Care Home: Huntercombe Centre

Similar services:

• Park House

What the care home does well The service users were very positive about their experiences in the home and the support that they receive from the staff. They showed an appreciation for the help they are receiving. Their comments include: "The staff are very supportive and they do their best for me". "The staff have been very good at keeping me out of trouble". "The support we get to help us with our problems is good". "The staff are very good at listening and giving the right advice and support". "We are encouraged to support each other and I think the therapists are excellent with us". In discussions with staff and the acting manager, it was obvious that the home has good reputation for providing treatment and support for people with drug or alcohol addiction. The service is well planned and sufficiently resourced to make sure that the people receive effective treatment and to help them to lead as normal a life as possible when they go back into the community. The staff are well trained, experienced and competent at their job and are providing professional and therapeutic service for the service users to make good progress during their stay in the home. The staff are up to date with current best practice in the field of drug addictions and alcohol dependency. Programmes of treatment and rehabilitation are kept under regular review, and the views of the people going through the programmes are used to help develop the service further. The team benefits from the skills and experiences of both health care and social care workers. This means that the approach to treatment focuses both on individual medical needs and the wider social aspects of care. The home has a resident doctor on the who is responsible for the medical needs of the service users who addiction problems. Those service users who are on the rehabilitation unit (rehab) receive their medical care from local GP surgeries in the community. The home has good arrangements in place for ensuring that rehab service users from outside the borough are registered with a local GP to make sure that their healthcare needs continue to be met. What has improved since the last inspection? At the last inspection visit, one requirement was made for the home to address. This involves the development of a refurbishment and redecoration plan. The home has addressed this and there is a programme of refurbishment work, which has greatly improved the environment. What the care home could do better: Currently the home has no immediate access to carpet-cleaning machine. Although the acting manager indicated that one could be accessed from one of the sister homes in the City, it was obvious from speaking with the domestic staff that the availability of a carpet-cleaning machine in the home for immediate access would be helpful where it is required in an emergency. CARE HOME ADULTS 18-65 Huntercombe Centre Leechmere Road Sunderland SR2 9DJ Lead Inspector Sam Doku Unannounced Inspection 27th January 2009 10:00 Huntercombe Centre DS0000070289.V374020.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 Huntercombe Centre DS0000070289.V374020.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. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Huntercombe Centre Address Leechmere Road Sunderland SR2 9DJ 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) 0191 527 9946 Focus Assessment and Rehabilitation Ltd Vacant Care Home 34 Category(ies) of Past or present alcohol dependence (34), Past or registration, with number present drug dependence (34) of places Huntercombe Centre DS0000070289.V374020.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 with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Past or present alcohol dependence - Code A, maximum number of places: 34 Past or present drug dependence - Code D, maximum number of places: 34 The maximum number of service users who can be accommodated is: 34 31st January 2008 2. Date of last inspection Brief Description of the Service: The Huntercombe Centre was a purpose built home for older people, but has since been adapted to provide care, treatment and rehabilitation for up to 34 people who are dealing with drug or alcohol dependency. Both nurse led detoxification treatment and therapist led rehabilitation services are offered here. There are 14 detoxification places and 20 for rehabilitation. The building has level access to the ground floor, and is therefore suitable for people with a physical disability. Accommodation is provided over two floors, and there is an enclosed garden. The two services provided here are housed it separate parts of the building. Each contain their own lounges, quiet spaces, session rooms, bedrooms, toilets and bathing facilities. There is one large dining room. The home is located in the Grangetown area of Sunderland, and is a short walk from the local shopping area. Access can be gained to the city centre by bus. There is a resident medical practitioner who is responsible for the medical care needs of the service users on the detoxification unit. The service users on the rehabilitation unit are registered with a local medical health centre for the GP services. The fee at the home ranges form £434.00 to £2026.00 per week. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is 3 Star. This means the people who use the service experience excellent quality outcomes. The inspection was unannounced and commenced on 27 January 2009 and completed on the same day. Before the visit the inspector looked at: Information we have received since the last inspection visit on 31 January 2008. How we dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). The views of the people who use the service through talking to them. During the visit the inspector did the following: Talked to the people who use the service, the acting manager and the care staff. 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 have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the acting manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations- but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the service does well: The service users were very positive about their experiences in the home and the support that they receive from the staff. They showed an appreciation for the help they are receiving. Their comments include: “The staff are very supportive and they do their best for me”. “The staff have been very good at keeping me out of trouble”. “The support we get to help us with our problems is good”. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 6 “The staff are very good at listening and giving the right advice and support”. “We are encouraged to support each other and I think the therapists are excellent with us”. In discussions with staff and the acting manager, it was obvious that the home has good reputation for providing treatment and support for people with drug or alcohol addiction. The service is well planned and sufficiently resourced to make sure that the people receive effective treatment and to help them to lead as normal a life as possible when they go back into the community. The staff are well trained, experienced and competent at their job and are providing professional and therapeutic service for the service users to make good progress during their stay in the home. The staff are up to date with current best practice in the field of drug addictions and alcohol dependency. Programmes of treatment and rehabilitation are kept under regular review, and the views of the people going through the programmes are used to help develop the service further. The team benefits from the skills and experiences of both health care and social care workers. This means that the approach to treatment focuses both on individual medical needs and the wider social aspects of care. The home has a resident doctor on the who is responsible for the medical needs of the service users who addiction problems. Those service users who are on the rehabilitation unit (rehab) receive their medical care from local GP surgeries in the community. The home has good arrangements in place for ensuring that rehab service users from outside the borough are registered with a local GP to make sure that their healthcare needs continue to be met. What has improved since the last inspection? What they could do better: Currently the home has no immediate access to carpet-cleaning machine. Although the acting manager indicated that one could be accessed from one of the sister homes in the City, it was obvious from speaking with the domestic staff that the availability of a carpet-cleaning machine in the home for immediate access would be helpful where it is required in an emergency. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 7 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. Huntercombe Centre DS0000070289.V374020.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 Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The company provides good information about the home, including invitation to visit the home, which enable prospective service users to make decisions about the home. All residents are assessed before admission and on admission, to make sure that the home has the necessary skills and facilities to look after their specialist needs, thus promoting their welfare and wellbeing. EVIDENCE: Referrals to the detoxification unit are from local authorities and from private referrals through GP practices. The policy of the home is for the referring agency to provide a detailed assessment of needs, which is referred to as Level 3 Comprehensive Assessment. In addition to the assessment, the prospective service user is invited to the home for further assessment by the staff before the offer of a place in the home is made. This includes carrying out a drug or alcohol use assessment in the past 30 days so that the right treatment can commence when admission is agreed. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 10 The prospective service user is provided with written information about the home and the service that is provided. More importantly, the prospective service user is given a copy of the “House Rules” and he or she signs a confidentiality statement. These assessments are then used to prepare the initial treatment plan for the person so that all staff would know what care and support the person needs when they arrive in the home. The inspector spoke with two service users on the detoxification unit about the admission process and they both confirmed the arrangements described above and indicated that this provided them with good information and insight into the service before they were admitted to the home. Two staff members were asked by the inspector to describe the admission process to the inspector. Staff described the process including the roles of the multi-disciplinary team in deciding if Huntercombe Centre is the right place for the prospective service user. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each service user’s care, treatment and rehabilitation programme is clearly planned, and the service users contribute to the care that they receive. This contributes to positive outcomes for the service users. EVIDENCE: The staff are aware that some of the service users who are admitted to the home may lack insight into the nature of their problems due to drug or excess alcohol abuse. The staff support the individual service users through therapy and various workshops to make them come to terms with their problems and to support them be involved in their own recovery process. The views of the service users are therefore regularly sought, both individually and as a group. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 12 The nature of the service provided requires that certain restrictions are placed on the service users during their stay, to ensure drugs and alcohol are not brought into the building. These restrictions are clearly set out in the “House Rules” booklet, including visiting, phone calls and personal conduct, which are explained and agreed to, before admission is arranged. There is intense participation by the service users in their own care. Regular one-to-one and group meetings and therapeutic sessions allow the service users to make significant contributions to their own care. The treatment or care plans are ‘person centred’ plans and are tailored to individual needs. The “person centred” care practices apply to both the detoxification unit and the rehabilitation unit. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The therapeutic approach to treatment and rehabilitation ensures that the care and treatment the service users receive are holistic and contribute to the positive and successful outcomes for them. EVIDENCE: The nature of the service requires strict rules on visiting, accessing other people’s rooms and the use of phones. At the pre-admission assessment stage, these rules are discussed and agreements from the service are sought. The service users sign a confidentiality statement and also sign a statement to abide by the “House Rules”. Development of personal relationships between the service users are discouraged as this has been found to have adverse effect on the treatment and rehabilitation of the individuals. These are fully Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 14 explained to the service users and the issue is often discussed at group meetings and in individual therapy sessions if appropriate. The service users normally stay in the home in two stages. The first is for people to receive treatment on the detoxification unit, and then to move on to the rehabilitation unit where they are prepared to move back into the wider community. The process could take up to about fourteen weeks from receiving treatment on the detoxification unit to being discharged from the rehabilitation unit to the community where they were admitted from. Consequently, the opportunity to be part of the local community is limited. However, general activities are arranged, such as outings to local places of interest and entertainment venues. Daily routines are also structured around mealtimes. People take their meals in a large dining area, and a choice of food is provided. This includes meals that reflect people’s beliefs and cultural preferences. People were complimentary about the food provided here, and where they have particular dietary needs these are documented and monitored where necessary. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users receive care and treatment that is consistent with their personal and healthcare needs. Furthermore, the home has good procedures in place for administration and safe handling of medication. EVIDENCE: The residents who are on the detoxification unit have all their medical needs met by the resident doctor who is based in the home. The resident doctor oversees the overall treatment for detoxification and also the general medical care needs of the service users. As some of the service users come from outside of the Sunderland area of the GPs, the home has arranged with a local GP surgery to provide GP service to the for the residents when they move to the rehabilitation unit where the resident doctor is not responsible providing GP service for those service users. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 16 There are other arrangements for the service users to attend specialist outpatient appoints and other healthcare professionals. These visits are recorded in the individual life plans and in daily report books to show that they have been receiving the care that they are entitled to. The staff have prepared detailed care plans which set out the health and social care needs of the individuals. All the four care plans that were examined contained good information about their needs and provided detailed information to staff on how those needs are to be addressed. The service users’ care plans, risk assessments and other care records show that individual care needs are clearly identified and care programmes have been put in place to meet them. The staff ensure that the care provided matches what has been agreed in the care plans. Where there are changes, the care plans are altered to take account of the changes to the individual’s needs. The nurses who work in the home have psychiatric nursing background and provide excellent physical, psychological and therapeutic support to the service users to aid their recovery from drug addiction and alcohol abuse. Some of the therapeutic programmes include Personal Motivation Programme and Drug Awareness Programme. Other agencies are involved with these programmes, including NECA, NERAF and After Care Family Group. The drugs administration system was inspected and there were no discrepancies noted. The nursing staff who have responsibility for administering medicines have had suitable training in safe handling of medication under Home Office guidelines. Detailed written policies on medicines were also available for inspection. Medication is securely stored and clear records are kept of what is administered, by whom and when. Administration arrangements are strictly controlled, and self-administration is not allowed due to the nature of the service offered. Medication is administered in accordance with Home Office guidelines. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good policies and working practices are in place to protect the service users at times of vulnerability and to help them voice any concerns or complaints they have. This promotes their safety and welfare, and gives them a voice during their stay here. EVIDENCE: The home has a clear complaints procedure and a copy of this is included in the service user guide. The service users said that they are aware of the complaints procedure and would know what to do if they have the need to complain about the quality of the service that they receive. Complaints records are maintained. The record shows details of the complaints and how these were deal with and the outcome. The therapeutic environment does allow service users to express their views and concerns before they generate into complaints. To ensure that issues do not escalate into complaints, the views of the people staying at the home are regularly sought at group meetings. People’s views are also sought by questionnaire once their stay has come to an end. The Huntercombe Centre has a clear safeguarding adults procedure, and the local council’s procedures are also available for reference. Staff also receive Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 18 training and updates from the local Social Services Department on safeguarding adults. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The building is safe, clean and appropriately furnished, but redecorations work is still required in some parts of the home. EVIDENCE: Since the last key inspection there has been significant refurbishment programmes in the home. New furniture have been purchased and the communal lounges are nor furnished to a good standard. There are sufficient communal lounge facilities for the service users to use. The number of shared lounges allows people to choose how they spend their time, either in company or in quieter spaces. There are designated smoking areas and games facilities, including a pool table room and art and craft studio for the service users to use. All bedrooms are single, with en-suite toilets and sinks. Shower and bathing facilities are shared. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 20 Some bedrooms require redecoration and renewal of the furniture as some of these are suffering from wear and tear. The acting manager confirmed that there are plans to renew some of the furniture, which have already been identified as needing to be replaced. There are policies and procedures in place regarding safe handling and disposal of clinical waste, dealing spillage, the provision of protective clothing and hand washing. Staff have had training in infection control and also in health and safety. In discussions with the domestic staff they expressed the need for a carpetcleaning machine for the home. They indicated that the home has an arrangement with one other home to borrow their machine whenever they need it. But they also described situations where the immediate availability of such a facility would have been extremely helpful in enabling them to undertake their duties more efficiently and effectively. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is staffed by motivated, competent and skilled professionals who are well trained. This ensures people receive the service they need and expect. EVIDENCE: The home is staffed by a team of professionals comprising of a medical practitioner, nurses and other appropriately trained care staff and ancillary workers. The staff training record shows that the staff have had appropriate training to equip them for their roles. The acting manager stated that apart form the professional that most of the staff have received, they have also received training in moving and handling, first aid, infection control, protection of vulnerable adults, fire safety, food hygiene and health and safety training. Staff who were spoken with confirmed that they had completed job application forms and were interviewed before they were appointed. All the staff who were spoken with stated that before they were appointed to their current positions, they provided suitable references and also had enhanced CRB check before Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 22 their appointments were confirmed. The four staff files that were examined showed that the home adheres to proper employment policies in recruiting staff. Staff receive regular supervision and records of the supervision are kept on individual files. Staff commented that they find the supervision sessions helpful and it gives them the opportunity to discuss with the senior staff their training needs. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In the absence of a registered manager, the home is currently managed by a senior officer of the company who leads a team of highly motivated staff to deliver a focused service for the benefit of the people who receive care from the home. EVIDENCE: The home has no registered manager at the moment. However, the Development Manager who is responsible for drug and alcohol units has been brought in to oversee the management of the home until a suitable manager is appointed. The current acting manager has a vast experience of managing and commissioning services like Huntercombe Centre. Staff who were spoken Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 24 with were extremely happy with his support for the home and the way he is managing the home on a temporary basis. He is supported by a dedicated team of professionals, which ensure the smooth running of the home. There are suitable arrangements for staff to receive one-to-one supervision from the manager. The acting manager stated that supervision sessions with individuals have been maintained and the senior staff have the training and responsibility to carry out the supervision with the care staff. Staff commented that they find the supervision sessions useful. There is a quality assurance system in place for seeking the views of the residents and visitors to the home. One of the senior staff described the procedure for ensuring that the service is under constant review taking into consideration the views of the service users, and also the staff who work very close with the service users and understand the service. Service users who come to the end of their programme are given a questionnaire to complete and the results are used to make changes to the running of the service where necessary. The providers Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). There is evidence that staff adhere to the policies as set by the provider. Servicing records confirmed that all portable appliances have been tested. A record is maintained of regular water temperature tests are maintained in the home. Regular servicing of fire equipment, bath lifts and hoists, gas and electrical appliances have been carried out by the contracted companies. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. Records also show that all portable appliances have been tested. A record is maintained of monthly water temperature tests in the home. There is evidence of regular servicing of fire equipment, gas and electrical appliances. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 2 26 2 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 3 4 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X 3 3 X Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA30 Good Practice Recommendations The home should consider purchasing a carpet-cleaner for the home so that staff would immediate access to it in the event of an emergency. Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 27 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 Huntercombe Centre DS0000070289.V374020.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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