Care Home: Rowans Care Limited

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What the care home does well On the day of this inspection, the home was satisfactorily maintained, and staff were observed to give service users good care and support. Relatives who provided feedback indicated that they were satisfied with the service, and happy with the care provided. A sample of relative`s comments included: `Our relatives needs are well known to the staff at Rowans, and we are always impressed by the way rowans staff support them` `Rowans provides a high level of care and support, which is always evident whenever we visit` `As parents we very much value the partnership we have with Rowans`. `Rowans is a wonderful home, and our relative has been happy there for a number of years`. `We are full of admiration for them`. `can`t fault the place`. `No complaints whatsoever`. `Home is always welcoming`. `It`s as near perfect as can be`. Further feedback received from relatives via questionnaires is included within the relevant sections of this report. The service has clear and comprehensive care plans that are well produced and provide very good information on how service users` needs should be met. These showed a very individual approach, and promoted choice and independence. As most current service users had limited verbal communication, it was good to see different methods of communication being used within the home, and that arrangements were being made to access further training for staff. What has improved since the last inspection? Records relating to the administration of service users medication have been improved, and includes the correct number of tablets being administered. A process for reviewing the quality of the home`s service provision has been developed. The home`s Statement of purpose and Service Users Guide are now available in audiocassette format, as per the recommendation made during the last inspection of the service. A record of meals consumed by the service users is maintained, as per the recommendation made during the last inspection of the service. CARE HOME ADULTS 18-65 Rowans Care Limited 50 Newbridge Road Tiptree Essex CO5 0HX Lead Inspector Neal Cranmer Unannounced Inspection 28th August 2008 09:30 Rowans Care Limited DS0000060695.V370747.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 Rowans Care Limited DS0000060695.V370747.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. Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rowans Care Limited Address 50 Newbridge Road Tiptree Essex CO5 0HX 01621 819850 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) Rowans Care Limited Dr Taranga Vilasini D K Don Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Eight persons of either sex, under the age of 65 years, who require care by reason of a learning disability, who may also have a physical disability 31st August 2006 Date of last inspection Brief Description of the Service: Rowans is a detached chalet bungalow situated on the outskirts of Tiptree in a residential area, registered for eight individuals with learning disabilities, some of whom have physical disabilities. All the bedrooms are single occupancy on the ground floor. Five of the bedrooms have en suite shower facilities. The home also has a lounge, separate dining area and a relaxation room with sensory lights and music. Aids and adaptations have been installed in the property in order to meet the needs of the individual service users accommodated. There is a good-sized garden at the rear of the property. The home owns a vehicle suitable for wheelchair users. The home has a service user guide that provides information about the home, and which is available to service users and visitors. Information provided by the provider indicated that fees for residing in the home are between £941.50 to £1.200.00 per week with additional charges for personal items (hairdresser, toiletries, personal clothing and belongings, etc.). This information was provided at the time of the site visit. Rowans Care Limited DS0000060695.V370747.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 two stars. This means the people who use this service experience good quality outcomes. This was an unannounced key inspection that took place on the 28th of August 2008 lasting seven hours. The inspection process included, discussions with the manager and responsible individual and with three members of the staff team. Service users appearance and staff interaction with service users was observed. A tour of the premises was undertaken. A sample of records were inspected, most of which were found to be in order. Surveys produced by The Commission for Social Care Inspection (CSCI) were received from relatives, and telephone interviews three relatives took place during the course of the inspection. What the service does well: On the day of this inspection, the home was satisfactorily maintained, and staff were observed to give service users good care and support. Relatives who provided feedback indicated that they were satisfied with the service, and happy with the care provided. A sample of relative’s comments included: ‘Our relatives needs are well known to the staff at Rowans, and we are always impressed by the way rowans staff support them’ ‘Rowans provides a high level of care and support, which is always evident whenever we visit’ ‘As parents we very much value the partnership we have with Rowans’. ‘Rowans is a wonderful home, and our relative has been happy there for a number of years’. ‘We are full of admiration for them’. ‘can’t fault the place’. ‘No complaints whatsoever’. ‘Home is always welcoming’. ‘It’s as near perfect as can be’. Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 6 Further feedback received from relatives via questionnaires is included within the relevant sections of this report. The service has clear and comprehensive care plans that are well produced and provide very good information on how service users’ needs should be met. These showed a very individual approach, and promoted choice and independence. As most current service users had limited verbal communication, it was good to see different methods of communication being used within the home, and that arrangements were being made to access further training for staff. 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. Rowans Care Limited DS0000060695.V370747.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 Rowans Care Limited DS0000060695.V370747.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): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had information available to help service users make a choice about where to live. The home ensured that prospective service users’ needs were assessed prior to admission, and that the home could meet their needs. EVIDENCE: A copy of the home’s ‘statement of purpose’ and ‘service user guide’ had previously been provided to the CSCI in July 2004, and met regulatory requirements. However at the last inspection visit undertaken in August 2006 there were a couple of references to the NCSC (precursor of the CSCI). In the statement of purpose and service user guide, it was recommended that these were updated, to date this recommendation remains. The Service User Guide included a pictorial version of the complaints procedure, but was not itself available in any alternative formats. This has now been addressed and is available in an audiocassette version. No new service users had been admitted to the home since the last inspection visit (last admission was in May 2005). The admission process for this individual was discussed with the manager, who confirmed that even though the person had lived a long distance away, staff from the home had visited the person prior to admission to assess them in their previous situation on two Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 9 separate occasions to gather information on their abilities and needs. A comprehensive report had been produced from this assessment, and was the basis for the home deciding that they could meet the person’s needs. From discussion with manager and staff, observation of service users and feedback from relatives throughout the inspection, the home demonstrated that it had the capacity to meet the assessed needs of the individuals admitted to the home. Staff had received training, and showed knowledge, in both general and specific areas of care (e.g. from moving and handling, to communication skills), and the home had appropriate equipment available to meet the needs of individuals (e.g. vehicle with tail lift, overhead hoists in bedrooms and bathroom, level access showers, etc.). Rowans Care Limited DS0000060695.V370747.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. Assessed needs and personal goals were reflected in care plans and Service users were assisted to make decisions, and risks were appropriately assessed. EVIDENCE: Care plans were viewed for four service users. These were comprehensive and clear, covering all individual needs including personal care, health care, communication, social/behavioural needs. They provided good detail of how the person liked their care to be delivered, and of the action required of staff. Care plans included a section detailing any risks relating to the meeting of each need, and reflected the need to promote privacy and dignity, to offer choices, and to promote independence. The person’s ability to make choices, or how staff did this on their behalf, was also detailed in the care plans. Care plans were typed so they were clear and easy to read, and there was evidence that they had been reviewed. Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 11 All of the staff surveys returned indicated that staff are provided with up to date information regarding the care plans by the manager. None of the service users currently living at Rowans had the capacity to make significant decisions about their lives, or to evaluate and comprehend information about risks. However, staff were seen to offer appropriate choices on day to day matters for example choosing what breakfast cereal they wanted, choice about whether to take part in an activity or spend time alone. Capacity to make choices and an evaluation of risks was recorded in care plans, and staff were able to describe how they made choices on a service user’s behalf where the service user was unable. None of the service users residing in the home were able to manage their own financial affairs, the only money held in the home on behalf of service users is personal allowance money, the records relating to this was sampled for four people, and was found to be appropriately managed. Rowans Care Limited DS0000060695.V370747.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): 13, 15, 16 and 17. Standard 12 could not be assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supported service users to engage in appropriate leisure activities, and promoted access the local community. The home encouraged and supported service users to maintain relationships with family and friends. The home promoted choices and flexible daily routines, and provided a good range of well-balanced meals. EVIDENCE: Due to their levels of dependency and complex needs, none of the service users at Rowans have the capacity to do any paid or voluntary work opportunities at the time of this inspection, or to engage in further education or training. Standard 12 has therefore been considered not applicable at the current time at Rowans. Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 13 Most of the activities provided for service users were in the main social and leisure activities although it was reported that two of the service users attended a local college where they took part in an arts and crafts and music class. The home had a weekly programme of daytime and evening activities that included: swimming, visits to local parks and pubs, bowling, going out for drives in the minibus, and attending Gateway club. This was interspersed with activities within the home, including: art, cookery, watching TV, activities in the quiet room and listening to music. Individual interests were encouraged, and rooms were personalised and showed attention to individual needs (e.g. sensory stimulation in the form of music, wall lights, mobiles. The home made good use of local community facilities, and had two minibuses that are owned by the service users, with tail lifts to enable wheelchair access. On the day of the visit, service users were seen using on of these vehicles to visit a local park. The home promotes contact with relatives, including providing transport for visits home, and helping service users to send cards and presents at birthday and Christmas times. The manager reported that many relatives are very involved in the home, and this was reflected by comments received from relatives both over the phone and by responses received via surveys. Daily routines were observed to be flexible; where able, and service users were seen to be able to move around the home, and to choose where they spent their time. The home had a four weekly menu that showed a good range of balanced meals. Staff stated that menus were developed around staff knowledge of service users’ likes and dislikes, and aimed to provide a balance of meals. The staff provided assistance with eating where required, and adapted plates and utensils were available. Menu records were maintained as evidence of food served, with amendments made to reflect day-to-day changes. Rowans Care Limited DS0000060695.V370747.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. The home provided personal support in the way service users preferred and required, and ensured that healthcare needs were met. EVIDENCE: Discussion with the manager indicated that there is a female member of staff on every shift to ensure that service users personal care needs could be met by someone of the same gender. The registered manager went onto state that nights are without exception staffed by a female waking member of night staff, supported by a sleep-in member of staff. This statement was supported by viewing of the home’s duty rotas for the period 25th Of August to the 7th of September 2008. All of the service users are registered with a General practitioner, and sampling of records showed that the home accessed a wide range of healthcare professionals to support them in meeting the healthcare needs of the service Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 15 users, healthcare professionals involved in the home at the time of the inspection visit included: occupational therapists, physiotherapists, community nurses, social workers, and an epilepsy nurse specialist. Relative’s surveys returned indicated that they are always informed if their relative is unwell or requires medical attention. One relative stated ‘We are always contacted if our relative has an accident or is unwell, and we always attend hospital appointments regarding our relative with a member of staff from Rowan’s’. Healthcare records sampled showed that service users were supported by members of the staff team to attend out patient’s appointments, and records were kept of the date of the appointment, the purpose of the appointment, and the outcome of the appointment. Due to the dependency levels and complex needs of the service users none were able to self -administer their own medication. The home’s medication dispensing system was a Measured Dosage System (MDS). Medication was only dispensed by senior carers and the manager. Medication administration records were sampled and were found to be in order with no evidence of any gaps or omissions. Medication no longer required or in use was returned to pharmacy via a pharmacy returns book. Rowans Care Limited DS0000060695.V370747.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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has procedures for listening to and responding to concerns, and. Practices and procedures in the home protect service users from abuse, although the policy would benefit from review. EVIDENCE: The home had a complaints policy, which was available in an audiocassette version for ease of use for the service users. The policy included; What you should do if you are unhappy, actions you can take, what you can expect, the timescale within which your complaint will be looked into and what else you can do if you remain unhappy. Reference to the home’s complaints policy was also contained within the home’s Service Users Guide. Telephone discussion with three relatives indicated that they were very happy with things at Rowan’s and had no concerns or complaints, this was further evidenced by responses received in relatives surveys which indicated that relative’s were aware of the home’s complaints policy/procedure. At the time of the inspection site visit no complaints had been received by the home or brought to the attention the Commission for Social Care Inspection. The home has a policy on adult protection (last reviewed in June 2005) and which is in need of updating to reflect current practice. The registered manager reported that all staff had received training in adult protection, and that this Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 17 training is provided annually as refresher training by an external provider. Discussion with the registered manager, provider and three members of the staff team indicated that all had a good understanding of adult protection, and of the actions to be taken in the event of an allegation being made. At the time of the inspection visit no referrals had been made. Rowans Care Limited DS0000060695.V370747.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, 26, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment, which was clean and hygienic at the time of this visit. Bedrooms provided were decorated and furnished to suit service users’ needs and lifestyles and The home provided a range of shared space that met service users’ needs. EVIDENCE: The premises are in keeping with the local community, and are suitable for the purpose of the home, providing level access, ground floor accommodation, with single bedrooms, many of which have en suite shower facilities. The home has a separate bathroom with assisted bathing facilities (including a ceiling track hoist over the bath, and a level access shower cubicle). The home was homely, clean and tidy, and service users’ rooms were individual and well personalised, reflecting their personalities, and with appropriate leisure equipment (music systems, TVs, sensory lighting, etc.). There is a large Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 19 communal lounge, a dining area, a quiet/sensory room, and a garden area outside. This provides a range of space that is varied and which meets service users’ needs. The home was clean and free from offensive odour at the time of this inspection. The home had a laundry area that was away from areas where food was prepared or served, had washable flooring, and was equipped with washing and drying machines, which were equipped with sluicing facilities for handling soiled linen. The machines provided were domestic in nature. Rowans Care Limited DS0000060695.V370747.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, 33, 34, 35, and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were appropriately trained, and The home provided sufficient numbers and skills of staff to meet service users’ needs. The home’s recruitment practices protected service users. EVIDENCE: The home employs ten care staff, five of which are qualified nurses from overseas. Evidence provided in a letter from the National Information Centre for the United Kingdom (NARIC) showed that their qualifications were equivalent to National Vocational Qualification (N.V.Q) Level three or four. A further three members of the care team are United Kingdom qualified nurses. Both the registered provider and the registered manager hold the registered Managers Award. Sampling of the home’s duty rota for the period from the 26th August to the 8th of September 2008 showed that the home operates with five staff on duty in the morning with four in the afternoon (apart from on Fridays when it is five on each shift), night-time cover is provided by one waking night staff, with sleepRowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 21 in support. Discussion with staff indicated that they felt that the staffing levels were sufficient to meet the needs of the number of service users in residence. The home’s recruitment practice was sampled by viewing four staff recruitment files, all of which, with the exception of one contained all of the necessary information to evidence that a robust recruitment process was in place, this evidence included: copies of application forms, two written references, copy of criminal records bureau check (CRB), evidence of induction, supervision and training. (The one file that had a shortfall, related to a staff member appointed some years ago, for who there was no evidence of a current criminal records bureau check, the manager was advised to make arrangements to obtain one as a matter of urgency). Sampling of the four files showed that staff had received training in; appointed persons first aid, manual handling, crisis intervention, adult protection, infection control, basic food hygiene, administration of medicines and fire safety. The four staff files sampled indicated from records seen that staff were receiving formal supervision, and this was confirmed with staff during discussion with them, when they said that they received formal supervision every six to eight weeks. Rowans Care Limited DS0000060695.V370747.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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home, and health and safety practices promoted service users’ safety. EVIDENCE: Both the registered provider and the registered manager are qualified nurses for people with learning disabilities, and have many years experience of supporting people within the community. In addition to the above experience both hold the Registered Managers Award. The registered manager is only responsible for the one establishment, and is well supported by the registered provider. Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 23 At the previous inspection visit carried out in 2006, a requirement was left in respect of the home’s processes for reviewing the quality of it service provision. At this inspection visit the provider presented a quality assurance survey report, which was carried out in 2007, the report provided was based upon the views of service users relative’s, staff and healthcare professionals who were involved in the home. The responses received had been fully analysed and collated into a report that was comprehensively detailed and provided graphical evidence. The home’s safe working practices were sampled from viewing safety certificates for the following areas: Gas installation certificate, overhead hoist service reports, fire fighting equipment checks, emergency lighting checks, and electrical installation certificate, all of which were seen to be current. Rowans Care Limited DS0000060695.V370747.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 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 X 3 X LIFESTYLES Standard No Score 11 X 12 N/A 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 4 X X 3 x Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 25 No. Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA1 YA23 Good Practice Recommendations It is recommended that the home’s statement of purpose and service user guide be reviewed to include the contact of the CSCI as opposed to the precursor organisation. It is recommended that the home’s policy/procedure on responding to suspicion of abuse be reviewed to reflect current practice and include reference to notifying the CSCI. It is recommended that the registered person make provision to obtain a current criminal records bureau check (CRB) for the member of staff for whom there was not one on record. This is to ensure that service users are adequately protected by the home’s recruitment process. 3. YA34 Rowans Care Limited DS0000060695.V370747.R01.S.doc Version 5.2 Page 26 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. 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