Care Home: Meadow View

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What the care home does well To make sure the home can meet peoples care and support needs these are assessed before coming to live in the home. The assessments are very comprehensive and include peoples’ choices and preferences and ambitions for the future. People are fully involved in their assessments and reviewing their care plans and sign them to show they agree with what is written. The tone of the home is set by the people living there. People were observed throughout the visit being treated with dignity and having their wishes respected. One person says they “like living at Meadow View” another says “My room is great” another said they “like feeding the chickens” and helping with the gardening. Nearly everyone showed the inspector their bedrooms and are very proud of their possessions. Peoples’ bedrooms are personalised and people have them as they want. Some people were in the kitchen washing up after breakfast. Three people told the inspector they are moving to a house of their own. One person says they “are a little sad to leave” but they are “excited” about having a home of their own. The acting manager said “Care staff has been working with people to improve their independent living skills”. The records show that people are supported to take advantage of ordinary community based healthcare and leisure services. The risk assessments show people are expected to take risks in pursuing the living of an ordinary lifestyle. Records show some people are supported by the Community Learning Disability Team and Specialist Social Workers. People are protected by the way staff are recruited and selected and safeguarded from any kind of abuse. Trained and qualified staff support people and make sure they are happy and safe. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 What has improved since the last inspection? One person showed the inspector the ‘new’ chickens and said they “help to feed them and look after them”. The Deputy Manager said everyone in the home enjoys helping with the chickens. One person says they help sometimes with the garden and there is a photograph of them gardening displayed in the home. One person said they “like playing pool” and showed the inspector the new games room complete with new pool table and darts board. They showed the inspector photographs of them playing pool. Three people are currently being supported and prepared for moving to their own home. The records show they have continued to develop independent living skills and the assessments show they are now ready to move into a supported living service. The manager and staff team are to be commended for their efforts in promoting peoples independence and securing a future home. What the care home could do better: Most people living in the home can do most things for themselves. However, some need assistance with their money and medicines and these are managed by the home. Some people can go out of the home and travel independently however records show that some people have to be supported. The home may consider providing some Mental Capacity Act training for staff and in particular around the Deprivation of Liberty Assessments. For the benefit and comfort of people living in the home a tour of the premises found some of the bedrooms need to be redecorated as they have paper boarders torn and marks and scratches on the walls. The garden to the rear of the home looks like a ‘meadow’ and requires some work to make a pleasant area for people to sit and relax in the summer months. The returned service users surveys and minutes of residents meetings and daily records show people have a say and comment on the running of the home and quality of services provided. However, this information is collated centrally and general report published by the service providers. The manager may consider providing an easy read report for the home reflecting service user’s views and any changes made to the way the home runs as a result of their comments. Key inspection report CARE HOME ADULTS 18-65 Meadow View School Street Upton Pontefract West Yorks WF9 1EP Lead Inspector Tony Railton Key Unannounced Inspection 27th May 2009 08:30 Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow View Address School Street Upton Pontefract West Yorks WF9 1EP 01977 646400 01977 658244 meadow.view.jcc@craegmoor.co.uk www.craegmoor.co.uk Johnston Care Limited 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 15 Category(ies) of Learning disability (15), Physical disability (3) registration, with number of places Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three people with learning disabilities may also have a physical disability. 30th May 2008 Date of last inspection Brief Description of the Service: Meadow View is a registered care home for 15 people with a mild/moderate learning disability. 13 of those service users have lived in the home for a number of years. The is situated on a housing estate in the village of Upton with good access to local bus routes to other local towns such as South Elmsall and the larger towns/cities of Wakefield, Pontefract and Doncaster. There are a number of local shops and pubs close by. Each service user has single bedroom accommodation, one of which is ensuite. There are two lounges, which have been recently re-furbished to a good standard. There is a car park to the front of the home and a rear garden for sitting out during the summer months. Most service users attend a day resource, which is run and organised by the registered person whereas others are encouraged to attend college or go to the local authority day service. On the 2nd June 2008 the acting manager said that the range of fees are £373.00 to £1,800.00 per week and that there are no extra charges involved. Information regarding the services provided is available from the home or by e-mailing meadow.view@craegmoor.co.uk Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has been given a Two Star rating which means people living in the home experience good quality outcomes. This visit started at 08.30 and ended at 12.00. During the visit there was the opportunity to meet and speak to everyone living in the home. There was also the opportunity to speak to the Acting Manager, Deputy Manager, Senior Carer and carers. There was also the opportunity to speak to the handyman/driver. Some peoples’ records were seen and included assessments, Person Centred Plans, reviews, daily and medical records. Some peoples’ finances and medicines were checked. Some staff records were also seen and included application forms, references, police and POVA (Protection of Vulnerable Adults List) checks. Staff training records were seen and some supervision notes. The record of complaints were seen and the maintenance records. Information provided by the home before the visit was considered and in particular the AQAA, (Annual Quality Assurance Assessment). A tour of the premises was undertaken. This was a very positive visit and the inspector would like to take the opportunity to thank people living in the home, the acting manager and staff team for their hospitality and cooperation throughout the visit. What the service does well: To make sure the home can meet peoples care and support needs these are assessed before coming to live in the home. The assessments are very comprehensive and include peoples’ choices and preferences and ambitions for the future. People are fully involved in their assessments and reviewing their care plans and sign them to show they agree with what is written. The tone of the home is set by the people living there. People were observed throughout the visit being treated with dignity and having their wishes respected. One person says they “like living at Meadow View” another says “My room is great” another said they “like feeding the chickens” and helping with the gardening. Nearly everyone showed the inspector their bedrooms and are very proud of their possessions. Peoples’ bedrooms are personalised and people have them as they want. Some people were in the kitchen washing up after breakfast. Three people told the inspector they are moving to a house of their own. One person says they “are a little sad to leave” but they are “excited” about having a home of their own. The acting manager said “Care staff has been working with people to improve their independent living skills”. The records show that people are supported to take advantage of ordinary community based healthcare and leisure services. The risk assessments show people are expected to take risks in pursuing the living of an ordinary lifestyle. Records show some people are supported by the Community Learning Disability Team and Specialist Social Workers. People are protected by the way staff are recruited and selected and safeguarded from any kind of abuse. Trained and qualified staff support people and make sure they are happy and safe. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Meadow View DS0000006199.V375805.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 Meadow View DS0000006199.V375805.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. To make sure the service can meet peoples’ personal and healthcare needs these are assessed before coming to live in the home. EVIDENCE: To make sure the service can meet peoples’ needs a sample of three peoples records show there are comprehensive assessments undertaken before coming to live in the home. The signatures on the assessments show people and their relatives are fully involved and have a say in how they are supported. Some people have an assessment completed by the local authority that are very detailed and include care plans. The homes Person Centred Plans include peoples likes dislikes, choices and preferences and wishes for the future. They also include risk assessments around managing peoples’ behaviours and medical support needs. The dates and signatures on the reviews show people are involved in checking their assessments to see if they are right or need changing. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standard 6,7 and 9. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know their personal needs are set out in their Person Centred Plans and that they have a say in what they do and take risks as part of living an ordinary lifestyle. EVIDENCE: People were observed being treated with dignity and having their wishes respected. The daily records contain descriptive words to reflect and show peoples choices and preferences. The risk assessments show people are supported to carry out domestic tasks with assistance to keep them safe. Three people were observed working in the kitchen under the supervision of support workers. People were also observed cleaning their home and using domestic equipment with supervision. The signatures in the Person Centred Plans show people and their relatives are fully involved and have a say in how they are cared for and supported. The signatures on the reviews show people and their relatives and other stakeholders are also involved and have a say in how they are supported. The minutes of residents meetings and daily records and quality assurance surveys, show people have the opportunity to Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 10 participate and have a say in the running of the home. The reviews show that people feel their personal care and support needs are being met by the home. The fifteen returned service user surveys show that people are happy with the care and support provided. One person said they are “happy” another said they have “everything” they need. Another person says they are “sorry to be leaving” as they have “enjoyed living at Meadow View”. But they are “excited” about having “a home of their own”. The manager and the staff team are to be commended for their efforts in promoting peoples independence and improving peoples self help skills enabling them to move into a home of their own under a supported living scheme. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 11 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): This is what people staying in this care home experience: Standards 12,13,15,16 and 17. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have opportunities for personal development and are encouraged and supported to live as ordinary a lifestyle as possible, including making decisions about their lives including what meals they have. EVIDENCE: People were observed being treated with dignity and having their wishes respected. The photographs displayed show people enjoying trips to the coast and local beauty spots. There is a picture of people helping in the garden and one person said they “like helping sometimes in the garden”. The photographs displayed confirmed this. Another person says they “like feeding the chickens”. Another person says they “like going to the pub”. The daily records and record of activities show people enjoy a variety of activities both in house and in the community. Some people were observed helping in the kitchen. One person said they like “helping in the kitchen” and in particular “baking”. Records show some people help food shopping at the supermarket. The minutes of the residents meetings Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 12 and menus show people are involved and have a say in setting the menus. One person says they like the meals and in particular “fish and chips”. Three people said they are packing their things as they are moving to a home of their own. One person said they have enjoyed living at Meadow View and have “learned a lot” but are looking forward to having a “home of their own”. The Registered Manager confirmed that the ethos of the home is the living of an ordinary lifestyle and developing peoples self help skills. The Person Centred plans confirmed this and the daily records show people are encouraged and supported to use ordinary community based services. The returned satisfaction surveys and the reviews show people and their relatives are happy with the support and services provided. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 13 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in a way they prefer and require and their healthcare needs are met by ordinary community based healthcare services. They are also protected by the way medicines are dealt with. EVIDENCE: A sample of peoples’ healthcare assessments and reviews show their personal healthcare needs are planned for and met by ordinary community based health services. On the day of the visit one person was observed being supported to attend a hospital appointment. Records show some people are also supported by the Community Learning Disability Team and Specialist Social Workers. Some people with Epilepsy are also supported by hospital based consultants that review their healthcare regularly. To make sure people are safe there is a Policy and Procedure for staff to follow when giving out medicines. Staff training records show that people giving medicines have been trained to do so safely. Staff training records also show some specialist training on Epilepsy is also provided. A sample of peoples records show there are risk assessments on Health and Keeping Safe showing peoples problems and what staff must do to make sure people are safe. Peoples’ medical records and record of appointments show regular visits to dentists, opticians and chiropody and Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 14 other hospital outpatient’s appointments. The returned service user satisfaction surveys, reviews and annual quality assurance report shows people, their relatives and other stakeholders are happy with the healthcare services provided. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know what they say will be taken seriously and acted upon and they are protected from any kind of abuse. EVIDENCE: The complaints policy and procedure is displayed and provided in an easy read format to make it easier to understand. The record of complaints shows there have been twelve complaints made by people living in the home since the previous inspection visit. The records show that what people say is taken seriously and is acted upon. The returned satisfaction surveys show people and their relatives know how to make a complaint and are happy wit the way these are dealt with. The Service history shows the CQC has not received any complaints about the service. The service history shows there has been one Safeguarding Referral made by the home to the local authority. Discussion with the manager found this was dealt with through case management with the involvement of Social Services. Records show, to keep people safe, all staff receive Safeguarding training on how to recognise abuse and report any allegations of abuse. Discussion with support workers found they have a good understanding of what constitutes abuse and the needs of people with Learning Disabilities. There is a Safeguarding Policy and Procedure provided for staff to follow that includes Wakefield Local Authority Safeguarding Protocols. s Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25 and 30 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable and safe environment, however, their bedrooms could be more homely and the garden more pleasant. EVIDENCE: A tour of the building found all the communal areas including lounge, dining room, games room and corridors have been redecorated and provide a comfortable environment for people to live. People have their bedrooms how they want them and are pleased with their personal possessions and belongings. One person says they “chose the colour of their bedroom” and another said they had chosen the furniture and bedding to match their bedroom. People said they like their rooms and have everything they need However, upon closer inspection it was noted that most of the bedrooms are in need of redecoration. Some paper boarders in bedrooms had been peeled off. Some shelves in one bedroom had been taken down and the holes were not filled or the wall redecorated. All of the bedrooms had marks or scratches on the walls and damaged paintwork. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 17 The manager said the home is due to be completely redecorated and they are aware of the declining state of the bedrooms. This was confirmed by an e-mail from the Operations Manager. This was also confirmed by the Programme of Redecoration and Maintenance and Development Plan. The returned quality assurance surveys and reviews show people and their relatives are happy where they live and with the services provided. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34, and 35.People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by trained and qualified staff and they are protected by the way staff are recruited and selected. EVIDENCE: People are protected by the way staff are recruited and selected as three staff records show that application forms, references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. To make sure peoples support needs are fully met records show staff has induction training, Moving and Handling, First Aid, Health and Safety, Food Hygiene, Medication Administration and Safeguarding training. People are cared for and supported by qualified staff as records show nearly all staff have a National Vocational Qualification. The Acting Manager confirmed they have an NVQ Level 4, one team leader has an NVQ Level 3 and two others are registered on NVQ Level 3 courses. One support worker with NVQ Level 3 said they would like to attend the Level 4 course but that there was no opportunity currently to do this. The staff rota shows there is enough staff planned to be on duty to meet peoples care and support needs. On the day of the visit there appeared to be enough staff available to meet peoples’ needs in a relaxed and unhurried manner. However, one support worker expressed Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 19 concern about the night support arrangements and in particular only having one sleeping in staff supporting 17 service users some of whom have Epilepsy. For the safety and welfare of people living in the home the service providers should undertake a review of the staffing support provided during the night to see if it is enough to meet peoples care and support needs. Throughout the visit positive relationships were observed being fostered between those living in the home and those supporting them. People was observed being treated with dignity and having their wishes respected. The returned satisfaction surveys show people are happy with the support they receive and the staff caring for them. To protect the rights of people living in the home because some people cannot manage their own finances or medicines or go out of the home independently, the service providers might consider Mental Capacity Act training and in Particular Deprivation of Liberty Assessment training for staff supporting people living in the home. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed home that is run in their best interests and where their health and safety is promoted and protected. EVIDENCE: The Acting manager said they have an application pending with the CQC to be registered. The Service History confirmed this. The care management systems and in particular assessments, care plans, risk assessment and reviewing processes are good and make sure peoples care and support needs are met. The staff management systems and in particular staff recruitment and selection, induction, training and supervision are also good and make sure residents are protected and safe. Staff training records show they have Health and Safety training to make sure people live and work in a safe environment. The maintenance records and fire Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 21 checks and Regulation 26 Providers Reports show peoples Health, Safety and Welfare is promoted and protected. During the visit there was a full fire drill and everyone evacuated the home in less than two minutes. People living in the home and those supporting them are to be commended for their efforts in keeping themselves and others safe. The returned quality assurance surveys show that people living in the home and their relatives have the opportunity to comment on the quality of the services provided by the home. However, the Annual Quality Assurance Report for 2008 shows the information is collated regionally and does not reflect directly the comments made by people living at Meadow View. This report is not provided in an easy read format so people living in the home would have difficulty understanding what it says. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 22 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 2 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 3 3 3 x 3 X 2 X X 3 x Version 5.2 Page 23 Meadow View DS0000006199.V375805.R01.S.doc N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA24 YA26 YA35 Good Practice Recommendations For people to enjoy during the summer months a suitable garden space for people to relax in should be provided. For the benefit and comfort of people living in the home their bedrooms should be redecorated. To protect the rights of people living in the home the providers ma consider Mental Capacity Act training for staff and in particular around Deprivation of Liberty Assessments. The views of people living in the home and those of their relatives on the quality of care provided should be published in an easy read format that reflects their views and comments and shows how the way the service runs has changed as a result of their comments. 4. YA39 Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 24 Care Quality Commission South West PO Box 1251 Newcastle Upon Tyne NE99 5AN National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Meadow View DS0000006199.V375805.R01.S.doc Version 5.2 Page 25 - 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!