Care Home: Hammonds

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What the care home does well The management team and staff have developed the knowledge and skills to care for people who have complex physical needs and learning disabilities. The care provided is of a very high standard and designed around the needs of each individual. The management team and staff have developed excellent working relationships with health care colleagues so that people have the best available health and emotional care. The staff team respond particularly well to the health care needs of people living in the home; a social care professional commented " very good in dealing with healthcare needs and personal care of people with multiple disabilities." Another said that she felt the team had become expert in monitoring and responding to certain conditions. Innovative ways have been found to involve people in planning and reviewing their care including photographic diaries, picture boards, DVDs and videos. The staff are committed to making every effort to meet the aspirations and goals of people living at Hammonds, this includes simulated sky diving and adventure holidays. One professional commented that the senior staff have a `can do` approach to improving people`s experience. The staff are provided with a thorough induction and ongoing training programme and are able to share their skills with colleagues. Comments received include: "Hammonds is a wonderful home. The staff and carers are dedicated. We are so lucky to have our son so well cared for"; "ensure my daughter is involved in the maximum of social activities in spite of her lack of speech"; "this home is really great, I can`t envisage anything better for my daughter and she has been very happy since day one"; "good communication, provides a loving and caring environment, employs some wonderful caring people" and "the staff at Hammonds are always very friendly and approachable, especially the manager". What has improved since the last inspection? The person-centred care planning has been further developed to increase the involvement of service users in their care. A new ambulift has been purchased for one bathroom through fundraising. Another bathroom has been refurbished with a specially designed bath and wet room area to make bathing and showering easier for service users and the staff who support them. The respite facility has been improved to make the room more welcoming. Money has been provided for the purchase of more sensory equipment to improve the experience for people with sensory impairment. What the care home could do better: To continue monitoring and developing the service that provides a very good quality of life for the people living at Hammonds. CARE HOME ADULTS 18-65 Hammonds 210 Hawthorn Road Bognor Regis West Sussex PO21 2UP Lead Inspector Ms A Campbell-Currie Unannounced Inspection 16th October 2007 10:30 Hammonds DS0000037437.V347230.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 Hammonds DS0000037437.V347230.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. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hammonds Address 210 Hawthorn Road Bognor Regis West Sussex PO21 2UP 01243 841005 01243 869179 pat.holmes@westsussex.gov.uk www.westsussex.gov.uk West Sussex County Council 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) Miss Pat Holmes Care Home 16 Category(ies) of Learning disability (16), Learning disability over registration, with number 65 years of age (16), Physical disability (8) of places Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Up to 16 male and/or female service users in the category of learning disability aged between 18 and 65 years may be admitted/accommodated. Up to 16 male and/or female service users in the category of learning disability over 65 years of age may be accommodated. No service users over the age of 65 years may be admitted. No more than a total of 16 service users may be accommodated. Up to 8 persons with physical disability and learning disability may be accommodated on the condition that all rooms providing services for people with a physical disability are fitted with overhead tracking lifting equipment. 17th January 2007 Date of last inspection Brief Description of the Service: Hammonds is registered as a care home that provides personal care for up to sixteen adults with learning disabilities. Hammonds is registered to admit people between the ages of 18 and 65 years. Hammonds is situated in Bognor Regis close to local facilities. The home is arranged in three buildings; one building is used for office space, there is also a large lounge and kitchen. Service users are accommodated in the other two buildings named The Willows and The Dolphins. One single room is used to provide short stay respite care. West Sussex County Council owns Hammonds. The responsible individual on behalf of the local authority is Mr. J Dixon and Miss Pat Holmes is the registered manager in charge of the day-to-day running of the home. The fees range from £617 to £822.10 per week. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit for the Key Unannounced Inspection took place over five and a half hours. The registered manager and her deputy assisted with the inspection and all the necessary information and documents were available. Before the inspection the manager completed an Annual Quality Assurance Assessment form (AQAA) about the home; this provided a great deal of detailed information to help plan the inspection. A survey was carried out to find out what people think about the service. Ten relatives, two care managers, a health care professional, three staff and a GP returned surveys and made very positive comments about the service. During the site visit the communal areas, offices, kitchen, laundry room, bathrooms and eight bedrooms were seen. Two service users were spoken with and the people who were at home at the time were seen. Two staff and a relative were also spoken with. There was a telephone conversation with a health care professional. All the comments received about the service were very positive. The outcomes for people living in the home have been assessed in relation to the key National Minimum Standards for Younger Adults. Judgements were made from evidence gathered during the inspection, which included the site visit to the service and takes into account the views of people using the service, as well as evidence gathered from a range of sources since the last inspection of the home. What the service does well: The management team and staff have developed the knowledge and skills to care for people who have complex physical needs and learning disabilities. The care provided is of a very high standard and designed around the needs of each individual. The management team and staff have developed excellent working relationships with health care colleagues so that people have the best available health and emotional care. The staff team respond particularly well to the health care needs of people living in the home; a social care professional commented “ very good in dealing with healthcare needs and personal care of people with multiple disabilities.” Another said that she felt the team had become expert in monitoring and responding to certain conditions. Innovative ways have been found to involve people in planning and reviewing their care including photographic diaries, picture boards, DVDs and videos. The staff are committed to making every effort to meet the aspirations and goals of people living at Hammonds, this includes simulated sky diving and adventure holidays. One professional commented that the senior staff have a ‘can do’ Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 6 approach to improving people’s experience. The staff are provided with a thorough induction and ongoing training programme and are able to share their skills with colleagues. Comments received include: “Hammonds is a wonderful home. The staff and carers are dedicated. We are so lucky to have our son so well cared for”; “ensure my daughter is involved in the maximum of social activities in spite of her lack of speech”; “this home is really great, I can’t envisage anything better for my daughter and she has been very happy since day one”; “good communication, provides a loving and caring environment, employs some wonderful caring people” and “the staff at Hammonds are always very friendly and approachable, especially the manager”. 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. Hammonds DS0000037437.V347230.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 Hammonds DS0000037437.V347230.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 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have their needs thoroughly assessed and have the opportunity to visit the home a number of times before a decision is made about them staying there. EVIDENCE: A thorough assessment is carried out before a decision is made about whether or not the home could meet the needs of prospective service users. Information is gathered from health and social care professionals, relatives and service users who are able to communicate their wishes. There have been no new permanent admissions to the home in the past twelve months. The deputy manager explained the process for assessing the needs of people who wish to come to the home for respite care. The paperwork was also seen. Information had been gathered from the person’s mother as well as health and social care professionals. There would be at least three tea visits and three sleepover sessions before a decision would be made about offering respite care on a regular basis. During this period a thorough assessment is carried out by the home in every aspect of the person’s needs and wishes including communication. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 9 The deputy manager said that it is vital to the well being of all service users in the home that staff have the knowledge and skills to meet the person’s needs and that they are compatible with the other people who live at Hammonds. Examples were given of situations when it was felt the home would not be suitable for prospective service users. It was evident that a great deal of care is taken in the introductory process that is also tailored to meet the individual circumstances of each person to ensure a suitable and happy placement. Hammonds DS0000037437.V347230.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. Service users have their assessed and changing needs and personal goals reflected in their care plans and monitored on a regular basis. People are encouraged to make choices in their daily lives within a risk assessment framework that is kept under regular review. EVIDENCE: The management team have developed a person centred approach to care planning and review. Samples of case records were read and showed that information in the care plans was detailed and included guidance to staff about the way care should be provided. Information had been gathered from service users, parents, health and social care professionals. People’s aspirations and wishes in all aspects of their daily life were clearly documented, including emotional and spiritual needs. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 11 Various methods are used to assist people with communication difficulties to help them to make decisions about their lives. Methods include photographs, communication books and picture boards that have been devised by staff. There was plenty of evidence in case records, through observation and discussion to show the choices that people are encouraged to make about their daily lives especially their social activities. It was clear that care plans are kept under review. Each person has a formal review annually; all those involved in the care of the person are invited to attend. People are supported to prepare for their review through compiling a picture diary or making a video or DVD of their year. A review was being held during the morning and a number of issues had been discussed; there was a picture diary of the person’s year and a chart of decisions that had been made at the meeting. It was clear that the staff would be making every effort to meet this person’s wishes and some examples were given. A relative of the service user said that she is very satisfied with the standard of care her daughter experiences at Hammonds and that she is very happy living there. The choices that people make are also noted in their case records or the daily communication book. The bedrooms that were seen also reflected individual choice depending on people’s interests and hobbies. Risk assessments had been carried out in all aspects of daily life and guidance provided to staff about ways to minimise risks. There was evidence to show that risk assessments are kept under review and in some cases this in on a daily basis. Feedback from health care professionals indicates that the staff are extremely vigilant about changes to people’s needs; this was also evident through observation. Hammonds DS0000037437.V347230.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): 11, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are provided with excellent opportunities to take part in activities of their choice including accessing community facilities. People’s rights are respected and they are supported in their relationships with family and friends. People are provided with a nutritious diet that meets their needs. EVIDENCE: People’s interests and hobbies are noted in their care plans. People are offered a wide range of activities depending on their wishes and abilities. During the day six people were at a local day centre, one person went out for lunch with relatives, one person remained at home with their key worker, one person was out on individual programme of activities and other people went out for lunch The day centre offers a range of activities including arts and crafts, gardening, cookery, drama and Tai Chi. The manager said that the staff at the day centre take a person centred approach and have adjusted the programme to meet Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 13 service users’ needs and wishes. One person is assisted to attend a local church. Several people attend an adult literacy evening class to develop their skills. There are two vehicles available to take people out; this improves the opportunity for people to take part in different activities. The individual programmes are tailored to each person’s needs and wishes, examples were seen on case files. One person had been assisted to go sailing and another will have the opportunity for a simulated parachute jump. Risk assessments are carried out and every effort is made to make sure that people are able to take part in activities of their choice. One lounge has some sensory equipment and there is money available to purchase some new equipment; the manager said that people would be involved in choosing the new purchases. There is a courtyard area with flowerbeds that is used in the warm weather. People are supported to use local facilities including swimming, going to the beach, shopping, concerts and theatre trips and some people enjoy visiting the local public house. Some people had attended a local cheese and wine party the previous evening. Everyone has a choice of holiday, for some outings are arranged from home. Some people have been to Centre Parcs and Disney Land Paris. People are supported to maintain contact with their families and develop friendships with people outside the home. Relatives who returned surveys were positive about the communication with the home. People are made to feel welcome in the home and have meals with their relatives if they wish. Samples of menus were seen and choices are available. People’s likes and dislikes regarding food and their special dietary needs were noted on case records. The speech and language therapist provides assistance and guidance for people who have difficulty eating. There are photographs to provide guidance about the way food should be presented for individuals so that any risks are minimised. The senior speech and language therapist said the staff have developed a great deal of expertise with regard to people who have difficulty swallowing; they are very vigilant and always follow her guidance. There are three dining areas in the home; the one in the main building is used for special events such as Christmas. Hammonds DS0000037437.V347230.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. People receive the personal and health care support they need. The medication policies and practice protects service users. EVIDENCE: There are policies and guidance about the way that personal care should be provided. The induction programme provides further guidance to staff and people’s needs and wishes regarding personal care are noted in their care plans. The home has the hoisting equipment needed to facilitate the provision of care and the new bathroom is well equipped for people who have complex physical needs. Feedback from relatives indicates that people receive the care they need and that staff have the knowledge and skills to provide the care. Every service user has a detailed Health Action Plan that is reviewed every six months. These plans help people to understand and take some responsibility with their own health depending on their abilities. It was clear from observation and records seen that people receive the health care that they need. The deputy manager and staff said that there is a very good relationship Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 15 with the local primary care team and they respond quickly to any concerns. The GP who returned a survey indicated that he is satisfied with the service provided. It was clear from case records that any concerns about someone’s health are communicated to senior staff and advice is sought quickly and appropriately. A senior member of staff is responsible for the medication in the home. Guidance is provided in the West Sussex medication policy. All staff who administer medication have attended training and this is updated as required. There is a good relationship with the local pharmacy and six monthly visits are made to the home for review and guidance. The storage facilities and records were in order; none of the service users are able to hold their own medication. The manager said that where specialist training is required for example with PEG feeding, the district nurses provide training and assess the competence of the member of staff. Hammonds DS0000037437.V347230.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. People feel their views are listened to and acted on. People are protected from abuse, neglect and self-harm. EVIDENCE: There is a complaints policy that is produced in a format that is accessible to people who have communication difficulties. There is a system for recording and monitoring complaints; no complaints have been received in the past twelve months. The surveys returned by relatives indicate that people know how to make a complaint and they feel their concerns would be listened to. The manager said that reviews provide service users with an opportunity to raise any concerns or complaints. Picture boards are used to help people with limited communication skills. There are policies and guidance regarding safeguarding adults and all staff have attended training in adult abuse. The manager said that this is an agenda item that is discussed at fortnightly staff meetings. The staff team consider case scenarios to help them understand the issues and procedures regarding safeguarding adults. Staff in the local specialist community team provide advice and guidance regarding managing difficult or challenging behaviour. Case records showed that these issues are managed sensitively; this was confirmed in feedback from relatives. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Hammonds provides a safe, well-maintained and clean environment for the people who live there. EVIDENCE: The home was built in 1990 and has been well maintained. A member of staff is employed for 19.5 hours each week for routine maintenance. The manager said that she has drawn up a five-year plan that details areas of the home that will need refurbishment. A new bathroom has been built to provide a better facility for people who have complex physical needs. There is a specially adapted bath and wet room. A hydraulic seat has been ordered for another downstairs bathroom to make it safer for people to use. The courtyard provides a space for people to sit in warm weather and take part in various activities. There is plenty of communal space and some sensory Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 18 equipment is available in one of the lounges. Tracking hoists are available in some communal areas and bedrooms for people who need them. The home was clean and hygienic; there is a team of domestic staff including one person who is responsible for laundry duties. Staff have had training in infection control and there is equipment and guidance in place to ensure hygiene standards are maintained. Staff are provided with hand washing facilities and protective aprons and gloves. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 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 competent and well-trained staff. People are supported and protected by the home’s recruitment policy and practices. EVIDENCE: There is a comprehensive induction and training programme. Seventeen of the thirty-two care staff have achieved the National Vocation Qualification (NVQ) at level two or above and two people are enrolled on the programme. The induction and training programme includes the Learning Disability Induction Award (LDIA) so that people understand the needs of the people they provide care for. The staff spoken with said that they are encouraged and supported to attend training and have recently attended courses on working with people as they grow older and the Mental Capacity Act. Staff from the local team that provides a service to people who have a learning disability are also available to provide training workshops on certain topics that are relevant to the service. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 20 There is a robust policy and procedure for staff recruitment. All prospective staff have the opportunity to visit the home before a decision is made about their appointment. Samples of recruitment records were seen and showed that all the necessary checks are carried out before the person begins work. Newly appointed staff do not begin work until the enhanced Criminal Records Bureau (CRB) check has been received. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. People benefit from a well run home. The views of service users and their supporters are sought and underpin the development of the service. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: Miss Holmes has nineteen years of experience in providing care for people who have a learning disability. Miss Holmes has a Diploma in Social Work and has achieved the Registered Manager’s Award (RMA). Miss Holmes said that she is encouraged and supported to attend ongoing training to update her skills and knowledge; she is due to attend training in investigating safeguarding adult Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 22 incidents. Through the guidance and support of the manager the staff team have developed specialist skills in caring for people who have complex needs. She feels that the skills she and her staff team have developed in caring for service users with complex needs could be used to provide help and guidance to other care homes. Miss Holmes operates an open door policy and feedback from staff; relatives and other professionals show that she responds quickly and effectively to people’s views and concerns. People spoken with said that she is very supportive. There is a quality assurance system for gathering the views of service users, relatives and staff. This information is used to compile an annual development plan that addresses any issues raised. This document is available for relatives and other interested parties. Innovative ways have been developed to make sure that service users views are listened to and acted on. A picture board has been developed to assist service users to express their views. The annual review is also an opportunity for people to raise any issues. Miss Holmes said that staff supervision is another way of monitoring the quality of the service. The training records showed that all staff have attended health and safety training including moving and handling, infection control, fire training and safeguarding adults. There are systems in place to ensure that the health and safety of service users is protected. Fire records and risk assessments are up to date. Incidents and accidents are recorded appropriately and preventative action taken. Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 4 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 4 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 4 X X 3 X Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Hammonds DS0000037437.V347230.R01.S.doc Version 5.2 Page 26 - 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!