste, to, mood and behavioural recognition, such as how to recognise when this person was in pain or happy. It also identified the level of support required for activities such as shopping. ‘He is able recognise coins but not paper money.’ All these details ensure that everyone working with these residents knows the intricate details that make his care plan so person centred. Residents in this home are encouraged to share their opinions, and make decisions about all aspects of their lives. The staff use a scrapbook during house meetings, with cut out pictures and drawings, to help these residents understand others and express themselves. One meeting had addressed the subject of safety in the home, and there were pictures of an iron and a hoover, depicting how they should be used safely. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 People who use this service experience good quality outcomes in this area. The routines, activities and plans are person centered, individualised and reflect all the individuals’ needs, incorporating personal goals, aspirations, preferences and wishes. Independence is encouraged and supported, and actively promotes the right of individuals to make informed choices. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Personal residents files contained information that clearly identified what level of support individuals’ required to achieve their personal goals, and maintain, develop and improve their personal skills. One resident attends a local club, Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 14 and although he needs to be accompanied on transport, his time at the club is independent of staff. Certificates displayed on the walls, indicated that residents are being supported in different areas of development. These included; ‘Musical Youth’, Basic Cookery skills and General Achievement. Each resident has their own activity programme. One resident attends a local day centre every weekday, and the other has joined the activity programme of another local home where he can mix with his peers. His programme includes; gym attendance, dance studio, cookery skills, snoozlem, visits to the town and ‘free choice’ sessions. There are also a variety of leisure activities available to these residents. These include outings to shops or local pubs, Mencap Club activities, local discos and seasonal events such as pantomimes, fetes and holidays. Many of the residents have close relationships with their families and friends, and the staff encourage the residents to maintain these contacts, and support them where necessary. There is a menu in place, however this is only used as a guide. The residents are consulted on a one to one basis, as well as through house meetings, about what meals they would like. The weekly shopping is then generally done by staff and residents together. The residents assist with kitchen duties, and after each meal their comments are written in a communication book, so that staff can identify which meals have been enjoyed the most. On the day of the inspection one resident told us how much he was looking forward to his fish and chips, as he always has them on a Friday. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience good quality outcomes in this area. People living in this home receive personal and healthcare support using a person centered approach with support provided that is based on dignity, equality, fairness, autonomy and respect. Staff listen to the residents and take account of what is important to them as individuals. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Residents both had assessments in place to identify the level of support needed for medication administration. Only one of the residents is prescribed medication, and he required full support, as he is unable to manage this aspect of his life independently. We looked at his Medication Administration Record (MAR) sheet. It had been accurately completed with signatures and omission codes when required, and additional information was written on the reverse of MAR sheets, to support refusals and omissions. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 16 Stocks were reconciled with the MAR sheet accurately. The manager was already aware of this matter and confirmed that she will be addressing it. Death and dying was being addressed in health action plans. These indicated that residents were being encouraged to make decisions about how any end of life care should be managed. One resident’s file identified who would arrange his funeral and at which church it should take place. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience good quality outcomes in this area. This service has a complaints procedure that is clearly produced in a format that the residents understand. Training for safeguarding is provided for staff in this home, and other training around de-escalation and managing verbal and physical aggression is also on the training programme for all staff. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: This home has a clear complaints policy in place; this is on display in the home and easily accessible to all residents and visitors to the home. It is in a format they understand. There are also comment forms available in the entrance hall so that any one visiting the home is free to make comments or suggestions. Since the last inspection there had not been any formal complaints to this home. However we did look at some comment forms that had been left. One read. “I’m very pleased with the service for my brother, he gets full service all the time and is very happy in Georgina House. The house is always clean and fresh, well done”. Another read. “Thank you for looking after our special man, for years. You deserve medals and greater, but anything would be inadequate”. Observations of the interactions between staff and service users gave an impression of trust and mutually respectful friendships. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 18 Service users are involved in house meetings in order to capture their views and opinions on all aspects of life in the home. These discussions and opinions are captured in a scrapbook, with pictures and drawings, enabling residents to express themselves and understand others to their fullest potential. There is also evidence to indicate that service users are involved in the planning of their own care with consideration being given to their personal goals and aspirations. Training is in place for the Protection of Vulnerable Adults, and all staff have attended these sessions. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 People who use this service experience good quality outcomes in this area. This home provides a physical environment that is appropriate to the specific needs of the residents. The home is clean and tidy and promotes privacy, dignity and autonomy for the residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: This is a small home, which is only registered for three residents. It is very clean and comfortable and has a very homely atmosphere. Downstairs comprises of the lounge, the kitchen and one bedroom, and upstairs is the bathroom, remaining bedrooms and the staff office. The bedrooms are decorated and furnished to meet with the tastes of the individual residents. One resident showed us his room. He was very proud of his display of ‘family photos’, many of which included staff members. He also Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 20 had a table football game, a television and pictures and books that indicated he had a keen interest in dinosaurs and motorbikes. The communal lounge / diner was comfortable and homely, with a television, steroe and computer system. Any safety posters and signage throughout the building such as fire safety signage was produced in a format that the residents understand with pictures and symbols. The manager explained that neither of the residents who live in this home understands Makaton sign language, however they can understand the pictorial displays on posters more easily, and she always goes through them with the residents. There was a poster by the kettle in the kitchen, warning about the dangers of steam, and water and electricity. They had both been able to explain to her what it meant to them, and in both cases they had understood the dangers identified. At the last inspection a requirement was issued regarding a freezer being situated in the sitting room. This has now been addressed and is now sited more appropriately in the garage. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 People who use this service experience good quality outcomes in this area. Staffing levels reflect the needs of the people who use the service. The rotas are flexible to fit around the lifestyles and daily activities of the residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The workforce in this home is very small, consisting of just three permanent staff and two bank staff to assist with covering holidays and sickness. The manager explained that she works, Monday to Friday 09:00 to 17:00 hours, and the other two staff rotate working weekdays from 15:30 to 22:00 hours followed by a sleep in until 09:00 the following morning, and at weekends from 09:00 to 22:00 hours followed by a sleep in until 09:00 hours. There is a close staff support network between this and a sister home, which is located locally. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 22 During this inspection we examined the files of two members of staff. Both contained fully completed application forms, including an employment history, Criminal Record Bureau (CRB) and POVA first checks, and various forms of identification including colour photographs, passports and certificates. Both had contracts of terms and conditions that had been signed and dated. There were references in place in both files, which had been obtained from appropriate referees, and there was a record of the interview kept on file. Training records were examined and identified that all staff are up to date with mandatory training, and the manager is aware of when refresher courses are required. Records that we looked at showed that staff supervision and appraisals were being carried out on a regular basis, and both mandatory and specialist training was in place for all staff. Relationships between staff and residents were observed to be friendly, supportive and mutually respectful, producing a relaxed and homely atmosphere. Georgina House DS0000015011.V373895.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): People who use this service experience good quality outcomes in this area. The manager is competent in delivering effective care. She has good people skills and understands the importance of person centred care and the effective outcomes for the residents who live in this home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Through discussions with the residents, and observations of interactions throughout this inspection, it was very evident that residents have confidence in their care providers, and look to them for their support, guidance and opinions. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 24 All aspects of the residents lives, both individually and as a group are risk assessed to minimise potential hazards and maximise their personal development. Resident’s views are sought through regular resident meetings as well as through one to one work, and changes to either the homes, or the individuals routines are dependent on personal preferences and choices. One of the carers has initiated the use of a scrapbook, to help residents understand others and express themselves more easily. We looked at the personal expenditure records for both of the residents living in the home. Records and funds corresponded accurately and receipts were available to in support of purchases and withdrawals. The manager explained that she keeps a substantial petty cash float, so that there is never any time when the residents need money and cannot access it. The account balances are checked and signed off every day at shift change. Policies and procedures are in place. Health and safety checks including water temperatures, fire call point and equipment testing and hoist servicing are carried out and well documented in line with these policies. There is also an internal auditing process in operation, that enables the home to identify where there maybe trends of incidents or accidents developing, and where action maybe required to make changes. Quality assurance is addressed both through family and relative questionnaires and comment cards. Resident’s questionnaires, which are produced in an appropriate format, and ask simple questions such as; Does the home smell nice? Or do you think the chores are shared fairly? Georgina House DS0000015011.V373895.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 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 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 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 YA20 Good Practice Recommendations The home should consider purchasing appropriate storage for controlled drugs. Georgina House DS0000015011.V373895.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Georgina House DS0000015011.V373895.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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