Care Home: Hazel Mead

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What the care home does well Gives people a chance to visit the home at different times and gets good information to help them decide if they can meet a person`s care and support needs. Works well with a range of healthcare professionals to promote the health and wellbeing of people living in the home. Provides people with a chance to go to college and work increasing their independence and self-esteem. Follows proper recruitment, selection, induction and training processes to make sure that staff have the skills and experience to support people who live in the home and keep them safe. Provides a safe, warm, comfortable home for people to live in and where they can have their own private bedroom and bathroom facilities. The home is well managed and is run in the best interests of the people who live there. Relationships between staff and people who live in the home are warm, friendly and sensitive. Relatives said: "Hazel Mead is a very homely place and my relative is very happy there. The staff are well informed and very pleasant. I am always made to feel welcome when visiting. My relative is always clean and clothes are well co-ordinated. My relative is given the opportunity to decide what is on the menu at meal times and enjoys the food". "My relative is looked after well. He looks after his own personal care and gets support with shopping trips. In all he seems to be happy in the home he lives in." People living in the home said: "We are alright now we have Linda (the registered manager)". "Staff always treat us well". In answer to what the home does well, staff said: "Cares for residents and support them in activities inside and outside the home". "Cares for all residents needs". "Help with needs of residents. Try to help them take the right path in life". What has improved since the last inspection? The style and content of care plans has improved considerably since the last inspection. This means that staff have better access to information to help them give care and support to people living in the home. Records in the office are much tidier and easier for staff to find and use. This promotes good use of policies, procedures and other documents that must be kept. The manager has achieved a National Vocational Qualification (NVQ) level 4, and is looking to complete her Registered Managers Award. What the care home could do better: CARE HOME ADULTS 18-65 Hazel Mead 3 Elpha Court South Broomhill Morpeth Northumberland NE65 9RR Lead Inspector Elaine Charlton Key Unannounced Inspection 29th May 2008 09:15 Hazel Mead DS0000040943.V363902.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 Hazel Mead DS0000040943.V363902.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. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hazel Mead Address 3 Elpha Court South Broomhill Morpeth Northumberland NE65 9RR 01670 761 741 01670 761 351 elsie@elpha.totalserve.co.uk 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) Mrs Elsie Hazel Dixon Mrs Linda Marshall Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning disability - Code LD, maximum number of places: 5 The maximum number of service users who can be accommodated is: 5 27th June 2007 Date of last inspection Brief Description of the Service: Hazel Mead is found in the village of South Broomhill. The bungalow has five, single, en-suite bedrooms for younger adults with a learning disability. The home is built in the grounds of Elpha Lodge a care home for younger adults with physical disabilities. People who need to use a wheelchair can get around the bungalow and grounds easily. The decoration and furnishings are of a high standard. The home is close to local shops and bus routes. The home has its own vehicle that residents can also use. Respite care and nursing care are not provided. Residents who have been assessed as needing a service by a Care Manager are charged a minimum of £624 per week. Resident’s contracts show what the charges include. For example, furniture, bedding, soap, shampoo and door keys. Items that will need to be paid for separately could include newspapers, hairdressing, and clothes. People, who live in the home, or those who might wish to, can look at the service user guide. A copy of the latest inspection report is always available in the entrance hall of the home. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star, this means that the people who use this service experience good quality outcomes. An unannounced visit was made on the 29 May 2008. A total of four and a quarter hours were spent in the home. The manager and all the residents were present during the inspection. Before the visit we looked at: Information we have received since the last visit on 27 June 2007; The Annual Quality Assurance Assessment (AQAA). The AQAA gives CSCI evidence to support what the home says it does well, and gives them an opportunity to say what they feel they could do better and what their future plans are; How the home has dealt with any complaints and concerns since the last visit; Any changes to how the home is run; The provider’s view of how well they care for people; The views of people who use the service, their relatives, staff and other professionals who visit the service. Sent pictorial “Have your say” questionnaires for residents who wanted to complete; Sent “Have your say” questionnaires to the home for relatives, healthcare professionals and staff to complete. During the visit we: Talked with all four people who live in the home, one member of staff, and the manager; Looked at information about the people who use the service and how well their needs are met; Looked at other records which must be kept; Checked that staff had the knowledge, skills and training to meet the needs of the people they care for; Looked around the building/parts of the building to make sure it was clean, safe and comfortable; Checked what improvements had been made since the last visit. Four residents, four relatives and three healthcare professionals as well as four members of staff sent back questionnaires. We told the manager what we found Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 6 What the service does well: Gives people a chance to visit the home at different times and gets good information to help them decide if they can meet a person’s care and support needs. Works well with a range of healthcare professionals to promote the health and wellbeing of people living in the home. Provides people with a chance to go to college and work increasing their independence and self-esteem. Follows proper recruitment, selection, induction and training processes to make sure that staff have the skills and experience to support people who live in the home and keep them safe. Provides a safe, warm, comfortable home for people to live in and where they can have their own private bedroom and bathroom facilities. The home is well managed and is run in the best interests of the people who live there. Relationships between staff and people who live in the home are warm, friendly and sensitive. Relatives said: “Hazel Mead is a very homely place and my relative is very happy there. The staff are well informed and very pleasant. I am always made to feel welcome when visiting. My relative is always clean and clothes are well co-ordinated. My relative is given the opportunity to decide what is on the menu at meal times and enjoys the food”. “My relative is looked after well. He looks after his own personal care and gets support with shopping trips. In all he seems to be happy in the home he lives in.” People living in the home said: “We are alright now we have Linda (the registered manager)”. “Staff always treat us well”. In answer to what the home does well, staff said: “Cares for residents and support them in activities inside and outside the home”. “Cares for all residents needs”. “Help with needs of residents. Try to help them take the right path in life”. Hazel Mead DS0000040943.V363902.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. Hazel Mead DS0000040943.V363902.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 Hazel Mead DS0000040943.V363902.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): Standard 2. People who use the service experience good quality outcomes in this area. People are given good information to help them decide about moving into the home. Their needs and wishes are fully assessed so that everyone is sure they can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We saw the records for someone who may wish to come and live in the home and had recently had a short stay there to see if they liked the home. The home had a full assessment from the local authority making the referral and the manager had complete the home’s pre-admission assessment form. A key worker had been identified and care plans and risk assessments were in place. Care plans were good and had been written in a sensitive way. There had been no other admissions to the home since the last inspection. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. People who use the service experience good quality outcomes in this area. People are involved in their care plans and making decisions and choices about their life. This promotes their independence and self-esteem. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: As well as the new record we looked at the records for another person who has lived in the home since it opened. We saw a range of care plans that included – showering, oral hygiene, social activities, challenging behaviour, outings, isolation, very personal areas of care and finances. These were well documented and were being regularly reviewed. Each care plan had a supporting risk assessment, and risk assessment evaluation sheet. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 11 The style and content of care plans has improved considerably since the last inspection. We saw that records included the person or gender of person that a resident wanted to have support from when they were receiving very personal care. Female staff are always on duty to offer this support to young, female residents to promote their privacy and dignity. Alternative arrangements had been made to support a resident, and reduce the risk of an accident on wet, tiled floors, when they chose not to wear shower shoes. Monthly review forms are used to record progress with care and support. These were dated and signed by the manager and resident. Monthly evaluations need to be more out-come based. We were told the staff team had been working closely with the Behaviour Assessment Intervention Team (BAIT) to try and get a resident to go out, and to see whether their medication was affecting their physical/mental wellbeing. The BAIT support plan that had been put in place for staff to support the resident was excellent and included guidance about different behaviours that may be displayed, the signs to look for and what action they should take. This had been regularly reviewed by the team and staff. We also saw evidence of care management reviews taking place. Three residents kept coming into the office to talk to the inspector and we all sat down for lunch together. We saw records of people seeing the dentist and chiropodist. Appointments can be arranged in the community or within the home whichever the person is more comfortable with. Residents sign their agreement to information being kept on the home’s computer. Residents told us that they were able to make decisions about their life, and what they wanted to do during the day, at night and the weekend. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. People who use the service experience good quality outcomes in this area. People are able to live the life they choose promoting their independence and work opportunities. These choices and opportunities are only restricted by a person’s wishes and their abilities. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Everyone who lives in the home has a very different lifestyle and is able to do things on their own or with their friends, relatives and staff. One person told us that they still go out to work four days a week. They had also been involved in the inspection of day centres through Spiral Skills. We were told that this had been a good experience. The same person also brought pictures for the inspector to see of a recent presentation evening with a famous athlete. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 13 People are doing computer training at the library and are able to attend college courses of their choice. Residents and their relatives told us that they are helped to keep in touch. One person had been supported to visit their mother in hospital and another person visits their parents on alternate weekends. When asked what the home did well a relative said: “They make my relative feel they belong there and also that they have their support as well as mine if they have any issues”. There is a vacancy at the home following the death of a resident earlier in the year. A memorial service was held in the home to help people come to terms with their loss and a memory tree was planted in the garden. Residents told us about, and showed us, a photograph album that they were putting together to help them remember their friend. They had asked staff if they could do this and were using their own personal photographs to put this together. This was helping them to remember their friend and the happy times they had. People were planning shopping trips to buy things for their holiday to Scarborough. During the inspection one person went out for coffee and another went to the bank to get their holiday money. Both were heard making decisions about how much money they wanted, what they needed to buy and whether they wanted staff to support them. Everyone is able to have food and drinks when they want and help out with preparing meals and getting snacks ready. Lunch was a very sociable occasion and people made clear choices about what they wanted. One person told us that they were going on a visit to Alnwick Castle and Gardens before they went on the Scarborough holiday. They were looking forward to both events. Daily routines and meals are flexible and relaxed. One person didn’t have their breakfast until 10.00 am but they were still given choices and time to enjoy the meal. One resident did shopping for the home whilst he was out. He brought the receipts and change to the office. The manager asked him when and where he wanted to update his finance book after shopping trip. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. People who use the service experience good quality outcomes in this area. People living in the home are asked how they wish their personal care to be provided and by whom. They are supported and helped to be independent with medication and can see health care professionals when they need. Good routines for administering medication are in place and records are kept up to date keeping people safe. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People living in the home are able to choose who their key worker is, what support they need with personal care and who does this for them. They are also helped, where possible, to look after some of their medication, for example creams and prescription shampoo. Everyone has their own en-suite shower room that also includes a toilet and wash-hand basin. This means that showers and other personal care routines are carried out in private and can be very relaxed. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 15 A random check of medication administration systems and medicines kept in the home was carried out. No issues were identified. All medication is kept securely and a separate facility is available for controlled medication but there is none in the home at the present time. The manager has started to colour code the medication administration records (MAR) for different times of the day. The colours correspond with the blister packs containing the medicines. This is a good prompt for staff. One person takes control of their oxygen therapy routines and is aware of what will happen if this is not properly managed. Staff record on oxygen monitor sheets whether and when the resident chooses to use this during the day. Two new staff have started training in the safe handling of medication. Everyone is able to see a range of healthcare professionals as and when their physical or mental health requires. Residents said: “Staff always treat us well”. Staff said, in answer to what does the home do well: “Cares for residents and support them in activities inside and outside the home”. “Cares for all residents needs”. “Help with needs of residents. Try to help them take the right path in life”. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. People who use the service experience good quality outcomes in this area. The views of people who live in the home are listened to. They are protected from harm through policies, procedures and staff training. Events and incidents are recorded and reported to us. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Policies and procedures are in place that promote the acceptance, recording and investigation of complaints. The manager has completed the two day local authority course on safeguarding adults. Staff have received training in safeguarding adults and more training is planned for later this year. Care plans are in place for everyone to make sure that staff know what to do if a safeguarding issues arise. Copies of the local authority safeguarding procedure and the Department of Health “No Secrets” documents are available. No complaints or safeguarding issues have been raised since the last inspection. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 17 Staff are required to have a Criminal Records Bureau check at an enhanced level before they can work in the home. They are also employed in accordance with the General Social Care Council code of conduct. The manager is aware of the need and process to refer people to the Protection of Vulnerable Adults register if they are found to be unsuitable to work with vulnerable people. A relative said: “My relationship with the home is very good and any worries I have are always followed up”. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. People who use the service experience excellent quality outcomes in this area. People live in a home that is purpose built, comfortable and homely and helps them to be as independent as they want. The home is always fresh and clean. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home is in excellent condition and provides five younger adults with their own bedroom and en-suite shower facilities. People told us they were making choices about the re-decoration of their bedrooms. They are also included in decisions about the decoration in all other areas of the home. There is a large sunny, lawned area to one side of the home and a smaller private patio, lawn and garden area off the lounge. Bedrooms are very individual and reflect the personality and choices of the person they belong to. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 19 Furnishings are of a high standard and people also have music centres, keyboards, computers and other personal items in their bedrooms. There has still been no progress with making alternative laundry facilities available for Hazel Mead. Staff and people living there still have to wait until mid-afternoon before they are able to use the laundry at Elpha Lodge. Everywhere was clean, tidy and odour free on arrival, and routines were well underway in one bedroom for a “spring clean” which the resident was taking part in. Residents said: “The home is always fresh and clean”. Staff had recently been asked to do a new inventory of each residents’ belongings. This had not been done since people moved into the home. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. People who use the service experience good quality outcomes in this area. People working in the home are properly recruited and the residents know they are trained and able to help them with the care and support the need, in the way they want. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We saw the files for two newly recruited members of the staff team. Files are kept in a standard way, are tidy and well organised. All the required checks had been carried out to make sure that people being employed were not excluded from working with vulnerable people and were who they said they were. We also saw interview notes, photographs of staff members, contracts of employment and evidence to show that people are employed in line with the General Social Care Council Code of Conduct. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 21 There was good evidence to show that staff had had a proper induction and that their understanding of what had been covered had been recorded through questionnaires. The home has an equality and diversity policy that gives a good explanation of diversity and helps people to understand the difference between diversity and equality. Staff have done some equality and diversity training. Two members of the staff team are in the process of registering to do a National Vocational Qualification (NVQ) level 3. Staff receive regular, recorded, supervision when they are also given the chance to identify any training that they feel they need. Training planned for this year includes health and safety, infection control, moving and handling, safeguarding, and food safety. Healthcare professionals said: “Staff always or usually have the right skills and experience”. Staff questionnaires told us that the provider had carried out full and proper recruitment and selection checks, and that the induction programme covered everything very well. One person said their induction had mostly covered everything they needed to know. Everyone said they were being given the training they needed to carry out their role, to help them understand differing needs and to keep them up to date with best practice. They also said they regularly or often saw their manager and that communication always or usually worked well. Hazel Mead DS0000040943.V363902.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): Standards 37, 39 and 42. People who use the service experience good quality outcomes in this area. People benefit from living in a well-managed, open and inclusive environment that promotes, and is run, in their best interests. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager told us that she had achieved her NVQ level 4 and was trying to find another training provider so that she could complete her Registered Managers Award (RMA). There is a full range of policies and procedures that are kept in the office and are easily accessed by staff. Some have been provided in a pictorial form to benefit and involve residents. Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 23 A random check of money held on behalf of two residents was carried out. Everyone has their own account book and all entries in and out are recorded. The manager, a staff member and the resident initial all entries. We saw evidence that the books and monies were regularly balanced and checked. All receipts are kept in individual envelopes and a separate book is used to record any vouchers that residents receive and when they spend them. The fire log was seen and all required checks were being regularly carried out and recorded. Staff fire instruction and drills were up to date. Fire drills for residents are done individually, the last being recorded on the 15 May this year. This means that staff can be sure each resident knows what to do if the fire alarm goes off. Health and safety checks are regularly carried out on the premises and equipment. Service contracts are in place and we saw evidence of maintenance being carried out when necessary. Easy to read “Smoke Free” information was available that helps people living in the home to understand that people visiting and staff are not able to smoke in their home. There is a home risk assessment in place and the home’s fire risk assessment has been update in line with the most recent legislation and has been signed off by the Fire Officer. The latest guidance from the Fire Authority for Care Homes was available. Hazel Mead DS0000040943.V363902.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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 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 3 X 3 X X 3 X Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 25 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 YA6 Good Practice Recommendations Recordings should continue to move towards being more outcome based. This will make sure that the benefits of the care and support residents receive are properly reflected. The arrangement for doing laundry should continue to be reviews so that staff and residents have easy access to appropriate laundry facilities. 2. YA30 Hazel Mead DS0000040943.V363902.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Hazel Mead DS0000040943.V363902.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. 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