Care Home: Redwood House

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What the care home does well The service involves the residents in the planning of care, which affects their lifestyles and the quality of life. Residents are encouraged to make their own decisions and make choices. The staff understand the importance of residents being supported to take control over their lives. All residents receive a contract to which they have agreed. It gives clear information about the service in a format that can be understood by the residents. The use of advocates is encouraged. All the service users maintain some level of contact with their families; some go for weekends and some just for day visits. One service user regularly goes for a two-week periods. The home understands the importance of enabling younger adults to achieve their goals, follow their interests and be integrated into local community life and leisure activities in a way that is directed by the individual. All service users have an annual holiday, and are very much involved in the planning. This year three different holidays have taken place. People living in this home receive personal and healthcare support using a person centered approach with support provided that is based on dignity, equality, fairness, autonomy and respect. Staff listen to the residents and take account of what is important to them as individuals. This service has a complaints procedure that is clearly produced in a format that the residents understand. Training for safeguarding is provided for staff in this home, and other training around managing verbal and physical aggression is also on the training programme for all staff. This home provides a physical environment that is appropriate to the specific needs of the residents. The home is clean and tidy and promotes privacy, dignity and autonomy for the residents. The resident`s bedrooms were decorated very individually, and interior furnishings varied, depending on the service users needs, choices and safety. Staffing levels reflect the needs of the people who use the service. The rotas are flexible to fit around the lifestyles and daily activities of the residents. The manager demonstrates a clear understanding of the key principles and focus of this service. She is enthusiastic and is striving to make continuous improvements to promote the health, safety and welfare of the residents who live in this home. What has improved since the last inspection? This home is clean, comfortable and well maintained, and provides a safe environment for its` residents. Since the last inspection, ornaments and pictures have been introduced to the main day area, giving it a more homely feel, and a new fitted kitchen has been installed. CARE HOME ADULTS 18-65 Redwood House 54 Sharpenhoe Road Barton-le-clay Bedfordshire MK45 4SD Lead Inspector Mrs Louise Trainor Unannounced Inspection 24th October 2008 12:20 Redwood House DS0000014951.V372837.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 Redwood House DS0000014951.V372837.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. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redwood House Address 54 Sharpenhoe Road Barton-le-clay Bedfordshire MK45 4SD 01582 881325 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) Complete Care Services Limited Mr Stephen Ofosu Koranteng Care Home 7 Category(ies) of Learning disability (7), Mental disorder, registration, with number excluding learning disability or dementia (7) of places Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2007 Brief Description of the Service: Redwood House was situated on the outskirts of Barton-Le-Clay approximately midway between Luton and Bedford with good road access to both towns. The registered owners are Complete Care Services Ltd who have operated the home since it opened in 2000. The manager had been registered in March of this year but had been in post for several months prior to this. The service was registered to provide care for up to seven younger adults with a learning disability. The home was within walking distance of the village centre and local amenities. The building had been converted and extended from its original use as a family home. It was set in generous grounds. All the bedrooms were for single occupancy, two rooms had en-suite facilities and the garage had been converted to provide a meeting room and when required an activity/day care area. The fees for this home range from £1050.00 to 1250.00 per week. Redwood House DS0000014951.V372837.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 stars. This means the people who use this service experience good quality outcomes. This inspection was carried out in accordance with the Commission for Social Care Inspection’s (CSCI) policy and methodologies, which require review of the key standards for the provision of a Care Home for Adults (18-65) that takes account of service users’ views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. This was the first Key Inspection for this service since January 2007, as it had been rated as a good service. An Annual Service Review (ASR) was carried out in March 2008. This was an unannounced visit and was carried out on the 24th of October 2008 by Lead Inspector Louise Trainor between the hours of 12:20 hours and 15:45 hours. The manager of the home was present to assist throughout most of the inspection and guided the inspector on a full tour of the premises. There are presently six service users living at Redwood House. Five male, and one female. The most recent admission to this home was in 2003. The inspector met four of the service users, though some just in passing, and spoke to two in more depth. One of these residents was picked at random by the inspector for tracking with the agreement of the resident. This involved viewing all the documentation relating to their care, visiting them in their personal bedroom areas and chatting with them informally. Documentation relating to medication administration, service users’ finances, staff personal files (including supervision and training records), quality assurance and business planning, and health and safety checks, were also made available for inspection. This home has a small workforce of twelve including the manager, however the inspector only had the opportunity of speaking with two of them during this visit. The inspector would like to thank everyone involved for their assistance and support during this inspection. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 6 What the service does well: The service involves the residents in the planning of care, which affects their lifestyles and the quality of life. Residents are encouraged to make their own decisions and make choices. The staff understand the importance of residents being supported to take control over their lives. All residents receive a contract to which they have agreed. It gives clear information about the service in a format that can be understood by the residents. The use of advocates is encouraged. All the service users maintain some level of contact with their families; some go for weekends and some just for day visits. One service user regularly goes for a two-week periods. The home understands the importance of enabling younger adults to achieve their goals, follow their interests and be integrated into local community life and leisure activities in a way that is directed by the individual. All service users have an annual holiday, and are very much involved in the planning. This year three different holidays have taken place. People living in this home receive personal and healthcare support using a person centered approach with support provided that is based on dignity, equality, fairness, autonomy and respect. Staff listen to the residents and take account of what is important to them as individuals. This service has a complaints procedure that is clearly produced in a format that the residents understand. Training for safeguarding is provided for staff in this home, and other training around managing verbal and physical aggression is also on the training programme for all staff. This home provides a physical environment that is appropriate to the specific needs of the residents. The home is clean and tidy and promotes privacy, dignity and autonomy for the residents. The resident’s bedrooms were decorated very individually, and interior furnishings varied, depending on the service users needs, choices and safety. Staffing levels reflect the needs of the people who use the service. The rotas are flexible to fit around the lifestyles and daily activities of the residents. The manager demonstrates a clear understanding of the key principles and focus of this service. She is enthusiastic and is striving to make continuous improvements to promote the health, safety and welfare of the residents who live in this home. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 7 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. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 People who use this service experience excellent quality outcomes in this area. All residents receive a contract to which they have agreed. It gives clear information about the service in a format that can be understood by the residents. The use of advocates is encouraged. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Discussions with the manager revealed that this home has not had any new residents admitted since 2003. Although one resident moved away from the home approximately one year ago, the home have not yet found a new resident that has been compatible with the rest of this community. However he was able to discuss in depth the protocols that are in place for this process. Prior to any admissions being considered they are first fully assessed to ensure that all the individuals’ needs and goals will be successfully addressed and met within this environment. Prospective service users are then invited to visit the home, and overnight/weekend stays are arranged. This enables the team to assess how compatible an individual would be with the rest of the residents Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 10 who live here. Only then is a permanent placement considered, involving input from: the service user, the family and representatives of the service user, social workers and other specific professionals as appropriate. All placements are then reviewed on a regular basis to ensure the placement is successful. All the residents who live in this home have extensive information about the service they will receive. This information and the terms and conditions are produced in Makaton format so that everyone has a clear understanding of all the relevant information. Terms and conditions that we looked at had been signed by the home manager and the residents themselves. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 People who use this service experience good quality outcomes in this area. The service involves the residents in the planning of care, which affects their lifestyles and the quality of life. Residents are encouraged to make their own decisions and make choices. The staff understands the importance of residents being supported to take control over their lives. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All service users have a very detailed file that contains in depth information relating to their needs, their personal goals, and the level of the support they require achieving them. These were all updated on a regular basis. The file that we examined during this inspection contained the following documentation, and much more besides: Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 12 A fully completed contract, signed and dated, personal goals and aspirations for 2008, identification of the allocated Key Worker for this particular rwesident, care plans relating to various needs from moods and mobility to recreational pursuits, a full medical history, psychology reports, a crisis management report and a weekly budget sheet that was presented in picture form to ensure easy understanding. Conversations with this resident confirmed that he was fully aware of the content of his file, and had been involved in the care planning process. His needs assessment had been produced in Makaton format. All care plans had corresponding risk assessments completed and had been regularly reviewed. There is a monthly residents meeting held in the home, where service users are encouraged to voice their opinions and contribute their own ideas about daily life. It is through these meetings that menus and holidays are planned, and activities / outings are arranged. The staff also use this meeting as an opportunity to educate the residents, to learn to listen and respect others’ opinions. Although residents do not always attend these meetings, as this is their personal choice, their views are still explored by staff and considered in the decision making processes within the home. All service users are encouraged to assist with the preparation of shopping lists, daily shopping trips and general day- to- day household chores. One resident is given £5.00 at the beginning of each week, and it is his responsibility to buy the bread and milk each day for the home. He returns the change and receipts to the manager at the end of each week. Another resident is responsible for checking the cleaning stocks and writing a list of all cleaning products required each week. Two of the residents in this home are from ethnic backgrounds, and both have a weekly trip to a local ethnic community, where they may have a meal in a restaurant or do shopping, and one in particular enjoys being able to speak to people in Ghuturati. Neither of them have a wish to follow religious beliefs, however they have been encouraged to attend local worship ceremonies. All the service users maintain some level of contact with their families; some go for weekends and some just for day visits. One service user regularly goes for a two-week periods. Redwood House DS0000014951.V372837.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): 11, 12, 13, 14, 15, 16, 17 People who use this service experience excellent quality outcomes in this area. The home understands the importance of enabling younger adults to achieve their goals, follow their interests and be integrated into local community life and leisure activities in a way that is directed by the individual. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All the residents that we met at this home, appeared happy and at ease in the company of the staff and fellow residents, and are well presented and cared for. All the service users have an individual weekly programme, which is displayed on their personal notice board in their bedroom, in a format that they can understand and follow. This includes visits to college or day centres for part of Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 14 their week and time spent in Redwood House focusing on individual personal development, which may include shopping, laundry or other daily living tasks. The resident that we tracked does not attend college, however goes out into the community three days a week with a representative from the Independent Care Agency (ICA), and pursues his farming interest, visiting local farms where he can look at tractors and other farm machinery. Pictures in his room also reflect this interest. When service users return from work at approximately 16:30 hours, they are free to pursue any activities they wish. This may include activities within the home, visits to evening clubs based in the local area or other external activities, such as bowling or the cinema accompanied by staff. On return from work in the evenings, service users also prepare their own ‘packed lunch’ for the following day, and are involved in the preparation of the evening meal. One resident is allocated to ‘kitchen duties’ each day, their capabilities assessed and their involvement in meal preparation planned accordingly. This may range from washing up to peeling and preparing vegetables. We looked at the fridge and freezer facilities, both were well stocked, fresh produce and jars were being dated on opening, and temperatures were being recorded daily. All service users have an annual holiday, and are very much involved in the planning. This year three different holidays have taken place. Three residents and three staff spent time in Norfolk, while another resident chose to go away with just one member of staff. One resident did not want to join in any of these holiday arrangements, and instead chose to spend the time away with his sister. Redwood House DS0000014951.V372837.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, 20, 21 People who use this service experience good quality outcomes in this area. People living in this home receive personal and healthcare support using a person centered approach with support provided that is based on dignity, equality, fairness, autonomy and respect. Staff listen to the residents and take account of what is important to them as individuals. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: There is a detailed policy for the administration of medications in place in this home. It includes a section on ‘household remedies’, listing the medications that are under this category. It also includes a section regarding ‘covert medication’, a monthly audit, and certificates for all staff that have completed appropriate training enabling them to administer medication. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 16 There is a risk assessment for each service user regarding ‘self medication’, however at present only one resident has been assessed as safe to carry out this level of independence. All medication is dispensed in the NOMAD cassette system by a local pharmacy, and all records and stocks reconciled correctly. The only criticism relating to mediations was that the home does not have facilities to store Controlled Drugs (CDs) appropriately. At present there are no residents receiving these particulars medications, however it is a realistic expectation that these residents could have them prescribed at any time. If this were to happen the home would not be legally able to meet the resident’s needs. We therefore suggested that the manager look into this matter. The service users in this home are of varying independence levels, and support is given accordingly. Physical and emotional needs are all addressed within the individual care plans, and addition visits, appointments and treatments with GP’s, Consultant, Psychologists and any other involved disciplines, are recorded on a separate document. Each service user file also contained a form relating solely to Standard 21:’The ageing, illness and death of a service user are handled with respect and as the individual would wish’. In each case this was completed, signed and dated by the service user and a representative of the home. Redwood House DS0000014951.V372837.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, 23 People who use this service experience good quality outcomes in this area. This service has a complaints procedure that is clearly produced in a format that the residents understand. Training for safeguarding is provided for staff in this home, and other training around managing verbal and physical aggression is also on the training programme for all staff. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: This home has a clear complaints policy in place, and all residents have a copy, which is in a format they understand. Since the last inspection there had not been any formal complaints to this home. There had been one POVA referral made, about a year ago, and this had been managed appropriately by the home. Observations of the interactions between staff and service users gave an impression of trust and mutually respectful friendships. Service users are involved in monthly meetings in order to capture their views and opinions on all aspects of life in the home. There is also evidence to indicate that service users are involved in the planning of their own care with consideration being given to their personal goals and aspirations. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 18 Training is in place for the Protection of Vulnerable Adults, and all staff have attended these sessions, however refreshers are now due for some staff. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 People who use this service experience good quality outcomes in this area. This home provides a physical environment that is appropriate to the specific needs of the residents. The home is clean and tidy and promotes privacy, dignity and autonomy for the residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The ground floor is comprised of a good sized lounge- dining room, the kitchen and a smaller dining area, a laundry room, drug room and one bedroom with an en suite shower room. On the first floor are six more single bedrooms, one Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 20 of which has an en suite bathroom. There is also a bathroom and a shower room on this floor. There is a small annex on the ground floor level; this has an office, and an activity room that doubles up as a sleep in room for the ‘waking night staff’. The service users bedrooms were decorated very individually, and interior furnishings varied, depending on the service users needs, choices and safety. One service user had a variety of ornaments, photographs and other personal belongings in her room, which was wall to wall with pop star posters. However another service user’s room was very sparsely furnished, this was due to the fact that too much furniture may impede interventions that maybe required for a medical condition. This is clearly reflected in this resident’s personal file. All individuals’ rooms had a locking facility in place. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 People who use this service experience good quality outcomes in this area. Staffing levels reflect the needs of the people who use the service. The rotas are flexible to fit around the lifestyles and daily activities of the residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The work force in this home is relatively small and is made up of a manager, a deputy manager, one senior support worker and several support workers. There is a well- established core to this team, many of which have been in post since the home first opened in 2000. There is a shift system in place, which places three staff on a day shift from 07:45 hours – 20:15 hours, plus the manager, and two staff on a night shift from 20:00 hours – 08:00 hours, one waking and one sleeping. There is a full training programme in place for the staff in this home. However the training that is provided by an outside agency is presently under review. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 22 There are regular ‘in-house’ courses, which are generally led by the manager and his deputy who have both received train the trainer training. The overall programme includes leadership skills training for the more senior staff, and a variety of courses, both mandatory and more specialist subjects, available for all staff. The inspector examined three staffs’ personal files, and all contained numerous certificates for training courses that they had attended. Other documentation in these files included, full employment histories, appropriate references, CRB certificates, photograph identification and supervision records that identified all staff receive supervision from either the manager or the deputy every other month. The manager also receives supervision from a senior company representative on a regular basis, and stated that he also benefits from peer supervision from the managers of the company’s’ other three homes. The majority of staff in this home, are from overseas, and appropriate Home Office paperwork / passports were available in all files that were seen. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, 43 People who use this service experience good quality outcomes in this area. The manager demonstrates a clear understanding of the key principles and focus of this service. He is enthusiastic and is striving to make continuous improvements to promote the health, safety and welfare of the residents who live in this home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The manager of this home has been in post for several years, and has many years’ care and management experience prior to this post. He is service user focused, ensuring that service users health, safety and welfare are a priority. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 24 He monitors the quality of care through; residents meetings, internal audits, questionnaires to residents and their representatives and the Area Managers’ monthly visits. Policies and procedures are closely adhered to ensuring that service users rights are safeguarded at all times. The manager of this home is not appointee for any of the service users, however they all have a pocket –money account that is in a locked cupboard. Four individuals’ accounts were inspected. All transactions were clearly documented, dated and signed by two staff, and the resident where practicable, and receipts were present to correspond with all transactions, this included receipts for purchases from shops and also for cash withdrawals. We looked at the accident / incident report book, this was being appropriately completed, and where necessary incidents were being reported to the safeguarding team. Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 4 3 3 4 3 5 4 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 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 3 3 3 3 3 3 Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement People in this home must be protected by the appropriate storage and recording facilities for controlled drugs. Timescale for action 31/12/08 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 Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection 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 Redwood House DS0000014951.V372837.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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