Care Home: Sycamore Court

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What the care home does well Sycamore Court ensures that people who live at the home are supported to make informed decisions and have their rights promoted, by ensuring that all documentation is in a format, that promotes an individuals understanding. Information, including information about the home, how to make a complaint, fire procedures and individuals Person Centred Plans are produced in large print with signs and symbols alongside the printed words to enable people to have a greater understanding of there contents. Sycamore Court actively seeks the views of people living at the home, and encourages individuals to make chooses and take responsibility for their daily lives, whilst supporting individuals to maximise and maintain a lifestyle of their choosing. People living at the home access a variety of colleges for a varied programme of courses, and socially have the opportunity to engage a range of activities, including day trips, visits to the theatre and concerts as well as holidays.People living at Sycamore Court are supported by an enthusiastic and well trained staff team, who have positive relationships with the people they support, enabling people living at the home to approach staff for guidance, and discuss any problems or concerns they have. Surveys that people completed about the care they receive at Sycamore Court were positive, everyone indicated that they were able to make decisions about their days, evenings and weekends, and that they know who to speak with if they are unhappy. Everyone indicated that staff treat them well and listen and act upon what they say. What has improved since the last inspection? CARE HOME ADULTS 18-65 Sycamore Court 33 Robert Hall Street Leicester LE4 5RB Lead Inspector Linda Clarke Unannounced Inspection 12th August 2008 11:00 Sycamore Court DS0000006315.V370091.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 Sycamore Court DS0000006315.V370091.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. Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Court Address 33 Robert Hall Street Leicester LE4 5RB 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) 0116 2610663 0116 2610663 sycamore.court@lha.org.uk www.lha.org.uk Leicester Housing Association Ms Dawn Cooke Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 27th September 2006 Brief Description of the Service: Sycamore Court provides personal care and support for up to twelve people who have a Learning Disability. The home is situated near to many amenities, including shops, pubs, sports facilities, bus routes, canal and parks. The house offers main residential accommodation, and has an annex with a kitchen and three bedrooms for people who are more independent. The accommodation is over two floors, including bedroom and communal rooms. All bedrooms are without en-suite facilities. There is a large enclosed garden to the rear of the property, with direct access from the communal lounges. Information is located on site detailing the range of services offered, which includes the Statement of Purpose. Sycamore Court has copies of the Commission of Social Care Inspections (CSCI), Inspection Reports, and are available upon request. The current weekly fee ranges between £344.00 and £347.00 a week, additional costs are payable for individual needs such as hairdressing, activities, personal items etc. Inspection reports regarding the Home are available and can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Sycamore Court DS0000006315.V370091.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 star. This means the people who use this service experience excellent quality outcomes. ‘We’ as it appears throughout the Inspection Report refers to ‘The Commission for Social Care Inspection.’ The inspection process consisted of pre-planning the inspection, which included reviewing the Annual Quality Assurance Assessment (AQAA), which is selfassessment tool completed by a representative of the service, reviewing previous Inspection Reports, and any information we have received. We sent surveys to ten people who use the service of which all were returned, all were completed with the assistance of staff. We sent surveys to two Care Managers of which one was returned and we sent surveys to eight health care professionals of which two were returned. The unannounced site visit commenced on the 12th August 2008, and took place between 11:00 and 16:45. The focus of the inspection is based upon the outcomes for people who use the service. The method of inspection was ‘case tracking’. This involved identifying people with varying levels of care needs and looking at how these are being met by the staff at Sycamore Court. Three people accessing services were selected. Discussions were held with people living at Sycamore Court. What the service does well: Sycamore Court ensures that people who live at the home are supported to make informed decisions and have their rights promoted, by ensuring that all documentation is in a format, that promotes an individuals understanding. Information, including information about the home, how to make a complaint, fire procedures and individuals Person Centred Plans are produced in large print with signs and symbols alongside the printed words to enable people to have a greater understanding of there contents. Sycamore Court actively seeks the views of people living at the home, and encourages individuals to make chooses and take responsibility for their daily lives, whilst supporting individuals to maximise and maintain a lifestyle of their choosing. People living at the home access a variety of colleges for a varied programme of courses, and socially have the opportunity to engage a range of activities, including day trips, visits to the theatre and concerts as well as holidays. Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 6 People living at Sycamore Court are supported by an enthusiastic and well trained staff team, who have positive relationships with the people they support, enabling people living at the home to approach staff for guidance, and discuss any problems or concerns they have. Surveys that people completed about the care they receive at Sycamore Court were positive, everyone indicated that they were able to make decisions about their days, evenings and weekends, and that they know who to speak with if they are unhappy. Everyone indicated that staff treat them well and listen and act upon what they say. What has improved since the last inspection? Everyone living at the home now has a ‘communication passport’, which details the best way to communicate with an individual and their preference about the support they receive. Everyone at the home has a health action plan that helps support individuals to reach goals and promote their healthy, and a healthy living group has been set up to discuss how to promote peoples health through a good and balanced diet. Communal lounges have been decorated, and new furnishings and fabrics have been ordered. We sent surveys to health and social care professionals, who made comments to the question, what does the care service do well. • • Provides a home from home environment, and usually there is good communication within the staff team, which benefits the residents. Sycamore Court offers a homely environment; they excel in providing high quality individualized care. The staff are motivated, king and caring. Staff are always welcoming, clients always appear happy. • What they could do better: The Acting Manager within their AQAA have identified what improvements the home is looking to introduce over the next twelve months, which includes providing everyone living at the home with a locked cupboard in their bedroom, to store their own medication, with a view to supporting people to manage aspects of their own medication, supported by staff and risk assessments where appropriate and safe to do so. Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 7 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. Sycamore Court DS0000006315.V370091.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 Sycamore Court DS0000006315.V370091.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 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sycamore Court supports people moving into the home by having information, which is accessible and appropriate to their needs, enabling them to make an informed choice and by a robust assessment process. EVIDENCE: People living at Sycamore Court have a copy of the homes Statement of Purpose, which they keep within their Person Centred Plan in their bedroom, this enables people to refer to the document if they so choose, in addition a brochure is available which provides people with information about the home, and how their move into the home will be managed and the support they will receive, the brochure is produced in large print supported by signs and symbols to promote better understanding. Everyone thinking of moving into the home will have their needs assessed by a Social Worker, to ensure that the staff at the home will be able to provide the appropriate care and support. In addition everyone who already lives at the home takes part in their annual review, which ensures that Sycamore Court continues to be the best place for them to live. Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 10 When someone moves into the home they will be given an agreement which details the terms and conditions of their living at the home, which is signed by them, and when fees are reviewed each year, Leicester Housing Association writes to everyone in residence to advise them as to the new weekly fee. Sycamore Court DS0000006315.V370091.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 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at Sycamore Court are involved in decisions about their lives, and plan an active role in planning the care and support they receive. EVIDENCE: Everyone living at Sycamore Court has a Person Centred Plan, which focuses on their strengths and personal preferences, and provides information about their plans, their likes and dislikes, their choices about the lifestyle they wish to live along with information about what is important to them. A majority of people living at the home keep their Person Centred Plan in their bedroom, so that it is accessible to them at all times. Person Centred Plans provide a record for the person about activities and social events they have participated in, by recording trips to the cinema, theatre, holidays and day trips. Information about events includes the programme of a show for example and photographs. Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 12 All Person Centred Plans are written in large print and are supported by signs and symbols to promote better understanding, and are regularly reviewed by the person and their keyworker and signed by both. In addition people living at the home have care plans, which detail specific areas of support they require. We looked at the records of three people, who had individual and specialist needs due to their cultural or communication needs. Everyone living and working in the home where possible have been involved in supporting a person with specialist communication needs, by learning how to communicate with the person by the use of Makaton, signs and symbols. Everyone living in the home is encouraged to take control of their daily lives and become actively involved in daily living tasks, which include shopping, preparation and cooking of meals, cleaning and laundering of clothes. Care plans detail the level of support each person needs, and are supported by risk assessments to minimise risk whilst enabling people to gain further independence and increase their daily living skills. We observed people being actively involved in the day to day running of the home, and included emptying the dish washer, preparing the evening meal and putting away ironing. Sycamore Court DS0000006315.V370091.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, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at Sycamore Court are able to make choices about their life style, and are supported to develop their skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Staff at Sycamore Court support people living at the home to live an ordinary and active life, enabling people to attain their goals, and pursue their hobbies and interests within the wider community. Keyworkers seek the views of people living at the home to ensure that their education, social and recreational interests attainable. We looked at three Person Centred Plans, which showed that people living at the home take part in a variety of social and leisure activities, along with educational courses. Participation in leisure events included trips to Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 14 DeMontfort Hall and Piccadilly Theatre to see shows such as ‘Beauty and the Beast’ and ‘Cats’, trips to the cinema, swimming, going to Church, bowling, meals out and boat trips, special events are supported by photographs, tickets and copies of programmes which each person keeps in their Person Centred Plan as a record. We spoke with one person who said that this year they had completed a college course in literacy and numeric skills, and had applied for a course in IT for the following academic year. Records we looked at showed that people living at the home attend various colleges and access courses on a variety of topics including computing, safety within the community, craftsmanship and cookery, everyone when they have completed a course is given a Certificate of Achievement by the College, and this is kept within the individuals Person Centred Plan. Opportunities for people to be involved in volunteer work are explored; with one person’s records we viewed having their involvement in Age Concern being acknowledged by a certificate of achievement. We spoke with one person who was looking forward to their holiday later in the month, saying that they along with others were staying in a hotel, whilst other people at the home had already been on holiday. People living at the home also take part in trips, which have included going to Nottingham shopping and to see ‘Dancing On Ice’. Everyone living at the home is encouraged to go shopping to the local supermarket for produce and are involved in the preparation and cooking of meals, supported by staff as appropriate. People living at the home are involved in menu planning, and menus are available using photographs and pictures to enable people to make a choice as to what they wish to eat. Sycamore Court DS0000006315.V370091.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 good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs, and the principles of respect, dignity and privacy are put into practice. EVIDENCE: Everyone living at Sycamore Court has a Health Action Plan, which is person centred and is produced in large print, using signs and symbols to enable people to have a better understanding of information written about them. We looked at the records of three people, which evidenced that people have regular access to health care professionals. Staff support individuals to access health care appointments when the individual requests this. Sycamore Court employs some male staff, which enables people in some instances to choose the gender of the person who provides support. Staff have attended training in specific areas to support individuals with specific health care needs including diabetes and epilepsy. Discussions with the Acting Manager and information provided prior to the site visit has identified that people living at the home are to be individually assessed to Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 16 determine as to whether they can manage any aspect of the day to day management of their medication. We looked at the medication records and medication within the home and found it to be in good order; staff responsible for the administration of medication have received training. Sycamore Court DS0000006315.V370091.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at Sycamore Court are able to express their concerns, and have access to a robust complaints procedure, and are protected from abuse by a supportive and knowledgeable staff team. EVIDENCE: Sycamore Court has a complaints procedure, which is available in large print, supported by signs and symbols to enable people living at the home to have a better understanding of its contents. A copy of the complaints procedure is kept in the Person Centred Care Plans of everyone living at the home, so that it is accessible to them, also people living at the home have access to stamped addressed envelopes, and headed paper so that they can raise a concern, without having to ask a member of staff for an envelope or stamp. We along with Sycamore Court have not received any complaints or concerns in the last twelve months. We observed that the atmosphere at the home is very positive, with a good rapport existing between people who live at the home and the staff that provide support. Throughout the day people spoke with staff, and staff took an active interest in what people were saying, and provided reassurance and assistance where necessary. In addition regularly meetings take place in the home, providing an additional opportunity for people to discuss any concerns or worries they may have. Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 18 There are clear policies and procedures in place, which provide information to staff about their role and responsibility in supporting people living at the home, to lead a life free from abuse, neglect and harm. Staff in addition receive training specific to safeguarding adults from abuse, along with training about specific issues which affect people with a Learning Disability, and how this effects the way they may express themselves and be at risk. Risk assessments are in place, where people access the community, where people have been identified at risk of exploitation, and financial abuse. Everyone living at the home has a bank or building society account, and has access to money; staff provide assistance and support as detailed within a persons care plan. Records are kept of financial transactions to enable auditors to check that people’s finances are being managed appropriately. Sycamore Court DS0000006315.V370091.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, 26, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sycamore Court enables people to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: Everyone living at Sycamore Court has their own bedroom, and everyone decides how they would like their room to be decorated, and furnished. We looked at some of the bedrooms, all had been personalised, and people living at the home, who showed us their bedrooms were very happy and proud of the way their bedroom looked. One person living at the home gave us a guided tour of the home, and we saw that on the ground floor there is a kitchen/dining room and two lounges, one of the lounges being larger so that people can take part in activities. Both lounges had a television, and some people also have a television and music Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 20 system in their bedroom. One person told us that the lounges had recently been decorated and that they had chosen the wallpaper. Environmental improvements are ongoing with new furniture and furnishings being ordered for the larger lounge, at the time of our visit a digital aerial system was being fitted to improve the picture quality of the television. Both lounges lead into a rear enclosed courtyard garden, which has mature trees and shrubs, and a lawn area and has seating so that people can sit outside. One person we spoke with said that they sometimes have barbeques when the sun shines. Bedrooms, bathing and shower facilities are located on the ground and first floor, specialist equipment is not kept at the home, as people living at the home do not require the use of such equipment. People living at the home are encouraged to be involved in the laundering of clothing, and the cleaning of the home, peoples involvement in household chores is clearly documented within care plans, and supported by risk assessments. Sycamore Court DS0000006315.V370091.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, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff who are enthusiastic and trained are employed in sufficient numbers that enables people who live at the home to live an active lifestyle. EVIDENCE: People living at Sycamore Court are supported by staff that have undergone a robust recruitment process, which includes obtaining two satisfactory written references and obtaining a satisfactory Criminal Record Bureau (CRB) disclosure, records we viewed supports this. The recruitment process ensures that people who provide care and support are appropriate to the role in which they have been employed. Interviews for prospective members of staff take place at Sycamore Court, and people who live at the home are encouraged to express their views about people attending for interview, any comments they make or observations made by existing members of staff as to how candidates interact with people living at the home are recorded and taken into account. Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 22 Staff receive training in a wide range of topics which reflect the individual and collective needs of people in residence, enabling people living at the home to be supported by staff that are competent and have a good understanding of their role in supporting them. Training topics include areas specific to health care needs, communication, person centred care and qualifications relevant to providing care and support for people with a Learning Disability, 90 of staff have attained a qualification in care. The staff team employed at Sycamore Court reflects the gender and cultural diversity of people living at the home, everyone living at the home as a copy of the homes equal opportunities policy, which is available in a format that promotes greater understanding of its contents. Staffing levels are flexible to support the individual needs of people living at the home, for example additional staff are on duty to enable people to attend activities and recreational events and health care appointments. Additional ‘bank’ staff are available to provide additional support, who are known to and have been interviewed by the Manager of Sycamore Court. Staff attend regular staff meetings and benefit from supervisions from the Manager, ensuring that everyone working at the home has an opportunity to influence and discuss changes in the way the home is run for the benefit of everyone living at the home. Sycamore Court DS0000006315.V370091.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, 41 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management of Sycamore Court is based on openness and the promotion of individual rights, and has an effective quality assurance system, which seeks the views of people living at the home to continually improve the service it offers. EVIDENCE: The Registered Manager, Ms Dawn Cooke has since May 2008 been seconded to undertake other duties within the organisation of which Sycamore Court is part of, during this time a member of staff who has worked at the home for many years is undertaking the role of Acting Manager. Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 24 The Acting Manager has attained a National Vocational Qualification at level 3, and has accessed training, which enables them to oversee and support people living at the home. People living at the home and their relatives take part in the homes annual quality assurance process, by completing questionnaires, which seeks their views about the care provided at Sycamore Court. Questionnaires for people living at he home are provided in a format which promotes understanding, and uses smiling or non smiling faces for people to indicate positive or negative responses to questions. Information recorded within questionnaires is then collated, and a report produced for all those who participated, providing them with an outcome of the process and an action plan as to what changes the home will introduce in response to comments received. Record keeping is of a high standard, and records are kept securely, people living at he home have access to policies and procedures and records held about them. Representatives of the organisation to which Sycamore Court is part of produce an annual financial and business plan. The Acting Manager and staff team have a good understanding of risk assessment processes, which are used to promote the independence, choice and autonomy of people living at Sycamore Court. Information supplied by the Acting Manager in the AQAA details that the home is run in a manner which promotes the health, safety and welfare of people living at the home by the ongoing maintenance and checks to systems in the home, including electrical appliances and fire equipment. Everyone living at the home within the Person Centred Plan has a copy of the homes Fire Procedure, which is in a format using large print, signs and symbols. Sycamore Court DS0000006315.V370091.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 3 2 3 3 X 4 X 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 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 3 3 X Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 26 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. Refer to Standard Good Practice Recommendations Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sycamore Court DS0000006315.V370091.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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