Care Home: Leacroft

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well Accommodation at Leacroft is spacious, comfortable and homely. Each bungalow has two lounges and a separate dining room, which give the people who live there some choice as to where they sit. Bedrooms are personalized and decorated to reflect their hobbies and interests of their occupants. Photos of the people who live in the home on outings and holidays are displayed in communal areas. A full time activities organiser is employed and all the people who live in the home have individual programmes of activities. The key workers we talked to were knowledgeable about service users` likes and dislikes. One told us, `He (the service user she cares for) enjoys painting, music, and dancing, and he loves going out in the car.` An aromatherapist was visiting the home on the day of inspection, providing individual sessions for service users who wanted them. She told us, `I love it here and it`s the most rewarding work I do. The residents are always clean and well presented and they wear quality clothes. And there is always a positive atmosphere in the home.` The home has a central kitchen where meals are prepared. Diabetic, vegetarian, and non-English (including halal) diets are catered for. Menus are displayed in the corridor outside the kitchen where anyone visiting the home can see them. Before each meal service users are asked what they would like as there is always a choice. There are also lots of opportunities for service users to eat out in the community in small groups or one-to-one with staff. The home is well staffed with both nursing and social care staff employed. There is always a nurse of duty and two carers in each of the bungalows. The Acting Manager is supernumerary. These staffing levels help to ensure that service users get the care they need, and also take part in both group and one-to-one activities. What has improved since the last inspection? All care plans have been re-written and improved The Acting Manager is `re-vamping` the home`s menu to include `five a day` portions of fruit and vegetables. At the last inspection we asked for all nursing interventions, such as catheter care, to be detailed in service users` files in line with current accepted nursing protocols. This has been done and clear instructions for nursing staff are now in place. We also asked for fluid charts to be reviewed and improved where necessary. This has been done too. The home`s medication systems have been completely reorganised and improved. The medication room has been relocated and is now in a larger room with improved ventilation and a place for storing oxygen. A new medication trolley has also been purchased. What the care home could do better: Person centred plans (PCPs) are kept alongside care plans in the office. Consideration should be given to making them more accessible to the peoplewho live in the home, for example by laminating them and keeping them in the bungalows. The shower room and bath identified as in need of repair should be made fit for purpose so all the people who live in the home have a choice about how they bathe. Two staff members told us they would like more service-specific training in learning disabilities and autism. Consideration should be given to this suggestion. A Registered Manager must be appointed to provide continuity and ensure the smooth running of the home. CARE HOME ADULTS 18-65 Leacroft 120 Colchester Road Leicester Leicestershire LE5 2DG Lead Inspector Kim Cowley Unannounced Inspection 27th November 2008 10:30 Leacroft DS0000048221.V373512.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 Leacroft DS0000048221.V373512.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. Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leacroft Address 120 Colchester Road Leicester Leicestershire LE5 2DG 0116 2461425 0116 2768662 leacroft@schealthcare.co.uk www.schealthcare.co.uk Active Care Partnerships Ltd 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) Manager post vacant Care Home 19 Category(ies) of Learning disability (19), Learning disability over registration, with number 65 years of age (2), Physical disability (19), of places Physical disability over 65 years of age (2) Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person may be admitted to Leacroft who falls within category PD or PD(E) unless that person also falls within LD or LD(E) i.e.. dual disability. No person who falls within category LD(E) or LD(E)/PD(E) may be admitted to Leacroft when 2 persons of category/combined LD(E) or LD(E)/PD(E) are already accommodated within the home. 24th January 2008 Date of last inspection Brief Description of the Service: Leacroft is registered to provide care with nursing to nineteen service users with learning disabilities, some of whom also have physically disabilities. The home is divided into three adjoining bungalows (Cherry Tree, Pine View, and Sandalwood), each with its own dining room, lounges, and kitchenette. There is a central kitchen, where main meals are prepared, and a reception area. All areas are wheelchair accessible, and secure private gardens surround the property. Fees are negotiable depending on care needs. Further information about the home is available form the Acting Manager. Leacroft DS0000048221.V373512.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 quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of we indicates the Commission for Social Care Inspection) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, we checked the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three of the people living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also met five other people who live the home, the Acting Manager, nurse in charge, activities organiser, six support workers, and a visiting aromatherapist. We did this inspection with an expert by experience. This is a person who either has a shared experience of using services or understands how people in this service communicate. They visited the service with us to help us get a picture of what it is like to live in the home. This is important because the views and experiences of people who use services are central to helping us make a judgement about the quality of care. What the service does well: Accommodation at Leacroft is spacious, comfortable and homely. Each bungalow has two lounges and a separate dining room, which give the people who live there some choice as to where they sit. Bedrooms are personalized and decorated to reflect their hobbies and interests of their occupants. Photos of the people who live in the home on outings and holidays are displayed in communal areas. A full time activities organiser is employed and all the people who live in the home have individual programmes of activities. The key workers we talked to were knowledgeable about service users likes and dislikes. One told us, He (the service user she cares for) enjoys painting, music, and dancing, and he loves going out in the car. Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 6 An aromatherapist was visiting the home on the day of inspection, providing individual sessions for service users who wanted them. She told us, I love it here and its the most rewarding work I do. The residents are always clean and well presented and they wear quality clothes. And there is always a positive atmosphere in the home. The home has a central kitchen where meals are prepared. Diabetic, vegetarian, and non-English (including halal) diets are catered for. Menus are displayed in the corridor outside the kitchen where anyone visiting the home can see them. Before each meal service users are asked what they would like as there is always a choice. There are also lots of opportunities for service users to eat out in the community in small groups or one-to-one with staff. The home is well staffed with both nursing and social care staff employed. There is always a nurse of duty and two carers in each of the bungalows. The Acting Manager is supernumerary. These staffing levels help to ensure that service users get the care they need, and also take part in both group and one-to-one activities. What has improved since the last inspection? What they could do better: Person centred plans (PCPs) are kept alongside care plans in the office. Consideration should be given to making them more accessible to the people Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 7 who live in the home, for example by laminating them and keeping them in the bungalows. The shower room and bath identified as in need of repair should be made fit for purpose so all the people who live in the home have a choice about how they bathe. Two staff members told us they would like more service-specific training in learning disabilities and autism. Consideration should be given to this suggestion. A Registered Manager must be appointed to provide continuity and ensure the smooth running of the home. 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. Leacroft DS0000048221.V373512.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 Leacroft DS0000048221.V373512.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): Quality in this outcome area is good. People who want to come to the home have their needs assessed to ensure it is suitable for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who are interested in coming to Leacroft have their needs assessed by a senior member of the staff team. This usually takes place in their own homes. The assessment process is explained to them, and they are shown pictures of Leacroft to give them an idea of what it is like. A written assessment is produced as a result, and this is later incorporated into their care plans. The assessment considers which bungalow might be suitable for a new resident, as each caters for a different lifestyle (for example those who prefer a quieter or livelier environment). If requested, an advocate can be involved in the assessment process, and the homes policy Admission of a new service user is provided on request. This means potential service users and their representatives can find out how the assessment process works, and can have help in deciding whether the home is right for them. We looked at the records of one service user who has recently been admitted to the home. We saw they had had a thorough assessment, which covered Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 10 both their social and healthcare needs, and that staff at Leacroft had all the information necessary to enable them to settle into the home. Leacroft DS0000048221.V373512.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): Quality in this outcome area is good. Detailed care plans help staff to identify and meet the needs of the people who live in the home. Person centred plans (PCPs) should be more accessible to service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All care plans have been re-written and improved since the last inspection. Those we looked at were individual to each of the people who live in the home and addressed their needs in full, including their interests, activities, and quality of life. Where possible care plans are agreed with the service users themselves and their representatives. Person centred plans (PCPs) are in the process of being introduced. These are pictorial and designed to be accessible to the people who live in the home. At present they are kept alongside care plans in the office. It is recommended they are made more accessible to service users, for example by laminating them and keeping them in the bungalows. Detailed risk assessments were in place. As some of the service users are quite vulnerable, risk assessments are important to help to keep them safe. Those Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 12 inspected were of a good standard and showed that service users are encouraged to be independent and to take risks with staff support where necessary. Prior to the inspection staff had reported an incident of challenging behaviour to us. We looked at records and risk assessments concerning this incident. We saw that staff had acted appropriately and risk assessments updated following the incident. This was a good example of staff working effectively to keep the people who live at Leacroft safe. Leacroft DS0000048221.V373512.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): Quality in this outcome area is good. Daily living and social activities enable the people who live in the home to lead full lives and grow in independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A full time activities organiser is employed and all the people who live in the home have individual programmes of activities. The key workers we talked to were knowledgeable about service users likes and dislikes. One told us, He (the service user she cares for) enjoys painting, music, and dancing, and he loves going out in the car. An aromatherapist was visiting the home on the day of inspection, providing individual sessions for service users who wanted them. She told us, I love it here and its the most rewarding work I do. The residents are always clean and well presented and they wear quality clothes. And there is always a positive atmosphere in the home. Individual records are kept of each persons activity programme. This helps staff to discover what they enjoy and benefit from, so future activities can be Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 14 planned. Activities reflect the needs of service users from a range of cultural backgrounds. For example, different religious festivals are celebrated which gives service users to opportunity to learn about each others traditions and culture. The Acting Manager said relatives are welcome at the home at any time and are invited to attend meetings about the home. Staff are active in helping the people who live in the home to maintain relationships with their relatives and friends. The home has a central kitchen where meals are prepared. Diabetic, vegetarian, and non-English (including halal) diets are catered for. Menus are displayed in the corridor outside the kitchen where anyone visiting the home can see them. Before each meal service users are asked what they would like as there is always a choice. The Acting Manager told us she is currently re-vamping the homes menu to include five a day portions of fruit and vegetables. Staff are shopping at local supermarkets to ensure the people who live at the home get a varied and interesting diet. There are also lots of opportunities for service users to eat out in the community in small groups or one-to-one with staff. Leacroft DS0000048221.V373512.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): Quality in this outcome area is good. The people who live in the home have their personal and health care needs met in the way they want by staff in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Every month nursing staff assess the health care needs of the people who live in the home. This is to ensure they are being met and that any changes have been acknowledged and addressed. A range of health care professionals also provides services to the home when required, including GPs, community nurses, occupational and speech and language therapists, and physiotherapists. When we looked at the records of one person who has recently been admitted to the home we saw that in the few months since they moved in they were registered with a GP and seen an optician and a chiropodist. This is an example of a service users health care needs being promptly identified and met. At the last inspection we asked for all nursing interventions, such as catheter care, to be detailed in service users files in line with current accepted nursing protocols. This has been done and clear instructions for nursing staff are now in place. We also asked for fluid charts to be reviewed and improved where necessary. This has been done too. Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 16 A small number of the people who live in the home are identified as being at risk of choking. Soft diets are provided and risk assessments are in place. We have previously recommended that staff should receive specific training to enable them to provide effective first aid to deal with choking, should this ever be required. They have not had this as the Acting Manager said nurse and first aid training covers this area. Since the last inspection the homes medication systems have been completely reorganised and improved. Medication is kept securely and staff have ongoing training to help to ensure medication is administered safely. In addition, the medication room has been relocated and is now in a larger room with improved ventilation and a place for storing oxygen. A new medication trolley has also been purchased. Leacroft DS0000048221.V373512.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): Quality in this outcome area is good. Staff know how to safeguard the people who live in the home and help them express any concerns they might have. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are two complaints procedures, one is in written form and the other in symbols, which some service users can understand. Detailed records of complaints are kept with action taken where appropriate. The people who live in the home are encouraged to speak out or let staff know in other ways if there is anything theyre not happy about. The Acting Manager has an ‘open door’ policy and encourages staff and visitors to talk to her. No complaints about the home have been made to CSCI since the last inspection. Policies and procedures are in place to protect service users from abuse, and the staff on duty were familiar with these. They are up-to-date, advertised in the home, and follow the guidance in No Secrets, which sets out what must be done if abuse is suspected. Staff have ongoing safeguarding training, the last course having taken place in October 2008. This helps to ensure they know how to safeguard service users. Leacroft DS0000048221.V373512.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): Quality in this outcome area is good. The home is community-based, comfortable, and mostly well maintained. This judgement has been made using available evidence including a visit to this service. Standards 24 and 30 were inspected. EVIDENCE: During the inspection we looked at each of the three bungalows where the people who live in the home are accommodated. We found them all to be homely and comfortable. Bedrooms were personalized and decorated to reflect service users hobbies and interests. Photos of the people who live in the home on outings and holidays were displayed in communal areas. Records showed that an ongoing redecoration programme is underway to further improve the environment, and ongoing work was being carried out during the inspection. All areas inspected were clean and tidy. Service users are encouraged to help keep the home looking nice and are consulted on the decoration when changes are made. Since the last inspection a new freezer, fridge and dishwasher have been purchased for the home. Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 19 Improvements are needed to some of the homes bathing facilities. In one bungalow tiles had fallen off the wall in the shower room making it unusable, and in another bungalow the rise and fall bath wasnt working. This meant that services in both these bungalows had no choice as to whether they used a bath or a shower. These facilities should be made fit for purpose so all the people who live in the home have a choice about how they bathe. In one bungalow a service users electronic on bed did not appear to be working. This was reported to the Acting Manager who immediately arranged for it to be repaired. On the day after the inspection she emailed us to say it had been fixed and was now if full working order. Leacroft DS0000048221.V373512.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): Quality in this outcome area is good. The people who live in the home have their needs met by friendly and professional staff. Staff should have more opportunities for service-specific training. This judgement has been made using available evidence including a visit to the service. Standards 32, 34 and 35 were inspected. EVIDENCE: The home is well staffed with both nursing and social care staff employed. There is always a nurse of duty and two carers in each of the bungalows. The Acting Manager is supernumerary. These staffing levels help to ensure that service users get the care they need, and also take part in both group and one-to-one activities. The home has a full-time activities organiser, handyperson, and cook, and a part-time cleaner. A full-time administrator is based in an office near the entrance to the home and provides a warm welcome to visitors. Staff files were inspected and found to be well organised and complete. Each contained a checklist to ensure all the necessary documentation has been obtained, and the required checks (CRB, POVA, etc) out. When new staff are recruited the people who live in the home have the opportunity to meet them at the interview stage, and existing staff observe to see how everyone gets on. Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 21 This helps to ensure that newly recruited staff have the right skills and attitude to work in the home. An extensive staff training programme was in place beginning with a comprehensive induction programme. The majority of staff had NVQs (National Vocational Qualifications). Ongoing training is provided and all staff receive regular supervision and attend staff meeting. This helps them to keep up-todate with any developments in the home and focus on their own training needs. Two staff members told us they would like more service-specific training in learning disabilities and autism. Consideration should be given to this suggestion. Leacroft DS0000048221.V373512.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): Quality in this outcome area is good. The home is safe and well managed and the people who live there are involved in the way it is run. A Registered Manager must be appointed. This judgement has been made using available evidence including a visit to this service. Standards 37, 39, and 42 were inspected. EVIDENCE: An Acting Manager is presently running the home. She works as a Project Manager for the Owning Body, and has previously been a Registered Manager at another of the Owning Bodys homes. She has substantial experience in care and management. However the home must have a Registered Manager, and the Acting Manager told us the Owning Body intends to recruit one in the New Year. Questionnaires are sent every six months to service users and relatives. The results are turned into an action plan about how the home should be run. Relatives meetings are held quarterly, and the Acting Manager has an open door policy so the people who live in the home and their representatives can Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 23 approach her at any time. Advocacy services are available via the home for those who need support in making their views known. These strategies help to ensure that service users and relatives views are taken into account when decisions are made about the home. Records showed that the health, welfare and safety of service users and staff are a priority in the home. Appropriate checks and servicing of equipment has been carried out, as has consultation with the Fire Department and the homes Environmental Health Officer. Monthly audits are done by the Acting Manager and the Owning Body to ensure the home is running effectively. Leacroft DS0000048221.V373512.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 X 26 X 27 X 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Leacroft DS0000048221.V373512.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. 1 Standard YA37 Regulation 8 Requirement A Registered Manager must be appointed to provide continuity and ensure the smooth running of the home. Timescale for action 27/05/09 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 Consideration should be given to making person centred plans (PCPs) more accessible to the people who live in the home, for example by laminating them and keeping them in the bungalows. The shower room and bath identified as in need of repair should be made fit for purpose so all the people who live in the home have a choice about how they bathe. Two staff members told us they would like more servicespecific training in learning disabilities and autism. Consideration should be given to this suggestion. 2 3 YA24 YA35 Leacroft DS0000048221.V373512.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Leacroft DS0000048221.V373512.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!