Care Home: Purplett House Residential Home

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What the care home does well The service has very good detailed information about how individual residents like to be supported. Residents are included in the care planning process and in regular reviews. Support to assist residents to access personal development and education in the community is part of the strong philosophy of the home. Residents are encouraged to develop and achieve new skills. Residents manage their own meetings and feedback to the manager anything raised that requires their input. The service is responsive to issues brought to their attention in this process and changes are made to routines or procedures as a result.All health care needs are monitored and met with input from specialist health professionals as required. What has improved since the last inspection? Since the takeover by Sanctuary Care the statement of purpose and service users guide have been updated to reflect the change in provider. A programme of redecoration has continued and the main communal rooms have been redecorated and look fresh and bright. CARE HOME ADULTS 18-65 Purplett House Residential Home 10 Purplett Street Ipswich Suffolk IP2 8HH Lead Inspector Jane Offord Unannounced Inspection 3rd January 2008 09:40 Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Purplett House Residential Home Address 10 Purplett Street Ipswich Suffolk IP2 8HH 01473 603133 01473 603133 katrina.butler@sanctuary-housing.co.uk 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) Sanctuary Care Limited Katrina Louise Butler Care Home 10 Category(ies) of Physical disability (10) registration, with number of places Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th March 2007 Brief Description of the Service: Purplett House is a purpose built residential home offering support and accommodation to ten adults with physical disabilities. The home was first opened in 1991 and was leased from Shaftesbury Housing Association and administered and staffed by Ashley Homes Ltd. Purplett House is now owned and run by Sanctuary Care who completed the take over of Ashley Homes Limited in June 2006. The home is sited within a mixed housing complex within easy reach of the town centre of Ipswich. There are also a variety of local shops within easy reach of the home. The accommodation consists of eight bedrooms on the ground floor, all offering single occupancy and having en-suite facilities. There are two self-contained flats on the first floor that can be accessed by stairs or a lift. Communal areas include a spacious kitchen/dining room and lounge for the use of service users. There is a conservatory that is used by residents during poor weather as a smoking area and outside is a small garden. The ultimate aim of the home is to support residents to become more independent and to facilitate their moving on into a less supported form of accommodation. The fees range between £690.00 and £1100.00 weekly and depend on the level of support required by the resident. The fees do not cover personal items such as clothing and toiletries. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means that the people who use the service experience excellent quality outcomes. This key unannounced inspection looking at the core standards for care of adults took place on a weekday between 9.40 and 14.30. The registered manager was present throughout the day and assisted the inspection process by supplying documents and information. This report has been compiled using information available prior to the inspection, including an annual quality assurance assessment (AQAA) received by CSCI in November 2007, and evidence found on the day. During the day a tour of the home was undertaken with the manager and a number of residents and staff were spoken with. The files of two residents and two new staff members were seen and a number of documents inspected including the policy folder, the duty rotas, some service certificates, residents’ records relating to their personal monies and medication administration records (MAR sheets). Also seen were the complaints log, some supervision notes, the training matrix and quality assurance (QA) results. On the day the home was clean and tidy with no unpleasant odours present. Residents were using all areas of the home, some in the lounge and dining room and some in their own rooms. The atmosphere was friendly and relaxed with a good deal of cheerful banter taking place. One resident was doing some domestic tasks while a number of others had a late breakfast. Some residents who would usually attend day centres or college were at home due to the Christmas break. What the service does well: The service has very good detailed information about how individual residents like to be supported. Residents are included in the care planning process and in regular reviews. Support to assist residents to access personal development and education in the community is part of the strong philosophy of the home. Residents are encouraged to develop and achieve new skills. Residents manage their own meetings and feedback to the manager anything raised that requires their input. The service is responsive to issues brought to their attention in this process and changes are made to routines or procedures as a result. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 6 All health care needs are monitored and met with input from specialist health professionals as required. 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. Purplett House Residential Home DS0000067479.V357249.R02.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 Purplett House Residential Home DS0000067479.V357249.R02.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, 2. Quality in this outcome area is good. People who use this service can expect to have the information required to make an informed decision to live there and have an assessment of their needs prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a folder that is kept in the entrance hall available for anyone to read that contains a statement of purpose, a service users guide, the complaints policy, QA results, the staff training plan and the latest CSCI inspection report. The statement of purpose and service users guide have both been updated to reflect the change of ownership from Ashley Homes to Sanctuary Care. The home has not had any new residents for a period of time but the preadmission process is clearly documented and the manager confirmed that they would always assess a potential resident prior to admission. If a resident was agreeable a visit of four days to the home would be undertaken and assessment would take place during that period. In addition information from health professionals and social workers would be used as well. Purplett House Residential Home DS0000067479.V357249.R02.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 is good. People who use this service can expect to have a comprehensive care plan to support their needs and be assisted to make decisions about their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files and care plans of two residents were seen and both had detailed interventions about how the resident wished to be supported during their daily activities. The overall aim for one resident was, ‘ to gain independence’ and for the other, ‘to learn skills for independent living’. Areas addressed covered physical needs, social needs and skills that needed to be learnt or maintained. If a resident was self-caring for any aspect of daily living that was noted but any support required was explicit and detailed. For example whether a resident would need help to prepare for a shower but be able to manage in the shower unaided as long as there was a call bell within reach. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 10 The resident’s ability and motivation to perform domestic tasks was recorded so for one resident it was noted that some guidance would be required to manage their own laundry as it was a new skill they were learning. For another resident under night needs it was noted that they decided their own night time routine. Both files contained a moving and handling risk assessment and other risk assessments related to activities of daily living (ADLs). In addition one file had a risk assessment for the management of challenging behaviour and diabetes. There was a record of the incidents of challenging behaviour including who was involved and what action was taken. The care plans were signed by the residents and included the next review date. There was evidence that care plans have a major review six-monthly but are checked at least monthly by the key workers and monitored by the manager. If a resident has to be admitted to hospital the manager said their care plan would go with them. Residents’ personal money is generally managed by the resident with support from their family. Each bedroom has a locked drawer for safekeeping of valuables. Some money is kept in the safe in the office and the system for management was explained. There was a clear audit trail with records crossreferenced and two staff signatures for each transaction. Residents’ care plans recorded the level of support and understanding a resident had in relation to finances and the management of money. Purplett House Residential Home DS0000067479.V357249.R02.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 excellent. People who use this service can expect to access personal development opportunities in the community and be encouraged to learn new skills to aid independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence in records and from talking with residents that they lead an active life in the community accessing a number of projects and day centres. One resident talked about the work they did at ‘wood ‘n stuff’ and proudly showed some of the small items of furniture they had made during their attendance there. Two residents are involved in voluntary work, one working with ACE, which is an advocacy support group for people with learning disabilities, and the other helps at the St. Elizabeth Hospice. The local swimming pool has sessions for people with physical disabilities and several residents attend those regularly, with staff support. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 12 All the residents’ files seen contained contact details of their next of kin and the relationship with the resident. Records showed that residents frequently spent time with family members either in the home or on visits out to the relative’s home. At least one resident had spent the Christmas period with their family. Life history work in the files highlighted the significance of family contact for the residents. One resident takes an annual holiday with their family. Other holidays have been organised for residents including a weekend in Lowestoft and some time in Blackpool. Residents use local buses or taxis to access the shops and cinemas in Ipswich. Shopping trips and outings further a field are regularly organised for attending concerts, theatre visits, Lakeside, football matches or a visit to Duxford airfield. On the day of inspection conversation was overheard between a member of staff and a resident trying to find out how to book places to attend a pop concert being given by a specific pop star in Ipswich later in the year. By the end of the day the tickets were booked. Two residents attend college courses and are doing a cookery course and assertiveness training. The staff are supporting a further resident who would like to enrol at college and are trying to find an appropriate course with the degree of support available that the person would need. The quality assurance results (QA) seen showed that a high percentage of the residents were satisfied with most of the service the home offered but only 41 were satisfied with the meal provision. This was discussed with the manager who said they had tried to understand the issues behind the result. They said that when residents were asked they gave conflicting feedback about what they wanted saying they wanted healthy food to lose or manage weight but then wanted more desserts and chips. A recently appointed chef had abruptly left a week before Christmas and the manager had re-advertised and hoped to interview later in the week. They said menus would be a priority for the new chef to discuss and agree with the residents. The menus seen offered a choice of main meal each day for example beef lasagne or chicken Kiev, Thai chicken curry or omelette. Desserts offered banofee pie, lemon sponge with yoghurts and fresh fruit always available. Residents spoken with said the food was always appetising and they enjoyed their meals. The dining room has an area where residents can prepare their own breakfast and make a hot drink independently. Some residents were having a late breakfast when the tour of the home was undertaken. Residents were helping each other pouring drinks and positioning straws. The manager said that a cooked breakfast was available at weekends following a request from residents. Food checked in the kitchen was correctly stored and the recorded temperatures of refrigerators and freezers showed they were functioning within safe limits for food storage. Purplett House Residential Home DS0000067479.V357249.R02.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 good. People who use this service can expect to have their health needs met and be protected by the medication practices in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two residents’ files seen both contained details of past medical history and medication requirements. Each one had the contact details of the resident’s GP and any other health professional involved with the resident such as community nurse or physiotherapist. There was a record of all visits to or by health professionals and any out patients’ appointments. The completed AQAA says that residents are supported to any meetings either by family members or staff if they need that. Some residents are independent and attend any appointments by themselves. Arrangements are made for residents to receive influenza vaccines if they wish. Any known allergies are recorded in the files and specific foods that need to be avoided because of religious beliefs are noted. Residents have an allocated key worker who makes a weekly record of the resident’s experience and that includes any health issues and the management of them. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 14 The medication administration policy and procedures were seen and gave comprehensive guidance on all aspects of ordering, storing, administering and disposing of medicines. Staff spoken with said they had undergone recognised medication training before undertaking administration of medicines. This was confirmed in staff files seen. The medication administration records (MAR sheets) were seen and there were no signature gaps noted. In the front of the file was a page with specimen signatures of staff qualified to administer medication. Medicines with a choice of dose i.e. one tablet or two had the amount given recorded allowing an audit trail. The AQAA says that blister packs and MAR sheets are checked between each shift by the senior staff during the handover. The manager audits the process on a weekly basis. The medication policy gives guidance to allow residents to self medicate if they wish. The manager said that at present only one resident was self-medicating with inhalers, staff administered all other medicines. The home did not hold any controlled drugs (CDs) at present but did have a register in case any were prescribed. Purplett House Residential Home DS0000067479.V357249.R02.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. People who use this service can expect to have concerns taken seriously and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy was seen and as noted earlier in this report a copy is kept in a folder in the entrance hall for anyone to access. The policy is robust but needs to include the contact details of the local CSCI office. QA results seen showed that a high percentage of the residents were satisfied with the way the service handled concerns and issues raised. Residents spoken with said they would know who to take an issue to and one cited their key worker. The home has received two complaints in the last year both of which were managed within the time scales. One resulted in disciplinary action against a member of staff and the other was a personnel issue that was managed by the area manager of the organisation. The protection of vulnerable adults (POVA) policy was seen and gave good guidance to staff about managing any concerns and recognising different forms of abuse. The guidance needs to be updated to reflect the latest development in the county of Safeguarding Adults. Staff files seen show that abuse is covered during induction and ongoing training is planned for all staff in the next year. Ancillary staff are included in the recognition of abuse training. Purplett House Residential Home DS0000067479.V357249.R02.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. People who use this service can expect to live in a clean, homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was undertaken with the manager and everywhere looked clean and tidy with no unpleasant odours noted. The manager said that plans are being considered to enlarge the facility and prepare for possibly deregistering to become a supported living project. However Sanctuary Care have agreed that the shower/bathroom needs to be upgraded urgently. The manager said they have been waiting some time but have been promised it will happen within the next month. Redecoration of the communal rooms has recently taken place and they look fresh and bright. Sanctuary Care has a team of maintenance workers and the manager said they telephone jobs through and the relevant workmen are sent to repair or replace the fault. They said the system works well generally. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 17 Residents are encouraged to help with household tasks within their abilities and one resident was seen taking a vacuum cleaner to their room to clean. Most residents assist with their laundry although there is an issue about wheelchair access to the laundry as more modern wheelchairs are bulkier than when the home was originally built. The AQAA states that this is an area that will be considered under any redevelopment plans in the future. Sanctuary Care has agreed that the home can employ a dedicated maintenance person for two hours a week to manage any small repair jobs. The manager is looking to appoint to the post very soon. Gardeners provided by Sanctuary Care manage the garden. Purplett House Residential Home DS0000067479.V357249.R02.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, 36. Quality in this outcome area is good. People who use this service can expect to be supported by adequate numbers of correctly recruited and trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas seen showed that during the early and late shifts there is a minimum of three care staff on duty, one of whom is a senior or team leader. One waking and one sleeping member of staff cover the night shift. A previous concern about residents who required two staff to assist them to prepare for bed and meant they were restricted in the lateness they could stay out in the evening, or that sleep in staff worked additional hours to support the residents when they returned from an evening out, has been resolved, the manager said. None of the residents who enjoy an evening out are dependent on two staff for support at the present time. If a new resident had those needs then staffing levels would have to be re-assessed the manager agreed. An administrator and cook support the care team. Sanctuary Care supply maintenance and gardening services for the home. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 19 The home continues to encourage staff to achieve qualifications appropriate for the work they perform. Eight staff have completed NVQ courses at level 2 or above with a further four recently finishing and two more enrolling in January 2008. This means the service has exceeded the National Minimum Standards (NMS) recommended ratio of 50 of care staff with a relevant qualification. All new staff have a six month induction programme in a booklet that is produced by Sanctuary Care and in line with Skills for Care, Common Induction Standards (CIS). An initial three day induction about the service, the residents and the building leads into the workbook that is divided into six sections. The sections cover all standards relating to care including dignity, rights, choice, respect and independence. Policies around health and safety, fire awareness, infection control and medication management also form part of the induction. The manager oversees the induction process and staff spoken with said they were aware of comments made by the manager about progress achieved during their induction. Two new staff files were seen and both contained a photograph of the person and a criminal records bureau (CRB) check. Each files had two references and a contract listing the terms and conditions of the job. One file had evidence that the identity of the person had been checked but the other had no documents to establish identity. There were certificates for completed induction, first aid training, negotiation skills course and person centred planning. The staff files contained supervision records showing supervision took place every two months. The agenda was agreed between the supervisor and supervisee and covered areas of performance, training needs and future plans regarding possible de-registration of the home. Staff spoken with confirmed that they had regular supervision sessions and they found them constructive and supportive. The training matrix was seen and showed that a number of subjects needed updated training. The manager said they were aware of this and that Sanctuary Care has a training programme planned for 2008 to cover any shortfalls. The manager and a team leader are both trainers for Sanctuary Care and can do the theory for moving and handling but are not qualified to do the practical part of the course. This is one of the areas of shortfall being addressed by Sanctuary Care. There was evidence that courses in first aid, fire awareness, control of substances hazardous to health (COSHH) regulations, Boots medication management and recognition of abuse had been held and attended during 2007. Purplett House Residential Home DS0000067479.V357249.R02.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. People who use this service can expect to have their opinions sought and their welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has many years experience in working with people with physical and/or learning disabilities. They have managed the home during the previous company’s ownership and now continue under Sanctuary Care. They have achieved an NVQ level 4 in the management of care services. Staff and residents spoken with said the manager was approachable and gave clear guidance about the ethos and expectations of the service. Interactions observed on the day between residents, staff and the manager were relaxed and friendly. Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 21 The results of a quality assurance survey undertaken with the residents during 2007 were seen. They showed that residents were happy at the home and satisfied with their accommodation, housekeeping arrangements, care response and handling of complaints. As noted earlier in this report the level of satisfaction with the meal provision was only 41 were satisfied. The manager said that the residents were giving conflicting feedback when the issue was discussed and they are making menus a priority for the new chef to agree with the residents. Residents organise their own meetings every two to three months making minutes available to the manager and staff. Any issue raised at the meeting that requires management input is taken to the manager. Areas discussed were transport issues, the future of the home, smoking rules and proposals for outings. A number of residents have contact with ACE, which is an advocacy group supporting people with learning disabilities. One resident recently undertook training in advocacy and supports other residents informally within the home. A number of service certificates and maintenance records were seen and showed that the lift was serviced in April 2007 and a gas safety certificate was issued in the same month valid for a year. Hoists were inspected in November 2007. The fire log showed regular inspections and testing of fire alarms, extinguishers and emergency lighting. There was evidence that if a fault was identified it was reported and repaired. Purplett House Residential Home DS0000067479.V357249.R02.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 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 19 (1) (b) (i) Sch 2. Requirement All the required recruitment checks must be undertaken on all prospective staff and documentary evidence retained in their files as proof that checks have been made to protect residents from being supported by unsuitable staff. Timescale for action 03/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Purplett House Residential Home DS0000067479.V357249.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge CB21 5XE 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 Purplett House Residential Home DS0000067479.V357249.R02.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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