Care Home: Stocks Hall

What the care home does well Stocks Hall provides a homelike, calm and welcoming atmosphere for both people that live there and visitors. People that use services were seen to move freely around the home and activities have been devised in the various units within the building. People that use services received a very good standard of care and comments from residents, visitors and staff support this. Residents said, "Staff know I don`t get up until after 10:00am so don`t bother me until then, they know me well enough to know when I want help. They help me with personal care and I do as much as I can". "Staff said to me this is where you live treat it as your home and do what you did at home so I do. Considering what I had heard about care homes this is a total shock for met as I`ve said it`s home form home". "Attention to detail is very good" Care staff practices were good and staff were very patient and were seen to take time to ask residents questions rather than deciding for them. Residents were encouraged to join in activities if that was their wish. Residents were comfortable and confident in their environment and were experiencing a good quality of life. Signage helps them to recognise where they live. Residents said the building was comfortable and comfortably furnished. A resident said, "Living here is the next best thing to home". Relatives said that Stocks Hall was `beneficial to the people of St.Helens`.The provider had s commitment to training and staff said that training was very good. An experienced management team managed Stocks Hall and this was reflected in the management approach. What has improved since the last inspection? This was the first site visit since registration in March 2008 CARE HOME ADULTS 18-65 Stocks Hall 6 Elderflower Road Dentons Green St Helens WA10 6FP Lead Inspector Anthony Cliffe Unannounced Inspection 12th August 2008 08:40 Stocks Hall DS0000071350.V369535.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 Stocks Hall DS0000071350.V369535.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. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stocks Hall Address 6 Elderflower Road Dentons Green St Helens WA10 6FP 01695 556996 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) Stocks Hall Care Homes Limited Mrs Julie Elizabeth Gaskell Care Home 53 Category(ies) of Dementia (15), Learning disability (12), Physical registration, with number disability (26) of places Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. The registered person may provide the following categories of service only. Care home with nursing – code N, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories:Physical Disability – Code PD, (maximum number of places: 39) Dementia – Code DE (maximum number of places: 15) The maximum number of people who can be accommodated is: 54 Date of last inspection Brief Description of the Service: Stocks Hall is a care home with nursing situated in the Denton’s Green area of St.Helens. Accommodation is provided over three floors with the laundry, kitchen and staff facilities situated on the lower ground floor and living areas and bedrooms on the ground and first floor along with administrator’s and the manager’s offices. The home is close to St.Helens Town Centre and is on a bus route. Good rail links are within the Town Centre Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is a two star. This means that the people who use the service experience good quality outcomes. This unannounced visit took place on the 12th and 13th August 2008 and lasted eleven hours. One inspector carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the manager was asked to complete a questionnaire to provide up to date information about services provided. During the visit various records and the premises were looked at. People that live at Stocks Hall were spoken with to find out what they think about the services they receive. Staff including the deputy manager, administrator and a care supervisor carer was also spoken with as well as relatives. What the service does well: Stocks Hall provides a homelike, calm and welcoming atmosphere for both people that live there and visitors. People that use services were seen to move freely around the home and activities have been devised in the various units within the building. People that use services received a very good standard of care and comments from residents, visitors and staff support this. Residents said, “Staff know I don’t get up until after 10:00am so don’t bother me until then, they know me well enough to know when I want help. They help me with personal care and I do as much as I can”. “Staff said to me this is where you live treat it as your home and do what you did at home so I do. Considering what I had heard about care homes this is a total shock for met as I’ve said it’s home form home”. “Attention to detail is very good” Care staff practices were good and staff were very patient and were seen to take time to ask residents questions rather than deciding for them. Residents were encouraged to join in activities if that was their wish. Residents were comfortable and confident in their environment and were experiencing a good quality of life. Signage helps them to recognise where they live. Residents said the building was comfortable and comfortably furnished. A resident said, “Living here is the next best thing to home”. Relatives said that Stocks Hall was ‘beneficial to the people of St.Helens’. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 6 The provider had s commitment to training and staff said that training was very good. An experienced management team managed Stocks Hall and this was reflected in the management approach. 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. Stocks Hall DS0000071350.V369535.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 Stocks Hall DS0000071350.V369535.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 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People that use services are provided with information about the facilities and services available to them and have important information gathered about their needs so they received appropriate care and could choose where they lived. EVIDENCE: Information was provided to relatives or people that used services prior to them making a decision to move to Stocks Hall. A service user guide and statement of purpose was available to them and could be made available in different formats. We examined the care records of three people that lived at Stocks Hall. All contained detailed information about them, which had been gathered before they moved there. Two residents and residents’ families conformed that the manager had been to see them to gather personal information about their needs, which included finding information about their routines and lifestyles. The home also used a personal profile to gather information about peoples’ life and family histories. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 9 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 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People that use services are encouraged to make decisions about their lifestyles but further improvements are needed in how they are offered opportunities to maintain their independence and how information about them is used to determine how their care is arranged so their choices are supported. EVIDENCE: We examined the records of three people that use services and people that used services and relatives were spoken with about their involvement in how information was gathered about their needs. The care records seen and conversations with people that lived at the home and relatives demonstrated that the health and personal needs of people living at the home were consistently met and their privacy and dignity always respected. Detailed information was gathered about their needs before they moved in. Care records contained some information about the routines and lifestyle choices of people but did not consistently reflect the level of information that had been gathered about them. An example of this was a person that used the service had been assessed as having limited capacity Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 10 under the Mental Capacity Act but there was no decision making agreement in place to guide staff on how the person would make decisions or who would make decisions for her such as family members or an advocate. Discussions with people that use services and relatives confirmed that they were involved in gathering information about their needs and this reflected a person centred approach to care, but care records were not written as person centred plans so did not reflect the personalisation of their care. A resident had written their own care records, which reflected their own routines and choices. Residents and or their relatives were actively supported to be involved in planning to meet their needs. Care records contained a variety of detailed information and were reviewed every month to show the needs of the residents were regularly reviewed. People that use services said they were encouraged to make decisions about their lifestyles. A resident said. “I was told to treat this as my home and I do as I follow the same routines I did at home”. Another resident said, “There are no routines here. Staff knows I’m never up before 10:am so don’t bother me until after then”. Care records contained risk assessments for individual risks identified about people that use services. Risk assessments were in place to enhance and not limit peoples’ opportunities to make decisions about their lives. Opportunities for people to have more control over there lifestyles could be improved by offering people that live at Stocks Hall the opportunity to be responsible for the management of their medicines as this was not routinely done when people moved in. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 11 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 and 17 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People that use services are supported to maintain personal relationships and make choices about lifestyle and leisure activities in keeping with their age, wishes and choices so they receive appropriate social care and have a healthy diet based on their personal choices. EVIDENCE: Residents had access to a variety of leisure activities and the home had its own minibus. Residents said they had been out regularly. Residents said they went into the town centre and had visits or visited relatives. A resident said that they were pleased to be living in their local community again and going to their favourite pub and meeting friends. The home had also supported residents to access the local college for computer courses. The activity staff member spoken with said the home was raising money to purchase a computer so people could have access to the Internet and keep in touch with friends and family. This had been started by the home holding a sponsored walk and summer fate to raise money for the residents’ fund. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 12 People that used services said living at Stocks hall was like being at home or ‘the next best thing’. A resident and two relatives said the manager had spoken about the home having a residents committee and relatives meetings so they could contribute to the management of the home. The resident said a meeting had taken place to discuss the residents committee and people seemed ‘keen’ on the idea. When residents went out they were expected to pay their own entrance fees. During the site visit the deputy manager and administrator’s attention was drawn to the National Minimum Standards for Younger Adults, which suggests the contract arrangements between the home and younger adults includes holiday arrangements for those people choosing to have a holiday as part of their care. The home had a four-week menu, which offered a variety of choices including a cooked breakfast and alternative choices at meal times available on the menu. People that lived at Stocks Hall said they could choose when they had their meals and did not have to keep to the regular mealtimes. A resident said she had the same routine around breakfast that she had at home. Another said she liked to have a lie in and eat her breakfast later. Meals were ordered daily by the chef or kitchen assistant with individual residents. Menus were available and displayed on the unit notice board or written on dry wipe white boards in the dining areas. The units had their own kitchens so residents could have a snack. Residents said the meals were good and plentiful and there was a variety of foods available for them to make themselves a snack. Relatives said that there son enjoyed a normal diet at Stocks Hall and loved pie and chips as opposed to hospital when he was given a ‘liquid mush’ to eat as he was not asked about what he wanted to eat. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 13 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 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People that use services’ personal, physical and emotional needs are met. Management and administration of medicines ensured residents received their prescribed medicines safely. EVIDENCE: The Annual Quality Assurance Assessment (AQAA) stated that people that used services’ preferences was central to the home’s philosophy and this was reflected in the attitude of staff and could be seen in their approach to people living at Stocks Hall. People using the service and relatives said personal care was delivered appropriately in privacy. Care records gave clear details to the personal care required but did not always reflect the preferences and routines of people around how they wanted their personal care to be arranged. For example care records did not specify personal routines and choices around bathing. Care records included details from the appropriate professionals involved in their health and social care and daily records showed that staff acted on recommendations from professionals. Examples of this were advice given form dieticians and speech and language therapists. Residents were supported to Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 14 attend hospital visits and included family members. Nursing staff were employed for people requiring nursing care. Relatives spoken with gave good examples of staff responding to the health needs of people that use services. Relatives described how staff had recognised their son had a recurrent condition and he was admitted to hospital. In hospital the person had a catheter introduced without reason and on return to Stocks Hall this was taken out, as staff knew the person could pass urine independently. Other relatives spoke positively about staff recognising their daughter as having and infection and receiving treatment for this. The home was supported by a pharmacy. Each area in the home had a designated person to order, return and audit medication. Clear records were maintained on which photographs of individuals were kept. Medication policies were comprehensive and were reviewed in 2008. We looked at the arrangements for the ordering, receipt, administration and disposal of medicines and found some minor errors, which were rectified during the site visit The arrangements for those people that wish to manager their own medicines needs to improve as people choosing to Live at Stocks Hall were not routinely being offered this opportunity which was not in keeping with the home’s philosophy of supporting people to choose their own routines and lifestyle. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 15 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 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Complaints and concerns are acted on appropriately and safeguarding vulnerable adults training seen as a priority so people that use services are protected from abuse. EVIDENCE: A detailed complaints procedure was in place. This was displayed prominently throughout the building and was included in the service user guide. A system was in place to log, monitor and investigate complaints and identify recurring patterns. The home had received one complaint, which was investigated by the manager and upheld. Relatives spoken with said that concerns raised were dealt with immediately and resolved to their satisfaction. Policies and procedures were in place in relation to safeguarding vulnerable adults in line with Department of Health guidelines and these were reviewed in 2008. Staff employed at Stocks Hall had either received training on or had training arranged on safeguarding vulnerable adults and managing challenging behaviour, which helped them to respond appropriately to suspicions and ensure people, were protected. All levels of staff were included in the safeguarding of vulnerable adults training. The home had a copy of the local council’s safeguarding adults policy and procedure. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 16 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, 27, 29 and 30 People who use services experience excellent care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People that use services live in a comfortable, clean and safe building, which is equipped to meet their needs but further improvements need to be made so they can remain independent. EVIDENCE: The home was purpose built to the National Minimum Standards for younger adults and the maximum number of people in each unit did not exceed fifteen people. All bedrooms had en suite facilities. During the registration of the building by the CSCI regional registration team the building was described as exceeding the national minimum standards for the size of bedrooms and communal space for individuals living there. The home had been furnished to a very high standard and provided a comfortable clean environment. Relatives said the furniture had been bought locally ‘from the most expensive shop in St.Helens’. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 17 On the dementia care unit work was in progress to provide access through patio doors to an external veranda, which was to be built to provide people with a first floor patio area. Signage in the dementia care unit had been provided for the residents living there. This included their names and photograph they had chosen. The additional furnishings were of a very good quality. Furniture inclusive of lounge, dining and bedroom furniture was of a high standard. Profiling beds were provided as required. En suite toilets in bedrooms identified for physically disabled adults had some adaptations provided with handles fitted to the walls next to the shower and toilet. Unfortunately when a resident was sat on a toilet they could not reach either handle to help them to get on or off the toilet. Lifting bars had not been fitted next to toilets to assist residents’ mobility. Shower seats were being used as raised toilet seats and the en suite facilities needed to be looked at so that people that used services could have the equipment provided to assist them use these facilities. Raised toile seats were available in the main toilets. The whole of the ground floor provides accommodation for physically disabled adults. Facilities include overhead tracking so residents’ mobility needs can be comfortably met when accessing bathing facilities. These units still have doors that have electronic locks on them and the doors do not have independent opening devices on them so wheelchair users cannot access all the facilities on the ground floor independently. The kitchens on the units have low level worktops so physically disabled residents can access drinks making facilities but these are do not rise and fall so are not accessible for all wheelchair users. During the site visit domestic staff were seen at work and the standard of cleanliness in the building was of a very high standard with all areas of the building fresh and clean. Domestic staff had the opportunity to undertake NVQ level qualifications in housekeeping. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People that use services are supported and protected by positive recruitment procedures and appropriately trained staff that can meet their needs. EVIDENCE: Staffing levels seemed more than adequate. For example on the unit that provided personal care only for twelve physically disabled people the care supervisor and three care staff were on duty from 07:30 to 15:30. On the dementia care unit, which was not fully occupied there was one registered nurse and two care staff on duty for five people. Staff surveys returned prior to the site visit said that staff were always willing to cover sickness and holidays so people that used services received care from staff that knew them and agency staff were not used. Surveys said that staff always received up to date information on the needs of the people they were providing care and support to. We examined the records of four staff employed at the home. Recruitment procedures were comprehensive, robust and adhered to and included staff having to complete an application form, a full employment/education history, two references inclusive of the current or last employer and Criminal Records Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 19 Bureau (CRB) disclosures being completed. Staff were issued with job descriptions, contracts of employment and the General Social Care Council code of practice for care staff. The home had benefited form recruiting a number of experienced and trained staff from a care home that closed and had chosen the staff that suited the needs of the home. Ten staff surveys were returned as part of the site visit and all said that recruitment was done fairly and that induction provided staff with the knowledge and skills to do their job. The provider demonstrated a commitment to providing training to staff. An induction programme was in place which included staff completing an induction day when they commenced employment where they were shown the important policies and procedures and had to familiarise themselves with them before the induction record being signed off. There was an induction programme of mandatory training in place which included health and safety, food hygiene, moving and handling, abuse awareness, fire safety, first aid, infection control and customer care. Mandatory training was given in house. A training programme was in place and 96 of staff held a minimum of NVQ level 2. This included twenty-three staff with and NVQ level 2, seven staff with and NVQ level 3 and four staff with the NVQ level 4 registered managers award. Two staff had been registered for NVQ level 2 and eight staff registered for NVQ level 3. Domestic and catering staff were registered for NVQ level 1. The training available to staff included mandatory training for all grades of staff inclusive of palliative and end of life care, fire marshals training, nutrition in dementia, customer care, dementia care, hand and foot massage, taste of creativity and leadership and management. A staff member described training as “ Training is very good and always available and you can ask for training that you think you will benefit from”. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 20 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 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People that use services live in a well managed and maintained environment, which incorporate their views about how the home is managed and developed and promotes their safety. EVIDENCE: The manager had previously been registered for another of the providers care homes and transferred to Stocks Hall St.Helens. The manager was not present at the site visit but the deputy manager; care supervisor and administrator were available to provide information and were knowledgeable and experienced in managing a care home. Four of the management team hold the NVQ level 4 registered managers award. The manager was described as approachable, encouraging and supportive. The deputy manager said, “We have a really good management team. The management team are very supportive and listen and we have been very lucky in being able to choose from the numbers of experienced staff that applied for jobs and employed the Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 21 staff that we wanted. Training is seen as a priority and you are encouraged to apply for training that you feel will benefit you”. The home had a process for seeking the views of people living there through surveys, which were issued to all people that used the service inclusive of respite services. All surveys had not been returned so the results of these were not available. A representative of the provider made monthly visits to the home and records of visits that took place in June and July 2008 were available. The visits included talking to people that lived at Stocks Hall and their relatives, looking at the quality assurance system, records kept by the home and the standard of the building. The report form the regional registration team for the CSCI of 16th July 2008 confirmed that all the required maintenance and service certificates were completed as required. The AQAA recorded that assessments were in place to reduce the risks of accidents and all policies and procedures were in place to ensure staff receive regular supervisions and appraisal. We examined the records of four staff employed at the home and these included records that supervision was taking place. Prior to the site visit staff surveys were returned and all said the manager was supportive and met with them on a regular basis to provide support. Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 22 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 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 3 29 3 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 23 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 YA6 Good Practice Recommendations People that use services’ care records should include information on their personal and lifestyle routines, details for staff on how agreements and choices are decided with residents and how they communicate their needs. People that use services should be offered the opportunity to keep and administer their own medicines where appropriate People that use services should have their individual en suite facilities adapted to meet their individual needs. People that use services should have kitchen facilities that benefit wheelchair users and self-opening devices to corridor doors to allow independent access to the facilities available to them. 2. 3. 4. YA20 YA27 YA29 Stocks Hall DS0000071350.V369535.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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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