Care Home: Parkstone Lane

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What the care home does well 31 Parkstone Lane is a friendly and comfortable place. Staff are very good at listening to people and seeing what they need.Staff help residents to look after their health.Staff help residents make choices about what they want to eat.Residents can choose activities they want to do.They go on outings. They are planning a holiday.Parkstone LaneDS0000003561.V363893.R01.S.docVersion 5.2Page 9 What has improved since the last inspection? There is a new manager, to run the home properly. Care plans have been written again, so that staff know what residents need.More activities have been arranged, and staff have kept to plans that have been made.0Staff have been trained to make sure they know how to look after people properly.Residents have a fairer way of paying for transport, and they keep their own money in their rooms.1 What the care home could do better: CARE HOME ADULTS 18-65 Parkstone Lane 31 Parkstone Lane Plympton Plymouth Devon PL7 4DX Lead Inspector Stella Lindsay Key Inspection (unannounced) 20th August 2008 10:30 Parkstone Lane DS0000003561.V363893.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 Parkstone Lane DS0000003561.V363893.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. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkstone Lane Address 31 Parkstone Lane Plympton Plymouth Devon PL7 4DX 01752 344144 01752 344144 headoffice@durnford.org 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) The Durnford Society Ltd Vacancy Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 4 people who are learning disabled who may also have a physical disability and are aged between 18 - 65 years may be accommodated at any one time 6th March 2008 Date of last inspection Brief Description of the Service: Parkstone Lane provides care for four people with profound learning disabilities some of whom may also have significant physical disabilities. The house is owned by the Health Authority and the service is delivered by The Durnford Society Ltd, a registered charity. The home is in the Plymouth suburb of Plympton. The property consists of a detached house standing in its own grounds with a garden to the rear of the building. Each of the four people that use the service has their own single room. There is a large kitchen dining room and a lounge with a conservatory attached on the ground floor. The whole of the ground floor is fully accessible to wheelchair users. There is a well-equipped accessible bathroom. The service has its own adapted transport. Current fees range from £1,360 to 1,860 per week. Transport is charged at 40p per mile, or 20p if sharing. A copy of the latest CSCI Inspection report was available in the office. Parkstone Lane DS0000003561.V363893.R01.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. This inspection was unannounced and took place on a Wednesday in August 2008. We met with the Manager, all the people who live at the home, and three staff on duty. We toured the building to see the facilities available. Wee checked the way that medication is organised. We looked at staff recruitment records, training records and policies and procedures. We did this because we wanted to understand how well the safeguarding systems work and what this means for people who use the service. The new Manager sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. All this information helps us to develop a picture of what it is like to live at 31 Parkstone Lane. Since the previous inspection in March 2008, we had attended a safeguarding meeting with local health and social service professionals, at which the Chief Executive Officer and General Manager of the Durnford Society had reported how residents and their families had been supported through a period of change following a safeguarding alert earlier in the year. They also told us of the staff training that was being arranged. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 6 This is what we did for this inspection. • Before the inspection the manager sent us some information about how the home is run. We looked around the home. We met people who live and who work in the home. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 7 We looked at Care plans. We saw other records about the home. What the service does well: 31 Parkstone Lane is a friendly and comfortable place. Staff are very good at listening to people and seeing what they need. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 8 Staff help residents to look after their health. Staff help residents make choices about what they want to eat. Residents can choose activities they want to do. They go on outings. They are planning a holiday. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 9 What has improved since the last inspection? There is a new manager, to run the home properly. Care plans have been written again, so that staff know what residents need. More activities have been arranged, and staff have kept to plans that have been made. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 10 Staff have been trained to make sure they know how to look after people properly. Residents have a fairer way of paying for transport, and they keep their own money in their rooms. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 11 What they could do better: The Manager needs to recruit some more staff and keep a settled team of people to support the residents. The staff will try and find more activities in the neighbourhood, for residents to join in. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 12 There is more training that staff need, so they can make sure residents are helped to make their own decisions. The laundry and upstairs toilet need new floors – so that they can be kept clean. 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. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 13 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 Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 14 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, 2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can be confident that their needs will be fully assessed before accommodation is offered, to be sure that their needs can be met. EVIDENCE: There have been no admissions to the home within since the previous inspection. The Durnford Society has an appropriate admission policy and procedure. The pre-admission process thoroughly explores a persons support needs before they are offered a place at the home and each person is enabled to visit the home on different occasions to meet with the other people that live there and the staff. The Service Users’ Guide was being produced using symbols and photos, to help people understand it. The Manager had found the cost of producing this information in Braille, and is prepared to do this if the need arises. New contracts had been produced for each resident, with a photo on the front to show the resident that it belongs to them. Two had been signed by or on behalf of the resident, and the Manager was seeking appropriate representatives to sign the others. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s assessment, care planning and risk assessment processes provide staff with the information they need to consistently meet the needs of people that use the service. Residents are well supported and are enabled to manage choice in their day to day to lives. EVIDENCE: Care plans had been rewritten by the Manager and Deputy Manager, to ensure all best advice was available to staff, to maintain consistent good care for the residents in line with Durnford’s policies and procedures. The Manager is a facilitator for ‘Person Centred Planning’ and intends to promote PCPs in the home. A new Support Worker said that they had been able to find time over several shifts to look at care plans. They found them to be clearly written which is Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 16 very important because of the amount of information to be absorbed. Another staff member said they felt they could have usefully contributed to the rewriting of the care plan because of their experience of working with residents. However, they now had the opportunity to add observations as the plans are used as working documents, which are up-dated with any observed change for each resident. All of the people that use the service need support with managing their personal money. They each have a bank account, and keep their spending money in their own rooms. Residents’ contributions towards the cost of travel has been reorganised so that they pay according to their personal mileage. The Durnford Society provide ‘day care’ money to cover staff expenses while on outings with residents. This fund is checked every evening for accuracy. Staff had received training on risk assessment, and all risk assessments had been rewritten, to ensure that necessary areas of risk had been considered. Physical and sensory disabilities are considered, and behaviours that might need managing inside and out of the home, in order that staff could safely help residents engage in the activities of their choice. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. The people that use the service are supported to participate in community and leisure activities, can exercise choice through the day, and enjoy good food that is chosen according to their preferences and dietary needs. EVIDENCE: Each resident had their activities for the day planned. We could see that the plans were put into action. One was being supported to go to a Sensory Room in another establishment run by the Durnford Society. Another did baking at home with a Support Worker. One went for a walk, while the other was due to spend time with a Support Worker cleaning their room. Staff were aware that more investigation was needed to find activities available in the local community. Records in residents’ communication books showed their families had visited, and one regularly visits their family at home. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 18 Holidays had been booked for later in the summer. A resident helped choose the accommodation from photos in the brochure, while staff had considered residents’ requirements, including being close to good footpaths and tourist attractions that would interest them. Residents pay for accommodation for holidays, and the Durnford Society pay for the staff. Monthly menus are on display in the kitchen, to ensure a good variety of meals. Dietary advice for people with diabetes was also available. Fresh fruit was available, and prepared for people, plus salad and yoghurt. Staff confirmed that they prepare fresh food, which was why the freezer had few contents. Residents and staff ate together, for a good social experience. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 19 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 had given personal care according to individual need, with residents being supported to keep their appearance as they wished, and to have their health care needs well met with professional advice. EVIDENCE: Care plans were written for separate areas of care, for example skin care and weight management. Care plans for challenging behaviour including instructions/advice to staff on specific responses to behaviours, and further advice from the Behavioural Advisor from the Community Support Clinical Team. Baseline assessment for dementia had been carried out and was to be repeated at two yearly intervals. Risk assessments had been completed on separate areas of risk including impaired sight and pain relief. A ‘pain profile’ was kept for a resident who was unable to ask for pain relief. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 20 Where necessary, a food record and bowel chart were kept, to promote good health. A Speech and Language Therapist came at tea time during this inspection to advise about a resident’s food and swallowing. The Community Health Service Manager had visited, and observed that appropriate training had been put in place for staff to assist a resident with PEG feeding. At his request, the Manager specified these named individuals on the resident’s care plan. This training had been arranged for a further two Support Workers, but it remained a management task to make sure a competent staff member was available each time they were needed. A District Nurse had provided guidance notes for the proper care of a resident with diabetes, and the Manager had written up a specific care plan. Formal training had been booked for the following month with regard to diabetes, epilepsy and administration of medication. The Manager told us they are planning to work with the Health Action Plan coordinator for Plymouth City Council to construct Health Action Plans for each resident over the coming year, to ensure that they promote good health for each resident. The home had a suitable policy for the administration of medication. It included the requirement to obtain consent from the residents with regard to taking their medication. None of the people that presently use the service manage their own medication. A monitored dosage system is used to administer medication that is in the safekeeping of the care home. Medication was locked away safely and tidily in the medication storage facilities. Information was seen in care plans regarding administration of medication, including ‘as required’ drugs. All medication was recorded plus the reason why it was taken. There was evidence of medication reviews. Staff were aware of the effects of medication and at the time of this inspection staff were reporting back to a GP the effect on a resident of the withdrawal of a drug. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 21 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. Staff listen to residents’ concerns and act on them, and residents are protected from abuse by staff who are aware of safeguarding issues. EVIDENCE: The home has a complaints procedure, and it was seen to be displayed by the entrance, in symbol form. No complaints had been received by the CSCI since the last inspection. The home’s policy on the Protection of Vulnerable Adults (POVA) included advice to staff about the contact at Social Services they should make in the event of an allegation being made. The Manager also said that she would include the number to be phoned if one resident were to harm another. Since the previous inspection, which was carried out in response to a safeguarding alert, the former Manager was suspended, and on the day of her disciplinary hearing it was agreed that she could leave by mutual consent. Action had been taken promptly to make the home safe, but there was concern that management had not audited her supervisory performance or responded appropriately to the alert. Shortfalls were acknowledged, an improvement plan produced, and the resulting improvements were apparent at this inspection. This included training for all staff in POVA since the last inspection. The Health Service Manager for the Learning Disability Partnership had been to the home to talk to staff about restraint needed to maintain safety of residents Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 22 in the light of the Deprivation of Liberty Safeguards. The competence of residents to make certain decisions was being assessed, and it was thought likely that an Independent Mental Capacity Advocate (IMCA) would be needed for representation of residents’ interests. The Manager had received training in the provisions of the Mental Capacity Act 2005, but it would be advisable for staff also to receive training. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 23 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, 27 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is good, providing the people that live at Parkstone Lane with a comfortable and homely building to live in. EVIDENCE: Parkstone Lane is a detached building set in its own grounds on the edge of the Plymouth suburb of Plympton. The building is owned by the local Health Authority. The ground floor has been extended to provide a fully accessible bathroom fitted with a ceiling hoist, shower area and an Arjo bath. This facility is mainly an ensuite facility for the adjoining bedroom. However it is also accessible from the corridor and is partially used as a communal facility. There are a bath and a shower on the first floor, and all residents have bathing facilities that suit them. There is a large conservatory lounge, which leads on to the garden. This had been well designed for interest and accessibility for residents, with raised beds, Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 24 scented plants, a hard paved patio area and various paths, though it was overgrown at the time of this visit due to the wet summer weather. The kitchen was seen to have good surfaces. Radiators were seen to be covered, to protect residents from potential harm, and sturdy restrictors were fitted to upstairs windows. The homes laundry facilities are good and meet the needs of the people that use the home. Red bags with dissolvable fastenings are used for heavily soiled laundry and yellow bags for incineration are used for soiled waste. Infection control practices are good and personal protective equipment, such as disposable gloves and aprons, are easily available to the staff. Paper towels and soap are available in all the bathrooms and toilets. The laundry floor was not easily cleanable, and was in need of replacement to ensure a good standard of hygiene. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 25 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, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment practice is thorough, to protect residents from potential harm, and training is provided to ensure that staff are competent. Communication and teamwork were good, though this took more effort because of the many staff changes that were continuing. EVIDENCE: ‘As a new employee I feel valued. Excellent communication and support between staff and residents.’ – quote from a staff survey. Team spirit was seen to be good in the home, and even staff who were planning to leave said they enjoyed working there. A written rota was kept, showing that there were at least two Support workers at all times, generally three from 11am, to enable activities, and sometimes the Manager was additional to this. It was planned that she should frequently be additional, but during this period there had been difficulty in covering for absences. Recruitment was on-going, but as several staff changes were planned for the near future the Manager was treating recruitment and the need to maintain cover as an urgent need. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 26 Staff on duty and those returning surveys expressed concern that two waking staff were needed by night, as the ‘sleeper has to be woken for personal care, and other residents are noisy during the night’. Particular staff were more often woken, as residents habitually woke them. Records are kept of the attention needed by each resident every night. These show that the resident who needs two people for their care does not usually need help before 6am. The Manager is well aware of residents needs and is continuing to monitor them. The rota shows that staff usually have a day off following their sleepingin duty. The files of two recently appointed staff were examined, and it was seen that the checks needed to protect residents from potential harm had been carried out, and all documents were available for inspection. A recently appointed member of staff was working through the home’s induction programme, and meeting weekly with the Manager to monitor progress. NVQ knowledge workshops were being established, and this new recruit was undertaking the entire set of 24 units alongside NVQ2, as they did not have previous experience in a care setting. The Durnford Society has a training officer who held a ‘team building day’, which included staff training in care planning and risk assessment. Induction and foundation workshops had been held. These include a unit on ‘antioppressive practice’. Training had been provided to assure competence in dealing with residents’ health care, including PEG feeding, diabetes, epilepsy, and administration of medication. Also health and safety and Moving and Handling was provided as required. The Manager told us that the training officer keeps the data base, and alerts her when staff need up-dates. Records were seen, to show the Manager has started the programme of supervisions and Annual Appraisals for all staff. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 27 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. Management have worked effectively to improve systems to provide a safe service that is managed in the best interests of residents, and to provide support through the period of change until a full staff team is appointed. EVIDENCE: A Manager had been appointed, and was in the process of applying to register with the Commission for Social Care Inspection. The Responsible Individual for the company is Nigel Pankhurst, who is CEO for the Durnford Society. The Manager said she had asked Senior management for help in maintaining staff cover over the coming season, and they had been helpful in supporting her arrangements. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 28 Feedback had been gathered in accordance with Durnford Society’s quality assurance programme, and the CEO had joined a staff meeting to share the results, and discuss plans for the future. The electrical circuit had been checked by an approved electrician on 13/08/08, after the fitting of a new cooker point. The fire alarm system was checked professionally on 02/07/08, and an appropriate hold open device on every self-closing fire door that may be held open in the house. Staff training in fire safety had been booked for October 2008. Fire awareness for staff who are responsible for the home by night should be updated three-monthly. The Manager had carried out a room by room risk assessment during July 2008, in order to ensure a safe environment for the residents. Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 29 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 3 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 3 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 30 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. Refer to Standard YA13 Good Practice Recommendations Staff should continue to increase residents’ participation in their local community, investigating local activities and organisations. Staff should receive training in the Mental Capacity Act 2005. The laundry flooring should be renewed. Management should continue to monitor the staffing level at night and ensure that it is sufficient to meet the assessed needs and agreed care plans of the residents. 2. 3. 4. YA23 YA30 YA33 Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 31 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Parkstone Lane DS0000003561.V363893.R01.S.doc Version 5.2 Page 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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