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Inspection on 11/05/09 for Long Eaves

Also see our care home review for Long Eaves for more information

This is the latest available inspection report for this service, carried out on 11th May 2009.

CQC found this care home to be providing an Good 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Long Eaves provides a warm homely domestic setting for people to live. The service continues to provide support to five people who have a learning disability, in a residential home that is unidentifiable as a care home. People who use the service have a full assessment of their needs carried out prior to admission to Long Eaves to ensure the service can meet their needs. The people using the service were observed to be well cared for and independence was encouraged within a frame work of risk assessments. The people using the service are enabled to maintain friendships and family relationships. The financial procedures were checked during this inspection, cash balanced with records maintained. Arrangements are in place for meeting the health and personal care needs of people using the service. Individuals live in a clean and comfortable environment; one of the people using the service took us around the home. Staff were observed to have good relationships with the people using the service. Staff we talked to demonstrated a good understanding of the needs of people using the service. The manager has systems in place to ensure the home is managed safely. The manager monitors the quality of the service delivered.

What has improved since the last inspection?

Following the recommendation of the previous report, discussion took place with one person who has now chosen their own wallpaper and paint, and the bedroom has been redecorated.DS0000005112.V375203.R01.S.docVersion 5.2Risk assessments documentation is now on people`s files and provides an audit trail. The home has a Registered Manager in place.

What the care home could do better:

When staff are going shopping with people who use the service, monies taken with people for shopping should be booked out of their cash held in the home. This will ensure peoples money is managed safely.

Key inspection report CARE HOME ADULTS 18-65 Long Eaves 40 Stafford Avenue Clayton Newcastle Staffordshire ST5 3BJ Lead Inspector Kathryn Marks Unannounced Inspection 11th May 2009 09:00 DS0000005112.V375203.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. DS0000005112.V375203.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address DS0000005112.V375203.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Long Eaves Address 40 Stafford Avenue Clayton Newcastle Staffordshire ST5 3BJ 01782 630375 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) staffordave@choiceshousing.co.uk Choices Housing Association Limited Mr Tim Dale Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places DS0000005112.V375203.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 2007 Brief Description of the Service: Long Eaves is registered to care for five adults with learning disabilities. It is one of a group of homes managed by the Choices organisation, which is a provider of care for people with learning disabilities in North Staffordshire. Long Eaves management is overseen by a Quality manager and Assistant Director. It is situated in Clayton, a residential area of Newcastle-under-Lyme. It is located close to a range of amenities and is on a public transport route. The home is a dormer bungalow with a single storey extension to the rear. All bedrooms in Long Eaves are single occupancy (though none have en/suite arrangements) and are located on the ground floor. Both a dedicated walk-in shower room, a domestic bathroom, and a separate toilet are provided. The living accommodation and facilities are domestic in style and design. The Dormer is used to accommodate the office, and the staffs sleep in quarters. There are private gardens to the front and rear, including a seating and barbeque area to the front. There is limited off-road parking in the front driveway. People’s contracts are negotiated individually and vary according to need. Readers of this report may wish to contact the service for up to date information regarding fees. DS0000005112.V375203.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means that the people who use this service experience good quality outcomes. This unannounced inspection was carried out on Monday 11th may 2009 by one inspector who used the National Minimum Standards for Care Homes for Younger Adults, aged 18 to 65 years as the basis for the inspection. On arrival for this inspection the Care Manager was on duty, a support worker came on duty at 10 am. The Care Manager provided written information regarding staffing, staff training, menu and dietary provision that were observed to be in place at the home. On arrival at Long Eaves one person who uses the service was planning to go out with the support worker when they came on duty. One person who is moving to a bungalow was going out with another support worker who was coming in off duty, to help him with curtains and carpets. Remaining people were deciding on their plans for the day. Arrangements for the day were discussed with us to avoid disruption to people using the service enabling them to continue with their planned routine. We spoke to all the people using the service; all were fully involved in this inspection. We reviewed the care records of two people in detail. We discussed the food provision and menus with the staff and the people using the service. We also looked at the Annual Quality Assurance Assessment (AQAA) this is a self-assessment tool, and had been completed and sent to us prior to the Key Inspection. Completion of the AQAA is a legal requirement and it enables the service to undertake a self-assessment, which focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. DS0000005112.V375203.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Following the recommendation of the previous report, discussion took place with one person who has now chosen their own wallpaper and paint, and the bedroom has been redecorated. DS0000005112.V375203.R01.S.doc Version 5.2 Page 7 Risk assessments documentation is now on people’s files and provides an audit trail. The home has a Registered Manager in place. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. DS0000005112.V375203.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 DS0000005112.V375203.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to move into the home receive all the information that they require, and they are assessed so that they can be assured the home can meet their needs. EVIDENCE: The AQAA we received prior to the inspection told us that “ the services admissions policy ensures that all people undergo a comprehensive needs assessment prior to admission, the service provide a clear Statement of Purpose which outlines facilities and the provision of services; this is consistent with the services admissions policy. Admission is only agreed following an assessment of the services ability to meet individual need and the suitablility of the person using the service within the current home dynamics. All people have an individual license agreement”. We saw the homes Statement of purpose and the service user’s guide. The service user’s guide has been updated to include staff changes and service provided. DS0000005112.V375203.R01.S.doc Version 5.2 Page 10 These documents can be provided on audio tape, in large text, photographs, pictorial format or in another language. Staff explain the contents to people using the service. All people using the service received a full assessment of their needs prior to admission to ensure that the service could meet those needs. New referrals are accepted on an assessment basis only. The people living at Long Eaves are the original group of people and have been at the home for seven years. The original assessments have been archived. Detailed risk assessments and reviews are on file. Care plans were compiled and agreed with the person using the service following original assessment, ongoing reviews were on files and care plans updated. This means that people could be assured that the home could meet their needs. We talked to the people using the service who told us they were happy at Long Eaves and liked living at the home. DS0000005112.V375203.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in decisions about their lives, and play an active role where able to do so, in planning the care and support they need. EVIDENCE: The AQAA we received prior to the inspection told us that “Each person is assessed using person centred planning methods which reflects their changing needs and personal goals. Each indivduals plan is tailored to provide specific support provision, if this involves risk the individual is supported to make informed choices that promote their participation in a valued lifestyle. Reviews and meetings are held privately each month with each person to ensure that they remain current and relevant. People are involved in residents and house meetings to ensure their involvement in all areas of life within the home. The DS0000005112.V375203.R01.S.doc Version 5.2 Page 12 service continually review the deployment of staff to ensure that levels, skill base and interests remain appropriate to the needs of the person”. We saw that all five people have individual plans of care that they were aware of and able to discuss. Care plans contained detailed information that was informative and up to date. The care plan told us about the likes and preferences of the person, achievements they had made, and how they liked to spend their time socially. Care plans contained records of health care and dietary information. All people have nutritional assessments 12 monthly. We saw that all people have an individual fire evacuation plan. We saw staff encouraging people to make decisions about daily routine, what they would like to eat, if they wanted to go out. We saw one person go out to the bank and then to his new bungalow with a support worker, to put up curtain rails and have new carpets fitted. One person is going on a visit to the Isle of Wight to see his family, supported by a staff member. We saw one person going to the shops with staff. When people are going shopping with staff, monies taken with people for shopping should be booked out of their cash held in the home. This will ensure peoples money is managed safely. Individuals are supported to take risks; we saw risk assessments on people’s files that cover the needs and wishes of individuals. The Care Manager and staff on duty had a good awareness of Health and Safety. DS0000005112.V375203.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): This is what people staying in this care home experience: People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people using the service are given the opportunity to enjoy fulfilling lives and relationships with others. EVIDENCE: The AQAA we received prior to the inspection told us that “all the people using the service participate in preferred and valued activities of their choosing, which are appropriate and suited to their age. Three people over 60 that would like some form of paid employment are provided with part-time jobs within the organisation as opportunities for other forms of employment have been unsuccessful. They all have full access to local facilities and have good links with neighbours and within the community. Relationships with family members and friends are maintained with regular planned contact. People are DS0000005112.V375203.R01.S.doc Version 5.2 Page 14 encouraged to contribute towards the running of the house by participating in weekly shopping and completing household tasks”. On arrival at Long Eaves we saw that five gentlemen were living at the home. We saw from care records and personal care plans, that three people are over 70 years of age, one is 65years and one is 53years. None of the gentlemen attends educational activities. Three of them however do attend small work placements of their choice, window cleaning, paper shredding and one is part of a handy-care system locally. All three receive payment for their work. We saw staff encouraging people to make decisions about daily routine, what they would like to eat, if they wanted to go out. One person using the service went to Choices office to shred papers this morning, and then he is going shopping with staff and for coffee. Another person is out with staff for coffee and going shopping for groceries. Individuals go out with staff to the local pubs for lunch and garden centres. People have bus passes to access public transport. We were told that people have contact with their families by telephone, by visiting relatives at home and relatives and friends visiting them at Long Eaves. One person told us that friends from other houses are invited around for tea. One person said they meet a friend in Newcastle for lunch, coffee or go to the cinema. We made observations of flexible routines being in place throughout this visit, with people being consulted about their daily lifestyle. All people have front door keys and bedroom door keys although not all people use them. All people are given their mail and will ask staff to read it for them. Good interaction was taking place between staff and people using the service with people responding well. We saw a menu in place and discussed food with the people using the service. People told us they enjoyed their food and that they had enough to eat. People using the service get their own breakfast which usually consists of cereal, toast, or cooked breakfast with support. DS0000005112.V375203.R01.S.doc Version 5.2 Page 15 People are assisted by staff to go shopping for food, prepare their lunch and evening meal. Shopping is done at the local supermarket, all fresh produce, meat, vegetables and home baking. The home promotes healthy eating and a varied nutritional diet is offered. There was a large bowl of fresh fruit on the dining table at all times that was freely available. DS0000005112.V375203.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home meets the health and personal care needs of people using the service. EVIDENCE: The AQAA we received prior to the inspection told us that “Each person has a comprehensive information package which includes, person centred plans, health action plans and care plans that continually monitor and review any health needs and support. Each individual also has a 24 hr plan of care which details specific support needed in all areas of the persons life. This information is reviewed regularly via person centred planning reviews and team meetings. Day to day health isssues are monitored via health care records which are monitored and reviewed on a weekly basis. All Service users have access to a range of primary healthcare services and support from external professionals is actively sought to ensure the best possible support and care. DS0000005112.V375203.R01.S.doc Version 5.2 Page 17 We saw staff supporting people as necessary in a sensitive way with people’s personal preferences being taken into consideration. We reviewed two care plans and personal plans, these contained a range of general and health related risk assessments. We saw peoples healthcare needs are met by accessing local healthcare practices, and registering with a General Practitioner. Records tell us that there is regular monitoring of peoples health, all attend Well Man clinic. We saw policies and procedures in place for the administration of medication. Staff administering medication is trained to do so. There is a monitored dosage system in place that is securely stored. Two people using the service self medicate, one under the supervision of staff, and one independently. DS0000005112.V375203.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make complaints and are safeguarded by the homes procedures. EVIDENCE: The AQAA we received prior to the inspection told us “the service has a clear complaints procedure which has been formatted for both clients and family members; the procedure is also periodically discussed at peoples meetings to ensure client awareness. Any complaints are responded to within 28 days. The service tailor support to minimise risk of harm. All staff are trained in recognising any signs of abuse and the correct actions to take if any abuse is suspected”. DS0000005112.V375203.R01.S.doc Version 5.2 Page 19 We saw the home has in place a complaints procedure. The procedure is included in the service user’s guide in a pictorial format, and is explained to people using the service. We observed that one complaint had been raised with the home and this has been dealt with satisfactorily. One person when asked if they know who to talk to if they are unhappy about something told us, they would talk to the Care Manager or staff. Complaints information needs to be updated to include the Care Quality Commission details for people using the service, so that they have up to date information. The Care Manager told us he would arrange for this to be done. People are protected from abuse by systems in place at the home. We were told that all allegations of abuse are acted upon immediately. Training records on staff files identified that staff had received training in the protection of vulnerable adults. The staff we talked to were aware of Staffordshire Social Services Safeguarding procedures. Criminal Records Bureau and Protection of Vulnerable Adults checks are carried out prior to employment of staff. DS0000005112.V375203.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The design and layout of the home enables people using the service to live in a safe well maintained and comfortable environment, which encourages independence. EVIDENCE: The AQAA we received prior to the inspection told us that “The service provides a safe, comfortable and homely environment that blends in with the local community, it has a style and ambience that is welcoming and which reflects the individual personalities of the people using the service. The home is situated in a nice suburb which accommodates 5 gentlemen each of whom have individual bedrooms decorated in accordance with their wishes and to their own tastes. The service continually invest in the upkeep of the home and maintain high standards of cleanlliness throughout”. DS0000005112.V375203.R01.S.doc Version 5.2 Page 21 Observations of Long Eaves when chatting to staff and people using the service were that the home is suitable for its stated purpose, is homely and nicely decorated. One of the gentlemen using the service took us around the home, communal areas are spacious and bedrooms are personalised. One person did say that they would like a lighter kitchen; it is currently a dark pine. Observations were of a clean homely environment that was within easy access to local shops and public transport. Long Eaves is located in a residential area and unidentifiable as a care home, it is domestic in style and in keeping with the local community. DS0000005112.V375203.R01.S.doc Version 5.2 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A well trained and consistent staff team support the people using the service and keep them safe. EVIDENCE: The AQAA we received prior to the inspection told us that “The service ensure that all staff are appropriately trained and that training is regularly updated. The service deliver Learning Disability Qualification induction training to all new starters, the service have a good appraisal, supervision and support system for staff; consult with all staff at a minimum of every 8 weeks”. The service provides extensive training for the staff team, to undertake to ensure that staff are adequately trained to enable them to carry out their duties safely. We talked to one member of staff who had been at the home for nine years and had worked with the people living at Long Eaves before they moved to the DS0000005112.V375203.R01.S.doc Version 5.2 Page 23 home. This staff had received a lot of training and told us the company were very supportive. We observed that staff are appropriately recruited and two staff files that we reviewed contained Criminal Records Bureau and Protection of Vulnerable Adults checks, application form, training records and two satisfactory references. This means that people using the service are protected by the homes recruitment policy and practice. DS0000005112.V375203.R01.S.doc Version 5.2 Page 24 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are safeguarded by competent management systems. EVIDENCE: The AQAA we received prior to the inspection told us that “The service continually check the quality of the service, and encourage an open culture of enquiry and debate. The service set team targets and objectives, and monitor the performance of staff”. DS0000005112.V375203.R01.S.doc Version 5.2 Page 25 We observed Long Eaves to be a well run home where people using the service are involved in decisions, about their daily routines and what is happening in the home. The home is managed by a Care Manager with 10 years experience within the learning disability sector, and he has been the Registered Manager at the service since October 2008. We saw records of reviews on people’s files that told us the views of individuals are listened to and acted upon. Safe working practices were observed to be in place, and records told us that appropriate checks are carried out. Staff training records told us that Health and Safety training is on going. DS0000005112.V375203.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X DS0000005112.V375203.R01.S.doc Version 5.2 Page 27 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA7 Good Practice Recommendations DS0000005112.V375203.R01.S.doc Version 5.2 Page 28 Care Quality Commission West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway, Birmingham B1 2DT National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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