Care Home: Livingstone House

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What the care home does well The home has a thorough pre-admission system in operation that ensures that the needs of prospective residents are fully assessed and can be met. The information held in the home about individual residents (care plans) clearly detail a full range of social, emotional, and physical needs. Comprehensive detail of the care needed to meet these needs was evident. The menu in the home provides a well-balanced and varied diet for residents. The kitchen was well stocked, clean and well maintained. Livingstone House has a good caring staff team, and has a low staff turnover. The staff group in the home are enthusiastic, well trained and skilled. Staff are cheerful, attentive and keen to provide a good service. The standard of care is good, and the residents appeared happy with the way they are cared for and were observed looking relaxed in their surroundings. The home has close links with the health care team in the area, and works with both professionals and residents to promote and maintain the residents` health. The home promotes the rights of the residents and staff provide care that ensures privacy and dignity. The residents interacted comfortably with the staff. What has improved since the last inspection? The care plans have improved and contain more detailed information regarding the needs of the residents and giving staff a clear direction of how to deliver care. What the care home could do better: The lack of training relating to learning disabilities and the Protection of Vulnerable adults may potentially place at residents at risk as inappropriate care may unwittingly be provided. The lack of PoVA training in particular may have the potential of placing the service users at risk. The lack of preemployment checks and associated documentation may have the potentially of placing residents at risk. The environment does not meet the needs of the residents and does not reflect a quality care service. The issues identified above are important as insufficient training and the lack of pre employment documentation could ultimately impact on the quality and standard of care that service users receive. This report contains fourrequirements linked to the above issues and may be found at the end of this report. CARE HOME ADULTS 18-65 Livingstone House 11 Potter Street Harlow Essex CM17 9AE Lead Inspector Sharon Thomas Key Unannounced Inspection 12th January 2007 04:02 Livingstone House DS0000067488.V327589.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 Livingstone House DS0000067488.V327589.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. Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Livingstone House Address 11 Potter Street Harlow Essex CM17 9AE 01279 641112 01279 414926 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) Sanctuary Care Limited Mrs Linda Joyce Silcock Care Home 19 Category(ies) of Learning disability (19), Learning disability over registration, with number 65 years of age (1) of places Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 19 persons) One named person, over the age of 65 years who requires care by reason of a learning disability whose name was made known to the Commission in March 2003 The total number of service users accommodated in the home must not exceed 19 persons 25/02/06 3. Date of last inspection Brief Description of the Service: Livingstone House is a purpose built property situated in a residential area on the outskirts of Harlow. This home is registered to Sanctuary Care. Livingstone House is registered to care for 19 residents with a learning disability. The home provides an appropriate range of services for residents with varying degrees of dependency. The home benefits from a well-trained, knowledgeable and stable staff group. The principal aim of the home is to support residents in achieving the greatest possible level of independence and control over their own lives. Accommodation consists of five flats arranged on four floors. Each flat consists single bedrooms, lounge, bathroom and kitchen/diner. Three of the flats have their own laundry facilities. There is a communal lounge; activity room and kitchen on the ground floor. There is a rear garden that is accessible to all residents, and a large car park at the front of the home. The charges on the day are £434.15 - £703.15 per week. Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection over 6 hours over 12 and 15 January 2007. Twenty-two of the forty-two National Minimum Standards were inspected: eighteen were met, and four were nearly met. For the purpose of this report the individual’s living will be referred to as residents. Due to the abilities of the residents it was not possible to gather in-depth information from them. However, the inspector had the opportunity to speak with two of the residents, the acting manager and two members of staff. The tour of the premises included observation of four bedrooms, all of the bathrooms and toilets, all of the communal areas, the kitchen/diners and the laundry. There was an opportunity to spend a considerable period of time observing the care being provided by the staff. The inspection included the examination of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). The staff were observed interacting in a positive manner with the residents. The care being provided was resident led, with residents being provided with a range of choices around their care. Staff were enthusiastic in their roles, and the staff were knowledgable regarding the needs of the residents. The home was warm, clean and tidy, but is in need of investment in the environment. Residents spoken with on the day report that they are happy living in Livingstone House, they report that staff are kind and caring and treat them well. Residents appeared very comfortable and at home on the day. They were occupying all areas of the home and moved around observed but unrestricted, the home has a ‘user led’ atmosphere where resident choices are central to the care being provided. The residents report that Livingstone House is “a good place to live” and that they are happy and content in their daily lives. The residents remain confident and speak openly of their experiences of the home and of the staff. Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The lack of training relating to learning disabilities and the Protection of Vulnerable adults may potentially place at residents at risk as inappropriate care may unwittingly be provided. The lack of PoVA training in particular may have the potential of placing the service users at risk. The lack of preemployment checks and associated documentation may have the potentially of placing residents at risk. The environment does not meet the needs of the residents and does not reflect a quality care service. The issues identified above are important as insufficient training and the lack of pre employment documentation could ultimately impact on the quality and standard of care that service users receive. This report contains four Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 7 requirements linked to the above issues and may be found at the end of this report. 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. Livingstone House DS0000067488.V327589.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 Livingstone House DS0000067488.V327589.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: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a thorough pre-admission system in operation that ensures that the needs of prospective residents are fully assessed and can be met. EVIDENCE: Livingstone House has not had any new admissions since the previous inspection. The homes resident care plans sampled contained appropriate preadmission assessments. The home’s new pre-admission document contained all of the information required under the National Minimum Standards. The acting manager confirmed that all of the pre-admission assessments would be used to generate the individual care plan. The home’s admission procedure included the involvement of relevant professional agencies, and offered the prospective resident/relatives an opportunity to visit and stay at the home prior to admission. Livingstone House DS0000067488.V327589.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: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health and personal care needs are well met; individual care plans detailed the care and support required. Residents are enabled to make informed choices regarding their care and are supported to take risks a variety of situations both in the home and outside the home. The home has systems in place that minimise the risks for residents, and support residents to take risks in a safe environment. EVIDENCE: The inspector examined three resident’s care plans on the day of the inspection. The care plans are comprehensive and detailed. The care plans are clearly resident led and focused and direct staff on the care that is to be provided. The care plans included a thorough risk assessment. Daily records were detailed and indicate the care provided, issues and concerns. The care plans contained a pen picture, identified need, choice, and action required, Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 11 future planning, and comprehensively covered physical, health, emotional and social needs. From discussion with the manager, one resident and observation of care practices in the home, it was evident that the residents in the home are enabled and supported to make decisions and choices regarding their lives. Care plans examined on the day indicated that choice and decision-making is an everyday part of the care provided. Records seen indicated that the home provides the residents with a range of opportunities and experiences that supports their independence. The resident spoken with confirmed that residents are in control of their daily lives and stated “I do what I like and the staff help me to go out and do things like shopping”. The staff spoken with confirmed that they are provided with information regarding risk when they were drawing up resident care plans. Risk assessments are found on individual care plans both general and specific. Residents are able to leave the home escorted by a member of staff and in some cases alone, and residents are enabled to undertake household tasks with support. The home’s aim and objective is to promote independence, and risk taking is central to the service. This aspect of care is well planned and hazards are identified and addressed in written care plans. The resident spoken with stated, “I go to the shops on my own and it is written in my book”. Livingstone House DS0000067488.V327589.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: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities for personal development and are enabled to participate in appropriate community activities. Residents are enabled to build and maintain relationships with both families and within the local community. The residents’ rights are upheld and respected and their independence is promoted. The residents are provided with a health well balanced diet and choice is central to meal planning. EVIDENCE: The care plans sampled contained evidence that staff support residents to integrate into the community. Information and advice was available regarding local events and activities. Residents have access to a people carrier and use public transport and the local taxi service to access the local area. The staff are available to the residents during the evening and at weekends to support leisure pursuits. Two resident left the home on the day to attend their planned activities. Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 13 Livingstone House provides support to residents to participate in local community activities. Individual residents care plan provided evidence that residents are provided with a designated activities program that is equipped to ensure that their social needs are met. The home and staff make use of local facilities and amenities. The residents’ care plans indicated that choices made by individuals are respected and valued and there are flexible routines that meet the preferences of the residents. Staff are available throughout the week and weekends to provide escort and support services to residents outside the home. The resident spoken with reported that ‘I do lots of different things and the staff take me to Harlow Town centre to go shopping for clothes’ and ‘we are going to the theatre to see a show’. The manager and one resident confirmed that service users were encouraged to maintain family links and friendships. The service user confirmed that relationships are also maintained by telephone. There is a designated visitors room that is available for the service users and visitors. From discussion with staff, the manager and information found in the care plans it was clear that the home promotes independence. Staff and visitors have to request permission to enter both bedrooms and communal areas. Keys have been offered to residents and some of them have refused. Resident mail is not opened by staff but if support is required with this it is provided. Staff were observed interacting with residents and it was clear that residents are central to the care service that is provided. The care plans contained details of residents’ responsibilities regarding domestic tasks. The kitchen/diners in the home are domestic and homely in nature. The kitchen areas are clean and well maintained with some suitable equipment. There was evidence that residents living in the individual flats plan their own weekly menus. The residents choose the menus and are supported to buy the food that they will use. One resident report that if they did not want the meal on offer they would be supported to cook an alternative. The food stocks in the home are high in quantity and quality. At breakfast, residents were observed choosing from a variety of cereals and other foodstuffs; they are supported to make their own breakfast if they choose. The resident spoken with confirmed that the residents eat the food that they prefer and the weekly choice is always made by them. Livingstone House DS0000067488.V327589.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: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides personal care in a safe environment. The home meets the physical and healthcare needs of the residents and has systems in place that ensure the safe administration of medication. EVIDENCE: The acting manager confirmed that the majority of the residents living in the home currently require support and assistance with their personal care. The care plans examined contained details of how and when the resident receives support with their personal care. The manager reported that if the resident needed support with this aspect of their care that it would be provided by staff. Daily routines are flexible and take into account the preferences and needs of the individuals living in the home. Observations made on the day confirmed that positive relationships had been formed, and that staff treat the residents in a sensitive, respectful and appropriate manner. Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 15 The resident’s health care needs are recorded in individual care plans. Residents are supported to take decisions regarding their health care needs and these decisions are recorded in individual daily records. Resident’s health issues are monitored and reviewed and any changes in health will be reported to the GP and/or District nurse team. The home has strong links with the local primary health care team. The resident spoken with confirmed that the staff escort residents to the GP and the hospital if required. The home has a detailed medication procedure that covers all aspects of safe administration, storage and handling of medication. The medication cabinet was securely locked on the day of the inspection in a locked room. The home used a NOMAD system of administration and all staff administering medication had received the appropriate training. The records for receiving and disposal of medication were found to be well maintained. The medication administration records for the residents were examined and were found to be up to date and well documented. The acting manager and the staff confirmed that they had received appropriate training prior to administering medication and that staff had been shadowed and monitoring before working alone. Livingstone House DS0000067488.V327589.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): 22 & 23: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an effective complaint system that enables residents to make complaints. The home has a clear and comprehensive systems in place that ensures the ongoing protection and safety of the residents. EVIDENCE: The complaints policy was prominently displayed in the foyer of the home. The content of the document met the National Minimum Standard. A record of complaints received, was maintained. The record indicated the issue, action taken and outcome of the complaint. No new complaints had been received since the last inspection. The manager confirmed that residents are encouraged to make complaints and the staff confirmed that they are aware of the procedure that is run by the home and the staff have received training regarding this issue. One resident spoken with was confident when discussing what they would do if they needed to make a complaint. Livingstone House has a clear policy and procedure regarding the Protection of Vulnerable Adults (POVA). The home provides training and support to staff with this issue, although training records indicated that many of the staff would need a refresher training course and also confirmed that not all staff working in the home has received adult abuse training. Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 17 The acting manager was advised of this and the need to undertake the advanced manager training. The acting manager reported that she would get this issue resolved by the end of February 2007. Senior staff spoken with are not fully aware of the POVA procedures, and their responsibilities with regard to ensuring the ongoing protection of the service users in their care. The home had effective guidance systems in place, and worked closely with the local social services department. One allegation of abuse was monitored by the CSCI and the home followed their policy and procedures and dealt with the allegation in a professional manner. Livingstone House DS0000067488.V327589.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 & 30: Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not provide a well-maintained environment for the residents. The systems used in the home for the maintenance of hygiene are suitable and effective. EVIDENCE: Issues regarding the condition of various areas of the home had been discussed at the previous inspection and have been noted in the previous inspection report. The home has adequate furnishing, but this is looking old and tired. The décor in the home is in need of updating and refreshing. The bathrooms and toilets in the home remain in need of refurbishment, the tiling and paintwork is old and worn and is not in a satisfactory condition. The resident’s bedrooms are well decorated and furnished, the rooms had been personalised with the assistance of relatives and staff. The communal areas in the home appear institutional in nature and do not represent the lifestyle of the residents. The toilets, bathrooms, and communal area are in need of Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 19 investment to provide a domestic environment suitable for the residents. The standard of hygiene is good and there were no offensive odours. The home has a yearly maintenance programme. The laundry area is located well away from the resident’s communal areas and bedrooms. There was no hand washbasin however the home previously confirmed that they had received agreement from the Environmental Health Department that the staff could use the staff washbasin located opposite the laundry area in the sluice room. The laundry was clean and well maintained. The washing machines had the appropriate sluice wash cycles. The laundry and the notice board outside displayed information regarding infection control, and safe cleaning practices. Disposable gloves and aprons are provided to staff. The home was found to be clean and hygienic. Livingstone House DS0000067488.V327589.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: Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a dedicated and permanent staff team. Overall staff are provided with comprehensive training that enables them to meet the needs of the residents currently living in the home. The recruitment procedure in the home is robust and provides the safeguards to ensure that appropriate staff are employed. EVIDENCE: From discussion with the staff and the residents it was evident that the staff are supported to do their jobs. The staff have a clear understanding of the issues and needs of the residents. The staff are aware of their responsibility of care that aims to provide choice and increase independence. The two newest staff personnel files examined contained nearly all of the information necessary to ensure the safety of residents through the recruitment process. All of the files contained confirmation that a Criminal Reference Bureau clearance check had been received, however the original document was not held in the home. This issue was discussed with the acting Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 21 manager and it was agreed that these be held in the home and available for future inspection. The files contained a photograph, contract, identification and application form and references. The acting manager was reminded that staff must not commence employment until all of the required original documentation is in place. Staff receive key training in the home that includes protection of vulnerable adults, moving and handling, health and safety, first aid, infection control and COSHH. Additional training includes: medication training, autism, and occasional training relevant to learning disability. The home has not provided staff with learning disability training at the point of induction. Records are available that indicate the programme of training provided in the home. However the staff files indicated that staff are not provided with a full range of appropriate training including POVA Livingstone House DS0000067488.V327589.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: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a competent, skilled acting manager. The home does not have a system to measure the quality of care being provided. The home has systems in place to ensure that the health and safety of the residents and staff is promoted. EVIDENCE: The registered manager of the home is on compassionate leave and the home has appointed an acting manager in the interim period. The acting manager is gaining a sound knowledge of the demands of all aspects of residential care. She is calm and skilled and presents herself in a professional manner. She is committed to both the residents and the staff in the home. She is knowledgeable of the legal requirements of the various organisations relevant to the home. Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 23 Livingstone House does not currently have a quality assurance system and is awaiting the system from Sanctuary Care. The manager stated that this process started in December 2006 and when the results of the resident, relatives and staff surveys are analysed, acted upon and the report has been sent to the CSCI. The manager has a strong commitment to the health and safety of both residents and the staff team. Health and Safety training for staff is planned, and the home provides a range policies and procedures relating to health and safety practices. Individual resident risk assessment and premises assessments were examined. Hot water temperatures and fire alarm checks are taken on a regular basis. Evidence was available to indicate that every effort was made to ensure the health, welfare and safety of residents. Livingstone House DS0000067488.V327589.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 2 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 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 X 3 3 3 3 X 3 X X 3 X Livingstone House DS0000067488.V327589.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 YA23 Regulation 13 (6) Requirement Timescale for action 31/03/07 2 YA24 16 (2) (k) 23 3 YA34 19 Schedule 2 18 (1) (c) 12 (4) (b) 4 YA35 The registered person must ensure that all staff are provided with POVA training and that staff that have received this training receive up to date refresher training. The registered person must 31/03/07 ensure that the environment is domestic and comfortable and that the décor and furnishings are up to standard. The registered must ensure that 31/03/07 original CRB documents are held in the home and are available for inspection. The registered person must 31/03/07 ensure that staff receive a full and appropriate programme of training that is appropriate to the needs of the service users. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000067488.V327589.R01.S.doc Version 5.2 Page 26 Livingstone House Standard Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Livingstone House DS0000067488.V327589.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!