Care Home: St Leonards Place

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What the care home does well St Leonard`s is a very small specialist service caring for people with diverse and different needs. The staff are very knowledgeable of the residents needs and were seen to be very caring and professional during the inspection. Residents needs and opinions are at the heart of the ethos of the home. One resident said `I like living here, I can do what I want and staff help me if I need it. I can do things my way and when I want to. Staff are good to me and remind me to do things when I forget, they do care.` The home is largely concerned with maximising independence and affording the responsibilities that come along with that ethos. One resident spoke highly of the manager and the staff and their ability to exercise freedom and choice, both in their leisure activities and in daily routines. Staff are well trained and all have a National Vocational Qualification to level three. Staff ensure the residents receive a well balanced and healthy diet and health care needs are very well met. What has improved since the last inspection? Staff have undergone training in adult protection, challenging behaviour and an accredited safe handling of medication course. Some areas of the home have been redecorated including one flat, the hallway including new carpets and the external paintwork. CARE HOME ADULTS 18-65 St Leonards Place 96 Maidstone Road Chatham Kent ME4 6DG Lead Inspector Sue McGrath Unannounced Inspection 15th July 2008 15:00 St Leonards Place DS0000029027.V367709.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 St Leonards Place DS0000029027.V367709.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. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Leonards Place Address 96 Maidstone Road Chatham Kent ME4 6DG 01634 405120 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) rustybeast@blueyonder.co.uk St Leonards Place Ltd Mr Russell Peter Martin Care Home 3 Category(ies) of Learning disability (3) registration, with number of places St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th September 2006 Brief Description of the Service: St Leonard’s Place is a specialist residential service, offering 24-hour care and individual support to three service users with learning disabilities and challenging behaviour. The home also offers a day care facility to one client. This service was not inspected. St Leonard’s Place is a large Victorian house providing 3 purpose built flats for individual living arranged over three floors. There are stairs and steps leading to all floors. The home is situated in a residential area less than a mile from Chatham town centre and is located on a main bus route and within walking distance of shops and a Post Office. There is parking to the front of the building and an attractive back garden. The home has its own transport. Fees range from £1550:00 to £2200:00 per week and are according to need. For further information please contact the homes manager. St Leonards Place DS0000029027.V367709.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 3 stars. This means the people who use this service experience excellent quality outcomes. The above rating was awarded because of historically good outcomes and consistent excellent opportunities for service users with regards to personal support and healthcare. This was a Key Unannounced inspection that took place in accordance with the Inspecting for Better Lives (IBL) process. Key inspections are aimed at making sure that the individual services are meeting the standards and that the outcomes are promoting the best interests of the people living in the home. The IBL process for a Key inspection involves a pre-inspection assessment of service information obtained from a variety of sources including an annual selfassessment and surveys. It is now a legal requirement for services to complete and return an Annual Quality Assurance Assessment (AQAA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable The Commission for Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. Further information can be found on the CSCI website with regards to the IBL process including information on KLORA’s and AQAA’s. The actual site visit to the service was carried out over one day by one inspector, who was in the home from approximately 15:00 until 19:30. The main focus of the visit was to review any improvements made since the last visit and the wellbeing of the service users. Time was spent touring the building, talking to people living in the home, talking to staff and reviewing a selection of assessments, service user plans, medication records, menus, staff files and other relevant documents. Prior to the site visit the AQAA had been returned and surveys had been sent out to service users, families and professionals to gain further feedback as to their opinion of the service. A number of surveys have been returned. At all times the manager and staff were helpful and demonstrated a pro-active approach to ensuring that service users were being supported to the best of St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 6 their abilities and resources. This report contains evidence and judgements made from observation, conversation and records. Overall this was a positive inspection with generally very good or excellent outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and well cared for and wishes to thank the manager and his staff for their assistance and hospitality. What the service does well: What has improved since the last inspection? Staff have undergone training in adult protection, challenging behaviour and an accredited safe handling of medication course. Some areas of the home have been redecorated including one flat, the hallway including new carpets and the external paintwork. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 7 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. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are provided with the information they need to make an informed choice about moving into the home. Residents’ benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: The home has a statement of purpose and a service users guide that is specific to the specialist service they offer and the resident group they care for. Both documents have been regularly reviewed. Residents had copies of the home’s information documents in their flats. The residents living in the home had both been there for several years. Due to the third resident moving from the home there was one vacancy. The registered manager was unsure whether the flat would be offered as a permanent placement at this moment in time. However there was a robust system in place that would assure the service would be able to meet the needs St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 10 of any future resident. The registered manager was very aware of the impact a new resident would have on the existing residents and would take this into account when making a decision over future placements. The registered manager explained the home’s pre admission process and how it takes place over a six-week period. The process included trial visits for the prospective resident to the home and would also involve staff exchanges to ensure everyone had the opportunity to get to know each other and to see if the home can fully meet their needs. Residents were provided with a statement of terms and conditions when moving into the home. Evidence was seen of the home’s contracts in residents care plans, which were specific and detailed. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who live in the home have clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Residents are enabled to take reasonable risks within the homes risk assessment management strategies and are involved with all aspects of life in the home. EVIDENCE: Both residents had very detailed and précis care plans and these were referred to as Independence Support Plans. They contained all the necessary information required by staff to ensure the residents assessed needs were well met. There was clear evidence that where possible residents were fully St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 12 involved with the drawing up of these documents and one resident in particular also used his care plan for maintaining personal notes and appointment dates. Clear risk assessments enabled residents to live within a safe environment that did not impose major restrictions on their daily lives. One resident in particular was enabled and actively encouraged to remain as independent as possible and to have control over all aspects of his life. The framework around this resident gave him the continuity of care that enabled him to maintain his independence and self esteem. He confirmed in conversation that he makes his own decisions about all aspect of daily living. He commented: ‘I like living here, I can do what I want and staff help me if I need it. I can do things my way and when I want to. Staff are good to me and remind me to do things when I forget, they do care.’ Where a resident was unable to make decisions due to the level of their disability, staff were seen to assist where possible and ensured the best interests of that resident were maintained at all times. Staff confirmed they were aware of likes and dislikes of both residents and worked hard to ensure these were reflected in daily choices. The equality and diversity of both residents was well maintained and respected by the staff. The ethos of the home was to fully support residents’ rights and in equal measure individuals were also supported to understand the responsibilities that goes along with this ethos. The home has a policy on confidentiality which was available to staff and residents. Files were seen to be held in a secure manner and staff spoken with were aware of the confidentiality policy and procedures. Records were stored in a secure area when not in use and access only granted to appropriate people. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from having the opportunity for personal development with their daily living skills and have appropriate level of leisure activities. Residents benefit from being part of the local community and are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. EVIDENCE: One resident spoke about the work placement he was undertaking. It would appear that this was enjoyed and also enabled the resident to have some independence and ensured regular contact with people from outside the home. Sound risk assessments had been undertaken to ensure safety when outside the home and this enabled the resident to travel to work by public transport on St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 14 his own. Money earned from this placement enabled the resident to maintain some form of financial independence, which was very important to him. Other social activities included going to the cinema, shopping, trips out and meals out. The home has access to its own transport when required. With one resident a lot of work had been undertaken by staff to ensure the resident was taken out as much as possible. Previously this resident had been unable to visit any tearooms or cafes but with particular attention to detail and accurate planning this resident now enjoyed a trip out and a visit to tearooms. This had greatly enhanced the quality of life for this resident. The strict routine had also been used to enable this resident to have a holiday last year, the first one for many years. This had proved very successful and a further holiday is planned for later this year. Family links and friendships are promoted and maintained in the home. The manager explained that residents were free to have friends to visit when they wished and may have overnight guests. Each resident had their own flat and were therefore able to receive visitors in private if they so wished. Resident’s flats were their own responsibility. One had a list of chores that covered cleaning, cooking etc. One resident spoke about purchasing and cooking their own food. They also spoke about how they kept their flat clean and tidy and that they were hoping to have it decorated soon. Staff offered guidance to ensure that residents had planned nutritious meals. Staff did not routinely intrude on resident’s privacy in their flats, unless specific tasks were identified that the individual required support with. These elements were assessed and the level of staff support and guidance was agreed with the resident and recorded in their individual plan of care. It was clear that residents were encouraged to learn, maintain and develop practical life skills to their full potential and capacity in the home. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live in the home benefit from being provided with sensitive and flexible personal support. Health needs are extremely well met and resident’s benefit from having full access to all professional health care services as required. People who live in the home are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The personal and health needs of residents were very well met with evidence of good multi disciplinary working taking place on a consistent basis. The home promoted and maintained residents health by facilitating and supporting residents with medical appointments as necessary. One resident was encouraged to remain as independent as possible with regards to GP visits and the collecting of prescriptions and medication. Staff oversee the process but the resident actually obtains the necessary prescriptions and medications. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 16 The two residents in the home had very different needs with regards to personal support but both were well supported according to their needs and had their emotional and physical needs met. Both residents had full access to all health professionals as required. Their physical health was well managed and maintained. All necessary medical information was well maintained in the support plans. Staff understand the key principles of giving personal support and were responsive to the varied and individual requirements of the residents in their care. Attention was given to ensuring an individual’s privacy and dignity was maintained during personal care and it was clear that staff were sensitive to the individuals changing needs. A medication review instigated by the home had changed the life of one of the residents and had a major impact on her wellbeing and general health. This resident has also been encouraged to lose weight by following a healthy diet and this has also improved her health generally. The administration of medication system used at the home was very relevant to this home and was not the normal system used in the majority if care homes. However for residents who had the capacity, staff dispensed medication into individual self-administration systems. The exercise does not adhere strictly to good practice guidance but it is part of the home’s policy and procedures for medication administration. It was stated that particular attention is paid to accuracy in this practice. The registered manager supports the practice as it encourages independence for the resident. Residents spoken with were also supportive of the practice as it gives them some control and freedom in regard to their medication regimes. The process had been risk assessed as part of the residents’ treatment plan and was further supported by the ethics committee for the individual. Staff sign the medication sheets when they witness a resident taking medication and to keep control over the amount of medication supplied. Medication sheets seen were comprehensively maintained by staff. There have been no accidents or errors recorded with this system. All staff had undertaken accredited medication training course over the period of several weeks and the registered manager said he felt confident in their abilities. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are protected by a robust complaints system and residents and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that residents are protected from abuse. EVIDENCE: The home had a clear and comprehensive complaints procedures and one resident spoken with confirmed he felt confident to complain if necessary and felt he would be listened to. A family member also confirmed that the registered manager and staff were approachable and proactive if dealing with any concerns. The home had received no complaints since the last inspection and thus had no written records or records of outcomes of complaints and concerns. The Commission has not received any complaints or concerns. The home has adopted the revised Kent and Medway Adult Protection Policy and the registered manager confirmed all staff had received training in this field. St Leonards Place DS0000029027.V367709.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): 24,25, 26, 27 and 30 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from living in a clean, safe, wellmaintained environment and have safe access to comfortable indoor and outdoor communal areas. EVIDENCE: The accommodation is divided into three self contained flats each comprising of a bedroom, bathroom, kitchen and sitting room with its own front door and entrance. Each flat was decorated and furnished to a good standard and had been personalised according to each individual residents taste. Residents were free to entertain and to accommodate family and friends in the privacy of their own flats. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 19 One flat had recently been redecorated and another one is due for repainting in the immediate future. The hallway and stairs had recently been decorated and new carpets had been purchased. The outside of the building has also been recently repainted. The rear gardens were slightly over grown but the registered manager was in the process of clearing the grounds to make them more accessible for the residents to use. The registered manager confirmed some of the baths did not have thermostatic mixer valves fitted and the water temperatures were not fully monitored. The registered manager is advised to risk assess and where appropriate take action to fit Thermostatic Mixer Valves to water outlets to ensure compliance with the Health & Safety Regulations and Regulation 13.4(a) of the Care Homes Regulations. Risk assessments should also be undertaken with regards to the guarding of radiators and pipe work to ensure compliance with the Health & Safety Regulations and Regulation 13.4(a) of the Care Homes Regulations. Window restrictors are not fitted on the upper floors, although a single bar had been fitted across each window. This was discussed with the registered manager during the site visit and it is recommended to carry out a risk assessment to ensure the safety of the residents taking into mind the guidance set by the Health and Safety Executive and Regulation 13.4(a) of the Care Homes Regulations. Where possible individual residents were responsible for the cleanliness of their own flats. The home generally was clean and fresh. Laundry facilities were sited within each of the flats kitchens. This was appropriate to the style of individual service offered, machines were domestic in nature. Hand washing facilities were prominently sited with disposable towels available. The home had an infection control policy and procedures were in place for the disposal of clinical waste. Personal protective clothing was available if required. St Leonards Place DS0000029027.V367709.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, 33, 34 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from the support of carefully selected and well trained staff who understand their needs. EVIDENCE: St Leonard’s Place has a small, dedicated staff team including the registered manager. Staff work a 24-hour roster. The home does not use agency staff and therefore residents benefit from an experienced staff team who know them well and understand the home’s way of working. The registered manager confirmed that the home had two members of staff on duty in both the morning and afternoon with one waking night and one sleeping night staff. Extra staff are used if more activities take place during the evening. During the last inspection staff files were inspected and it was confirmed that residents were being protected through the use of robust staff recruitment St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 21 procedures. Staff were only employed after necessary references and checks had been obtained and were found by the home to be satisfactory. No new staff had been appointed since the last inspection, so the files were not viewed again. The requirements regarding staff training in adult protection and challenging behaviour had been complied with. Mandatory training was also up to date. All staff held a National Vocational Qualification to level three, which exceeded the required level. Staff confirmed they received regular formal staff supervision, usually bimonthly. Supervision records were seen which also identified the staff members training needs. The registered manager kept the records stored securely when not in use. Records indicated low rates of staff turnover and sick leave and a high level of morale was evidenced during the visit. Residents spoke highly of the staff and appeared very comfortable them. St Leonards Place DS0000029027.V367709.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, 38, 39, 40 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from having a registered manager who has a clear development plan and vision for the home, which he effectively communicates to the residents, staff and relatives. The residents also benefit from having a registered manager who is well supported by staff who demonstrated an awareness of their roles and responsibilities. EVIDENCE: The registered manager has completed a NVQ Level 4 in Care and Management and was able to demonstrate that he had the experience and knowledge to ensure the best and most appropriate support and care for the St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 23 resident group. The registered manager had also been receiving mentoring, which he stated has been very beneficial to him. The resident’s benefit from the management approach in the home. The registered manager creates an open and inclusive atmosphere and it was clear that residents and staff found him approachable, friendly and supportive. The home’s lines of accountability were clear and were well evidenced. It was evident during the inspection that residents opinions were sought and included in the decision making process in the home. The registered manager surveys residents and their representatives about the quality of service the home provided for them. Responses informed the home’s future practice. Records required by regulation for the protection of residents and for the effective and efficient running of the home were maintained and up to date. It is recommended that the management reviews its health and safety procedures and risk assessments to ensure all elements of safety are inspected and maintained to ensure the home meets with the required standards. This is in reference to water temperature control, the window restrainers and the guarding of radiators and pipe work as discussed with the registered manager during this site visit. Residents’ financial interests were protected with either themselves or representatives dealing with their finances. The registered manager does not act as appointee for handling residents financial affairs. Neither residents nor their representatives expressed any concerns about the home’s management of monies. The registered manager said the home was financially viable and had access to professional business and financial advice. The company holds all the necessary insurance cover to enable it to fulfil any loss or legal liabilities. St Leonards Place DS0000029027.V367709.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 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 3 3 3 2 X St Leonards Place DS0000029027.V367709.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 Refer to Standard YA42 Good Practice Recommendations It is recommended that the registered provider review its health and safety procedures and risk assessments to ensure that all elements of safety are inspected and maintained to ensure that the home meets with the required standards. St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 St Leonards Place DS0000029027.V367709.R01.S.doc Version 5.2 Page 27 - 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. 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