Inspection on 28/01/08 for 7a Taylor Road

This is the latest available inspection report for this service, carried out on 28th January 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7a Taylor Road 01/11/05

7a Taylor Road 27/01/05

7a Taylor Road 29/09/04

Similar services:

Coopers Mill Ltd

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Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 7a Taylor Road West Earlham Norwich Norfolk NR5 8LZ Lead Inspector Lella Hudson Unannounced Inspection 28th January 2008 12:30 7a Taylor Road DS0000027528.V358671.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 7a Taylor Road DS0000027528.V358671.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. 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 7a Taylor Road Address West Earlham Norwich Norfolk NR5 8LZ 01603 259916 01603 259940 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) www.efitzroy.org.uk Elizabeth Fitzroy Support Miss Carolyn Peacock Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (4), Physical disability (2) of places 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2006 Brief Description of the Service: 7a Taylor Road is a residential care home providing personal care and accommodation to seven people with a learning disability. It is a detached chalet bungalow that operates as two units within the home and provides mainly ground and some first floor accommodation that is accessed by a passenger lift or the stairs. There are seven, single bedrooms with washbasin and in each unit there is communal use of a lounge, dining area, kitchen, two toilets, a bathroom and in one unit an additional shower room. The home has a small-enclosed garden to the front and rear of the property and there is roadside parking to the front. It is situated on a residential housing estate in Norwich close to local shops and health amenities and the home provides both in-house day care and access to a range of community based activities and day care provision in Norwich. 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report contains information gathered about the service since the last Inspection which took place in September 2006. This includes information provided by the Manager through notifications of events and through the completion of the Annual Quality Assurance Assessment (AQAA). Completed surveys were received from one health professional, one relative and seven of the clients. The clients were all assisted by staff to complete the surveys. The Inspector also had telephone contact with one of the relatives. Some examples of additional comments written in the surveys are as follows: “staff strive to be inventive with regard to independence and activities” “staff have a good understanding of the role of professionals” “…fantastic care…” “…don’t always keep in regular contact” The report also contains information gathered during an unannounced visit to the Home which was carried out on the 28th January 2008. During the visit the Inspector was accompanied by an expert by experience. An ‘expert by experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The Manager was present throughout the unannounced visit to the Home. Information at that time was gathered through discussions with the Manager, the deputy manager, staff and clients, observations of staff supporting clients and through inspection of records. A brief tour of the communal areas was also carried out. The fees for the service are individually negotiated depending on the needs of the clients. Currently these range from £842 to £849 per week. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. What the service does well: The Manager provides clear leadership to the staff team and manages the Home in a way which puts the needs of the clients first. There is a warm and friendly atmosphere within the Home. Staff are positive about their roles and receive appropriate training and support to carry out their roles effectively. 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 6 The care plans provide clear information about the clients needs which enables the staff to provide consistent support. 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. 7a Taylor Road DS0000027528.V358671.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 7a Taylor Road DS0000027528.V358671.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Effective assessments are carried out prior to a client moving into the Home so that all involved can be confident that the clients needs can be met at the Home. EVIDENCE: There has been one admission since the last Inspection. Records and discussions with the Manager provide evidence that a thorough assessment was carried out prior to the client moving to the Home. This process involved gathering information from the client, relatives, staff and health/social care professionals as well as planned visits to the Home. 7a Taylor Road DS0000027528.V358671.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 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The care plans contain clear information which enables staff to provide the care that individuals need The clients are supported to make decisions in a variety of ways EVIDENCE: Two of the care plans were seen and these contain detailed information about how to meet individuals needs. The information gathered during the pre admission assessment process forms the basis of the care plans and this information is added to as staff get to know the clients better. The care plans contain evidence of being regularly reviewed and updated as necessary. They contain information about how to meet the clients emotional 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 10 and social needs as well as their physical needs. There is emphasis on the need to provide support in the way that individual clients prefer and contain detailed written information about how to do this. The staff who spoke to the Inspector have a good understanding of the care plans and said how useful they find them as they enable them to provide consistent care in a way which the clients prefer. Observations of staff supporting clients show that the care plans are followed in a consistent manner. The previous deputy manager was the Communication co-ordinator for the staff team and the Manager is aware of the need for another member of staff to undertake this training now that the deputy manager has moved to another Home within the organisation. Several of the clients have difficulties with verbal communication and the staff described a variety of ways in which they use alternative forms of communication in order to find out what the clients choices are. The staff receive training about the use of Signalong and signing practice is a feature of staff meetings. The Manager is aware of the need to move the issue of communication forward as plans for the increased use of pictures/photos have not progressed much since the last Inspection. The care plans need to contain more detailed information about individual forms of communication. Once a member of staff takes on the Communication Co-ordinators role it will be easier to take this forward. The clients all need assistance with looking after their money. Financial plans were seen as part of the overall care plan and it is recommended that these contain more detail, particularly with regard to the arrangements in place for clients to pay towards transport. The records of expenditure for one of the clients was checked against the cash held and receipts. It was possible to audit these easily. 7a Taylor Road DS0000027528.V358671.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 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The clients are supported to take part in activities within the local community and within the home The clients are involved in the process of choosing menus, shopping and preparing meals EVIDENCE: The care plans contain information about the activities that the clients like to do. Staff said that they try to encourage the clients to go out and take part in activities within the community but that as the majority of the clients are older people they sometimes choose to remain at home. The staff described a range of activities that the clients are involved in to the Expert. One of the clients attends formal day services five days per week and one person is supported by 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 12 day service staff for one day per week. Staff said that the current staffing levels do enable them to support clients to access meaningful activities although this is more difficult at weekends when the clients are all at home. The AQAA identifies ideas for improvement in this area. The Home has a car with wheelchair access and staff said that they also use the local Park and Ride scheme to go into Norwich. The staff encourage clients to be involved in the process of choosing menus, shopping and cooking. At the last Inspection the Manager said that they would be developing the use of photographs to assist clients with choosing menus. This has not been taken further but the Manager said that the plans remain in place to continue this work. This should be easier once another member of staff has been identified to become the Communication Co-ordinator. Some of the clients have very specific dietary needs and the staff are aware of these. The Speech and Language therapist is involved as necessary and guidance is incorporated into the care plans. At the last Inspection concerns were raised about the level of funding available for meals but during this visit to the Home the staff and Manager said that this has been addressed and that there is always enough money to provide clients with a choice and to provide fresh, healthy meals. The care plans contain details about the clients relatives but these could be further developed to include more details about which member of staff is responsible for assisting the client to maintain contact with relatives/friends and about how and when this should take place. One of the relatives spoke to the Inspector, and although they praised the care provided, they said that the staff do not assist their relative to maintain contact with them in the ways agreed at meetings. This was discussed with the Manager who agreed that the care plans need to be more detailed about this issue and that the development of the key worker scheme should make this easier. A recommendation is made about this. One of the clients review notes showed that this view is not shared by all relatives as there was evidence that the relatives of another client are happy with the support that the client has to maintain contact with them. 7a Taylor Road DS0000027528.V358671.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 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of the clients are met There are arrangements for the safe storage and administration of medication EVIDENCE: As previously mentioned in this report the care plans contain detailed information about how to meet individual clients personal and healthcare needs. The staff who spoke to the Inspector and to the Expert were clear and consistent about how to provide support to the clients. The care plans and daily notes provide evidence that a range of health care professionals are involved in the clients life and that advice is incorporated into the care plans. The survey received from a health professional states that the staff have a good understanding of the role of professionals and that the staff 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 14 strive to be inventive about supporting clients to be independent where possible. The staff do work hard to encourage the clients to make their own choices about as many issues as possible and are aware of the challenge of balancing the need for a duty of care with the importance of respecting individual choices. An example of this is the ongoing situation regarding one of the clients need for dental care. One of the relatives made particularly positive comments about the excellent support that their relative had received from the staff team during a recent stay in hospital. The Manager said that, wherever possible, staff support clients if they need to stay in hospital. This is commendable as it clearly puts a strain on the staffing situation with the need to balance the needs of the client in hospital with those of the clients remaining at home. One of the staff explained the medication system in use. In general, there is an appropriate system of ordering, storage, administration and recording of medication. A couple of records of staff signatures were missing and it is recommended that the senior staff on duty checks that records have been kept appropriately at the end of each shift. The member of staff also explained that there have been some difficulties with the pharmacy this month but that the staff are addressing these to ensure that they do not arise again as it potentially puts the clients at risk of not receiving their medication. All staff responsible for the administration of medication receive appropriate training with regular updates and assessments of their competence. 7a Taylor Road DS0000027528.V358671.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 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Home has systems in place to protect the clients from abuse EVIDENCE: As previously mentioned in this report, there are plans in place to improve the communication between staff and clients. This will enable staff to more easily identify if a client is unhappy about something and wishes to make a complaint. The records seen by the Inspector provide evidence that staff are already able to identify individual clients choices about a range of issues and that changes have been made when it has been recognised that a client is not happy about something. The Commission has not received any complaints since the last Inspection and the Manager confirmed that the Home has not received any either. All staff receive training about Safeguarding Adults within their induction. Staff who spoke to the Inspector were clear about their role in this process and confident that the management team would deal effectively with any allegations of abuse. 7a Taylor Road DS0000027528.V358671.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 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The Home provides safe, homely accommodation for the clients but there are still areas which would benefit from improvements EVIDENCE: The accommodation is provided in two separate bungalows which are accessed from a shared entrance hall where there is a shared laundry room. The communal accommodation provided is small for the number of clients living there, particularly as some of the clients use mobility equipment. In some areas of the Home there is little natural light. However, the staff and clients make the most of the accommodation and it is made very homely with ornaments, photographs and other personal items of the clients around. The clients clearly are comfortable with using the 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 17 communal areas, including the kitchens, as well as their own bedrooms. There is a lift to the one bedroom which is on the first floor. There are bathrooms with appropriate equipment to meet the mobility needs of the clients. Two of the bedrooms were seen and in one of these there is a broken wardrobe which the Manager said is due to be replaced shortly. In another bedroom there were scruffy labels on the clients chest of drawers which identified which clothes were in each drawer. This looks very institutionalised and if it is necessary as a reminder to the client then alternatives need to be found. However, the Manager said that they are not used so these need to be removed. One of the bathrooms has recently been decorated in a colour and style which one of the clients chose. One of the toilets is in need of the flooring to be replaced as there has been bleach spilt on it causing discolouration. The clients bedrooms which were seen show that clients are encouraged to personalise these. There are individual items on the bedroom doors to assist the clients with identifying their own rooms. Both the Inspector and the Expert identified that some of the furniture in the Home needs to be replaced, or at the very least, thoroughly cleaned as it is shabby and, in some cases, dirty. The Home has a front garden which staff said is regularly used in nicer weather. However, the back garden is in a very poor state and although it may not be very useable due to its size it actually doesn’t even look nice at present. In the AQAA the Manager described the attempts that the organisation have made to liaise with the Housing Association to get this situation addressed. This is a slow process and is only now starting to be sorted out with the visit from the Housing Association staff to assess the situation. It is clear that some areas of the Home have been redecorated and it is obviously an ongoing process. It is also understood that the buildings are owned by a Housing Association and that this can cause difficulties in getting work done. However, recommendations have been made in the last three reports about the accommodation and a requirement is now made about the need to ensure that the standard of the accommodation is maintained at a satisfactory level. This includes the condition of the garden. 7a Taylor Road DS0000027528.V358671.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, 33, 34 & 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Clients benefit from a staff team who receive good induction, training and support EVIDENCE: The atmosphere within the Home is good with a relaxed feel to it. The Inspector and the Expert both noted that there was a warm and friendly atmosphere within the Home. Staff spent time with the clients and there was positive communication between staff and clients. At the last inspection a requirement was made for the staffing levels to be reviewed with regard to the increasing support needs for one of the clients. This has been done and as a result there is a waking night staff as well as a sleep in member of staff, and in addition, the client has 1:1 staffing for the majority of each day. 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 19 Staff and the Manager said that this increase in staffing has meant big improvements for both the individual client and the other clients. Staff said that the sleep in member of staff is very rarely called. A new deputy manager has recently been appointed as the previous deputy has been promoted to manage another Home within the organisation. The deputy manager has been promoted from within the staff team and is enthusiastic about her new role. A training programme is being developed to ensure that she is receives appropriate management training to be able to carry out her role effectively. The use of agency staff is lower than at the time of the previous inspection but there are still some shifts each week being covered by agency staff due to there being two part time vacancies. The Manager said that recruitment is ongoing for these posts. Staff confirmed the information from the Manager about the fact that the same agency staff are booked on a regular basis so that they know the clients well. A selection of staff files were seen and these contain the necessary information which show that appropriate checks on staff were carried out prior to their appointment. Staff said that they received a good, thorough induction and that they receive good training on an ongoing basis. The training records were not seen on this occasion but the Manager confirmed that staff have received appropriate updates for mandatory training and that additional training is provided for specific areas relating to individual clients needs, such as epilepsy, bereavement and pressure care. 7a Taylor Road DS0000027528.V358671.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, 38, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The clients benefit from the positive and clear leadership at the Home EVIDENCE: The Manager has been in post for over six years. She is a qualified nurse (RNMH) and has lots of experience of working with adults with a learning disability. She has completed appropriate training in management and continues to take part in training with the rest of the staff team. The Manager is supported by someone from the organisations senior management team and said that she feels that she is well supported. 7a Taylor Road DS0000027528.V358671.R01.S.doc Version 5.2 Page 21 The Manager has a clear idea of the areas in which improvements are needed and has plans in place to address these. She notifies the Commission appropriately and completed the AQAA in a thorough way. All of the staff who spoke to the Inspector said that they receive good support from the Manager and that she provides good, clear, consistent leadership. They also said that she puts the needs of the clients first. The Home has a variety of ways in which the quality of the service is managed. The REACH standards are used and completed on a monthly basis. The Manager gave examples of improvements that have been made as a result of reviewing the quality of the service. A selection of records were seen and these show that regular maintenance and servicing of equipment takes place. Staff were not able to tell the Expert when they had last taken part in a fire drill but records show that these do take place on a regular basis. The Expert looked at the First Aid boxes and found that several items within them were out of date. It is recommended that these are regularly checked to ensure items are within date. Both the Inspector and the Expert were concerned about the fact that there is an armchair in front of the lift door on the ground floor. They were told that one of the clients likes to sit there. The Manager explained that this had been discussed with the Fire Officer who had said that as the only client who uses the lift only does so with staff support and that the lift is not used in the event of a fire that this situation is satisfactory. 7a Taylor Road DS0000027528.V358671.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 2 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 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X 7a Taylor Road DS0000027528.V358671.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. 1. Standard YA24 Regulation 23 Requirement It is required that the standard of the accommodation, with regard to furnishings and decoration, is maintained at a satisfactory level. This also applies to the garden. Timescale for action 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA7 YA6 Good Practice Recommendations It is recommended that the financial care plans are more detailed It is recommended that the care plans contain more detailed information about the arrangements in place for assisting clients to maintain contact with relatives It is recommended that the medication records are checked at the end of each shift to ensure that they are completed accurately It is recommended that the first aid boxes are regularly checked to ensure all items are in date DS0000027528.V358671.R01.S.doc Version 5.2 Page 24 3. 4. YA20 YA42 7a Taylor Road Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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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