Care Home: Jubilee Road (42)

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What the care home does well The service continues to offer a committed approach in supporting people in their home and make sure that the admission and assessment procedures of the home ensure that individual`s needs are appropriately identified and met. The home provides accommodation for people that is safe, personalised homely, hygienic and odour free, whilst infection control procedures are adhered to at all times. The support and personal care that people receive is based on their individual needs and keeps them safe. People`s dignity and respect is consistently promoted. Individuals are able to exercise choice in their daily lives, maintain bonds with family and friends, and take part in social, cultural, religious and recreational activities. People are protected by the homes complaints and safeguarding adults procedures. The home provides a healthy and balanced diet and medication procedures ensure that medication is administered to all individuals in a safe and appropriate way. The staffing levels of the home were considered adequate to meet the current needs of the supported people. Staff are properly recruited to protect the supported people and are well trained and competent to do their jobs. The management of the home is robust to ensure the safety and wellbeing of supported people who are also consulted regarding the running of the home and their health and financial interests are safeguarded. What has improved since the last inspection? The home are continuing to work towards becoming a autism accredited service and all staff are continuing their training to further promote their understanding of the complexities of working with people with autistic spectrum disorders. What the care home could do better: No Statutory requirements under the Care Homes Regulation 2001 (as amended 2006) have been made as a result of this inspection. Some daily records had not been signed by staff and it is recommended that this be implemented as the records form part of the documentation required by the commission in order to make sure that supported peoples needs are being met by the home. CARE HOME ADULTS 18-65 Jubilee Road (42) 42 Jubilee Road Mytchett Surrey GU16 6BE Lead Inspector Ms Suzanne Magnier Unannounced Inspection 12th February 2008 10:00 Jubilee Road (42) DS0000013499.V357978.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 Jubilee Road (42) DS0000013499.V357978.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. Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee Road (42) Address 42 Jubilee Road Mytchett Surrey GU16 6BE 01252 540113 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) clare.church@new-support.org.uk www.new-support.org.uk Dimension (NSO) Ltd Post Vacant Care Home 5 Category(ies) of Learning disability (5), Physical disability (2) registration, with number of places Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the category: Learning Disability (LD), up to 2 may have an additional physical disability (PD). The age/age range of the persons to be accommodated will be: 30 64 Years 14th December 2006 Date of last inspection Brief Description of the Service: The home is a detached bungalow located in the village of Mytchett and is owned by Dimensions Ltd. The service provides accommodation, services and facilities for up to five male adults who have learning and physical disabilities. Accommodation is on one floor with ample communal space including a Snoozelam room and enclosed gardens in the front and rear of the home. The current weekly fees are from £1,248-13-£1,364.57. The fees do not cover personal items, hairdressing and holidays. Jubilee Road (42) DS0000013499.V357978.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 the people who use this service experience good quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced ‘Key Inspection’. Some additional standards were assessed and have been included within the report. Ms S Magnier Regulation Inspector carried out the inspection and the area manager and a senior staff member represented the service. For the purpose of the report the individuals using the service prefer to be addressed as supported people or individuals. The inspector arrived at the service at 10.00 and was in the home for five and a half hours. It was a thorough look at how well the home is doing. It took into account detailed information provided by the home and any information that CSCI has received about the service since the last inspection. The Commission sent questionaires to people associated with the service. The questionaires returned had been completed with the help of support workers and all responses were favourable about the care and support provided by the home. The use of an ‘expert by experience’ (who is a person who visits the service with the inspector to help the get a picture of what it is like in or use the service) was not used as part of this inspection. An ‘easy read’ inspection report summary using pictures, plain english and large print has been made in order that the supported people who use the services and have learning difficulties get information in a way that they can understand what we ( the commission) are saying about their home. The home had supplied the commission with a documented Annual Quality Assurance Assessemnt (AQAA) some detail of which has been included within the report. The supported people living at the home have communication difficulties, so their responses were assessed by observing their facial expressions, body language, listening and requesting staff to interpret the individuals own way of communicating and observing client and staff interactions. Additional information was also sought from talking with visitors to the home during the inspection. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 6 Documents sampled during the inspection included the supported peoples care plans, daily records and risk assessments, medication procedures, staff files, a variety of training records, health and safety records, and several of the homes policies and procedures. The commission noted that requirements made during the previous inspection in December 2006 had been complied with. From the evidence seen by the inspector it is considered that the home would be able to provide a service to meet the needs of people who have diverse religious, racial or cultural needs. Dimensions Ltd have a diversity policy included in the house information pack and hold diversity events and publish a diversity newsletter. What the service does well: The service continues to offer a committed approach in supporting people in their home and make sure that the admission and assessment procedures of the home ensure that individual’s needs are appropriately identified and met. The home provides accommodation for people that is safe, personalised homely, hygienic and odour free, whilst infection control procedures are adhered to at all times. The support and personal care that people receive is based on their individual needs and keeps them safe. People’s dignity and respect is consistently promoted. Individuals are able to exercise choice in their daily lives, maintain bonds with family and friends, and take part in social, cultural, religious and recreational activities. People are protected by the homes complaints and safeguarding adults procedures. The home provides a healthy and balanced diet and medication procedures ensure that medication is administered to all individuals in a safe and appropriate way. The staffing levels of the home were considered adequate to meet the current needs of the supported people. Staff are properly recruited to protect the supported people and are well trained and competent to do their jobs. The management of the home is robust to ensure the safety and wellbeing of supported people who are also consulted regarding the running of the home and their health and financial interests are safeguarded. Jubilee Road (42) DS0000013499.V357978.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. Jubilee Road (42) DS0000013499.V357978.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 Jubilee Road (42) DS0000013499.V357978.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): 2. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. The homes admission and assessment procedures ensure that individual’s needs are appropriately identified and met. EVIDENCE: One individual has been admitted to the home since the last visit to the home by the commission. The home has an admission and assessment procedure, which ensures that all prospective supported people have a care, needs assessment prior to admission to the home to ensure that the home could be able to meet the individual’s needs. Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. The support and personal care that people receive is based on their individual needs set out in their care plans which are reviewed and well managed. Monitoring of risk assessments is managed in a robust manner to ensure the safety of people in the home and peoples dignity and respect is consistently promoted. EVIDENCE: Each individual living at the home has a care and person centred plan and the home have maintained a system whereby each individual has a member of staff allocated to them as their link worker. One care plan was looked at by the inspector and was clearly written to describe the supported persons individualised personal care needs and how care and support were provided taking into account the persons choices and preferences on how they liked to receive care and support for example times of getting up and going to bed, their likes and dislikes for example not liking Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 11 crowds of people or being spoken about and liking the jacuzzi, warm baths with bubbles, songs of praise and sending presents to family members. The care and person centred plan detailed the individuals religion, next of kin or significant people in their life, a clothing inventory and the individual’s current medication. A formal review of the care provided to the supported person had been held in order to make sure that the home continues to meet their needs since they came to live at the home. It is acknowledged that some supported people living at the home were unable to sign their care plans due to their individual limited ability and this detail should be recorded on each plan on behalf of the individual. As part of the ongoing development of the home the area manager advised that the home has continued to work with the National Autistic Society and continues to work towards achieving an autism accreditation which will continue to benefit the supported people at the home. Daily records written in the first person were looked at and included reporting on the individual’s daily activities, their interactions, achievements and general demeanour throughout a 24 hour period. Some records had not been signed by staff and it is recommended that this be implemented as the records form part of the documentation required by the commission in order to make sure that supported peoples needs are being met by the home. Each supported person has their own individual diary in order to promote their rights to individuality and confidentiality. During the inspection it was noted that there was a calm atmosphere throughout the home and individuals were observed to be comfortable and moving freely around their home. It was observed that staff addressed individuals in the way they preferred using specific tones and volumes and in some instances ‘mirroring’ ways of communicating which showed an empathic and full engagement with the individual. Staff spoke with individuals in a professional and caring manner and individuals were addressed by their first or full name and where appropriate names of endearment were used to support trusting relationships. Whilst looking at the care plans the inspector noted that the home had completed some risk assessments which documented potential hazards in individuals daily lives for example having a bath, eating and drinking safely, looking after money, moving about safely, using the homes vehicle with staff support, hazards of choking and being safe in the community. The AQAA details that the home allows people to make ‘wrong choices’ and this was discussed with the senior staff member who emphasised that individuals are supported to take risks and have choices in their lives whilst being supported by staff. Jubilee Road (42) DS0000013499.V357978.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): 12, 13, 15, 16, 17. People who use the service experience excellent quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. Individuals are able to exercise choice in their daily lives, maintain bonds with family and friends, and take part in social, cultural, religious and recreational activities. The home provides a healthy and balanced diet. EVIDENCE: Throughout the inspection the home was busy with a variety of activities which included individuals going out with staff to do the grocery shopping and buying plants for the sensory garden, going out with their individual support workers, having an aromatherapy session, going out for a local walk or using the homes adapted vehicle with staff. The senior staff member told the inspector that the staff are flexible in promoting individuals to choose the level of activities they attend. The home Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 13 offers a night owls club and painting sessions at external venues in order that supported people can meet new people and make other friends. A variety of community workers visit the home to support people and these include people from a local day service who support individuals on a one to one basis, a music group and a therapeutic group who use specialist equipment for example musical and sensory equipment to support individuals having a fun time. The home have implemented an active support approach with documented results which assist individuals to recognise their goals and aspirations and helps them with staff support to fulfil their goals and dreams in an individualised way. It was noticeable how the supported people had improved in their levels of communication and interaction with staff and other visitors to the home. This improved way of working is to be commended in supporting individuals to express themselves and has been promoted by a staff team who have been consistent and have supported people in a predicable and structured way. The home has a sensory room, which has been improved since the last inspection to include more sensory equipment, which individuals can use with staff support. During previous inspections it was observed that the homes activity room had not been accessible for supported people to use and this has now been cleared and the room is being used to promote homely craft activities, painting, artwork and chosen subjects of interest. The activity room was bright, welcoming and appropriately furnished. The homes staff and volunteers have developed a sensory remembrance garden in the front of the house for an individual who lived at the home. All the garden areas of the home are accessible and enclosed for the supported people to use and barbeques and garden parties are held in the good weather, which, are supported by peoples families and friends. Individual’s religious and spiritual wishes are observed and arrangements are in place for one person who has expressed the choice to be supported to a Christian church on Sundays. Contact with family and friend’s is positively encouraged with visitors being able to attend the home at any time and in accordance with the supported persons wishes. It was noted that some supported people use the homes telephone to keep in touch with family and friends. The home has pictorial menus and offered what was considered a wellbalanced meal. All meals are home cooked with an alternative option available for each mealtime. Mealtimes can be varied and the home has made arrangements that supported people can have their meals in the spacious Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 14 dining area or on their own if they prefer. Special diets are provided and drinks and snacks were seen to be available at all times. The dining area in the home was noted as spacious, bright and well decorated. The midday meal was observed during the inspection and it was noted that there was as ample quantity and the meal was attractively presented with specialised crockery available. Mealtimes were observed to be unhurried and staff available to support individuals who needed additional support, which was given in a dignified manner. Jubilee Road (42) DS0000013499.V357978.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. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. The resident’s physical, emotional and health care needs are monitored and met. Individual’s choice and dignity is promoted. Medication procedures ensure that medication is administered to all individuals in a safe and appropriate way. EVIDENCE: The care plans had been developed from the pre assessment documentation and included the supported persons care and support needs. The care plans were well written to allow the reader to gain a good overview of the individuals medical, social and personal care needs including complexities in communication and behaviours. Due to some supported peoples complex needs the staff informed the inspector that care plans are developed with the supported persons families and other health care professionals involvement where possible and reviewed regularly to reflect any changes in the supported persons needs. Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 16 The care plans evidenced through pictures and writing that regular and appropriate health care appointments are attended including visits to the individuals General Practitioner (GP) when necessary. Through sampling care plans it was evident that the home has maintained good working partnerships with health care professionals which include the opticians, dentists, chiropodists, speech and language therapists, occupational therapists and ongoing psychiatric support when required to ensure that the supported persons health care needs continue to be met. Care plans document how the individual likes to be spoken to for example slowly and quietly, the individuals sensory awareness, the ways they like to communicate, how they liked to receive support by staff for example for personal care, having support to the barbers, using an electric razor rather than a wet shave, their mobility and assistance needed with moving and handling and preferences regarding gender specfic care. Staff were observed providing personal support to individuals in such a way that promoted and protected the individuals privacy and dignity. The two senior staff members showed the inspector that the home has good, clear procedures in place for the monitoring and recording of all medicines administered and those entering and leaving the home. Staff training in medication has been conducted and all staff that administers medicines had been certificated as safe to do so. Jubilee Road (42) DS0000013499.V357978.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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people supported at the home are protected by the homes complaints and safeguarding adults procedures. EVIDENCE: The home has an established complaints procedure. The staff advised that all complaints received by the home are fully investigated and the records kept by the home evidenced this. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Records sampled indicated that staff had attended safeguarding vulnerable adults training and for newly recruited staff this had been included in the induction programme and ongoing training provided by the home. Both Criminal Record Bureaux checks (CRB) and Protection of Vulnerable Adult (POVA) checks are carried out on all new staff. The home has a copy of the Surrey County Council Multi-agency Procedures for the Safeguarding Vulnerable Adults. One safeguarding referral had been have been made since the previous inspection and had been satisfactorily concluded. Jubilee Road (42) DS0000013499.V357978.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): 24, 25, 27, 30. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides accommodation for people that is safe, personalised homely, hygienic and odour free, whilst infection control procedures are adhered to at all times. EVIDENCE: The home has continued to improve the standard of the environment which has included purchasing homely ornaments, framed pictures, window coverings, wooden flooring, two armchairs and a coffee table have been placed centrally in the corridor so people can see who is coming into their home. The general state of decoration was considered satisfactory and all supported people bedrooms have been redecorated and contain a variety of personal items, including one person choosing to have a double bed, and were appropriately furnished. Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 19 The three bathrooms were clean and well decorated with adequate bathing facilities, which continue to meet the needs of the supported people. The standard of cleanliness throughout the home was good and no malodours were present. Jubilee Road (42) DS0000013499.V357978.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): 32, 34, 35. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staffing levels of the home were considered adequate to meet the current needs of the supported people who are protected by the homes recruitment policies and procedures. Staff are trained and competent to do their jobs. EVIDENCE: The home had a relaxed atmosphere and staff were observed to undertake their tasks in an orderly manner. The inspector observed staff interactions with supported people all of which were professional and supportive. The staffing levels of the home were evidenced and considered adequate to meet the current needs of the supported people. The home employs twelve full time care staff and one handy person. Whilst looking at the care plans the inspector observed that there was written evidence to support that the supported people were offered respect of their privacy and dignity through the home offering gender specific care. Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 21 The area manager demonstrated that she recognised the diverse needs of the staff group regarding their training needs and records indicated that the ongoing training programme offered mandatory and specialised training for example autism focus training, active support and communication and testing behaviour training. Staff induction training is conducted in line with Skills for Care and 50 of the care staff have achieved their National Vocational Qualification (NVQ) in care. Staff recruitment files were viewed and it was evidenced that these files contain all items required under the Care Homes Regulations 2001. The home has an Equal Opportunities policy in place and is an equal opportunities employer. Jubilee Road (42) DS0000013499.V357978.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): 37, 39, 42. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management of the home is robust to ensure the safety and wellbeing of supported people who are also consulted regarding the running of the home and their health and financial interests are safeguarded. EVIDENCE: The registered manager had recently resigned and the area manager told the inspector that the organisation had selected a candidate who had been offered the position and would be vetted accordingly. There were clear lines of accountability during the day of the inspection and staff demonstrated an understanding of their roles and responsibilities in order for the home to continue to run smoothly. The area manager told the inspector that a senior Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 23 staff member is overseeing the day-to-day management of the home with the support from another homes manager. All persons spoken with during the inspection spoke highly of the organisation and their colleagues and staff morale was good. It was noted that all staff had a good rapport and knowledge of each of the supported people and were seen to listen to their views and opinions. The home has a Quality Assurance procedure and the area manager explained that questionnaires are distributed annually to clients and their representatives and other people associated with the home in order to continue to monitor and audit the service provided and offer continued improvement. Regular monitoring visits by other managers were seen to be undertaken by the records sampled, which were informative about the efficiency of the home. The senior staff member explained that the home takes responsibility for peoples finances and records looked at evidenced appropriate safekeeping with receipts detailing purchases and a regular audit of the accounts. Records indicated that health and safety checks are maintained, fire safety equipment and records were documented and equipment serviced. The laundry area was noted to be clean and tidy. Clinical waste was appropriately stored to reduce infection in the home and hand-washing facilities were available for staff with special arrangements in place for the collection of clinical waste. Jubilee Road (42) DS0000013499.V357978.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 3 25 3 26 X 27 3 28 X 29 X 30 3 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 2 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 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 Jubilee Road (42) DS0000013499.V357978.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 Some daily records had not been signed by staff and it is recommended that this be implemented as the records form part of the documentation required by the commission in order to make sure that supported peoples needs are being met by the home. Jubilee Road (42) DS0000013499.V357978.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Jubilee Road (42) DS0000013499.V357978.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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