Care Home: New Treetops Shortbreaks

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What the care home does well The home provides a safe, comfortable, relaxed and friendly home for the people living there. There are good relationships between people staying at and working at the home and there is good training for staff and care plans are available to ensure care needs are identified and met. The rights and choices of people living at the home are respected and independence is promoted and encouraged. Good relationships are maintained with families, and positive responses were received from them relating to the service provided. One commented via a survey form `Staff are genuinely concerned for the well being of my daughter`, and another said `after every visit my son comes home to me very happy and content`. What has improved since the last inspection? This was the first time the home had been visited since its initial registration. What the care home could do better: Few areas for improvement were identified. However, the external grounds must be made safe for the use of people using the service. Confidentiality needs to be ensured by making references to personal care only on the individuals` care plans, and by removing the board containing names and room numbers from by the front door. Secure storage for medication needing refrigeration should be provided. CARE HOME ADULTS 18-65 New Treetops Shortbreaks Nichols Way Polsloe Road Exeter Devon EX1 2HN Lead Inspector Sue Dewis Unannounced Inspection 25th September 2007 10:15 New Treetops Shortbreaks DS0000069734.V344535.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 New Treetops Shortbreaks DS0000069734.V344535.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. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service New Treetops Shortbreaks Address Nichols Way Polsloe Road Exeter Devon EX1 2HN 01392 251726 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) http/www.devon.gov.uk/adoption.htm Devon County Council Ms Caroline Sian Beeson Care Home 6 Category(ies) of Learning disability (6), Physical disability (4) registration, with number of places New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category Learning Disability - Code LD Physical Disability - Code PD maximum of 4 places The maximum number of service users who can be accommodated is 6. 2. Date of last inspection Brief Description of the Service: New Treetops is a modern purpose built new home. It is registered to provide accommodation and personal care for up to six people who may have a learning disability, including four people who may also have a physical disability. The home is owned and managed by Devon County Council and offers evenings and weekend respite care for younger adults. Although the building is new the service itself has relocated from premises in Exwick, and essentially remains the same The exception being that it now provides accommodation for up to 6 people from across Devon. The home is bright and airy, it has been furnished to a high standard with domestic furniture and fittings. There are six large single bedrooms all of which are well equipped to meet the needs of the occupant. All the accommodation is on the ground floor. There is a medium sized garden to the home, which is currently very difficult to access. The garden is to be finished in ‘phase 2’ of the project. Service users are individually assessed in order to determine their fees, but fees generally average £12 per night. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at http:/www.oft.gov.uk . The reports from CSCI inspections are available from the office. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six hours, one weekday towards the end of September 2007. This was the first visit since the service reregistered following a move to new premises. The home had been notified that a visit would take place within three months and had returned a completed AQAA (Annual Quality Assurance Assessment), information from which was used to write this report. During the visit 3 people were case tracked. This involves looking at peoples’ individual plans of care, and speaking with the person and staff who care for them. This enables the Commission to better understand the experience of everyone living at the home. As part of the inspection process CSCI likes to ask as many people as possible for their opinion on how the home is run. We sent questionnaires out to the representatives of people using the service and staff. At the time of writing the report, responses had been received from 7 representatives, 3 staff. Their comments and views have been included in this report and helped us to make a judgement about the service provided. During the visit we spoke with 5 staff and the manager. A full tour of the building was made and a sample of records was looked at, including medications, care plans, the fire log book and staff files Some people living at the home have limited verbal communication skills, and as we are not skilled in their other methods of communication it was difficult for us to have any meaningful communication with these people. However, the interaction between the people staying at the home and those who care for them was closely observed closely observed. What the service does well: The home provides a safe, comfortable, relaxed and friendly home for the people living there. There are good relationships between people staying at and working at the home and there is good training for staff and care plans are available to ensure care needs are identified and met. The rights and choices of people living at the home are respected and independence is promoted and encouraged. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 6 Good relationships are maintained with families, and positive responses were received from them relating to the service provided. One commented via a survey form ‘Staff are genuinely concerned for the well being of my daughter’, and another said ‘after every visit my son comes home to me very happy and content’. 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. New Treetops Shortbreaks DS0000069734.V344535.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 New Treetops Shortbreaks DS0000069734.V344535.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): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People thinking of moving into the home are assured that their care needs can be met. EVIDENCE: A new Statement of Purpose and Service Users’ Guide has been produced for the service as part of its new registration. As people will not be living at the home on a permanent basis, the assessment procedure is more flexible and can be extended over quite a long period of time. The home initially receives assessments either from other placements that the individual has attended, the care management team or from the person’s representatives. A full assessment is completed by the home when people first visit the home for either a tea-visit or an overnight stay. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 9 The files of three people using the service were looked at, though all three contained assessments the type of assessment and the amount of information available varied. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear care planning system in place, that provides the information that staff need in order to satisfactorily meet the day to day needs of individuals. Peoples’ choice is sought and acted upon where possible. EVIDENCE: People stay at the home on a regular basis, with the length of stay and frequency varying according to need as assessed by their care manager. This regular programme has enabled staff to build up information on people and to get to know them, their representatives and their needs very well. This process is just starting for the new people beginning their stays at New Treetops. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 11 Three peoples’ plans were inspected and all contained information that enables staff to care for people in a variety of differing situations, including moving and handling, personal care and means of communication. All plans had recently been reviewed. The care plans include (where needed) detailed epilepsy protocols, which give staff detailed information on the type of seizure, and how to manage a seizure, should one occur. There were risk assessments on file for each individual relating to road safety, bathing, mobility and communication. As people do not live permanently at the home staff rely on good communication between themselves and carers to ensure any changes in needs are passed on. Therefore, each individual has a diary that goes with them between New Treetops, their home and any day services that they attend. Some people have limited verbal communication and it can be difficult for them to make decisions about their lives, within the home. Staff work hard to ensure that everyone is consulted as much as possible over food/drink/getting up/going to bed times. Staff told us of the conflict that sometimes arises when people want to do something that their carers don’t want them to. Staff said that they always tried to support the individual in their choice and sometimes had to negotiate with them. We were unable to communicate with any of the three people at the service during the visit. However, staff were observed communicating very well with individuals, using verbal and non-verbal communication. Everyone was smiling and laughing and they all appeared comfortable and relaxed in the presence of the staff. Prior to the visit we spoke with the relative of one person who was new to the service. They said that although their relative had not visited the service very often they were more than happy with the service at present. Many other positive comment were received via survey forms including, ‘The care home goes out of its way to provide the same routine and care for individuals’, ‘care is excellent’ and ‘The staff are dedicated to the people they look after and treat them with respect and great kindness’. There were good recordings on each file looked at. However, there is also a ‘communication book’ used at the home. This contained information personal to individuals and was not consistent with the guidelines of the Data Protection Act or the Freedom of Information Act. This is because no-one could look at their personal information without also having access to the personal information of others. Confidentiality is also compromised by a white board, directly beside the front door that lists the people staying at the service that night and what room they are sleeping in. The manager said that it was kept there in case of fire, when they would need the information to ensure everyone was out of the building. However, she will look to relocate this information. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 12 The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to train staff more fully in risk assessment and four key staff will be attending advanced risk assessment training. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. People benefit from being offered a variety of activities and opportunities. Meals are nutritious and balanced and offer a healthy and varied diet for everyone. Individuals’ rights are respected and recognised within the home affording them as much independence as possible. EVIDENCE: Some of these standards are not entirely applicable as staff at the home are not the primary carers for the individuals, who live in the community and only New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 14 visit the service for short breaks. The home tries to keep to the individuals’ usual routines and several people visit the nearby day centre. The home has limited staffing available throughout the day in case of an emergency requiring the person to be back at the home. The primary carers for each individual are their families and the home ensures that families are kept in touch with throughout the individuals’ stay. Comments received from families via comment cards included ‘If my daughter is ill, I am informed immediately’, ‘as my son can’t use the phone the carers are always helpful when I ring and don’t mind me ringing any day’ and ‘always get a full explanation if I ask about anything’. Some of the people that attend the service are not able to fully participate in many activities. However, staff do try to provide as much stimulation as possible for people, and they are encouraged to bring items into the service that they enjoy at home. Some people new to the service have more ‘social’ care needs, and a karaoke machine has been purchased so that people can have a ‘disco club’. People do sometimes go on outings during their stay, but this can be difficult due to the high level of support needed and some relatives do not wish the person to be out in the community. Everyone is provided with a well-balanced main evening meal. Menus are drawn up by staff who know the preferences and needs of the individuals. The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to acquire additional facilities and equipment to meet the leisure needs of the new people as the home gets to know them. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have a good understanding of the personal support needs of individuals, and people benefit from the positive relationships they have with staff. To ensure the safety of individuals, all medicines are generally stored securely, administered appropriately, and good records maintained. EVIDENCE: People’s plans contain good information on how personal care is to be given. Staff displayed a good knowledge of the needs of the people they care for and there was a good rapport seen between staff and the people they are caring for. Staff were seen to offer support in a polite and discreet manner. Staff were able to describe good practice in relation to maintaining their privacy and dignity. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 16 The home is not normally responsible for initiating health care services, unless there is an emergency. However, they do monitor and manage any ongoing health issues, for example incontinence and epilepsy. Detailed records of any interventions are kept and staff have received appropriate training in dealing with such issues. People have a diary that goes with them between home, day services and New Treetops, so that everyone is able to communicate with each other. There is new assistive technology in use at the home for monitoring those who have epilepsy. Suitable locks are fitted to all bedroom, bathroom and toilet doors. People’s medications are the responsibility of their representatives and they generally either send in the exact quantity for their stay, or all their medication. Medication that is brought into the home is counted when it is brought in and taken out of the home. There is secure storage for most medication, but there are no facilities to lock away medication that needs refrigeration. There are good policies and procedures relating to the administration of medicines and all staff who administer medications have been appropriately trained. Records are well maintained and show two staff signatures for all medicines that are administered. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are dealt with appropriately and individuals are protected by staff who are able to recognise abuse and know their duty to report poor practice. EVIDENCE: The home uses the Devon County Council Complaints procedure, and there is information available on how to male a complaint. Staff said that they would be able to tell if any of the people staying at the home were distressed about anything, as they know them so well. They said that they would try various ways to discover how they could help. No complaints have been received by the Commission since the last visit. People sometimes bring very small amounts of money into the home. This is managed appropriately on their behalf during their short stay. All staff have received training POVA (Protection of Vulnerable Adults) training. The staff that were spoken with, were able to give good descriptions of differing types of abuse and were clear about the procedure they would follow if abuse was suspected. This included reporting their suspicions to outside agencies if necessary. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a high standard of décor throughout and ensures that individuals live in a safe, homely and comfortable environment. However, the external grounds need to be made safe, so that people can use them. EVIDENCE: The home is brand new purpose built specifically to meet the needs of the people who will use the service. It has a lot of equipment to enable staff care for people who are severely physically disabled as well as those who are more able. There is a large comfortable lounge/diner that has been tastefully furnished to a high standard. There is a range of seating appropriate to the needs of the individual and includes a sofa that is raised of the floor so that a mobile hoist New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 19 can be used to transfer people safely. There is also a ‘bean bag’ seat for those who prefer this. Four bedrooms have ensuite facilities and the other two rooms each have access to another bathroom. There is tracking across the ceilings of bedrooms that run into bathrooms so that people can be transferred to the bathroom or lavatory safely. All bedroom, bathroom and lavatory doors have suitable locking devices that allow staff access in an emergency. Bedrooms are also furnished to a high standard and though decorations are neutral because many individuals are using each room, people are encouraged to bring personal items with them to make their rooms more homely during their stay. Phase 2 of the building works will include work on the garden. This should be completed as early as possible as people are currently unable to access the garden safely. There is a patio area at the side of the building but people are only able to access this by going out the front door and around the building. This means that people cannot access this area independently or use or than with staff being with them at all times. There is a large modern kitchen with a work surface that is height adjustable so that wheelchair users can use this area. There is a small well equipped laundry, and staff have received training in infection control procedures. Disposable gloves and aprons are available as required. The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to extend the patio area to give more direct and easier access from all parts of the building. To use the small lounge to provide additional sensory/recreational facilities and to provide a sensory garden. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and are available in sufficient numbers to meet the needs of the individuals living there. The procedures for the recruitment of staff are robust and offer protection to individuals. EVIDENCE: Staffing levels are sufficient to meet the dependency levels of the individuals currently using the service, with three staff on duty when people are at the home. Staff said that they felt the staffing levels were good and enabled them to give the time needed to each individual. Most of the staff working at the home transferred with the service to the new premises, though two new staff have been recruited. Three of the staff that we spoke with said that they had worked at the home for several years and had New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 21 received training in many aspects of care. The other two staff had only recently started work at the home but had many years experience of working with people with learning disabilities in other homes. All staff receive training that helps them meet the individuals’ needs effectively and safely. For example, most staff have received training in epilepsy, Protection of Vulnerable Adults, promotion of continence, NVQ (National Vocational Qualification - A formal care qualification) and many more, including health & safety, fire awareness and food & hygiene. This means people benefit from a well-trained team of staff that are able to meet their needs effectively. Induction and foundation training is in line with the Learning Disability Award Framework (LDAF). The files of the two most recently employed staff were looked at. One contained the all the required information, including satisfactory CRB (Criminal Records Bureau) checks, application forms and two references. The other contained an application form, interview forms and proof of identity. The remaining information was still with Devon County Council’s Human Resources department for processing. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed resulting in practices that generally promote and safeguard the health, safety and welfare of people living and working there. The systems for consultation with people living, working and visiting the home are good, with a variety of evidence that indicates that their views are both sought and acted upon. EVIDENCE: Sian Beeson has been registered as manager of the home for sometime and transferred with the service to the new premises. She has many years New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 23 experience of working with people with a learning disability and is currently undertaking the NVQ level 4 in care and the Registered Managers Award. Staff said that they felt supported by her to do a good job and ensure the needs of the individual are their priority. One representative commented via a survey form ‘Under the excellent leadership of Sian Beeson the staff look after their clients with great care and attention’. There are regular quality assurance visits and reports made by the Responsible Individual (a representative of Devon County Council) for the home. Questionnaires have recently been sent out to everyone involved with the service and a formal review of these with be completed when they have been returned. So that the risk of burning from hot surfaces is minimised, all radiators within the home are low surface temperature. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit, provided evidence that New Treetops complies with health and safety legislation in relation to maintenance of equipment, storage of hazardous substances, health and safety checks and risk assessments. The fire logbook, record of fire safety training and accident and incident records were found to be accurate and up to date. New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 3 26 3 27 3 28 2 29 3 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 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 25 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. 1 Standard YA24 Regulation 23 (2) (o) Requirement You must ensure that the external grounds are suitable and safe for the use of people using the service Timescale for action 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA10 Good Practice Recommendations You should ensure recordings made in the staff communication book are confidential. You should also remove the notice board with people’s name and room numbers from by the front door. You should provide suitable lockable storage for medication that needs refrigeration 2. YA20 New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 New Treetops Shortbreaks DS0000069734.V344535.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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