Care Home: Home From Home

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What the care home does well One person said, "I love my life here, I do lots of things, I love my holidays and outings and I am very happy." Records showed that the people living there have good social contact with their friends. Each person has a care plan that states how they want to be supported. These are reviewed every three months and updated where the person`s needs or preferences had changed so that their needs can be met. The people living there are encouraged to make choices so that they can take control of their lives wherever possible. The home is well decorated and has the feel of a true family home. The owner clearly showed how well she knows the people living there so that she is able to meet their needs. The owner is aware of the changing health needs of the people living there and makes sure they get the healthcare services they need to be healthy. The people living there go out most days and do the things they enjoy so that they live a fulfilling lifestyle. The people living there go on holiday twice a year with the owner for a few weeks each time. This gives them a chance to have a break and see and experience new places. Each person has their own bedroom that is decorated in the way they want. They have many personal possessions and things that are important to them to reflect their individual tastes and interests. What has improved since the last inspection? There were no areas identified at the last inspection that could be improved from the standards that were looked at. The home continues to be well run and maintained to a high standard for the people living there. What the care home could do better: People should be supported to have regular eye tests to ensure their glasses are at the right prescription so their vision is good. The owner should be aware of how the Mental Capacity Act 2005 may affect the people living there so she can ensure they have appropriate support in making decisions about their welfare. CARE HOMES FOR OLDER PEOPLE Home From Home 104 Billingsley Road Sheldon Birmingham West Midlands B26 2EA Lead Inspector Sarah Bennett Key Unannounced Inspection 18th June 2008 09:50 X10015.doc Version 1.40 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 Home From Home DS0000017124.V366742.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 Older People. 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. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Home From Home Address 104 Billingsley Road Sheldon Birmingham West Midlands B26 2EA 0121 743 1971 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 Sheila Whiley Mrs Sheila Whiley Care Home 2 Category(ies) of Learning disability over 65 years of age (2) registration, with number of places Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1.The registered person may provide the following category/ies of service only: Care home only – Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability – LD 2 (of the following age range: over 65 years of age) Maximum number of places: 2 2. The maximum number of service users who can be accommodated is: 2 Date of last inspection 10th February 2007 Brief Description of the Service: Home from Home is in a quiet residential road in the Sheldon area of Birmingham. It is a three bedroom semi-detached property that accommodates two women who are aged over sixty-five and have a learning disability. The home is well maintained and is within reasonable access of shopping facilities, local churches and regular public transport services. The home comprises of three bedrooms one of which is used by the owner. Access to the bedrooms is by one flight of stairs. People using this service have to be mobile as there is not a lift or stair lift. There is a bathroom upstairs. The other facilities include a lounge, a kitchen with a dining area and a conservatory with a laundry area. There is a downstairs toilet and level access shower on the ground floor. The conservatory has a television. There is a garden leading from the conservatory. A wooden summerhouse has been built at the top of the garden for recreational use. There is parking in the road to the front of the home. The two people have lived in the home for sometime and live as part of the family with the owner. The CSCI inspection report is available in the home for visitors who wish to read it. The service users guide does not state the fees charged to live there as the owner intends to retire when there are no longer any people living at the home and not admit anyone else. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This inspection was carried out over one day; the home did not know we were going to visit. This was the homes key inspection for the inspection year 2008 to 2009. The inspection plan for this home changed following the Annual Service Review in January 2008. This was because the owner had completed the Annual Quality Assurance Assessment (AQAA) but some information was missing. In order to ensure that the people living there were safe this key inspection was brought forward. The focus of inspections we, the commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and an AQAA completed by the owner. This was completed by the owner and provides information about the home and how they think it meets the needs of the people living there. Both people living in the home were case tracked this involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking people’s care helps us understand the experiences of people who use the service. A tour of the premises took place. A sample of care, staff and health and safety records were looked at. The people living there completed our ‘Have Your Say’ survey asking for their views on the home and their comments have been used to inform this inspection. What the service does well: One person said, “I love my life here, I do lots of things, I love my holidays and outings and I am very happy.” Records showed that the people living there have good social contact with their friends. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 6 Each person has a care plan that states how they want to be supported. These are reviewed every three months and updated where the person’s needs or preferences had changed so that their needs can be met. The people living there are encouraged to make choices so that they can take control of their lives wherever possible. The home is well decorated and has the feel of a true family home. The owner clearly showed how well she knows the people living there so that she is able to meet their needs. The owner is aware of the changing health needs of the people living there and makes sure they get the healthcare services they need to be healthy. The people living there go out most days and do the things they enjoy so that they live a fulfilling lifestyle. The people living there go on holiday twice a year with the owner for a few weeks each time. This gives them a chance to have a break and see and experience new places. Each person has their own bedroom that is decorated in the way they want. They have many personal possessions and things that are important to them to reflect their individual tastes and interests. 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. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 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 the information they need to make a choice as to whether or not they want to live there. EVIDENCE: The statement of purpose included most of the relevant and required information so that prospective service users would have the information they need to make a choice as to whether or not they want to live there. It did not state the fees charged to live there. The owner said that they are the current contract fees that Birmingham City Council pays. The owner stated in the AQAA and at the visit that she would not be admitting any more people to the home. She plans to retire when the people no longer live there. Therefore, this information will not need to be put in the statement of purpose, as there will not be any future prospective service users who will need this information. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 9 Surveys returned from both of the people living there said that they had sufficient information before they moved in, which included overnight stays and trials and they were very happy with this. One person said, “‘When I first came to the home, I had a trial weekend then a stay, and never wanted to go back, I have been here for seventeen years.” The people living there have lived there for many years. There have been no people admitted since the last inspection. Therefore, the standard relating to assessment was not looked at. The home does not provide intermediate care so Standard 6 relating to this was not looked at. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that the needs of the people living there are met and they are treated with dignity and respect so ensuring their well being. EVIDENCE: The records of both of the people living there were looked at. These included an individual care plan that stated how the person is supported in the way that they want. Records also included individual risk assessments that stated what support the person needs to ensure they are supported to be as independent as possible whilst minimising the risk to their safety. One person said “Mrs Whiley always helps me when I need it, otherwise I try to do what I can for myself.” Care plans and risk assessments are reviewed every three months or sooner if the persons needs have changed and updated accordingly. This ensures that people’s current needs are met. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 11 One person had recently been in hospital following a fall at the home and had been discharged the evening before. The owner said and records showed that the owner had advocated on behalf of the person while they were in hospital to ensure they got the care they needed. During the day the owner was observed ensuring that the person’s needs were met. They had called the GP early in the morning to request a home visit, as they felt that the person was still unwell. An Occupational Therapist had visited the home before the person was discharged from hospital. Aids and adaptations needed had been provided so the person could be cared for at home. Records showed that the owner, the other person living there and members of the owner’s family had visited the person often in hospital. This reassured the other person living there that the person they lived with was ok and would be coming back to the home. Individual’s weights are checked regularly. This is good as a significant loss or gain of weight can be an indicator of an underlying health need. Weight records showed that both the people’s weights were stable. The owner said that the other person living there had also been unwell and they had tests to investigate what was wrong with them. So far these had proved inconclusive but records showed that the owner was continuing to contact health professionals to ensure that the person’s health needs could be fully investigated and met. The owner is willing to challenge health professionals if necessary to ensure that the person’s needs and rights are always considered. One person said, “I have recently had some hospital treatment and Mrs Whiley was there to look after me, I have another appointment and she will be with me then, I am very happy with this.” Both people are registered with a local GP and referrals are made to other health professionals as needed. Records showed when people had attended health appointments and check ups and the outcome of these. One person’s records stated that they go to the optician for an eye test yearly. Their health appointment record stated that their last eye test was in March 2006. They should now have another eye test to ensure their glasses are at the right prescription so their vision is good. Medication is kept in a small locked cabinet so that it is stored securely minimising the risk of people it is not prescribed for taking it. The pharmacist prints individual’s Medication Administration Records (MAR), which reduces the risk of the medication being recorded wrongly. When the medication is received into the home the owner records when and how much of this is received. This ensures that the medication can be audited to ensure it is being given as prescribed. All MAR had been signed appropriately indicating that medication had been given as prescribed so ensuring people’s health needs are met. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 12 Observations showed that the people living there are treated with dignity and respect. Records sampled showed that this is very important to the owner. Members of the owner’s family who visited during the day treated the people with dignity and respect in the way they spoke about and to them. It was evident that the people living there are very much part of the owner’s family and are treated as such. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living there are able to live as they want and do the things they enjoy doing. They have regular contact with family, friends and the local community, which is important to them. The people living there enjoy their meals and have a varied, nutritious and healthy diet to help keep them well. EVIDENCE: Records sampled showed that people regularly go out and do the things they enjoy. They go to the pub for lunch, out for drives, go shopping, to garden centres, to the Darby & Joan club, visit their friends and neighbours and go to parks. Records showed that these were activities that the people living there liked and are reflective of people of their age. Inside the home people watched DVD’s and films that they liked on TV. In the garden there is a summerhouse where people can relax and watch TV if they want to. Records showed that one person in particular enjoyed spending time in there looking over the garden and relaxing. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 14 Members of the owner’s family visited during the morning and bought flowers for the people living there. They said that they visit often and that the people living there are very much part of the family. Observations showed that this was the case and visitors were concerned for the welfare of the people living there. Both people went with the owner to a cottage in Wales for a few weeks in April. The owner said that they usually all go away in April and September. They go for a few weeks as both people take time to settle at a different place so once settled they still have time to enjoy their break. They said that they have not yet booked where they are going to go in September. Records sampled showed and it was observed that people are supported to make choices in their day-to-day lives. This includes what they wear, what they do, where they go on holiday and what they eat and drink. The owner said and records sampled showed that the people living there are encouraged to help around the home, so maintaining their independence. One person said, “I help with the dusting and wiping down, I also set the table at meal time.” Fresh fruit was available in the home for people to have when they wanted. Food records sampled showed that people had a varied and nutritious diet. This included the recommended five portions of fruit and vegetables each day for a healthy diet. Records showed that people ate the things they liked and this was appropriate to their cultural background. One person said, “ I eat very well and always enjoy my food, I have lots of things I like.” Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the people living there know their views are listened to and acted on. The people living there are protected from abuse. EVIDENCE: The complaints procedure detailed how a person would make a complaint if they were unhappy with the service provided and what would be done in response to this. It included how to contact us if the complainant was not happy with the owner’s response. However, our address needs to be updated so that people have the current details. There were also details of how to contact advocacy services who would provide an independent voice for the person raising the concerns. The AQAA stated and the owner said that no complaints had been received. We have not received any complaints about this service. The people living there said they knew how to make a complaint if they were dissatisfied with the service provided. A copy of the Birmingham multi – agency guidelines on adult protection and the ‘No Secrets’ documents were available. These outlined the procedure to follow if an incident of abuse should occur and also how people should be treated to ensure they are not at risk of being abused. The owner was aware of these and of how to protect the people living there from abuse. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 16 The owner said that they knew of the Mental Capacity Act 2005 but were not aware of how this legislation could affect the people living there. The Mental Capacity Act came into force in April 2007. This legislation requires an assessment of people’s capacity to be done if there is any doubt that the person does not have the capacity to make a decision about their health and welfare. If they are assessed as not having the capacity an Independent Mental Capacity Advocate (IMCA) can be appointed to help them with this. The owner should be aware of this so that if a person living there needed to make a decision an assessment could be done and they could receive appropriate support if they do not have the capacity. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living there live in a safe, well maintained, comfortable and clean home that meets their individual needs. EVIDENCE: The home was well decorated, homely and comfortable. There were fresh flowers on the table in the lounge, helping to make it look homely. There was a guard around the fireplace to ensure that people were not at risk of falling onto or touching the fire. There were transfers on the glass doors from the kitchen to the conservatory so that people were aware that this was glass minimising the risk of people walking into them. Radiator covers were fitted so that the risk of people being scalded was minimised. The owner said that she had arranged for the conservatory and kitchen to be redecorated in the next few months. There are various different rooms for Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 18 people to use including the lounge, conservatory and the summerhouse in the garden. This gives people space to spend time on their own if they want to. Bedrooms are on the first floor and there is not a lift or stair lift so people need to be mobile. Bedrooms were personalised. The person who had been discharged from hospital the previous evening was in the owner’s bedroom and the owner was using their bedroom. This was because they had additional aids and adaptations provided and there was more room in the owner’s bedroom for them to be assisted to move around. Their possessions had been moved in there so they had their things around them. Recently new wardrobes had been fitted in the bedrooms. The bedrooms and all of the upstairs had been redecorated recently. New TV’s had been provided in the bedrooms. There is a bathroom upstairs. There is a shower facility over the bath. There is a level access shower room downstairs. The owner said that the people living there now find that as they are getting older the bath is difficult to use but are happy to use the shower downstairs. The bathing facilities are not adapted to assist people with limited mobility to get in and out of the bath. There had previously been an issue regarding the handrails fitted by Social Services in the garden. During the summer months the top rail became very hot and could burn people’s hands. The owner took a great deal of time and effort to get this addressed and the rails have now been replaced with wood, which conducts the heat better. The home was clean and there were no offensive odours making it a pleasant place to live. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the people living there are supported in the way they want to be by the owner who knows them well. EVIDENCE: The owner lives on the premises and manages to support the people living there at this current time without the need for additional staff. When additional support has been required, the owner draws support from fellow professionals in the area. The owner regularly monitors the needs of the people living there. To date she is able to meet these with no difficulties. Should the situation arise where this is no longer the case she will review staffing levels as required and take appropriate action. The owner has been in the care industry for in excess of 20 years. Both the people living there have lived with her for over 17 years. As their needs are minimal the owner is suitably experienced and competent to meet these. The owner has confirmed to the Commission that she has no intentions of admitting any other people to the home. As and when the time arises she intends to retire. The owner last had a Criminal Records Bureau (CRB) check in August 2002, which showed that she has no criminal convictions. She recently applied to have another CRB check completed in May 2008. However, we returned this Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 20 application to her, as she needs to go to our local office so her documents can be verified for the application to be processed. The owner has had mandatory training in food hygiene, health and safety and manual handling. She recently completed updated training in first aid and food hygiene and is waiting for a date to update her knowledge of moving and handling. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements ensure that people live in well run home that benefits them and ensures their financial interests are safeguarded. The health, safety and welfare of the people living there is promoted and protected so ensuring their well being. EVIDENCE: The owner is also the Registered Manager. She demonstrated a very good indepth knowledge of the people living there. The home is run very much like a family home but with an awareness of the need to meet the requirements of regulation. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 22 The owner supports the people living there to manage their finances. Records showed that each person receives their personal allowance every week and this is paid directly to their bank account. This is then withdrawn so that the person can spend their money on the things they want. Where possible the person had signed their record to say they had received their personal allowance. Records showed that people spent their money on personal items, clothes and going on holiday. Receipts are kept of all purchases the person has made. Individual’s bank statements are kept and these cross - referenced to the person’s finance book indicating that their money is used in the right way. Since the last inspection the owner has contacted the Department of Work and Pensions to ensure the people living there are receiving their full benefit entitlement. The owner found that they were receiving their full benefit but so that people have all they need and can go out regularly she often has to subsidise their finances. As it is a small, domestic type premises the fire officer from West Midlands Fire Service has previously stated that they do not need a fire alarm. There are smoke alarms and the owner tests these weekly to make sure they are working. There is a fire extinguisher and fire blanket and these were recently serviced so that they are well maintained and would work if needed. The owner tests the fridge and freezer temperatures twice daily to make sure that food is stored at the correct temperature so to minimise the risk of people getting food poisoning. Records showed that these were within the correct temperatures to minimise this risk. Records showed that a Corgi registered engineer completed the annual test of the gas equipment in November 2007 and stated that it was in a satisfactory condition. An electrician had completed the annual test of the portable electrical appliances in October 2007 to make sure they were safe to use. Home From Home DS0000017124.V366742.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 X X 3 X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 24 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. 2. Refer to Standard OP8 OP18 Good Practice Recommendations People should be supported to have regular eye tests to ensure their glasses are at the right prescription so their vision is good. The owner should be aware of the implications the Mental Capacity Act 2005 may have for the people living there so she can ensure they have appropriate support in making decisions about their welfare. Home From Home DS0000017124.V366742.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Home From Home DS0000017124.V366742.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. 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