Care Home: Shaldon House

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well Positive comments were made through surveys received from people using the service and from those with an interest in the service. Comments included `There are plenty of activities to keep people stimulated`, `The care offered is considered to be very good` and `I cannot think of anything to improve the home.` The service provides a comfortable and structured home life for people and they are supported in their chosen lifestyle. Staff have good working relationships with people using the service, their families and healthcare professionals. This helps ensure that people are working in the same way to meet peoples` needs. What has improved since the last inspection? Repairs and maintenance have been carried out and completed to the main entrance and a bathroom has been refurbished on the second floor so that people are living in a safe environment.The manager and deputy have attended training in on how to manage sexual awareness when working with people with learning disabilities and dementia, and some staff have attended dementia training. This has helped in supporting people with their individual needs and that they receive a consistent service. What the care home could do better: The Statement of Purpose must be developed further to give people information about the range of needs the home meets. This will help prospective people in making a choice about the home. Care plans must be further developed for those people who present challenges and to include when and how people may challenge. Strategies to help support people must be included so that both staff and individuals are supported consistently and safely. Risk assessments must be reviewed and updated providing current information for staff to help support people safely. The open brickwork in the kitchen must be repaired and `made good` preventing any dust or debris coming into contact with the preparation of food. The guttering must also be repaired to stop water from settling on the walk way along the house so that people can access the outside of the house safely. Written agreements need to be signed and dated so that the home can monitor any changes. Staff would benefit from attending training in the implications of the Mental Capacity Act so that they are kept up to date with current practice. The fire risk assessment needs to be reviewed to include changes in the procedures for keeping people safe. CARE HOME ADULTS 18-65 Shaldon House 77 Shaldon Road Horfield Bristol BS7 9NN Lead Inspector Sarah Webb Unannounced Inspection 8 & 9th July 2008 09:00 th Shaldon House DS0000026554.V360469.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 Shaldon House DS0000026554.V360469.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. Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shaldon House Address 77 Shaldon Road Horfield Bristol BS7 9NN 0117 9518884 0117 9521492 shaldon.house@craegmoor.co.uk www.craegmoor.co.uk Parkcare Homes Ltd 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) Sandra Joy Hale Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Shaldon House DS0000026554.V360469.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 providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability- Code LD The maximum number of service users who can be accommodated is 9. Date of last inspection 10th July 2007 Brief Description of the Service: Shaldon House is registered with the Commission for Social Care Inspection (CSCI) to provide personal care for eight people with learning disabilities who are 65 years and younger. People who are 65 years and over continue to be supported as long as their needs can be met by the home. The home also provides a service to one person who has a physical impairment. Parkcare No 2 Ltd, a subsidiary of Craegmoor Healthcare, operates Shaldon House, which is situated in a residential area close to amenities and bus routes. Single bedroom accommodation is arranged over three floors. There are two bedrooms on the ground floor. There is no lift facility available. Disabled access is to the rear of the property where there is also a garden with a grassed area and patio with seating. The home aims to ‘provide a safe environment for people with learning disabilities who require the support and opportunity to achieve a life style that has dignity and reflects the concepts of ordinairy life, so the service users are seen as valued individuals.’ The fees are from £544.00 to 833.90 per week and extra charges include chiropody, hairdressing, and personal items. This information is provided in the service users’ guide. Shaldon House DS0000026554.V360469.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. This was an unannounced inspection carried out over two days. We case tracked the care and support people using the service receive by looking at various records and documents. These included assessments, care plans, how people are supported in taking risks safely and how they are given their medication. Staff recruitment and training records were also looked at. We were shown around the house and spoke with people staff, a relative and the manager. We looked at information received since the last inspection. This included an Annual Quality Assurance Assessment (AQAA). Surveys were received from people using the service, and from those with an interest in the service. Comments from all the surveys were positive about the level of care and support offered. People said ‘I like living at Shaldon House’ and ‘ I am taken out on trips by staff.’ The requirements and recommendations have been met from the previous inspection. Five requirements and three recommendations have been made through this visit. What the service does well: What has improved since the last inspection? Repairs and maintenance have been carried out and completed to the main entrance and a bathroom has been refurbished on the second floor so that people are living in a safe environment. Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 6 The manager and deputy have attended training in on how to manage sexual awareness when working with people with learning disabilities and dementia, and some staff have attended dementia training. This has helped in supporting people with their individual needs and that they receive a consistent service. 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. Shaldon House DS0000026554.V360469.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 Shaldon House DS0000026554.V360469.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&2 Quality in this outcome area is good. People who may want to use the service are given information to help choose a home that will meet their needs. Peoples’ needs are assessed before moving to the home to help ensure they can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the Statement of Purpose and ‘Your Service User Guide to Living at Shaldon House’ has been reviewed and updated. The service user guide is in an easy read format to help people understand. They give information to people who may want to use the service so that they can decide that this is the home of their choice. There are some areas of the Statement of Purpose that need to be included such as the full range of needs of the people who are currently living at the home and the manager’s qualifications. Both documents should be signed and dated. Since the last inspection there have been no new people admitted to the home. Seven people are funded by the local authority while two people are privately funded. Peoples’ needs had been assessed before moving to the home and Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 9 recent reviews had taken place to ensure the home is still able to provide a suitable service. These were seen in peoples care files. The local authority also inspected the home in November 2007 and was happy with the care service provided. Shaldon House DS0000026554.V360469.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, 8 & 9 Quality in this outcome area is adequate. Care plans show how people want to be supported with their needs. Some areas need more detail when supporting people who may be challenging. People are involved in making decisions about their lives and in the planning of their care they receive. Some risk assessments support people to take risks as part of their lifestyle, with others that must be developed more fully and individualised. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care files seen contained individual person centred care plans. These included areas such as relationships, social contacts and social interaction, important people in my life, health and keeping safe. Care plans showed that people are involved in their care planning with monthly with their keyworker. Some areas of care planning need to be further developed to include more information in how to support people with behaviour that is challenging. More detail relating to individual behaviours, ‘triggers’, and what changes of Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 11 behaviour may occur before a challenge will help to inform staff better when dealing with an incident. People are helped to voice their opinions through house meetings and ‘Your Voice’, an organisational forum that a representative from the home can attend. Weekly house meetings help to plan for the week ahead. People are encouraged to make choices and decisions including activities they want to do and menu planning. This was seen in written minutes from meetings. People also make choices about their lifestyle including the clothes they choose to wear and when they wish to get up in the morning. This was seen through daily entries made in peoples’ care files. People are helped with managing their own money. Staff support people in going shopping for new clothes or personal items needed and shopping for friends and families. This was seen through financial documents and observation of conversations between people using the service and staff. Risk assessments that help to support people in the taking of risks safely, have been developed with some that had more detailed information than others. Some were seen were more ‘generic’, needing to be further developed and made individual. A requirement for written consent to be obtained for the use of an alarm in an individual’s bedroom through consultation with them and their family is no longer appropriate as the alarm is no longer used. Shaldon House DS0000026554.V360469.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. People benefit from taking part educational, social, and recreational activities. They are helped to keep in contact with family and friends if wanted. People are supported in making choices about their lifestyle and are helped to take responsibility in their daily lives. People benefit from a varied menu, and are able to choose the food they prefer and like. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People were seen going out to various activities, day services, and college placements. There is one person who has a job. People are also involved in using community resources including bingo, and going to the pub for a game of pool. Planned trips and outings are organised, and people told us that they go out for breakfast once a week and the following week have lunch out. Peoples activities were seen recorded in their care files. Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 13 People said they had enjoyed their summer holiday at Brean and comments from surveys received from families included that the home provided ‘Plenty of activities to keep people stimulated.’ People are involved in the routines of the home, helping to prepare vegetables, laying the meal table and clearing away, and food shopping trips. People are also supported in keeping their bedrooms clean. Individual care files showed how people are supported in being actively involved in the running of the home. The manager said the home has good contact with families and that people can be visited at any time. This was evidenced when a family member visited their relative during the morning. We spoke with them and were told that they were pleased with the support and care offered to their relative. Menus seen showed that a choice of food is offered that is varied, wellbalanced with healthy eating options encouraged. Since the last inspection, choices in meals have improved with weekly discussion about what the menu should include. Choices are recorded so that these are included in the weekly food shop. A menu book helps to show people different options through pictures. People are asked every day if they want that same choice for their evening meal or if they want something different. This was seen through records of menus and alternatives offered. Shaldon House DS0000026554.V360469.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. People are supported in the way they want with their personal care. They benefit from healthcare needs being well met. People are treated in a respectful manner by staff. People are supported safely with taking medication This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans showed how people are supported in the way they want with their personal needs. Peoples routines are also described in care plans such as when they wish to get up if there are no planned activities. Observation of staff showed that they approached people respectfully and included them in conversation. Healthcare records confirmed that people have access to health care services both within the home and in the local community. People are registered with a General Practitioner (GP) and go to local dentists, opticians and other community services with support from staff. A record is kept of how peoples’ healthcare needs are monitored by the staff team. Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 15 People attend an annual health check and referrals have been made to healthcare specialists if needed. Specialist support and advice is sought from professionals when necessary. This was seen through correspondence in individuals care files. Staff encourage people to have an awareness of being healthy. A personal fitness trainer comes to the home on a weekly basis and each person has a personal fitness plan to support them with keeping healthy. Care files held assessments of peoples competency to self medicate. Medicines are kept safe in a locked cupboard. Medicines are only administered by a trained member of staff and this was evidenced through staff training records. The home has arrangements for the recording of medication when people go on home visits. A medication form goes with them to be signed and all medication is signed out and in on their return. The medication administration records were up-to-date and fully signed. Comments from surveys received from families included ‘I consider the care to be very good and I cannot think of anything to improve the home’ and ‘We are satisfied with the care and support our relative receives.’ Shaldon House DS0000026554.V360469.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. The people that live at the home feel confident to approach the staff with concerns and can expect to be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are given information in ‘Your Service User Guide to Living at Shaldon House’ on how to make a complaint or voice concerns. This is also on display in the reception area. There have been no recorded complaints since the last inspection. There was a record of a concern raised that the manager has addressed. A written letter was in place responding to the concern. This is good practice. The home keep families informed and updated by sending a copy of the inspection report, a home brochure and a complaint form every year. Surveys from people showed they knew how to make a complaint and who to go to. Comments made included ‘I would go to the manager or my keyworker’ and names of staff had been included. The home has arrangements in place to record any incident if a person shows inappropriate behaviour with a ‘critical event form’ completed and action taken. Staffing records showed all staff except the newer staff have received adult protection training, with the manager and new staff in the process of being put forward to attend. Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 17 Staff are provided with training in ‘Non violent crisis intervention’ which is also updated annually. There are appropriate policies and procedures in place to safeguard people from financial abuse. Two staff signatories were seen should an individual not be able to sign or fully understand when accessing monies. The manager monitors peoples’ financial records regularly and the organisation carries out financial audits in monitoring practice. Shaldon House DS0000026554.V360469.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, 27, 28, & 30 Quality in this outcome area is adequate. People live in clean, homely, and comfortable environment. There are some areas that need to be repaired and maintained to ensure peoples health and safety is protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection a requirement for building works to be completed on the front steps to the home has been met. A requirement has also been met for the bathroom on the second floor to be refurbished. A tour of the home showed that staff have made it a priority to improve some of the internal decoration of the home. They have decorated the sitting room giving it a ‘homely’ atmosphere with news sofas and brighter lighting. A new wide screen television has also been purchased. People said they are happy with the redecoration and new furniture. Since the last inspection, the home has also had to make substantail repairs to Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 19 damage caused by the flooding from a bedroom. The flooding caused damage to ceilings in other rooms that need to be repaired and people had to be evacuated to their own homes and another home in the organisation. We were informed about this emergency and the arrangements in place when people returned to the home. Peoples’ bedrooms were decorated individually and showed that their personal interests and preferences were respected. Staff have decorated some peoples bedrooms, and the manager is aware there are still a few others that need to be done. People are offered keys to their room. However there are no override arrangements but people have agreed for the home to keep a spare key to their bedroom so that rooms can be accessed in emergencies. These written agreements need to be signed and dated. The manager explained the changes she wants to make to the kitchen area so that space is more accessible and safer for people to use. Currently there are two doorways at either end of the kitchen providing a thoroughfare for people to use. This can pose a safety issue for both staff and people when cooking. An area of open brickwork in the kitchen has been left after maintenance work was carried out. This must be repaired and made good. The organisation does not have a specific team of people to deal with environmental issues and it is part of the manager’s role to ensure jobs are completed. The manager expressed her concerns at the amount of time spent in chasing maintenance issues. There is a vacancy for a maintenance post and it is the manager’s responsibility to ensure someone is employed to this post. There is a garden area to the back of the property that is used during the warmer summer months for people to sit out in. There are plans for this area to be further developed and to be made more private. Shaldon House DS0000026554.V360469.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): 31, 32, 34 & 35 Quality in this outcome area is good. People benefit from a staff team who have a good understanding of their role and responsibilities and who are trained to meet the individual needs of people. Recruitment procedures are robust and help ensure the safety of people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff team currently consists of five care staff, a deputy manager and the manager. The rota showed there are two care staff on duty at all times. There are currently two full time and one part time vacancies. The deputy manager said the home has had difficulties in recruiting staff. There are sufficient staff to cover shifts, with the permanent staff helping to cover the vacancies, and regular bank staff called in. However the manager is aware that with the long term planning of the home, the vacancies will need to be filled. The AQAA stated that the home plans for improvements are to ‘select new staff members to compliment our existing team and raise them from the minimum wage.’ Staff spoken with showed that that they had a good understanding of peoples needs, of their role and responsibilities, and of the aim of the home. Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 21 Recruitment records confirmed that the manager follows a robust recruitment practice. All staff undergo a full criminal background check and a protection of vulnerable adults record check and these were seen in staff files. Staff are selected by using organisational policies and proceedures including a literacy test to ensure staff selected are competant to carry out report writing. Staff are given an ‘induction’ period when they are paired with a permanent worker to show them the way the home runs and how to support paople with their needs. Staff said ‘My induction was detailed and I felt confident when I started that I was well prepared.’ Staff are given the opportunity to register for a National Vocational Qualification after completing the induction programme. Currently one staff member is completing a National Vocational Qualification Level 3 whilst other staff have completed level 2. Staff training records showed mandatory training had been attended in food hygiene, safeguarding, fire, first aid, health and safety and manual handling. A requirement has been met for the manager and staff to attend specialist training in dementia and managing sexual awareness. The manager said this had been helpful in supporting people. A requirement has not been met for staff to attend training on the implications of the Mental Capacity Act and a further recommendation is made. Shaldon House DS0000026554.V360469.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, 41, & 42 Quality in this outcome area is good. People using the service and staff benefit from a well run home with good outcomes for people. The views of the people who live in the home are sought and acted upon. There are systems in place designed to promote and protect the health & safety of both individuals and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager Ms Hale has been at Shaldon House since December 2006 and was registered as manager in June 2007. She has relevant background experience in a care setting, having worked in care for over 20 years, both as a carer and as a supervisor and manager. Ms Hale has been supporting another home in the organisation over the past few months. The deputy manager, who has worked at the home for many years, has been deputising in Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 23 her absence. It is evident that both staff and the people using the service benefit from both the manager and deputy’s leadership and management approach to the running of the home. It was seen to be ‘open’ and proactive. Positive comments made through surveys received from families included ‘Since the most recent manager, the home has improved.’ People were observed returning from their day placements and having open discussion with the manager, deputy and staff. They were relaxed and confident in their approach. Peoples are encouraged to speak up and their views are asked for through regular house meetings and completed questionnaires. These are completed yearly with peoples families and do not involve the staff at the home. The manager said the results of the questionnaires help the home to focus on areas that need improving. The home follows organisational health and safety policies and procedures to help keep people safe. A monthly health and safety check is carried out around the home by both staff and people. This helps to monitor areas that may need maintenance or repairs to be carried out. The organisation carry out monthly audits of the home with a copy sent to us. The home has clear evacuation procedures in place that have been updated. Folders are in key areas of the home with information for both people and staff. However the fire risk assessment must be reviewed and updated to include new procedures. Records are kept any accident or incident to both people using the service and staff and action taken. Shaldon House DS0000026554.V360469.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 2 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 2 25 X 26 3 27 3 28 2 29 X 30 3 STAFFING Standard No Score 31 3 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 2 3 3 2 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 3 3 X Shaldon House DS0000026554.V360469.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. 1. Standard YA1 Regulation 6 Requirement The statement of purpose must be further developed to include information about the range of needs the home meets and the qualification of the manager. Include more detail in care plans when supporting people who may be challenging as to how their needs are met through specific strategies. Develop individual risk assessments to identify risks to the health and safety of people and that they are so far as possible eliminated. Repair open brickwork in the kitchen. Repair guttering to back of the property. Timescale for action 31/12/08 2. YA6 15(1) 31/10/08 3. YA9 18(1) 31/10/08 4. 5. YA28 YA24 23(2)(b) 23(2)(d) 30/09/08 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000026554.V360469.R01.S.doc Version 5.2 Page 26 Shaldon House 1. 2. 3. Standard YA26 YA35 YA42 Sign and date written agreements. Staff to attend training in the implications of the Mental Capacity Act. Review fire risk assessment to include changes to the homes fire procedures Shaldon House DS0000026554.V360469.R01.S.doc Version 5.2 Page 27 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. Extracts may not be used or reproduced without the express permission of CSCI Shaldon House DS0000026554.V360469.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!