Inspection on 25/07/07 for Holdcroft Road Nursing Home

This is the latest available inspection report for this service, carried out on 25th July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Holdcroft Road Nursing Home 27/01/06

Holdcroft Road Nursing Home 17/08/05

Holdcroft Road Nursing Home 30/03/05

Holdcroft Road Nursing Home 22/09/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Holdcroft Road Nursing Home 60 Holdcroft Road Bucknall Stoke-on-Trent Staffordshire ST2 8JL Lead Inspector Pam Grace Unannounced Inspection 25th July 2007 11:00 Holdcroft Road Nursing Home DS0000026950.V339922.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 Holdcroft Road Nursing Home DS0000026950.V339922.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. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holdcroft Road Nursing Home Address 60 Holdcroft Road Bucknall Stoke-on-Trent Staffordshire ST2 8JL 01782 570323 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) holdcroftrd@choiceshousing.co.uk Choices Housing Association Limited Ms Elizabeth Ann Brown Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Of whom 6 may have a physical disability Of whom 4 may be over the age of 65 years Date of last inspection 10th July 2006 Brief Description of the Service: 60 Holdcroft Road is a six-bedded purpose-built bungalow situated in the Bucknall area of Stoke-on-Trent. The property is owned by a housing association and care provided by Choices. The home offers accommodation for six people with a Learning Disability, in single rooms, none of which have en-suite facilities. There is an assisted bathroom that has been sympathetically decorated to make the experience of bathing an enjoyable one, enhanced by the Parker Jacuzzi bath. There is a toilet in this room, and in the separate walk-in shower room. There is a large comfortably furnished lounge, and a separate dining room, which is adjacent to the open plan kitchen. The home also has a separate utility area. All doorways and passages are wide enough to permit comfortable passage for wheelchairs, and the environment is well decorated and maintained both internally and externally. There is a separate secure garden to the rear of the property, and there is parking for three or more vehicles to the front of the property, with a surround of lawns and shrubs. Local service buses pass the end of the property, giving regular access to Hanley with its shopping areas and other facilities. Current fees are £1,150 weekly. Fees are subject to annual review. Additional charges are made in respect of hairdressing and personal items. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was undertaken by one inspector, over a period of approximately 4.5 hours. The Registered Care Manager Ms Elizabeth Brown – Delaney was absent due to sick leave. The inspector was assisted during the inspection by Ms Vicky Thrasher RMN and Ms Sonya Proctor – Sales RMN – Deputy Care Manager. The inspection had been planned with information gathered from the CSCI database, and the Annual Quality Assurance Assessment document, which had been completed by the care manager. The Key National Minimum Standards for Adults (18 – 65) were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff and residents. A tour of the environment was also undertaken. At the end of the inspection, feedback was given to the deputy care manager, outlining the overall findings of the inspection. Residents spoken with were very positive about the care they were receiving. The inspector noted that residents appeared well cared for, and were happy in their surroundings. There had been no complaints made to the home or received by CSCI, since the previous inspection, “Have Your Say” comment documents had been sent out to residents, but feedback had not been received at the time of this report. Verbal comments made by residents and staff during the inspection, and about the home, were generally very positive. General observations were undertaken during the course of the inspection in relation to staff conduct and interaction with residents. There were no requirements, and no recommendations made as a result of this unannounced inspection. Relatives are encouraged to participate and contribute towards residents’ reviews. Residents have a choice, and are encouraged to have a say in how their service is run, as well as in pursuing their own interests and hobbies. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Recommended fire safety compliance advice has been undertaken. The home has an effective admissions policy which includes a comprehensive assessment of prospective resident’s needs by either the registered care manager of deputy care manager. The prospective resident and or their relative/representative would be fully involved throughout this process. This would inform the care plan, which is Person Centred. (PCP) The home’s Statement of Purpose has been reviewed and updated. Residents’ meetings are minuted, and are held every 3 months. Activities for residents have been enhanced, and include activities each day. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Holdcroft Road Nursing Home DS0000026950.V339922.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 Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective people who use this service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: The home’s Statement of Purpose was examined. This had recently been reviewed and updated, and was clearly presented, in an easy read format. The home has an effective admissions policy which includes a comprehensive assessment of prospective resident’s needs by either the registered care manager of deputy care manager. The prospective resident and or their relative/representative would be fully involved throughout this process. This would then inform the care plan, which is Person Centred. (PCP) The inspector spoke with a resident at the home, and with staff. They confirmed that prospective residents and or their relatives/representatives are able to visit the home and spend time there, prior to making a decision to move into the home. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 10 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. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: The standard of care planning was high and care plans seen evidenced that regular reviews were being carried out. Person-centred planning and a key worker system were in place. 24-hour plans of care provided staff with a clear account of service users’ preferred routines and care needs. Up to date Risk assessments were also in place. Each resident was allocated a named nurse and key worker. A resident had been admitted since the last inspection: the records of preadmission assessment had been completed, however, not all records were available, as they were in the process of being sent to the home from other organisations/services. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 11 The inspector spoke with residents and staff. Not all residents were able to communicate verbally. Some residents were able to communicate by facial expression and or body language whether they were satisfied with the services they received. All residents looked happy and very well cared for. One resident confirmed her ability to choose what time she went to bed, and got up in the morning. What she wanted to eat, and choice of what she wanted in her own bedroom. That resident invited the inspector to look at her bedroom, and showed the inspector her choice of decoration, ornaments, videos, and music cassettes/CD’s. Residents are consulted as to their choice on a 1:1 basis. There are also occasions when staff speak with the resident group as a whole, i.e. during a meal when everyone is sitting together, or in the lounge area. Resident’s meetings are held on a 3 monthly basis, minutes for those meetings are documented and recorded. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 12 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 who use these services are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Activities for residents are run by care staff, and are on offer each day, during the afternoons. Staff record activities undertaken by residents during the day. In addition to those activities, College courses are also on offer to residents. Residents spoken with were looking forward to their holidays, which staff confirmed are at least once yearly, and sometimes twice yearly. Staff would accompany and support residents whilst they are on holiday. The choice of where to go to, is dependent upon what facilities aids/adaptations the venue has to offer, e.g. Blackpool, Southport, Torquay. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 13 From the sample of care plans seen there was some evidence that residents accessed the local community, albeit occasionally - which could be attributed to the time of the year and inclement weather. The care manager confirmed in the AQAA document that residents need to have more involvement in their community, eg local community facilities, coffee mornings and structured social activities. This inspection did not include observation of a mealtime. Menu records and discussions with residents and staff evidenced that residents were offered a well-balanced and varied diet. The file contained recipes for some meals and shopping lists to assist staff with budgeting. Pictorial meal choices had been produced for service users to assist them to make a choice of main meal. Residents go shopping with staff on a regular basis. Bedrooms seen were personalised, and furnishings were appropriate and comfortable. Adaptations and aids were evident, including a hoist. Food stocks were good. Fridge/freezer and hot food temperatures were recorded daily. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 14 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. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Care plan reviews are held 6 monthly, and are based upon a Person Centred Planning approach. Care plans seen evidenced that personal and health care needs were being monitored and met by care staff at the home. Advice is sought from health professionals when required, e.g. speech therapy, dietician, occupational health and physiotherapy. There is also a learning disabilities team, which is Consultant led. Staff and residents at the home are well supported by the team, and can seek advice when needed. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 15 Records that were examined relating to the administration, disposal and recording of medicines were satisfactory. There were no residents responsible for their own medication at the time of the inspection. General observations throughout the course of the inspection and discussions with residents confirmed that staff were respectful of residents’ privacy and would knock on bedroom doors prior to entering. Residents confirmed that their letters were distributed to them unopened. Residents’ needs were discussed in the light of the Mental Capacity Act, and the possible need for an advocate. (Assist) Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: Staff spoken with confirmed their awareness of Adult Protection procedures, and the home’s Whistle-blowing policy. Staff spoken with, and the staff training schedule, evidenced that appropriate training in this area had been undertaken. There were policies and procedures in place for safeguarding residents, recognising and reporting abuse. There had been no Vulnerable Adults issues referred under those procedures since the previous inspection. The deputy care manager and records seen confirmed that the home had received no complaints since the previous inspection. There had also been no complaints received by CSCI since the previous inspection. The home has a clear complaints policy and procedure, readily accessible on the notice board in the main corridor. The document was published in plain English and in a pictorial format to enable residents to understand the procedure. The inspector noted that all complaints would be logged and kept in a complaints folder. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 17 The inspector spoke with 4 staff members. One staff member spoken with confirmed their recruitment process. All appropriate checks had been made, and an induction was completed. This was seen to be satisfactory. Previous inspection reports have identified that the homes recruitment procedure and practices ensured that all prospective staff were subject to an appropriate Protection of Vulnerable Adults (POVA) and Criminal Record Bureau (CRB) Police check prior to the commencement of employment. The deputy care manager confirmed that those checks would always be undertaken prior to staff’s commencement of employment. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28, 29 and 30 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The bungalow is situated in a residential area with borders on a hospital site. The driveway provides ample parking space. Motion-sensitive security lighting had been installed at the front of the building. The small exterior garden area to the home has level access, and is paved to allow for easier access for residents. The garden has a greenhouse, which is used by staff and residents on a seasonal basis, to grow plants and seeds etc… and benches to sit on. Residents utilise this area during the summer, and when the weather allows. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 19 A maintenance person is employed by the home. Any requests for maintenance and or repairs are tracked by a logging system. The home provides a pleasant lounge and a separate dining room with additional comfortable seating. The kitchen is open plan, of domestic style, and accessible to residents. Bathing/shower and toilet facilities were sufficient for residents. There is one assisted bathroom, and one shower room. Each of those rooms has a toilet, and there is a separate toilet next door to these rooms for residents’ convenience. Specialist aids and adaptations were in place to assist and promote residents’ independence. The homes control of infection was of a reasonable standard, with protective gloves and aprons available to staff, and appropriate measures in place in relation to laundry. All areas of the home were clean and hygienic. Liquid soap and disposable towels were available in all communal hand washing areas. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled, and in sufficient numbers to support the people who use the service. This is in line with their terms and conditions and to support the smooth running of the service. EVIDENCE: Staffing included one Qualified Nurse (RMN), and two support workers for the early shift, one Qualified Nurse and 1 support worker for the late shift, and one Qualified Nurse and one support worker for the waking night shift. Extra staff are sometimes on duty when there are specific tasks, or activities being undertaken by residents. There were no staff vacancies at the time of this inspection. Discussion with staff on duty showed that they were knowledgeable about the care needs of residents and that recruitment checks had been undertaken prior to their employment at the home. The current staff training schedule evidenced that appropriate and mandatory training had been undertaken by staff, including Moving and Handling, Fire Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 21 Safety, Food Hygiene, Emergency First Aid. The deputy manager had recently undertaken a Training for Trainers course in moving and handling, she will shortly be able to train and update staff, following endorsement by the organisation. Staff spoken with confirmed that they were receiving regular and formal supervision as per the National Minimum Standards (NMS). Previous inspection reports have identified that the homes recruitment procedure and practices ensured that all prospective staff were subject to an appropriate Protection of Vulnerable Adults (POVA) and Criminal Record Bureau (CRB) Police check prior to the commencement of employment. The deputy care manager confirmed that those checks would always be undertaken prior to staff’s commencement of employment. The inspector discussed with staff, the importance of value base in relation to adults with a learning disability. There was a positive commitment from the staff group to meet the needs of residents. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39, 40 and 42 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: Records showed that a relatives’ survey is carried out by the organisation on a regular basis. Monitoring visits are undertaken by the Principal Officer, on a monthly basis. The report from that visit is sent to CSCI. That information would be used to inform a quality audit and development plan for the home’s annual plan. Risk assessments were in place for individuals and for general environmental risks, all of which were reviewed on a regular basis. There had been no complaints since the previous inspection. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 23 Accidents and incidents were appropriately documented and recorded. Care plans seen were comprehensive, clear and regularly reviewed. General observations throughout the course of the inspection and discussions with residents confirmed that staff were respectful of residents’ privacy and would knock on bedroom doors prior to entering. Residents confirmed that their letters were distributed to them unopened. Staff spoken with and records examined confirmed that appropriate and mandatory training, and supervision had been undertaken by staff. Training included Moving and Handling, Fire Safety, Food Hygiene, Emergency First Aid. The deputy manager had recently undertaken a Training for Trainers course in moving and handling, she will shortly be able to train and update staff, following endorsement by the organisation. The homes control of infection was of a reasonable standard, with protective gloves and aprons available to staff, and appropriate measures in place in relation to laundry. All areas of the home were clean and hygienic. The completed Annual Quality Assurance document (completed by the care manager) confirmed that equipment at the home had been serviced and or tested as recommended by the manufacturer or regulatory body. These included hoists (and bath hoist), emergency call, fire detection and fighting equipment, waste disposal and heating system. Fire training had been undertaken by staff. Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 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 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 X 3 X Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Local Office Commission for Social Care Inspection 1st Floor, Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ 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 Holdcroft Road Nursing Home DS0000026950.V339922.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!