Care Home: Meadow View 4

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What the care home does well New people don`t move to the home until someone has visited them and found out what sort of help they need. They only move there if everyone is happy that they can be given the right help. Before they move in properly they have lots of visits to the home so that they can meet the other people who live there and all the staff. The people living there can also meet them too. People are asked about what is important to them and staff write this down. This shows that staff listen to what people say and want to always try to do what people want. The papers, where this information is written, are interesting to look at because they contain lots of pictures and photographs, as well as writing. People are asked all the time about how the home runs and what they like and don`t like about living there. The home is safe, warm and comfortable and the staff are very friendly. The staff work together to help people to choose what to do and where to go. Sometimes this may be with one person, sometimes it may be with a few people. Many of the staff have worked there for quite a long time and they think their manager helps them a lot and she thinks they do a good job. The manager makes sure that her staff know how to help people properly. One person said. `The staff are kind and friendly. I feel safe here`. People have nice, bright rooms and they can keep important things in there. They can lock their rooms, so that people can`t go in there unless they ask them in. The manager and staff want people living there to be happy. If people aren`t happy then the manager wants to know, so that she can try and put things right. What has improved since the last inspection? After the last inspection visit the report said that no changes were necessary. The manager and staff though have made small changes because people living there have asked for them. What the care home could do better: The manager could make sure that the medicine charts clearly show how often tablets are to be taken and that this is the same as what the doctor has prescribed. This could help to make sure that people always receive their tablets when they are meant to. CARE HOME ADULTS 18-65 Meadow View 4 The Lawns Bempton Lane Bridlington East Yorkshire YO16 6FQ Lead Inspector Jean Dobbin Key Unannounced Inspection 12th September 2008 13:15 Meadow View 4 DS0000056638.V371803.R02.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 Meadow View 4 DS0000056638.V371803.R02.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. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow View 4 Address The Lawns Bempton Lane Bridlington East Yorkshire YO16 6FQ 0207 454 0454 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) hlmo75gibbons@mencap.org.uk www.mencap.org.uk Royal Mencap Society Mrs Janet Elizabeth Gibbons Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2) of places Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may also have a physical disability (PD) The category LD(E) only applies to named service users. Date of last inspection 21st November 2006 Brief Description of the Service: 4 Meadow View is a purpose built semi detached bungalow owned and maintained by New Dimensions Housing Association. The care input is organised and managed by the Royal Mencap Society. The home offers long term accommodation for adults with a learning disability and associated health and behavioural problems including some behaviour that challenges the service. The staff provide personal care, help, advice and guidance with daily living skills and activities, a catering service, a laundry service and domestic and cleaning services. Activities are offered both on and off site. An adapted motor vehicle is provided for people. The home is situated in a residential area of the town and public transport to the town passes nearby. There is an easily accessible garden and on street parking is available. The manager makes the Statement of Purpose, service user guide and the latest inspection report by the Commission for Social Care Inspection available for people and their families to read. The weekly fees for living at Meadow View 4 on 12th September 2008 are from £750 to £820 depending on assessed needs. People living there pay additionally for hairdressing, chiropody, personal items, like clothes and toiletries, and meals out, and taxi fares. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This is what was used to write this report. • • Information about the home kept by the Commission for Social Care Inspection. Information asked for, before the inspection, which the manager provides. This is called an Annual Quality Assurance Assessment (AQAA) Information from surveys, which were sent to people who live at Meadow View 4, to staff and to other professional people who visit the home. 3 were sent to people at the home, and all were returned. 8 were sent to healthcare and social care professionals, however several of these people also received surveys relating to other Meadow View homes in the cul-de-sac. It was therefore difficult to work out if comments were for specific bungalows, or more general. 6 were sent to staff at the home and 4 were returned A visit to the home by one inspector, which lasted about 4 hours. This visit included talking to people who live there, and to staff and the manager about their work and training they had completed. It also included checking some of the records, policies and procedures that the home has to keep. • • Information about what was found during the inspection was given to the registered manager at the end of the visit. Meadow View 4 DS0000056638.V371803.R02.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 manager could make sure that the medicine charts clearly show how often tablets are to be taken and that this is the same as what the doctor has prescribed. This could help to make sure that people always receive their tablets when they are meant to. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 7 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. Meadow View 4 DS0000056638.V371803.R02.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 Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use this service experience good quality outcomes in this area. People are assessed properly and receive enough information to help them decide whether the home is the right place for them. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: There have been no new admissions to the home in the past year. The manager described an admission process whereby she would visit a person and their family and talk to them about how much help and support they need. Then the new person would visit the home on a number of occasions, spending increasing periods of time there, whilst they got to know the other people already living there, and they got to know the new person. These visits would include overnight stays. This would also enable the manager and staff to get to know the new person so that they could be sure they could support the person properly, if they chose to move there. If the admission goes ahead, then a meeting would be arranged for a few weeks later so that the individual, their family and professionals involved in their care can say whether the admission has worked, and the person wants to stay there. The surveys completed by three people living at the home all said Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 10 that they were asked whether they wanted to move to the home, and also said that they received enough information to help them to decide. The home produces information about the home and the facilities it provides in the form of a Statement of Purpose, which is printed in large writing, with lots of pictures and photographs. This means it is interesting to look at and people can do this as often as they wish, without having to ask other people to help them. Meadow View 4 DS0000056638.V371803.R02.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): 6, 7 and 9 People who use this service experience good quality outcomes in this area. People are encouraged and supported in expressing their views and in leading the life they choose We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People living at Meadow View 4 are given the opportunities to make everyday choices in how they live their lives. Each person has a key-worker, who works with him or her to identify things they want to do and then works out how this can be achieved. Two people spoken with knew who their key-worker was. Each person has a plan of care, which is written as if the individual is explaining what is important to him or her. This is drawn up in discussion with the individual, their family and outside professionals. It is written in large print and includes pictures and photographs to make it interesting to look at. This plan describes all areas of a person’s life, so that staff can support and Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 12 respect their wishes. For example helping someone to maintain their diary and letter-writing, which is important for them. The care plan also describes care practices such as ‘it is essential that I have support whilst in the bath’. This sort of information ensures that a person receive the same level of support from all staff. It also describes types of communication, such as ‘I am not a confident person and cover this by acting silly’. This person centred record-keeping is good practice and clearly identifies what makes one person different to another. A separate file records assessment of ‘risk’ to an individual. Any identified risk has a written plan describing how the risk is to managed so that the person is not unnecessarily restricted in what they do. These assessments are reviewed periodically to make sure they are still appropriate. ‘Risk’ is discussed with people so they understand why limitations have to sometimes be made about what they can do. Conversations were heard where staff were offering advice and guidance in response to questions from individuals. People are supported so that they can pay their own rent each week. Some people can sign for their own monies and they walk to the post office with a support worker to pay their own bills. This contributes to helping them stay in charge of their lives. Staff were observed talking with the people there and there was a lot of laughter and general banter. People were consulted about the general housekeeping activities and making plans for the evening meal and there was a very relaxed and homely atmosphere. These conversations suggested that there was partnership working, where people’s views and opinions mattered. Meadow View 4 DS0000056638.V371803.R02.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): 12, 13, 15, 16 and 17 People who use this service experience good quality outcomes in this area. People are supported to live interesting lives and enjoy their meals and mealtimes. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: None of the people living at Meadow View 4 go to college or have any paid employment, although one person carries out work of a voluntary nature, under supervision, each week. One person goes out independently on public transport to neighbouring towns, but does not want to go to college or attend any other learning. By looking at people’s records and talking with them it is evident that the manager and staff try to support people to follow their interests, try out new activities and generally lead ordinary and meaningful lives. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 14 East Yorkshire Council provides an Outreach service in Bridlington, which supports people from the home in achieving individual goals and maintaining interests. This is provided on a one to one basis and activities include, for example, shopping, coffee and lunch stops, and visits to the library. These events enable people to be in the community, improving their life skills and having time away from people with whom they live. However some staff think some of these activities do not provide enough variety or stimulation. Their comments were discussed with the manager. People’s activities vary. One person enjoys swimming and trampolining. Another likes going shopping and having a coffee. People have a weekly timetable of events and activities, according to their interests. Recent ‘events’ have included fish and chips at Hornsea, and a holiday in a cottage in the Yorkshire Dales. People living in the Meadow View bungalows have the opportunity to join their social club, where they can meet with people from the other bungalows and share activities, like a barbecue or bowling. The bungalows have a shared adapted minibus. People are encouraged to maintain links with their family and friends and visitors are always welcomed. The Family Charter, which MENCAP supports, stresses the need to work with families so that people receive the best support. One person had expressed an interest in visiting the grave of a family member, and the staff had organised that. All the bedrooms are lockable and one person chooses to keep their room locked all the time. Staff were observed knocking on people’s doors and waiting for an invitation to go in and the need to do this was written in people’s care plans. Staff were also observed talking with people living there and consulting with them about day to day routines in the home. The menu is on a four week cycle, but is very flexible according to what people fancy. People help to decide what foods need to be bought, then go to the supermarket together. This means people can actively choose what to buy. People are encouraged to help with food preparation and cleaning up afterwards and making their own packed lunches. Individual assessments have been completed to state what tasks can be safely carried out by each person. Everybody, including staff, eats together to make the event a relaxed social occasion. One person spoken with said the meals were ‘very good’. Staff are alert to the needs of people to eat healthily and there are large bowls of fruit in the communal rooms. One support worker said that if a person repeatedly chose to eat ‘unhealthy’ foods then staff would remind them about good and bad foods. However if they still wanted to eat ‘bad’ foods then they could do this, as this was their choice. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use this service experience good quality outcomes in this area. People’s personal and healthcare needs are being well met with good record keeping, however some medication records require updating. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The care files looked at showed that high importance is placed on the need to make sure people’s privacy and dignity is promoted at all times, and particularly when providing support with personal care. For example one record describing someone’s daily routine stressed the need to knock on their door each morning and wait to be invited in. There are both male and female support workers so that people can have a choice as to who helps them with personal care. These care files also recorded people’s emotional needs and how they were to be supported. For example one record said ‘if I appear moody or go off to my room, staff must give me space’. And ‘I am not a confident person’. These records acknowledge that people living there have very different needs and Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 16 support workers understand people’s individual preferences and ways of communication. People are supported to buy there own personal items and clothing, as well as visiting the hairdresser when they choose. People have their own key-worker, who is a member of staff assigned to them, who can work more closely with them to achieve personal goals and interests. One person spoken with said who their key-worker was and that they liked them. The care files also demonstrate that the staff have good links with healthcare professionals, who they contact for guidance and support. There was evidence in the records of visits from the family doctor, dentist and psychologist. A specialist nurse has close links and one person’s record included a care plan to make sure that their medical condition was managed in a consistent way. The records looked at also contained a ‘Hospital Admission Package’ so that if someone needs to be admitted to hospital there is written information for the hospital staff, so that they would understand a little more about the person and their needs and preferences. This is good practice. The medication processes were looked at. Nobody at the home is able to look after their own medicines. The home uses a four week bubble pack system where the tablets are ‘popped out’ of the container by staff. All the staff have attended medication training and there is refresher training planned. The medication systems were generally satisfactory however one person’s chart said that a tablet was to be given three times a day, but they were only receiving it twice, with no written explanations for the daily omissions. Whilst the manager said that this had been agreed with the person’s doctor she was unable to evidence this. The medication administration records need to accurately reflect what the doctor has prescribed so that staff are always giving the medicines according to what is prescribed and recorded on the administration charts. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use this service experience good quality outcomes in this area. People know that their complaints will be addressed and staff are alert to the need to protect people from harm. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The complaints process is displayed in the home and is in a pictorial form, to make it easier to follow. The same description of ‘what to do if you’re not happy’ is also part of the information given to people when they are thinking of moving there. The surveys all said that people knew what to do if they were unhappy about something and one person said they would tell their keyworker. Two people spoken with said they were very happy and felt very safe living at the bungalow. There have been no complaints to the home in the last year. Staff attend training in abuse awareness as part of their induction, as well as when studying for their National Vocational Qualification award. All staff have attended updating training in abuse awareness this year and one support worker’s file, listing their attendance at training events, confirmed this. There have been no new staff recruited in the past year. The manager was able to describe what checks she would carry out to satisfy herself that someone was suitable to work in a care setting Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 18 There are good systems in place to make sure people’s monies are being managed properly. Detailed records and receipts are kept so that all money can be accounted for and bank books are securely stored. . Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 19 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 and 30 People who use this service experience good quality outcomes in this area. People live in a clean, comfortable and well-maintained home We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Meadow View 4 is a semidetached bungalow in a small cul-de-sac with three other similar properties. These are each used by MENCAP to provide accommodation for four people with a learning disability. The home has level access for people in wheelchairs, and small gardens, including a patio, with outside seating. The communal areas are furnished like in a private home. There is a large dining room, lounge and kitchen. The two spacious toilets and bathroom all are adapted for disabled use. There are four bedrooms, and these have all been decorated very individually and contain items that are important to the person living there. Each room also has a wash hand basin. The bedroom Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 20 doors are all lockable and some people chose to keep them locked at all times. Doorways and corridors are wide and free from clutter to enable people with mobility problems to move around the home independently. The house was clean, warm and well maintained and people spoken with said that they liked their rooms. The laundry facilities are also similar to those found in an ordinary house. Some people living there are supported to launder and generally care for their own clothes, to maintain their independence and control of their lives. There were no unpleasant smells. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 21 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 and 35 People who use this service experience good quality outcomes in this area. People are supported by a well-established staff team, who are well trained, and valued by their manager. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: There is a well-established staff team, who have worked together for several years. They provide good support for their manager and each other. This stability means that they have a good understanding of people’s needs, preferences and ways of communication. There are both male and female staff so that people can choose, where possible, who is to support them with their care. Staff are well trained and all have achieved a National Vocational Qualification Award Level 2 in Care. Several are studying for a Level 3 award. People are more likely to be well supported by a staff team who understand what they are doing and why they are doing it. Surveys, completed by three people living there, all said that ‘staff always treat people well’, and two said that the carers ‘always listen and act on what Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 22 they say’. One person though, said that sometimes they need to speak with the manager, rather than the support staff. MENCAP provide refresher training for staff so that their knowledge is kept up to date. One support worker confirmed this. Some training is accessed by distance learning on the computer. The manager is supported in attending extra training, which can then be discussed with her staff. There are support workers on duty twenty-four hours a day. The rota is flexible to allow for people’s social needs, but generally there are two staff working during the day and one through the night, with another person sleeping, but who can be called on if necessary. Night staff are shared with the adjoining semi-detached property. Staff carry out domestic and catering duties in the home, though people living there are encouraged to help with these to promote their independence and life skills. There have been no recent changes in the staff group so recruitment files were not looked at. At the last inspection in November 2006 the recruitment process was noted to be satisfactory. On this visit the manager explained the recruitment process and the importance of completing all checks before the new person started work. These checks are required to make sure that staff are suitable to work in a care setting. Staff attend regular meetings, where they can discuss how the home is running and also have regular supervision with their manager, where workrelated issues and career development can be discussed. This was confirmed in the surveys completed by staff. ‘I meet about every six weeks with my manager to get support and discuss work’. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 23 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 and 42 People who use this service experience good quality outcomes in this area. The home has a competent manager with good leadership skills and people are able to influence how they want the home to run. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The manager has worked at the home for a number of years and is very experienced. She has undertaken extra training to support her in her role as manager. She showed in discussion that she has a good understanding of the needs of people with a learning disability and recognises the importance of promoting choice and independence. She works alongside support workers so can monitor their work informally as well as discussing how the home is running. Staff spoken with said that she was easy to talk to and was a good Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 24 leader. The completed surveys all stated that they talk with their manager regularly to gain support and discuss how they are working. The manager has to submit a report to her organisation each month, to show that she is carrying out regular checks on her home, such as to show it is safe and well maintained. This also includes reports of any accidents, which have happened to someone living there. This is so that these incidents can be monitored. A meeting is held each month, to which the people living there are invited so that they can discuss what is happening in the home and any changes they would like to see. This allows people the opportunity to say what matters to them and to influence how the home operates. These meetings are minuted so a record is kept. A senior manager employed by MENCAP visits the home regularly, without telling them they are coming so that they can check how the home is running. All these systems help to demonstrate that the home is running well and people can have the opportunity of saying what matters to them. The home has good systems in place to make sure that the health and safety of both the people living there, and staff are protected. Staff are supported in attending regular health and safety training to make sure their knowledge is up to date. A small number of service safety certificates were looked at and all were in date. The home has good fire safety systems, which work alongside the systems in the other three bungalows. Everybody living in the four bungalows has an assessment of their specialist needs so that in the event of a fire, this would provide information to unfamiliar staff from the other bungalows, who would be assisting. The organisation needs to store this information in the same place in each bungalow, so that in the event of a fire staff would know exactly where to find the information, regardless of where the fire was. Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 25 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 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 26 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 YA20 Regulation 13(2) Requirement People’s medication records must be accurate so that they receive their medication at the right rate, and at the correct time. Timescale for action 15/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Meadow View 4 DS0000056638.V371803.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Meadow View 4 DS0000056638.V371803.R02.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. 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