Care Home: Stourcliffe Avenue

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What the care home does well We found that young people who use this service have very detailed assessments of their needs completed as part of the transition into the service. Students who answered our survey forms responded, "yes" to the question were you asked if you wanted to move into this home. Students have very detailed plans of their care and support needs and are involved in how this information is updated. Students who use this service tell us that they are able to make decisions about their lives such as what they do at the weekends and in the evenings. Students are supported to lead independent lives and risk assessments are completed to support decisions made with the students. Young people in this service are supported to participate in education and work experience and to develop interests and activities. They are very much part of the local community. People living in this service are supported to maintain relationships with people who are important to them.People living in the service tell us that they are supported to take responsibility for all aspects of their lives. Students are supported to maintain a healthy diet and are supported to become more independent. Information on students is written in a person centred way which supports the way individuals prefer to have their needs met. Good recording evidences that students have their physical and emotional needs met. Young people living in the service are supported and protected by a robust medication policy and procedure. Students told us that they know who to talk to if they are unhappy and everyone who returned a survey form said they know how to complain. People who work in the service received training in safeguarding both adults and children so students are protected from abuse and harm. Students live in a home, which has been designed and decorated with their needs in mind. Young people who live in the home tell us that it is always clean. People who work in the home have the skills and qualifications to meet the needs of the students living there. The recruitment practice at the home ensures that students are protected. Staff receive the training they need to do the job well and understand the needs of the young people using the service. The registered manager has the skills and experience to ensure that the service is well run in the interests of the people living there. Because staff receive the training they need to support the people living in the home, the health, safety and welfare of students is promoted. What has improved since the last inspection? This was the services first key inspection since registering in April 2008. What the care home could do better: At the end of this inspection there are no requirements and no recommendations. CARE HOME ADULTS 18-65 Stourcliffe Avenue 46-48 Stourcliffe Avenue Southbourne Bournemouth Dorset BH6 3PX Lead Inspector Tracey Cockburn Unannounced Inspection 22nd September 2008 9:15 Stourcliffe Avenue DS0000071534.V369223.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 Stourcliffe Avenue DS0000071534.V369223.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. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stourcliffe Avenue Address 46-48 Stourcliffe Avenue Southbourne Bournemouth Dorset BH6 3PX TBC 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) Cambian Education Services Limited Mrs Michelle Alexis Timms Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service: Care home only - Code PC to service users of either gender whose primary needs on admission to the home are within the following category: 2. Learning disability (LD) 12. The maximum number of service users who may be accommodated is 12. New service Date of last inspection Brief Description of the Service: Stourcliffe Avenue is owned by Cambian Education and provides care and support to 12 young people. The home is two houses joined together by a central atrium. The home has been designed with younger people in mind. There are twelve en suite bedrooms. There are two kitchens, two lounges, two dining areas a large study room and a games room. There is a well-maintained garden. People who live in the service are able to access the local amenities. Cambian Asperger Syndrome Services Ltd provides a number of services for young people with asperger syndrome in Dorset, Wiltshire and Hampshire, principally for the 16-19 year old age group. The Company is part of the wider umbrella organisation Cambian Education Services Ltd, who provides both education and residential resources for children and young adults with autism and asperger syndrome. Stourcliffe Avenue DS0000071534.V369223.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 the services first key inspection since it was registered with the commission in April 2008. Survey forms were sent to the service and five were returned from people who live in the service. People who work in the service returned seven. Comments from these returned surveys are used in the main body of the report as examples in each outcome area. As part of this inspection we looked at a variety of documents including staff recruitment files, individual person centred files, staff rosters, medication records and training records. Part of the planning for the inspection involved reviewing information the service sent to us including notifications of any incidents that happened in the service and they action they took as well as the annual quality assurance assessment completed by the home. A total of seven hours were spent planning the inspection and completing the site visit. This is a service registered for young adults and accommodating people between the ages of 16-17 and supplementary standards are used in each outcome area of the report. People who use this service refer to themselves as students and this terminology is used through out the report to refer to the young people who live at Stourcliffe Avenue. What the service does well: We found that young people who use this service have very detailed assessments of their needs completed as part of the transition into the service. Students who answered our survey forms responded, “yes” to the question were you asked if you wanted to move into this home. Students have very detailed plans of their care and support needs and are involved in how this information is updated. Students who use this service tell us that they are able to make decisions about their lives such as what they do at the weekends and in the evenings. Students are supported to lead independent lives and risk assessments are completed to support decisions made with the students. Young people in this service are supported to participate in education and work experience and to develop interests and activities. They are very much part of the local community. People living in this service are supported to maintain relationships with people who are important to them. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 6 People living in the service tell us that they are supported to take responsibility for all aspects of their lives. Students are supported to maintain a healthy diet and are supported to become more independent. Information on students is written in a person centred way which supports the way individuals prefer to have their needs met. Good recording evidences that students have their physical and emotional needs met. Young people living in the service are supported and protected by a robust medication policy and procedure. Students told us that they know who to talk to if they are unhappy and everyone who returned a survey form said they know how to complain. People who work in the service received training in safeguarding both adults and children so students are protected from abuse and harm. Students live in a home, which has been designed and decorated with their needs in mind. Young people who live in the home tell us that it is always clean. People who work in the home have the skills and qualifications to meet the needs of the students living there. The recruitment practice at the home ensures that students are protected. Staff receive the training they need to do the job well and understand the needs of the young people using the service. The registered manager has the skills and experience to ensure that the service is well run in the interests of the people living there. Because staff receive the training they need to support the people living in the home, the health, safety and welfare of students is promoted. 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. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 7 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. Stourcliffe Avenue DS0000071534.V369223.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 Stourcliffe Avenue DS0000071534.V369223.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): 2 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Young people who are considering this service have their individual needs assessed in detail before any decisions are made. EVIDENCE: The Annual quality assurance assessment (AQAA) provided by the home states: “ The purpose of Stourcliffe Avenue is to use the help available through specialist approaches, staff expertises and our environment to prepare our students to meet the demands of adult life in a positive way.” The AQAA also states that: “ We are careful in our assessment process to ensure that the profile of potential students matches the student group they will be with” We found there is a detailed pre admission assessment, which is undertaken on a multi disciplinary basis. This means that information is gathered from a variety of different people including the individual themselves. This forms the baseline on which individual plans are developed with the student. Each student has a focus file, which contains information on the terms and conditions of residency. There are 10 sections in the file covering transition Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 10 information, placement plan, and individual progress plan. Each person also has a person centred plan. This information is developed with each student. The information also considers therapeutic needs, development of independence and brings together educational needs and goals. The two files seen both contained a placement plan setting out assessed needs and the objectives of the placement and how they will be met. This is the supplementary standard for service with younger adults aged 16-17. Stourcliffe Avenue DS0000071534.V369223.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): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual plans of care reflect changing needs and goals. People are supported to make decisions in their daily lives and take risks as part of a developing independent lifestyle. EVIDENCE: The annual quality assurance assessment submitted by the home to us states that risk assessments, placement plans and medication regimes are reviewed every three months. Students are involved in developing their focus files, which contain the details of how they are supported including their placement plans and goals. Staff work with students to individualise their focus file. Students have members of staff who work with them and support them to attend meetings and work on their plans and goals. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 12 There is a three-month assessment review, which enables the student to be honest, and say whether or not they are getting on with their key worker. Targets are agreed with students at these meetings. Information is available for students on notice boards in the home. Records are kept of choices, which people have made. Detailed risk assessments are reviewed every three months and this was seen in the three file looked at. Supplementary standards for young adults aged 16-17 in this outcome area are around the need to plan for the student’s future when they leave education. There was evidence on the 2 files seen that this planning takes place. Stourcliffe Avenue DS0000071534.V369223.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): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living in the service tell us they are able to participate in leisure activities, which interest them in the local community. They are able to maintain relationships with the people who are important to them and are enabled to take responsibility for their lives. Part of this involves a healthy diet. EVIDENCE: The annual quality assurance assessment (AQAA) provided by the home states: “ We aim to provide a supportive environment and a range of opportunities within which students can develop self esteem, self advocacy, personal dignity, confidence, maturity and enjoy positive relationships leading to optimum quality of life” To help the home achieve these aims they have the professional support of the providers therapeutic department, which has two assistant psychologists, a Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 14 speech and language therapist an occupational therapist, holistic therapist and fulltime nurse. Students who live at Stourcliffe Avenue attend The Wing Centre, which is also part of Cambian Education. Their education needs are addressed at the Wing Centre and they are able to study at the home. Five students go out to college at the time of the inspection. The service has developed the city and guilds Profile of Achievement. There is a work book which students use with staff and work on specific areas such as life skills. This covers all aspects of life including opening a bank account, using an iron and making a simple meal just some examples of the work that students are involved in. there are four levels to achieve. Students celebrate different cultures and decide together how that will be done, they look into the background of a particular culture and have cultural nights when they plan what they are going to do, buy the food and enjoy themselves. Some students have an individual budget and are supported by staff to develop budget management skills and to develop their cooking skills. The kitchen in one of the houses is for students who have their own food budget and the other kitchen is for students who are supported. The manger said that students would cook for each other. Staff support students to menu plan and do the shopping for the week. Supplementary standards in this outcome area advise that each student must have details of their education history on their individual file and that staff are aware of each students history. During the inspection this information was available and staff were aware of it. Supplementary standards in this outcome group also advise that students have a range of activities both with adults and on their own. There was evidence in the files seen that this happens. Students in the home are able to participate in activities they are interested in and they are supported by staff. There was also evidence that students are supported to maintain a healthy diet and professional advice is sought when appropriate. Stourcliffe Avenue DS0000071534.V369223.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): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are supported in the way they need and prefer ad their physical and emotional needs are identified and met. Robust procedures in dealing with medicines mean that people are protected. EVIDENCE: Student’s health needs are assessed on admission and incorporated in a plan of care. Care plans seen identified where specific support or care is required. Students are registered with a local GP, dentist and optician as required. Some maintain dental and optical care at their homes. A choice of practitioner is available. Students said that they are supported to visit the GP but are able to see the doctor in private if they wish. Care records show that student’s needs are identified and met. Routines are flexible and afford each student the scope to receive support according to their needs at a time, which is suitable for them. Students and staff spoken to confirmed this. Care plans detail the information on each student’s level of independence and assistance covering bathing, dental care, dressing, grooming, domestic skills Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 16 and the strategies to be used to support each student. There is also information on their daily routine and preferences. The service has a policy and procedure on medicines. All medication is held securely in a metal cabinet fixed securely to the wall in a locked room. This is a small room used exclusively for the storage of medication. The senior on duty administers medication as required. During the site visit the medical co-ordinator was available and able to given detailed information on the procedures for the ordering of medication. This is done once a month by the co-ordinator, who is also responsible for daily and weekly audits of the medication in the service. There is a procedure for medication leaving the home if for example a student is going home for the weekend. Parental permission is sought to give staff permission to administer medication and first aid as required. Signed permission forms were seen on care files. Supplementary standards in this outcome area advise that the home must provide information and advice on illegal substance abuse, smoking and sex education. This information was available. Stourcliffe Avenue DS0000071534.V369223.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): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a complaints procedure, which means people should be confident that their concerns would be listened to and acted upon. Staff receive the training they need to ensure that people are protected. EVIDENCE: The home adheres to a corporate complaint procedure, which includes the expectation that complaints are handled swiftly and within 28 days. The procedure includes stages and supports complainants in referring the complaint forward if they remain dissatisfied. Students have access to several contacts should they wish to raise a worry or complaint. All the students who responded to the survey forms said that they knew who to talk to if they were unhappy. There are simplified complaint leaflets and posters. On admission each student is given this information. If a complaint is received a record is made. The recording system includes an indication of whether a complaint has been substantiated or not and whether the complainant was happy with the outcome. The home is party to full and detailed child/adult protection procedures, including links with Area Child Protection Committees and the availability of No Secrets Policies and Whistle blowing procedures. The training records show that all staff receive induction, foundation and refresher training in this respect. Staff confirmed that they had received this training and records evidenced this. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 18 All staff had received SCIP r UK (Strategies for Crisis Intervention & Prevention) training, although physical intervention is only used as a last resort within a risk assessed framework. There is an anti bullying co-ordinator and a bullying log is kept. Bullying was a topic of discussion at the house meeting for the students on 12/09/08. Supplementary standards in this outcome area advise that the service should have policy on bullying and absence without authority, which it does have. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 19 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): 24,30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People live in a home, which is designed with them in mind. The home is clean. EVIDENCE: This service provides accommodation to twelve young people. The home is two houses, which have been modernised and joined together. The entrance to the home is through a central atrium. There are two kitchens and two lounges. All the bedrooms are en-suite. The home is decorated to a high standard with very good quality fixtures and fittings. The home reflects the lifestyles of the young people living there. There is office space on the ground floor. Supplementary standards in this outcome area advise that students should not share rooms with other students of a significantly different age. All the rooms at Stourcliffe Avenue are single occupancy. The standards also advise that there should be a facility for the students to study, which provides sufficient Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 20 space and has adequate storage and study materials are available. There is a large airy room on the first floor, which is the study room. There are laundry facilities for the students and they are encouraged to participate in house hold chores. The laundry equipment is suitable for the home and the surfaces are easy to clean. The home is clean and infection control procedures are in place. All the five students who returned survey forms said that the home was clean. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 21 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): 32,34,35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff receive the training they need to do the job well. Recruitment is robust and ensures that the people living in the home are protected. EVIDENCE: Comments received from the survey forms returned by staff included: “Training is A1” Someone else said “ very little training on AS mostly health and safety training” someone also said “ maintains high standard of working practices, manager support staff well and lead by example” One person said there should “ be more training relating to disabilities” Another person said, “There are relevant training courses available” One person said, “the company provides thorough training, regular refresher courses and staff are encouraged to apply for external training courses to enhance their performance” Several staff commented in their survey forms that they could not start working for the service until a satisfactory criminal records bureau disclosure had been returned and both references had arrived. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 22 Records evidence that staff have undergone an induction that reflects Skills for Care induction standards and the Learning Disability Assessment Framework. Staff who responded to the survey said that they receive training, which provides them with knowledge to support the students. Staff also said that the training keeps them up to date with new ways of working. The staff spoken with also felt they were particularly supportive of each other, and presented as a committed and focussed team striving for the service users to achieve good outcomes. All staff recruitment files are held at the registered providers office in Bournemouth. We looked at two files. All documentation was clearly recorded, face-to-face interviews took place, references were sought and Criminal Records Bureau checks were completed before each person started work for the provider. Students are involved in interviewing potential staff for the service. Every staff survey returned felt that the training given was relevant to the role they were doing. Weekly staff meetings take place to also ensure a consistency of care. The service has a training plan, all staff receive structured induction and those staff that responded to the survey confirmed this. Staff receive equal opportunities training as part of induction. There was evidence in staff files that training is linked to the needs of the people using the service. Supplementary standards in this outcome area advise that 80 of staff working with 16 and 17 year olds are working towards or have completed the national vocational qualification at level 3 in caring for children and young people. 13 of the 18 staff working in the home have this qualification. The supplementary standards also advise staff left in charge should be at least 21. Supplementary standards also say that staff must have guidance on child protection. Evidence was seen that they do. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 23 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): 37,39,42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People living in the home benefit from the manager understanding her role well and developing robust procedures to ensure it is well run. The development of the service will be based on the views of the people living in the home. Their health, safety and welfare are at the centre of what the service does. EVIDENCE: The manager has been involved in the process of setting up the service and has a great deal of experience working with younger adults. She has the registered managers award and national vocational qualifications at level four. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 24 The home has a quality assurance system in place used in other homes owned by the provider. These systems are based on seeking the views of the students, the families and the relevant professionals that work with the service in order to measure success in achieving the aims and objectives and the statement of purpose. In addition quality assurance is measured through the company’s own regular audit of the National Minimum Standards, Regulation 26 visits carried out by independent personnel and six unannounced night visits, per year, carried out by Managers within the company. The home also undergoes regular Health and Safety audits. The detailed report of one unannounced night visit was seen. This detailed action points noted by the visiting manager. Fire records were up to date and covered maintenance of the system as well as weekly and monthly checks of equipment and fire drills. All staff had completed mandatory training in; first aid, fire safety, food hygiene, health and safety. These training courses are provided on a rolling rota system to ensure all staff are appropriately trained and receive refresher training when required. Temperatures of fridge/freezer and food cooking were all recorded. Hazardous substances were stored safely and had accompanying data. Water temperatures are kept at 43decrees C and are also tested regularly. PAT testing is undertaken on any equipment brought into the home, which is not new. There were no outstanding recommendations from the local Environmental Health Service. Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 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 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Stourcliffe Avenue DS0000071534.V369223.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stourcliffe Avenue DS0000071534.V369223.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. 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