Care Home: Rosewood

Similar services:

• Insight - Eastchurch
• Southfields
• Thorndene
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well Following registration as a new service Rosewood opened in December 2006. The stated purpose of the service was to provide an opportunity to experience more independent living for four identified residents who had been accommodated in another registered service owned and run by the same provider. This is a care home where younger adults with autism are well looked after. There is a very clear emphasis on ensuring residents are included in all activities within this care home. Each resident has very different levels of ability. However, they work well as a group and are able to make use of each others abilities. This means that residents at this care home are gaining a very positive experience of living in the community. Staff on duty were very caring and understood how care to residents should be provided. The atmosphere was very calm and very homely. What has improved since the last inspection? This is the first inspection since Rosewood was registered in December 2006. What the care home could do better: It was suggested that staff induction records should be amended to include the principles of good care practices, such as respecting the privacy, dignity, independence and individuality of residents. This will mean that records will more accurately reflect induction training provided. CARE HOME ADULTS 18-65 Rosewood 18 St John`s Avenue Burgess Hill West Sussex RH15 8HH Lead Inspector Mr D Bannier Unannounced Inspection 8th June 2007 10:00 DS0000068990.V339710.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 DS0000068990.V339710.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. DS0000068990.V339710.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Address 18 St John`s Avenue Burgess Hill West Sussex RH15 8HH 01444 01444 483448 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Disabilities Trust Mrs Susan Caroline Stopa Care Home 4 Category(ies) of Learning disability (4) registration, with number of places DS0000068990.V339710.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Rosewood is a care home, which is registered to provide personal care for up to four service users in the category learning disability (LD) who are between the ages of 18 to 65 years of age. The service has been set up to provide care and accommodation for younger adults with autistic spectrum disorders. It is a semi- detached property, which has been extended and adapted for its current use, and is located in the town of Burgess Hill. The property is a two storey building providing private accommodation to service users in four single bedrooms located on the ground and first floors. Communal accommodation is made up of two lounges and a dining room located on the ground floor. An enclosed garden, which is available to service users, is located to the rear of the premises. Fee levels currently range from £1785.00 to 2300.00 per week. Personal items such toiletries, chiropody and hairdressing is not included. The registered provider of this service is The Disabilities Trust. The Responsible Individual acting on behalf of the organisation is Mr Mike Pilbeam. Mrs Susan Stopa is the registered manager and is responsible for the day to day running of the care home. DS0000068990.V339710.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using methodology introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place. For example, information has been used from information provided by the manager in the Annual Quality Assurance Assessment (AQAA) and satisfaction questionnaires completed by residents and their relatives. This visit was unannounced and started at 10am. It took place over seven hours. Due to severe disabilities it was not possible to have meaningful discussions with residents. However the inspector did meet and have lunch with all four of the residents who are currently living at Rosewood. The inspector also observed care practices. This gave the inspector a picture of how it is to live at this care home. The inspector also spoke to three staff who were on duty. This helped the inspector to gain a sense of the work staff are expected to do. The inspector saw the communal areas and the private accommodation. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. Mrs Susan Stopa, the registered manager, was present at the beginning and at the end of the inspection. Mrs Stopa and the staff on duty kindly assisted the inspector with his enquiries. What the service does well: Following registration as a new service Rosewood opened in December 2006. The stated purpose of the service was to provide an opportunity to experience more independent living for four identified residents who had been accommodated in another registered service owned and run by the same provider. This is a care home where younger adults with autism are well looked after. There is a very clear emphasis on ensuring residents are included in all DS0000068990.V339710.R01.S.doc Version 5.2 Page 6 activities within this care home. Each resident has very different levels of ability. However, they work well as a group and are able to make use of each others abilities. This means that residents at this care home are gaining a very positive experience of living in the community. Staff on duty were very caring and understood how care to residents should be provided. The atmosphere was very calm and very homely. 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. DS0000068990.V339710.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 DS0000068990.V339710.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual needs and aspirations have been assessed. EVIDENCE: Documents and records seen confirmed that the needs of the identified residents had been appropriately assessed. There was also evidence that the process of moving residents into Rosewood included meetings and discussions with residents, their families and commissioning authorities to confirm the purpose of the new service and to provide an opportunity for interested parties to ask questions of representatives of the provider. Surveys returned by all residents and the relatives of two residents confirmed that they had been asked about the move and had been provided with all the necessary information they needed before deciding to move into Rosewood. Discussions with staff on duty confirmed they had been made fully aware of the needs of each resident and how they should be met. DS0000068990.V339710.R01.S.doc Version 5.2 Page 9 DS0000068990.V339710.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Where possible, residents have been consulted when care plans have been drawn up. Care Plans include residents’ own aspirations and goals. Residents are encouraged to make choices about their own lifestyle, with support where needed. Residents have been involved with day to day decisions about the running of the care home. EVIDENCE: The inspector examined the care records of two residents in depth. The information provided was comprehensive and detailed. It gave a clear diagnosis for each resident and also outlined their individual needs. The registered provider’s multi disciplinary team has also developed guidelines. DS0000068990.V339710.R01.S.doc Version 5.2 Page 11 This team comprises trained psychologists who have an expertise in working with people with disorders on the autistic spectrum. Staff are expected to follow guidelines, which gives them specific instructions to ensure they work in a consistent and continuous manner with residents. Guidelines have been reviewed regularly to ensure they are up to date and reflect the current needs of each resident. Residents and their families are encouraged to take an active part in reviews of care plans to ensure they include each resident’s own aspirations and goals. Each resident has an individual activity programme for each day. This includes clear information about the manner in which they get up and have care provided to them and also includes a range of activities, including free time. Surveys returned by residents confirmed they are able to decide what they want to do each day. Discussions with staff on duty confirmed they have good information about the individual needs of each resident and the actions to be taken by them to ensure they are met. Resident meetings are held regularly. Residents are supported by staff and encouraged to discuss and agree how their home should be run. A list of house rules has been drawn up with the residents. This includes ensuring the house is kept tidy and radios or CD players is kept to a lower volume in the evening when some residents may be in bed asleep. When a resident does not keep to the rules, a fellow resident will speak to them about this. DS0000068990.V339710.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in appropriate activities. Residents have been encouraged to become part of the community. Residents have been supported in forming/maintaining personal and family relationships. Residents have been provided with a healthy, varied and appropriate diet. EVIDENCE: Each resident has an individual activity programme for each day. This includes clear information about a range of activities, including free time, in which they wish to participate. It was clear from records and documents seen, and meeting with residents, that each programme has been drawn up with the DS0000068990.V339710.R01.S.doc Version 5.2 Page 13 interests and hobbies of each resident in mind. Activities include woodwork, art and crafts, song writing, gym and keeping fit. These are provided at a day care facility that is run by the registered provider. Activities arranged for residents, which are located in the community include college courses, social clubs, swimming and singing lessons, and also trips to the pub. One resident has a job working in a local charity shop. Where appropriate, residents are able to go out into the local community unaccompanied. Surveys returned by residents confirmed they are able to do what they want each day and at weekends. Surveys returned by relatives also confirmed residents have been supported to live the life they choose. According to records seen residents are encouraged to keep in touch with their families. One resident will go on their own to visit their family at the weekend. Another resident stays with their parents over the weekend from time to time. This resident also has regular telephone calls from them. Guidelines drawn up include all such activities and provide staff with clear instruction regarding how they should support each resident in their chosen activity. Surveys returned by relatives confirmed residents have been helped to keep in touch with them. One relative commented, “We have our son home every month.” The inspector joined residents and staff for lunch. Where appropriate residents are expected to help with the preparation of the meal. A resident offered to make an egg sandwich for the inspector, whilst making their own. The inspector enjoyed the sandwich very much. The meal consisted of various sandwiches, beans or sardines on toast followed by yoghurts. Fruit cordial was available for those that wanted it. The inspector observed residents clearly enjoyed the food provided. The inspector was advised that the main cooked meal of the day is in the evening. This is more practical as, during the day, residents are in and out of the house taking part in various activities. All residents and staff on duty sit together for this meal. The inspector was also advised that residents draw up the menu with assistance as necessary from staff. Before the completion of the inspection, the inspector noted that the meal being prepared was fish and chips. The inspector examined the menu for the week and concluded residents have been provided with a varied and nutritious diet appropriate to their needs. DS0000068990.V339710.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support and personal care provided takes into account the wishes and personal preferences of each resident. The physical and emotional health care needs of residents have been met. Staff take care of prescribed medications in a way that protects and supports residents. EVIDENCE: Each resident has an individual activity programme for each day. This includes clear information about the manner in which they get up and have care provided to them. Staff are expected to follow guidelines which gives specific instructions to staff to ensure they work in a consistent and continuous manner with residents. Following observations of staff interacting with residents the inspector concluded that staff do follow these guidelines. DS0000068990.V339710.R01.S.doc Version 5.2 Page 15 Guidelines have been reviewed regularly to ensure they are up to date and reflect the current needs of each resident. Residents and their families are encouraged to take an active part in reviews of care plans to ensure they include each resident’s own wishes regarding how they want care and support to be provided. Surveys returned by residents confirmed that staff do listen and act on what the resident says. Surveys returned by relatives confirmed that the care home provides the care and support expected and agreed. From direct observations staff do listen to residents and act on what they say. For example, on the morning of the inspection, a walk had been organised. However, as residents made it clear they did not wish to go, this activity was postponed. Records seen included a clear record of medical appointments made to health care services such as GP’s, opticians and dentists. This also includes a record of the outcome of the consultation and, where necessary, the treatment to be provided. Staff on duty informed the inspector that they accompany residents to such appointments. Where required, they will also support the resident in the consultation to ensure the resident obtains the treatment required. Surveys returned by relatives confirmed staff have the right skills and experience to support residents’ individual social and health care needs. The inspector noted that medication has been appropriately and securely stored. Records seen had been well maintained and up to date. It is the practice for two staff to administer and sign for all medication dispensed. The inspector was advised this is to ensure that there is a rigorous means of checking every time medication is administered to avoid errors. The inspector was advised that only staff who have been appropriately trained are allowed to administer medication. One member of staff, who was still undergoing induction training, informed the inspector they are not expected to carry out this activity. Training records seen confirmed that staff have received in house training in the safe administration and dispensing of medication. The inspector was advised that, currently, no resident is considered to be capable of administering their own medication safely. DS0000068990.V339710.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 22 and 23 Residents’ views and ideas are listened to. Residents are protected from abuse, neglect and self harm. EVIDENCE: Resident meetings are held regularly. Residents are supported by staff and encouraged to discuss any issues that can be sorted out before they become major concerns. A complaint procedure has been drawn up so that residents and their families know how to make a complaint if they wish to do so. Surveys returned by residents confirmed they knew who to speak to about any concerns and how to make a complaint. They also confirmed that staff do listen to residents and, where necessary act on what has been said to them. Surveys returned by relatives confirmed that the service has responded appropriately if concerns have been raised with them. Information supplied by the registered provider confirmed that they had yet to receive a formal complaint since the service has been opened. Staff on duty confirmed they know how to identify different types of abuse and also know what to do if they witness a resident being abused. Training records confirmed that staff are provided with training about adult protection. The registered provider has also provided information that confirms appropriate DS0000068990.V339710.R01.S.doc Version 5.2 Page 17 policies and procedures are in place that are designed to protect vulnerable adults from harm. DS0000068990.V339710.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 24 and 30 Residents have been provided with a homely, comfortable and safe environment in which to live. The home has been kept to a good standard of cleanliness and hygiene. EVIDENCE: The inspector visited all four bedrooms, the lounge, the “chill out room” and dining room. Those areas of the home seen were presented in a homely and comfortable manner. The decoration and furnishings provided ensured residents live in a comfortable and safe environment. Residents have been able to personalise their own rooms. They were involved in choosing colour schemes and have also brought in items such as posters and pictures, televisions, CD players, and sensory equipment. Comments made by relatives DS0000068990.V339710.R01.S.doc Version 5.2 Page 19 and residents in surveys were positive and confirmed the environment is kept fresh and clean. Information supplied by the registered manager prior to this visit confirmed the registered provider has also taken appropriate steps to ensure the premises and equipment within the care home is safe for use. Gas and electrical appliances have been checked and maintained regularly. There is an internal system for staff to use to record and report any issues related to the maintenance of the premises to ensure any defects or repairs are dealt with. The inspector viewed the kitchen and the utility room. These areas of the premises were fresh, clean and hygienic. Staff clean these areas regularly, involving residents where appropriate. Cleaning schedules are in place to ensure all areas are cleaned on a regular basis. Staff also support residents with their personal laundry. Staff have received appropriate training in health and safety issues so they understand the level of cleanliness required. They have also been trained in the safe use of cleaning and laundry equipment and chemical products. Comments made by relatives and residents in surveys were positive regarding the standards of hygiene maintained at Rosewood. DS0000068990.V339710.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by competent and qualified staff. The home’s recruitment practices and procedures protects vulnerable residents. Residents’ needs have been met by the staff team. EVIDENCE: The inspector examined the recruitment records of two staff who have been appointed since Rosewood has been registered. All appropriate checks were in place to ensure vulnerable residents have been protected. The inspector noted that two newly recruited members of staff were on duty. The inspector was advised that, as part of their introduction to the service, they will be expected to shadow a more experienced member of staff for the first week in order to gain an understanding of what is expected of them. DS0000068990.V339710.R01.S.doc Version 5.2 Page 21 Surveys returned by residents confirmed that staff do treat them well. Surveys returned by relatives confirmed care staff have the right skills and experience to look after residents properly. Information supplied by the registered manager prior to this visit confirmed that all staff have been provided with a comprehensive training programme including an in house induction package. All staff receive supervision every 4 to 6 weeks. Staff spoken to confirmed the training and induction training they had received. They also confirmed they receive regular support and supervision from a senior member of staff. Following observations of care practices and discussions with staff on duty the inspector concluded they are skilled and knowledgeable in providing support and personal care to residents with autistic spectrum disorders. DS0000068990.V339710.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 37, 29 and 42 The care home is well run and in the best interests of residents. The views of residents and their families are sought as part of any self – monitoring, review and development of the care home. The health, safety and welfare of residents and staff have been promoted. EVIDENCE: Mrs Susan Stopa is the registered manager of this care home. As a result of the registration process she has demonstrated she has the necessary skills, knowledge and experience to manage a service for younger adults with autistic spectrum disorders. DS0000068990.V339710.R01.S.doc Version 5.2 Page 23 Representatives of the registered provider visit Rosewood each month to ensure this care home is being run in the best interests of residents. Reports of such visits were available for the inspector to examine. Reports include details of discussions with staff on duty and, where possible, discussions with residents or observations of care and support provided. The registered manager meets regularly with her staff team to discuss issues related to the service provided and the individual care needs of residents. This ensures the staff team are clear about what is expected of them and are aware of how the aims and objectives of the service should implemented. Information supplied by the registered provider confirmed that, “The company undertakes external inspections to monitor quality but the registered manager also undertakes independent unannounced inspections to ensure standard and practice is of a high quality. The manager ensures meetings are arranged for staff, service users and relevant others to give her feedback on their observations of service provision. The manager has facilitated a number of questionnaires for families and staff to give ideas and observations anonymously. The manager has created an annual business plan, which forms our aims and objectives in conjunction with consultation from the team and service users. The management team undertake regular audits to ensure that care plans, practices and procedures are current and support good practice”. Surveys completed by residents confirmed they felt well cared for. One relative who completed a survey commented, “The support they give our relative is tremendous. They are more like friends to him than “care workers” and have taken the time to get to know him personally. Another relative commented, “The staff are always friendly and helpful.” Information supplied by the registered manager prior to this visit confirmed the registered provider has also taken appropriate steps to ensure the premises and equipment within the care home is safe for use. Gas and electrical appliances have been checked and maintained regularly. There is an internal system for staff to use to record and report any issues related to the maintenance of the premises to ensure any defects or repairs are dealt with. The registered manager has developed a system for monitoring incidents and accidents, which have occurred in the care home. The appropriate agencies, including the Commission, have been notified of those incidents and accidents which are required to be reported. The purpose of the monitoring system is to review incidents to identify any areas where improvements can be made to ensure the safety of residents and staff has been fully protected. Training records seen confirmed that staff have been provided with training regarding health and safety issues, manual handling and using chemical DS0000068990.V339710.R01.S.doc Version 5.2 Page 24 cleaning products safely. This will ensure the safety and wellbeing of residents and staff. The inspector looked at the environment and concluded there were no issues related to Health and Safety requirements. DS0000068990.V339710.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 X 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 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 DS0000068990.V339710.R01.S.doc Version 5.2 Page 26 NA 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 DS0000068990.V339710.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 DS0000068990.V339710.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!