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Care Home: Laverstoke Gardens

  • 49 Laverstoke Gardens London SW15 4JB
  • Tel: 02082466824
  • Fax: 02087889382
  • Planned feature Advertise here!

49 Laverstoke Gardens is a care home for seven adults with a learning disability. The service is located in a quiet residential road in Roehampton close to local shops and transport links. The home is a two-storey purpose built building. All the bedrooms are single, one of which is on the ground floor and wheelchair accessible. The home is run by The Frances Taylor Foundation. A copy of the last inspection report is displayed in the home. The fees per week are between £915 - £1,068.

  • Latitude: 51.449001312256
    Longitude: -0.24600000679493
  • Manager: Natalie Louise Hill
  • Price p/w: ~
  • UK
  • Total Capacity: 7
  • Type: Care home only
  • Provider: Frances Taylor Foundation
  • Ownership: Voluntary
  • Care Home ID: 9546
Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 11th September 2008. CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

For extracts, read the latest CQC inspection for Laverstoke Gardens.

What the care home does well 49 Laverstoke Gardens provides a homely and safe environment for people to live in. People who use the service make choices about their day to day life including meals, activities outings and holidays. Staff reported that they offer people a good quality of life, and that they try to treat people who use the service as individuals. They also said that the manager was "approachable" "hands on" and "that they worked as a team". What has improved since the last inspection? The manager has been approved by the Commission as the registered manager. A new Kitchen was put in March of this year. The service user guide has been made user friendly with pictures and other documents are to follow. Two more permanent staff has achieved NVQ level 2 and 3. What the care home could do better: A training plan must be put in place for each staff member which clearly evidence training undertaken and future training needs. CARE HOME ADULTS 18-65 Laverstoke Gardens 49 Laverstoke Gardens London SW15 4JB Lead Inspector Davina McLaverty Key Unannounced Inspection 11th September 2008 10:30 Laverstoke Gardens DS0000010205.V366975.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 Laverstoke Gardens DS0000010205.V366975.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. Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laverstoke Gardens Address 49 Laverstoke Gardens London SW15 4JB 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) 020 8246 6824 020 8788 9382 www.ftf.org.uk Frances Taylor Foundation Natalie Louise Hill Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 7 25th July 2006 Date of last inspection Brief Description of the Service: 49 Laverstoke Gardens is a care home for seven adults with a learning disability. The service is located in a quiet residential road in Roehampton close to local shops and transport links. The home is a two-storey purpose built building. All the bedrooms are single, one of which is on the ground floor and wheelchair accessible. The home is run by The Frances Taylor Foundation. A copy of the last inspection report is displayed in the home. The fees per week are between £915 - £1,068. Laverstoke Gardens DS0000010205.V366975.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 stars. This means the people who use this service experience good outcomes. The inspection included an unannounced visit to the service on the September 2008. We met five of the seven residents, the manager, and staff members. We also looked at a number of records, which included resident’s files, care plans, health and safety records as well as environment. 11th four two the In addition, the inspection took account of information received about the service since its last inspection. We sent surveys to the home for residents to be supported to complete. At the time of writing this report 4 surveys had been received from residents whose comments were mainly positive. We asked the manager to complete an Annual Quality Assurance Assessment (AQAA), which is a self assessment of the service and is also referred to in the report and helped us to form some of the judgements made. Residents spoken to on the day of the inspection stated that they were very happy and satisfied with the care and support provided. Comments included “it’s nice here”, “the staff are good” and I like the other people who live here”. What the service does well: 49 Laverstoke Gardens provides a homely and safe environment for people to live in. People who use the service make choices about their day to day life including meals, activities outings and holidays. Staff reported that they offer people a good quality of life, and that they try to treat people who use the service as individuals. They also said that the manager was “approachable” “hands on” and “that they worked as a team”. Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 6 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. Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 4 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home understands the importance of having sufficient information when choosing a care home and have developed a Statement of Purpose and Service User Guide to help people make a decision about moving in. A comprehensive Admission procedure is in place which will ensure that the persons needs can be met prior to them moving in. EVIDENCE: The Statement of Purpose and Service user guide had both been recently updated. The Service user guide is in a pictorial format which makes it easier for many of the people living at the home to understand. All residents are given their own copy of the service user guide. The people living at the home have all lived there for several years and copies of their original assessments are on file, as when as reviews of their care plans. The home has an admission procedure and the manager is fully aware that any new person must only be admitted after a comprehensive assessment has Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 9 been carried out, which will involve the views of all professionals involved with the person, as well as the person themselves. Visits to the service are included and this would vary depending on the assessment. Laverstoke Gardens DS0000010205.V366975.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, 8 & 9 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Good support plans are in place and these address the identified needs of individuals. People are supported to make their own decisions about their lives with support from staff when needed. Individual risk assessments are carried out to support and protect residents in their daily lives. EVIDENCE: Two people living at the service told us that they were able to make choices about their lives and that they were very happy. Two case files and care plans were looked at. We saw information covering assessments of what people can do and the areas they need support and assistance from staff. Support plans were seen to be regularly updated with annual reviews taking place. We were informed that Person centred plans are being developed further with the residents, with them being encouraged to Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 11 identify some goals they would like to achieve. Information in the AQAA acknowledges that the service could document more on residents making choices in the daily lives, as some wishes may be expressed verbally but not recorded on paper. The service aims to try to address this with the introduction of a new format of a person centred plan which will evidence more clearly people’s needs and choices, as well as peoples individual goals and aspirations. The service operates a key worker system, which allows staff to work on an individual basis with people who use the service. One person knew who their key worker was said that they meet regularly with their key worker and did things they want to do. In discussion with staff, one felt that the key worker role could be developed further as although they are involved in the residents review meetings they do not impact in the development of the persons care plans and risk assessments which tend to be done by the senior staff. In discussion with the manager she stated that this is currently being looked at. There were written risk assessments which showed that staff, have thought about the risks people take. Risk assessments were being reviewed, however, staff must ensure that the degree of risk is clearly identified on the form used. Again where appropriate key workers and the person themselves could be involved in the process. The inspector recommends that risk assessments are signed by those involved in the process including the resident/advocate (if able). There are regular meetings for the people who live at the home, where they are told about any changes that may affect them. They also have the opportunity to raise any issues they feel are relevant to communal living, they decide what they want to eat and if there are any special activities they want organised or wish to attend. Their wishes are listened to and accommodated when possible, although it is acknowledged that with the current staffing levels it is not always possible for lots of individual activities to be carried out. This is an area that the manager wants to address. Two people spoken to were very positive about the home and one was aware of their support plan, which they said they contributed to. Comments included “I think I can mostly do what I want”, “I use to go to college, I go shopping, can eat out, and we go to the super market”. Laverstoke Gardens DS0000010205.V366975.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): 12,13,14, 15,16 & 17 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People are given opportunities to take part in a range of activities at the home and in the community. They are supported to stay in contact with friends. EVIDENCE: Two people told us that they did lots of different activities and made choices about the things they wanted to do. Everyone living at the home takes part in activities and a lifestyle that they choose. People are encouraged and supported to reach their full potential and people are involved in a variety of different activities including going to college, local day centres and activities within the community e.g. swimming, meals Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 13 out. People use the local community including the library, shops and public transport. Staff actively seek out appropriate activities on residents behalf. Some people have their own front door and bedroom keys. Mail is given directly to residents and support offered as is needed. Two residents confirmed that they could go to bed and get up when they wanted to. They also stated that they could spend time in their rooms, when they wanted and that staff would knock on their doors if they wanted to ask them anything. Some people are involved is involved in shopping for the house and themselves. They plan menus and help where able with some household tasks. One person spoke at some length with the inspector about what she did e.g. emptying the bins, mopping the floors, dusting and some cooking. People are responsible for tidying up their own bedrooms, although if needed, staff will offer support. People are supported by staff to maintain important family relationships. One resident was currently visiting her mother, another was due to be taken by a staff member to meet their family at the weekend. The AQAA states that the home has improved in the last 12 months by “service users being taken on more regular outings, this has been helped by there now being two drivers in the home (in the past there was just one)”. The manager goes on to say that service users have enjoyed longer holidays for further distances and this has been a goal for one particular service user. However, as a result of the local college no longer being able to offer part-time classes to two service users that she will be requesting additional funding to fund classes elsewhere. In the meantime staff will carry out extra activities and outings with these service users. Cultural needs are acknowledged and supported. People who wish to attend church are supported to go, currently three residents regularly attend church. Two residents told us that they like the food. A choice of meals can be offered although residents tend to eat the same meal together. Both lunch and dinner were observed and a well balanced meal was prepared. Healthy eating is encouraged. Support aids are available for some residents so that they can maintain their independence when eating. Due to the needs of one person staff have to ensure that their food is of a certain consistency and the food is blended. The cupboards and freezer were well stocked. Fresh fruit was also available. Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home supports people to maintain good health with any changes in peoples needs being addressed. Peoples medication is appropriately managed EVIDENCE: Staff understand the key principles of giving personal care and continue to be responsive to the varied and individual needs of the residents. Where possible residents are supported and helped to be independent and responsible for their own hygiene and personal care. Support plans seen make sure that individual healthcare needs are addressed with support being given as required to visit the GP, dentist, optician and other health appointments. We saw records of GP, hospital and other health related appointments in case files. Staff monitor people’s weight on a regular basis and currently help Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 15 individuals with healthy eating. The AQAA states that “service users have access to aids and equipment promoting self care and physical comfort”. The home is currently waiting on an Occupational Therapist assessment for a specialist bath for two service users who have mobility needs. Once the assessment has been made a new bath will be purchased”. Staff are aware of privacy and dignity issues and were seen to be respectful of the residents. Two people said that their need for privacy was respected and that staff would knock on their bedrooms door and wait to be invited in before entering, also that bathrooms were locked when they were being supported with their personal care. Appropriate medication polices and procedures are in place. The homes use a monitored dosage system. The inspector checked the medication records for two people living in the home. All prescribed medication is securely stored in the staff sleep in room. The Medication Administration Record ( MAR) Sheet checked were all well completed. The manager and staff spoken with stated that all staff had completed medication training and that refresher courses are offered. (see staff training records Standard 35) Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 23 & 24 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Appropriate procedures are in place for the management of complaints. People feel confident about raising concerns with staff. The manager makes sure that all staff is aware of their responsibilities regarding the Safeguarding of Vulnerable Adults. Training is provided for staff in the safeguarding of Vulnerable Adults. EVIDENCE: The home has an appropriate complaints procedure and a whistle blowing policy in place. Residents receive a copy of the procedure in their Service user Guide. A copy is also displayed on the homes notice board. There have been no recorded complaints since the last inspection. Residents said that they knew who to speak to if they were unhappy about something at the home and that they would feel confident raising concerns with staff. Appropriate safeguarding policies are in place. The manager reported that safeguarding of vulnerable adults is discussed as part of new staff induction to the home. Staff also attend formal Safeguarding training. Evidence of this training was seen on the files examined and staff spoken with was aware of the steps to take in the event of abuse being identified. Currently an issue in the Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 17 home has been referred to Wandsworth Safeguarding team and is being investigated. Laverstoke Gardens DS0000010205.V366975.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): 24,25,26,27,28,29 & 30 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The environment is well maintained with input in the décor and choices of furniture from the people who live there. EVIDENCE: The home is situated in a residential area and has good access to local community facilities, open spaces and public transport networks. People told us that they liked living at the home and that they liked their rooms. Six of the seven bedrooms are located on the first floor, the bedroom on the ground floor has its own bathroom. There are two bathrooms on the first floor and two toilets. The staff sleep in room, laundry room and manager’s office are on the ground floor. Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 19 Resident’s bedrooms were seen to be personalised and all bedrooms were homely in appearance reflecting residents tastes. People said that they have everything they need in their rooms. Communal space is limited, as there is only one lounge area although an adjoining dining area is also available. Staff reported that when everyone is at home in the evening space at times could be quite tight and due to the needs of some of the residents sometimes people would go to their rooms. A large garden is available which was seen to be well maintained and a relaxing place for residents to be during the warmer months. One resident told the inspector how they liked to get involved with the gardening and confirmed that the garden is well used when the sun shone!! No lift is available in the home and the manager and staff team are looking at this, as two residents in particular whose bedrooms are upstairs have mobility difficulties and are finding the stairs difficult to manage. As stated a new bath will be installed following an Occupational Assessment. The issue of peoples mobility will be looked at in forthcoming reviews. Throughout the home the furniture seen was of a good standard. Although all parts of the home seen by the inspector, during this visit were clean and hygienic, some bedrooms and bathroom areas will need further redecoration works in the next finance year. The manager is aware of this and is in the process of planning her budget to ensure that the work will get done. This must include decorating, the bathrooms on the first floor, repairing the cracked ceiling in one of the bathrooms as well as replacing or making good lifting lino in one of the bathroom. Also one of the toilet seats upstairs should be replaced. Laverstoke Gardens DS0000010205.V366975.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, 33, 34, 35 & 36 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. An appropriate recruitment process is in place which protects people from harm. Staff meetings should take place more frequently. EVIDENCE: The home aims to have three staff on duty for both morning and afternoon shifts. This will include the manager. At night there is one waking night and one staff asleep but on call. The manager stated that these staffing levels were seen to be sufficient to meet people’s needs. Staff spoken to views varied but overall felt that there was sufficient staff to get tasks done but staffing levels at times made it difficult to carry out a lot of individual activities. People who used the service did not raise any issues about staffing levels. In discussion with the manager she acknowledged that at times the home could do with more staff and said that twice a month there were four staff on duty in the afternoon shifts, but equally there are times when there are two due to the difficulty in getting bank staff at short notice. Staffing levels will continue to be kept under review particularly as peoples need change. Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 21 We saw good interactions between people who use the service and staff. Staff spoken with demonstrated a good knowledge and understanding of individuals needs. We saw people who use the service to be comfortable and relaxed with staff. A caring environment with mutual respect for residents was apparent. Minutes of staff meetings were seen. Staff meetings should take place more regularly and the inspector recommends consideration be given to a shift planner to identify tasks which need to be carried out each shift. Staff did state that they felt that there was team work. The organisation has an appropriate recruitment policy. We looked at four staff files and found that they all contained an application form, a recent photographs, two references, CRB check and proof of identity. A written record of staff induction was seen on two of the new staff members files examined. Appraisals were also seen to be taken place. However, files examined failed to clearly identify that all mandatory training had taken place. Staff spoken to stated that they had received mandatory training, however from discussion we felt that some refresher courses were overdue. This was acknowledged by the manager who stated that she was in the process of updating peoples training needs. One staff spoken to confirmed that she had recently completed her NVQ 2. The manager in the AQAA states that only two permanent staff have not done their NVQ 2 and that they will be placed on this within the net 12 months. Laverstoke Gardens DS0000010205.V366975.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 this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service is well managed. People are supported to contribute their ideas to the running of the home. The health and safety of the people living in the home and staff working there is maintained. EVIDENCE: Since the last inspection the Commission has registered the homes Manager as a fit person to manage the care home. Staff described the manager as approachable, and hands on and fair. She has a good knowledge of best Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 23 practice and policy developments and endeavours to raise standards in the home. She is currently working towards her Registered Managers Award. There is a commitment to running the home in people’s best interest and to seeking their views about how the home is run. Monthly meetings take place which seeks the views of the people living in the home. They are also encouraged to raise any concerns that they have. Two people told the inspector that they really liked living at 49 Laverstoke Gardens. One said it’s so peaceful during the day which is what I need and like. We saw staff meeting records. At these meetings, staff are given the opportunity to discuss practice issues, and are updated on changes to people needs who use the service and changes within the organisation. As already stated these meetings have not taken place regularly although the inspector noted that where staff have not attended they have signed to indicate that they have read the minutes. There is evidence of good support from The Francis Taylor Foundation where regular monitoring visits are made to the home with copies of these reports being available in the home. The organisations consults with residents and their families as part of the organisation quality assurance, however this should be extended to other stakeholders e.g. care managers. A number of health and safety checks were looked at during the site visit. These included fire equipment, fire safety, water temperatures and fridge and freezer, Health and Safety checks, Landlords gas certificate and PAT testing. All were found to be in order with the exception of the homes monthly health and safety check which did not appear to have been carried out since June. The home had valid Employers Liability Insurance, a copy of which was seen during the inspection. Laverstoke Gardens DS0000010205.V366975.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 3 2 X 3 3 4 3 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 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 25 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. 1 Standard YA35 Regulation 18 (1) c Requirement A training plan must be put in place which clearly evidences training undertaken and future training needs. Timescale for action 30/10/08 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 3. 4 Refer to Standard YA6 YA33 YA33 YA33 Good Practice Recommendations Consideration should be given to key workers being involved in writing residents care plans and risk assessments. Consideration should be given to introducing a written shift planner Staff meetings should take place more frequently. Staffing levels must be kept under review and ensure that peoples assessed needs can be fully met. Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Laverstoke Gardens DS0000010205.V366975.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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