Care Home: Ridgecott

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What the care home does well Peninsula Autism Services and Support Limited (PASS), encourages staff training and development ensuring that people who live at the home receive the best possible service. The home continues to update and maintain the decoration of the home and upgrade the environment as needed. Relative surveys returned to the home wrote, "I like the openness where I can just arrive unannounced to visit" and another said, " Caring and warm atmosphere". What has improved since the last inspection? The home has benefited from new carpets throughout the hallways; new lounge furniture and most of the people who live in the home have had their bedrooms re-decorated to their choosing. CARE HOME ADULTS 18-65 Ridgecott 189 Ridgeway Plympton Plymouth Devon PL7 2HJ Lead Inspector Kim Fowler Key Unannounced Inspection 27th August 2008 10:00 Ridgecott DS0000069613.V370537.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 Ridgecott DS0000069613.V370537.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. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgecott Address 189 Ridgeway Plympton Plymouth Devon PL7 2HJ 01752 330495 01752 313329 staff@ridgecott.com 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) Peninsula Autism Services & Support Limited Mrs Joanne Evans Care Home 12 Category(ies) of Learning disability (12), Physical disability (12) registration, with number of places Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning Disability (Code LD) Physical Disability (Code - PD) The maximum number of service users who can be accommodated is 12. 31st August 2007 2. Date of last inspection Brief Description of the Service: Ridgecott is a care home providing personal care and accommodation for twelve people with learning disabilities aged over 18, who may also have associated physical disabilities. The home is owned by Peninsula Autism Services and Support Limited (PASS), which also own other care homes in Devon and Cornwall. Fee levels vary depending on the individual needs of service users. Information about the home and copies of inspection reports can be obtained from the Registered Manager, Joanne Evans. Ridgecott has been a care home for several years and was purchased by the present owners in February 2007. It is comprised of a two-storey house in Plympton, on the outskirts of Plymouth. The home is within walking distance of local shops, the centre of Plymouth is accessible by public transport, and the home has its own vehicle. All the bedrooms are single and are located on each floor. Four of the bedrooms have en suite toilets with showers. There are also showers/baths and toilets on each floor, close to bedrooms and communal rooms. There is a through lounge/dining room on the ground floor with dividing doors that can be closed if required. The home has a call bell system installed in most of the rooms for service users and/or staff to summon assistance if needed. The home has been partially adapted to accommodate service users with physical difficulties. The home has outdoor space at the front and the back of the property and its own car park. Ridgecott DS0000069613.V370537.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. The unannounced inspection took place over 1 day and started at 9:30am and finished at 3:00pm. The Registered Manager Joanne Evans was available throughout the inspection. We made a tour of the building and spoke to most of the people living at the home. Documentation relating to the care planning process and the management of the home were examined. The inspector also spoke to the manager and all the staff members on duty during the inspection. Two surveys were received before the start of the inspection. Any comments received during the inspection are in the relevant section of the report. What the service does well: What has improved since the last inspection? What they could do better: No Requirements or Recommendations have been made in this report. Please contact the provider for advice of actions taken in response to this Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 6 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. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2/4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents referred to the home can be assured that they will be provided with sufficient information for them to make an informed choice about living at this care home. EVIDENCE: The Registered Manager confirmed that there had been no new residents since Peninsula Autism Support and Services Limited bought the home in February 2007. There is an admission procedure and assessment process to ensure that the needs of prospective residents are identified. Prospective residents are encouraged to visit the home before admission. This procedure is based on person centred planning to ensure any prospective residents are suitable for admission to the home. The admission process also includes taking a full history and assessment of needs. This would ensure that the care needs of any person moving into the home could be met. Pre-admission information would also provide information for individual care plans. This information would be important so people are assured that not only Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 9 can their health care needs, but also their physical needs, are managed and met by the home. A person considering coming to live at the home was visiting on the day of the inspection. Observation showed that the manager and the staff of the home assisted this person and their relative to spend time visiting, meeting people and discussing how to meet their individual needs. The home’s AQAA returned to the Commission states, that they have improved the Service Users Guide. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6/7/9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service People are encouraged and supported to make daily decisions about their own lives to maintain their independence. EVIDENCE: The files for three people living at the home were examined. All three files examined held individual care plans, the details held on these files were used by staff to meet people’s needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage people, some of whom may have restriction on their movements. Each individual plan provided staff with the information on how to care for each person and ensure continuity in care. All plans ensure that all aspects of health, personal and social needs will be met. The home’s files and care plans were supported by the placing authority care plan and each showed that they had been reviewed regularly and updated with Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 11 changes. Individuals are invited to attend review meetings and participate as much as possible. Staff were observed throughout the inspection assisting people to make decisions about everyday issues. This included any trips out that day and the choice for lunchtime meal. The manager stated that each person is given options about were to go on holiday or day trips, and then the options available are discussed and destination chosen. The homes AQAA states that they have improved over the last 12 months, “person centered planning training”. Those people who were able to confirm that they choose where they went, when they went out, and one person said, “I go to the local shops”. All care plans held risk assessments to cover all aspects of risk. These risk assessments included independent living skills and manual handling risk assessments, with assistance on using the hoist if required. This information is important to minimize risk. The manager confirmed that one person was having a review today by the Occupational Therapist to assess if their needs have changed; this appointment was confirmed in the home’s diary. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12/13/15/16/17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in Ridgecott can be confident that the home will promote and provide support for them to access the local community and leisure activities as much as possible. EVIDENCE: All the people living at the home were spoken with, and some were able to confirm that they go out to the local shops, a music session and swimming. Staff spoken with were able to confirm that the home has its own allotment where there are plans to grow their own fruit and vegetables. Through observation during the inspection a person was heard discussing with staff the menu for that day and what they plan to cook for lunch. The manager confirmed that due to the needs of people living in the home they are unable to hold down paid employment. There are different activities within the home to ensure each person has structured activities arranged. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 13 Other social activities included local discos. Some people attend a day centre. The home has its own mini bus and staff arrange regular trips based on people’s preferences. One person living at the home said, “ I like the music sessions”. The home’s AQAA records under what they do well, “Finger spelling and some makaton and visual aids are used to develop service users communication skills. Independent living skills are incorporated into daily activity programme”. Evidence was recorded in the files examined of input from relatives and friends. The staff confirmed that several people have regular visits from family members and some people visit the families at home. One person said, “I visit my mum” and another said that their Dad was going to visit. Observation throughout the day was that people living in the home were participating in daily routines including tidying up. One person was able to confirm that the staff knock on their doors to gain entry. Information held on files is used to promote the respect, privacy and dignity of each person living in the home; the home and the grounds are assessable for wheelchair access. One relative said in a survey sent to the company, “ Caring and warm atmosphere”. Everyone spoken with about the food made positive comments and several people confirmed that they go to the shops and assist with choosing the shopping. One person said, “ I like the food” and another stated, “I can choose the food I like”. The staff confirmed that there is a menu available but it is discussed with the people living in the home regularly to change and update it as needed. The lunch meal served provided evidence that individual choices of food were offered. Further observation during lunch provided evidence that everyone has staff support and specialist equipment if required, which promotes independence at meal times. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 14 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. This judgement has been made using available evidence including a visit to this service. Staff were observed promoting individuals independence and providing good personal support, promoting privacy and dignity at all times. Access to health care is maintained to promote the wellbeing of all who live in the home. EVIDENCE: All personal support is recorded into individual care plans and these are easily accessible for staff. All rooms are single. People who require assistance with moving have a ‘moving and handling plan’ to inform staff on how each person prefers to be supported. One person’s plan is due to be updated today by the visiting Occupational Therapist. This ensures consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of people’s needs and promotes consistency in care. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 15 A person, observed during the inspection, was discussing with a staff member as to who would assist them with their personal care needs. Another person, living at the home, also requires specialist input and evidence was recorded that the Community Nurse and Dementia Screening team had assisted in providing an assessment and input to the home, to ensure this persons changing needs are met. The files examined provided evidence that specialist support is provided and included attendance of Occupation Therapist services. Other files contained letters for hospital out patient appointments and confirmed future dates are arranged. This ensures that each person’s health needs are met and that specialist input is sought. One person had recently had an admission to hospital but was now home. The file for this person was examined - the staff are to be commended for the regular contact and input the home provided for this person during their stay in hospital. The manager confirmed that the home had reviewed this person’s Risk assessment form to ensure staff were aware about how to meet this person’s changing needs. The medication system was checked during this inspection and found to be well recorded and documented. The controlled drug record was checked and provided evidence that this was clearly recorded and the correct amount held. Staff designated to administer medication have received medication training. One staff member confirmed that they had received medication training and the manager confirmed that new staff shadow more experienced staff until competent to administer medication. The home’s AQAA states on what they would like to improve over the next 12 months, “we have introduced double signatures onto medication sheets”. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22/23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Ridgecott can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. EVIDENCE: The home has a complaints procedure in place and is clearly displayed on the home’s notice board. This information included how to contact the CSCI and the process of how a complaint is dealt with including timescales. The Commission had received no complaints. However the home focuses on asking people verbally if they have any worries or concerns and the AQAA states, “ we ensure there is a complaints procedure on view for service users and visitors i.e. families”. Many of the people living at the home were spoken with, one person thought they were aware of the homes complaint system. However each person has in their individual file a comment card that staff are able to complete straight away if anyone raises any concerns or issues. The manager and the staff team then deal these issues raised. The home has recently has a thematic inspection carried out. (A thematic inspection is a short, focused inspection that looks in detail at a specific theme.) One area this thematic inspection focused on was Safeguarding and how well this service makes sure people are protected from abuse. The reports states, “ All staff spoken with had a clear understanding of what safeguarding issues are, or how a persons rights and protection are seen as a Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 17 priority. All staff spoken to were committed to safeguarding people in all aspects of their daily life. This means that staff will be aware of the signs of abuse and will know what to do if an allegation is made to them”. Several staff confirmed that they had received the Safeguarding training via the company’s training department. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24/30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ridgecott continues to update and upgrade a clean and suitable environment for its stated purpose, and people living at the home can be assured that they will live in a comfortable home that is regularly maintained. EVIDENCE: A full tour of the premises showed that the home is suitable for its stated purpose. The home is well kept, safe and accessible for all the people currently living at the home. The previous inspection report made a recommendation “The use of coded locks on doors to communal rooms, particularly the dining/lounge room, should be reconsidered”. This issue has now been resolved with the removal of this lock. All outer doors now have alarms fitted for use at nighttime to ensure the safety of individuals. Some bedroom doors now have locks fitted; however some people choose not Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 19 to have these fitted. Risk assessments are held on individual files reflecting these choices. The company employs a maintenance person who carries out everyday repairs, Some areas of the home are due to be upgraded. A relative survey sent to the company says, “Comfortable but rather old fashioned”. The recent improvements to update the home have included the entire lower floor (painted, with new sofas in place and new carpets due to be fitted). The walls are decorated with new pictures/canvas’s completed by people living in the home. There is new carpet in the hallways and ultra flooring, to manage continence issues, in some of the bedrooms and one of the bathrooms. Further improvements planned, as recorded on the homes AQAA includes, “re decoration for all service user rooms/driveway to be improved/outside walls to be painted”. All staff has completed an infection control course and the premises were clean, hygienic and free from offensive odours; the laundry facilities were separate and a sluice was available. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32/34/35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. EVIDENCE: The staff were observed throughout the inspection responding sensitively and respectfully to each person living in the home and thus were able to use their knowledge of individuals to encourage choice and independence where possible. All staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the people living in the home and some of the activity sessions observed showed the staff and the people living in the home having fun in a relaxed friendly atmosphere. Some of the people living in the home were able to confirm, as were the staff spoken with, that there were sufficient staff on duty to meet the current needs Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 21 of people living in the home. On the day of the inspection the Manager, 3 care staff and a housekeeper were on duty. The manager said there was usually 4 staff in the morning but one was currently on leave. There are currently 2 staff ‘sleeping in’ at night but the manager was looking at changing this to ‘awake’ staff, to meet the changing needs of some of the people living in the home. Observation showed that the staff members on duty were aware of individuals needs and how best to support them. Some of the people living in the home were able to say that the staff team were very good and it was evident that there was a good rapport between everyone living and working in the home. Examination of staff files showed that most staff had the required preemployment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. A previous recommendation was that any staff who has a offence recorded on their CRB and are interviewed about this, should have this recorded to demonstrate that the home is taking appropriate steps to protect people living in the home. The manager confirmed that this is now carried out and any information recorded into staff files. Discussions with manager and the staff showed that all staff participate in training, and attend update training courses when needed. The training recorded in individuals files show that induction, adult protection, first aid, health and safety, fire safety, medication, food hygiene, National Vocational Qualifications (NVQ’s) and courses related specifically to working with people with learning disabilities is regularly undertaken. These include course on epilepsy, dementia and total communication skills. The home’s AQAA records that they will have, “all staff (trained) to have NVQ 2 or above”. The company has a Education Co-ordinator to assist with staff training and a new training programme is displayed on the office wall and shows course booked for the following few months and include Fire Safety. Several staff members were spoken with during this inspection and all confirmed regular training was offered. These staff also felt that they were able to express their view at staff meetings held in the home. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the home’s aims and objectives, philosophies of care and promotes consistency and improvement. One staff member said of the staff team, “The staff team are very good”. One person living in the home said, “I like the staff”. A relative survey returned to the company had the following comment, “Staff have always been very helpful”. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37/39/42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of this home is very good and ensures that records are effectively maintained. And the staff team are well trained to meet the needs of people living at the home. EVIDENCE: The home continues to be managed by Joanne Evans, who has been managing this home since February 2007 but has worked in the home for many years. She has completed a level 4 National Vocational Qualification (NVQ) in Care and has completed the Registered Manager’s Award, thereby demonstrating that she keeps herself up to date with current good practice in social care. The company’s senior management team who visit the home on a regular basis supports the Registered Manager. The manager is due to start the “Train for Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 23 Trainer” course at college in September. This will assist the staff with all further training needs. Discussions with the people living in the home and the staff on duty confirmed that the manager is approachable and is highly thought of by all spoken with. The home held completed quality assurance surveys sent by the company. All show positive comments and the manager plans to extend these to include GP’s and other professional who visit the home. The homes has recorded in their AQAA that they will introduce “Family Forums”. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoist, ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. Electrical systems were being serviced during the inspection by a outside contractor. All radiators are now covered and related risk assessments in place. The fire protection system was well maintained. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. This provides evidence that a recommendation in the last inspection report where weekly fire alarm testing be carried out is now completed. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Ridgecott DS0000069613.V370537.R01.S.doc Version 5.2 Page 26 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. 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