Care Home: Miltoun and Brunswick House

What the care home does well Miltoun House continues to provide a pleasant, warm, relaxing and welcoming place for the residents. The staff are enthusiastic about working at the home and clearly have very good relationships with the residents and are good at supporting them to meet their needs. This home continues to be extremely well managed offering a high standard of care to the residents. Residents are clearly very happy and said, "The care is superb, there is a lot of understanding from the staff". Another resident said, "I am a lot better than I was, my health needs are met, I am settled here, it is the best and I don`t want to go anywhere else". A further resident said, "I love it here, people are so kind, they give me space and my motivation has definitely increased since being here", "I can be me, there is time to concentrate on me".Miltoun and Brunswick Houses continue to provide residents with a lifestyle that allows for independence, choice, and personal development and firmly believed their needs were met. Staff said, "It is very important for the residents to be consulted, it is their right", "The residents here all have different needs, it`s about them as individual and their own levels of independence". Resident`s records continue to be well written, very personal and individual and residents are fully involved in their individual assessment of need and plans of care. Healthcare needs, both physical and psychiatric needs are well met by the home. There is a good range of social and recreational needs, which are very much individualised. What has improved since the last inspection? Improvements are ongoing to the environment to ensure that the home remains well maintained and homely. The management culture of the home is one in which, ongoing review of the services is continuous system, and as such this positively impacts upon life for the residents and staff. One recommendation was made at the last inspection, the six monthly reviews of plans of care, this is now taking place and detailed within the six monthly review form. What the care home could do better: It continues to be commendable that of the National Minimum Standards examined, that so few areas have been identified as in need of improvement. Of those standards examined, it is recommended that the work that has commenced in increasing the detail of the training records be completed. It is also recommended that following the six monthly reviews of individual care plans, there may be the need to change the plan of care or discontinue it. CARE HOME ADULTS 18-65 Miltoun House Albion Terrace Guisborough TS14 6HJ Lead Inspector Jackie Herring Key Unannounced Inspection 26th April 2007 09:30 Miltoun House DS0000000128.V336394.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 Miltoun House DS0000000128.V336394.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. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Miltoun House Address Albion Terrace Guisborough TS14 6HJ 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) 01287 636567 01287 280522 Mrs Jane Dexter-Smith Mr R Dexter -Smith Mrs Linda Breckon Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21) of places Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 18 places Miltoun House 3 places Brunswick House, 85 Redcar Road The home is able to accommodate 9 individuals who are over 65 years of age. 9th February 2006 Date of last inspection Brief Description of the Service: Miltoun House is an 18-bedded care home for people with Mental Health needs. It is a large end terraced house with a purpose built extension. There is access to large front garden with open aspect and an internal courtyard garden with seating. All of the bedrooms are single rooms, eight of the single rooms have ensuite facilities and one of the rooms is below the minimum room size. Miltoun House is situated in a private terrace of houses just off a busy road leading to Guisborough town centre. The shops, public transport and other community facilities are within walking distance of the home. All service users have single bedrooms. Brunswick House is within a short walking distance from Miltoun House. The house is a mid terrace and provides accommodation for three people with a Mental Health problem; it has three single bedroom none with ensuite facilities and has a lounge, separate dining room and kitchen facilities. The bathroom and W/C are on the first floor and a games room with pool table is provided on the second floor. The weekly fees are £404. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key unannounced inspection and was completed in one inspection day, six inspection hours in total. As a key inspection, all of the key standards were examined. This was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. On this occasion, only one of the houses was visited, Miltoun House, which is the larger of the two. Resident’s records were looked at, as were a number of maintenance records. Discussion took place with residents, staff and the manager to find out what life was like at Miltoun House. Although Brunswick House was not visited on this occasion, discussion took place with the manager about the house, the residents and systems to support the resident. This was a very positive inspection and the inspector felt very warmly welcomed by the residents, staff and management team. There was a lot informal spontaneous discussion with the residents and a real sense of openness and inclusion. What the service does well: Miltoun House continues to provide a pleasant, warm, relaxing and welcoming place for the residents. The staff are enthusiastic about working at the home and clearly have very good relationships with the residents and are good at supporting them to meet their needs. This home continues to be extremely well managed offering a high standard of care to the residents. Residents are clearly very happy and said, “The care is superb, there is a lot of understanding from the staff”. Another resident said, “I am a lot better than I was, my health needs are met, I am settled here, it is the best and I don’t want to go anywhere else”. A further resident said, “I love it here, people are so kind, they give me space and my motivation has definitely increased since being here”, “I can be me, there is time to concentrate on me”. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 6 Miltoun and Brunswick Houses continue to provide residents with a lifestyle that allows for independence, choice, and personal development and firmly believed their needs were met. Staff said, “It is very important for the residents to be consulted, it is their right”, “The residents here all have different needs, it’s about them as individual and their own levels of independence”. Resident’s records continue to be well written, very personal and individual and residents are fully involved in their individual assessment of need and plans of care. Healthcare needs, both physical and psychiatric needs are well met by the home. There is a good range of social and recreational needs, which are very much individualised. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Miltoun House DS0000000128.V336394.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 Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s have their needs assessed before they are admitted to the home ensuring their needs can be met. EVIDENCE: Two sets of resident’s records were looked at with their permission during the inspection and they contained a copy of the care management assessment and also a detailed pre admission assessment, which had been completed by staff of the home prior to admission, which residents are involved in. It was clear from the details obtained that individual needs are fully assessed. Arrangements are in place for residents to visit the home on a trial basis. The home is well able to demonstrate it’s capacity to meet the full assessed needs of individual residents admitted to the home. The process for admission to the home is a detailed planned process with significant Multi disciplinary decisionmaking. One of the resident’s survey stated, “I came for two days a week for six weeks. Then I was able to make my mind up”. Miltoun House DS0000000128.V336394.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area excellent. This judgement has been made using available evidence including a visit to this service. The homes assessment and care planning process ensured resident’s needs were identified and met. Residents were consulted about all aspects of their life and were supported to be as independent as possible. EVIDENCE: Observation during the inspection, conversation with residents, the manager and staff as well as examination of care planning documentation and daily records evidenced that each resident received good personal and individual support. In the two sets of residents records looked at, they continue to contain very detailed information about individual needs, how to meet the needs and by whom. The care documentation continues to be very personal and individual to the particular resident and it was clear that the resident had actively been involved in the process of discussing their needs. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 10 During discussion with residents, they confirmed that they were actively involved in discussion with their key worker or co-key worker about their care needs, plans for the future, areas for risk management and activities. The documentation continues to contain a very good life history, has clear links to multi agency involvements and clearly demonstrates that individual residents mental health, emotional and physical health needs were being met. Individual aspirations were also recorded and risk management strategies were in place to support independence and personal development and growth. Examples of this included money management. The reviews of care was very good, however it was recommended that following review there may be occasions when the plan of care needed to be discontinued or changed. This will further demonstrate the good work that is being done to improve resident’s health and social needs. Residents continue to speak of a very consultative environment in which there was very good communication, with everyone being treated very much as an individuals who were able to express views and opinions. It was confirmed that there were opportunities for both informal and more formal discussion with residents meeting taking place. One resident said, “The care is superb, there is a lot of understanding from the staff”. Another resident said, “I am a lot better than I was, my health needs are met, I am settled here, it is the best and I don’t want to go anywhere else”. Miltoun House DS0000000128.V336394.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): 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 are treated with respect and their lifestyles are very much individualised and underpinned by appropriate social and recreational activities as well as the opportunities for personal development. Residents’ benefit from maintaining personal relationships and have their right respected. Meals are provided to a good standard within a suitable environment. EVIDENCE: There are a range of opportunities for activities and personal development, both on an individual basis or group basis. In the residents files looked at, they had an individual weekly plan, which detailed their daily life activities and social and recreational activities. The arts and crafts afternoon continues and is very popular. Resident’s holidays have been planned with them and they are looking forward to going to Blackpool or Scarborough as well as a trip to London to watch a show. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 12 One resident said they were looking forward to going to Scarborough to the Grand Hotel and also confirmed that they regularly went on outings to the North Yorkshire Moors and Whitby and confirmed that they were free to go out of the home if they wanted to. As well as outings, holidays and trips, a number of residents are involved in attending day centres, going to college to do art or doing some unpaid work within charity shops or work with the forestry commission. The home also has a number of cars and some of the staff are named drivers for the car, which enable residents to have more outings and increasing the frequency and flexibility of life for them. Staff confirmed that there were regular residents meeting and that they were consulted on a range of matters, including meals and holidays. One of the staff spoken to said, “It is very important for the residents to be consulted, it is their right”, “The residents here all have different needs, it’s about them as individual and their own levels of independence”. During discussion with staff and residents, it was confirmed that they were well able to maintain links with family and friends. On the inspection day, one resident was going to visit their mum, while another had a family member visit the home. Meals were described as very good and residents were actively involved in the menu planning. Miltoun House DS0000000128.V336394.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Healthcare and personal care needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Appropriate healthcare professionals provided advice and additional support. EVIDENCE: The two sets of residents records looked at continue to be extremely well written and contained detailed information about the individual residents, their assessed needs and lifestyles. The records detailed involvement of GP, Consultant Psychiatrists, Care Programme Approach reviews and all health related matters. The home works closely with external professionals and specialists for advice and support to help the service user, their family and the homes’ staff. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 14 Life for the residents continues to have the ethos of individuality, independence and choice. This again was demonstrated through discussion with residents and staff, where a flexible approach to life was described. All of the bedrooms are single bedrooms and resident have their own key for their rooms. During the inspection, residents were consulted about accessing their rooms; of the rooms visited, there was clear evidence of individual preferences and personalities. Residents talked positively about the support and guidance they were given to meet care needs. One of the staff spoken to said, “The main thing is that we consult and ask the residents, not tell them”. Other staff spoke of the importance of promoting independence and it was clear from discussions that they respected the resident’s rights. A resident said, “I love it here, people are so kind, they give me space and my motivation has definitely increased since being here”, “I can be me, there is time to concentrate on me”. Very good systems are in place for the management of medication. Only staff who have received the appropriate training administer medication. Currently a number of staff who already have their safe handling of medicines training are in the process of completing the medication unit at NVQ Level III. The ordering process was discussed with the staff member, who has key responsibilities for the management of medication, this was extremely well managed. Additional measures have also been developed to further increase the robustness of the systems. It was recommended that a control drug register be purchased in the event that there are ever any drugs of this nature needed. It has been confirmed that this is now available within the home. Miltoun House DS0000000128.V336394.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. 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 had a suitable complaints system and policies and procedures to protect residents from abuse. All staff had received training in the Protection of Vulnerable Adults. EVIDENCE: The pre inspection questionnaire detailed that there had been no complaints since the last inspection. There are good systems in place to enable and support residents to raise concerns should the need arise. One resident said, “I would speak with the manager if I had any problems, I have confidence that it would be attended to”. Residents confirmed they had received a copy of the complaints procedure and said that a staff member had discussed the procedure with them. It was also confirmed through staff discussion that they had received No Secrets Training, Protection of Vulnerable Adults, this was also detailed within the pre inspection questionnaire and individual training records. Miltoun House DS0000000128.V336394.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well-maintained, comfortable and homely environment in which to live. EVIDENCE: Both Houses are ideally situated for easy access to all community facilities and is close to bus routes and the railway station. On this occasion, only Miltoun House was visited. A walk round the home revealed the home to be clean and hygienic. Furniture was comfortable and domestic in design. All areas of the home, including the kitchen, were accessible to residents. Bedrooms that were visited were comfortably and appropriately furnished and had been personalised by the inclusion of personal effects such as pictures, posters, and photographs, TV, CD player etc. Miltoun House is extremely homely with sufficient internal communal space and there was a real sense of comfortable family homes. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 17 One resident described his room, which they were very pleased with; they enjoyed having their own rooms, with their TV and CD player. A resident said, “I feel safe here, it quite quiet and relaxing”. All areas of the building were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Water temperatures were controlled to guard against scalding. Lighting was domestic in nature and emergency lighting had been provided throughout the home. The numbers and suitability of lavatories and bathing facilities met the National Minimum Standard. The assessed needs of residents were being met without the provision of environmental adaptations or specialist disability equipment. One staff member said, “We have sufficient equipment, if we did need anything we would just have to ask the proprietors and it would be bought”. Very good systems are in place to record the regular maintenance checks. Externally, there is a beautiful large garden, with shrubs, trees, flowers, lawns and seating for the residents. One resident took pride in showing the inspector an area they had planted in memory of their own family. Of those areas visited during this inspection, it was identified that the ground floor hallway carpet needed to be replaced, this had already been identified and was in the process of being attended to and was detailed within the annual development plan for 2007, as was the plan to alter the laundry and the redecoration of the rear hall. Miltoun House DS0000000128.V336394.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers and skill mix are appropriate for the resident’s needs. Staff are competent to do their jobs and residents are protected and supported through the home’s recruitment procedures. EVIDENCE: A number of staff files were looked at; they had the required information and checks, demonstrating the home is following the recruitment policies and procedures, for the protection of the residents. There is proactive management of the staff team; succession planning takes place and a number of staff are undertaking further qualifications, which will ensure ongoing continuity of care and management. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 19 The pre inspection questionnaire stated that currently 61 of staff are trained to NVQ Level II in care or above. A number of staff are qualified to Level III and IV. The questionnaire also detailed that staff had received training in the Mental Capacity Act, along with Skills for Care induction and safe handling of medicines. During discussion with the training co-ordinator, it was confirmed that staff retain their own training portfolios and that copies of certificates are also available within their individual staff files. During this discussion, it had been identified that the training records could be developed further to give more detail of all of the training staff have been involved in and to show when training is next due. Work is already underway with this and a training matrix is being developed. During discussion with the manager and staff, they spoke extremely knowledgably about the needs of the residents and confirmed that they had received training specific to the residents, such as challenging behaviour and NAPPI training – non abusive psychological and physical interventions. One staff member said, when discussing training, “I have a lot to thank the manager for, the training is well planned and we have supervisions and appraisals when we should”. Resident said of the staff team, “The staff are very, very caring, they show extreme patience, I am able to talk to them and they listen”. Staff who were spoken to believed there were sufficient staff on duty to meet the needs of the residents. It was confirmed that where needs changed, then staffing would be altered to meet these changing needs. Miltoun House DS0000000128.V336394.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager and management team continue to provide very good leadership to the staff team and continuously strives to improve standards within the home ensuring that resident’s needs are well met. Good systems are in place for the handling of resident’s personal allowances and there is also a good range of quality assurance systems. Good service and maintenance arrangements are in place and in good order ensuring health and safety is promoted. EVIDENCE: The manager has the required qualification, experience and knowledge and is highly competent to run the home. She provides strong leadership and operates a very open management style, which is inclusive and enabling. One of the members of staff said, “The management team is really good and supportive”. Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 21 The home has a well defined management structure of: manager, deputy manager, team leaders and support staff as well as catering, housekeeping staff and a small number of volunteers and people doing work experience. In addition, the proprietors are actively involved in the management of the home and quality assurance. All staff, spoken with, were well aware of their roles and responsibilities. Residents and staff all said they thought the home was very well run. A relative survey stated, “I have a good rapport with the management and feel they are dedicated people who do their very best to provide a loving environment fro the residents”. The resident’s personal finance systems was looked at and found to be a well managed, well-recorded and robust system. The manager teams communicates a clear sense of direction, is able to evidence a sound understanding in relation to continuous improvement and quality assurance. Quality assurance systems was confirmed as being a natural ongoing processes within the home. There are a number of regular audits that take place, which are undertaken by different staff members for their different areas of responsibility and underpins all aspects of care, medication management, health and safety and training ensuring a very good quality service to residents. An annual development plan was also looked at and was detailed and realistic. The pre inspection questionnaire detailed maintenance of a range of service equipment such as fire alarm, gas landlord certificate and portable appliance test, all of which were up to date. The key staff member who has responsibilities for health and safety also made the in house records available, all of which were in order. Miltoun House DS0000000128.V336394.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 4 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 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 X 3 X X 4 x Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard YA6 YA35 Good Practice Recommendations Following the six monthly review of individual care plans consideration should be given, where necessary to changing or discontinuing specific plans of care. The work that has commenced in regard to increasing the records detailing individual staff training should be completed and there should be an up to date record of all staff training. The plan to replace the ground floor hallway and corridor carpet should take place. 3. YA24 Miltoun House DS0000000128.V336394.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Miltoun House DS0000000128.V336394.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. 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