Inspection on 06/03/08 for Manor Green Road (62)

This is the latest available inspection report for this service, carried out on 6th March 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Manor Green Road (62) 30/01/06

Manor Green Road (62) 20/09/05

Manor Green Road (62) 05/10/04

Manor Green Road (62) 12/05/04

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

CARE HOME ADULTS 18-65 Manor Green Road (62) 62 Manor Green Road Epsom Surrey KT19 8RN Lead Inspector Lisa Johnson Unannounced Inspection 6 March 2008 08:30 th Manor Green Road (62) DS0000013524.V359586.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 Manor Green Road (62) DS0000013524.V359586.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. Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Green Road (62) Address 62 Manor Green Road Epsom Surrey KT19 8RN 01372 726131 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.caremanagementgroup.com Care Management Group Ltd (trading as CMG Homes Ltd) Post Vacant Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: 29 65 YEARS One person may be over the age of 65 years Date of last inspection 18th January 2007 Brief Description of the Service: Southeast Regional Registration Team is currently cleansing certificates in line with the modernisation of the registration agenda, which will result in the above conditions being changed. 62 Manor Green Road is a converted detached property providing accommodation for five service users with a learning disability. The home is located in a quiet residential area of Epsom and has easy access to shops, public transport and other local amenities. The accommodation is provided over two floors. All bedrooms are single rooms with two rooms with en-suite facilities. The communal areas consist of a medium sized lounge, dining room and kitchen/diner area. There are suitable bathroom facilities provided and the home has a large, secure garden to the rear of the property. There is space for one car to park off-street at the front of the property and ample on-street parking. Weekly fees range from £890- £1,115 Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The site visit was unannounced and took place over six hours commencing at 8.30 am and finishing at 3.20p.m. Mrs. L Johnson Regulation Inspector carried out this visit. The inspector spoke to three people who live in the service to gain their views and we spoke with two members of staff. Information was supplied prior to this visit in the Annual Quality Assurance Assessment. (AQAA) This assessment provides information about how well the service thinks they are meeting quality outcomes for people living in the service and where they think they need to improve. Reference is made to this assessment throughout this report. A full tour of the premises took place. Care plans, risk assessments, medication administration records staff personnel files, training records and policies and procedures were seen during this visit. During this visit we were able to speak to three people who live in the service and to two members of staff. The inspector would like to thank the staff and people living in the service for their time, assistance and hospitality during this inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. What the service does well: The home provides a homely, relaxed and friendly atmosphere, People living in the service were observed to have good relationships. Three people spoken with told us that they were happy living in the home. One person said, “Staff give me help and support when I need it”. People living in the service are provided with the opportunities to make decisions and choices about their lives. One person said, “I can go shopping and choose the meals that I like.” The home also holds regular meetings with people living in the home to gain their views. The home has completed good care plans, which have been carried out in consultation with people. Good systems are in place to assess the quality of care provided in the home including feedback surveys from people living in the home and their relatives. Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 6 The company carry out detailed monthly quality visits and also an independent quality assurance assessment is carried out every three months. 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. Manor Green Road (62) DS0000013524.V359586.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 Manor Green Road (62) DS0000013524.V359586.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): 1&2 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective people moving into the home are provided with information they need to consider the suitability of the home as a place to live. The needs of people are assessed prior to admission to the home. EVIDENCE: There is an accessible and detailed service user guide and statement of purpose in place. The guide describes the services that the home is able to provide and how it attends the meet the cultural and diverse needs of people. Although the home is advised to update the current management arrangements ensuring that this information is up to date. Currently there are four people residing in the home who have lived there for a number of years. Information seen demonstrated that pre- admission information had been gained prior to any person moving in to the home. These included reports from local authority care managers and health care specialist reports. Policies and procedures were available which confirmed the home’s admission arrangements. The company also has a referral and assessment team in place. Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 9 Manor Green Road (62) DS0000013524.V359586.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 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are provided with a care plan, which records their individual needs and goals and they are supported to make decisions about their lives. People living in the service are supported to take risks as part of an independent lifestyle. EVIDENCE: Each person has a completed care plan, which has been based on a full needs assessment including health, personal, emotional and social needs. Individual care plans were detailed and structured with clear objectives and goals. Care plans were regularly reviewed in consultation with people, which were agreed and signed by them and reports were maintained of all reviews. Information supplied in the Annual Quality Assurance Assessment stated that staff would be commencing training in respect of developing person centred plans. The home consults and supports people to make decisions about their daily lives with assistance where required. Regular meetings take place with people Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 11 living in the home and at their request and the home has purchased a new HiFi video, pictures and DVD as a result of this. Feedback surveys provided to people living in the home are to be introduced without pictures, which has been requested by them as this is their preference. One person has had a meeting with the company to discuss a possible placement for one of their friends to live in the home. People living in the home are supported to manage their own finances and where assistance is required this is clearly documented in their care plan. A range of risk assessments was in place including personal, health and emotional related matters, and self-medication. These plans had been reviewed and up to date. During discussion with staff it is advised that one person who has epilepsy that their risk assessment includes detail about any possible identified risks at nighttime. Manor Green Road (62) DS0000013524.V359586.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, 14, 15 & 17 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are provided with a range of appropriate activities and engage in a range of leisure pursuits. People are supported to take part in the local community and their rights and responsibilities are respected. The home is able to demonstrate that people are provided with a well-balanced and nutritious diet. EVIDENCE: During this visit people were seen leaving the home to attend employment and activities. One person spoken with said, “ I go in a taxi to work action programme ”. People living in the home are able access the local community independently including using public transport, going to the shops, going to the bank and visiting restaurants and pubs. One person spoken with said, “ I like going into Epsom to do shopping”. Information was seen on the notice board advertising local events, outings, parties and events run by the company. People have annual holidays of their choosing. One person said, “I am going Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 13 away on holiday this year” and one person attends church. Information supplied in the Annual Quality Assurance Assessment stated that the home wish to increase social activities for people but it would be beneficial to have increased staffing levels for some extra shifts (See also standard 33) People living in the service maintain links with their family and friends. One person told us that they visit their relatives and another person has friends who they see. People also have the opportunity to invite their friends for meals. During this visit positive relationships were observed between people and staff who were interacting. People living in the home have their own key for their bedroom and for the front door. All areas of the home are accessible with no restrictions. One person was observed in the kitchen making a cup of tea. Another person requested a new carpet and they are able to choose the colours of their bedroom, which meets their preference. People living in the home are supported to participate in the domestic activities and where support is required this was recorded in the care plan. During this visit one person was observed preparing their own lunch. This person stated, “I also like doing my laundry” which was observed during this visit. Staff spoken with said that since our previous visit two people are now able to cook their meals independently. People make their own choices about their preference of meals and participate in shopping. This was confirmed by one person spoken with who said, “ I can choose the meals that I like which I cook” Menus were varied and staff provide support people to ensure that they eat balanced diets Records were maintained of all meals eaten. Manor Green Road (62) DS0000013524.V359586.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 & 20 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that service users receive personal support in the way they prefer. Service users physical and health needs are met. Service users are protected by the homes medication administration procedures. EVIDENCE: Each person’s plan identified their strengths, needs and likes and dislikes such as favourite meals, activities and preferences for support. This was demonstrated in the care plan for one person who chooses to make their own General Practioner appointments and visits independently. People’s privacy is respected and staff do not enter peoples bedrooms without permission. The home has now developed comprehensive health action plans which covered areas such as nutrition, communication needs, hospital appointments, health screen checks, dentist, optician and chiropody. One person had been receiving physiotherapy following an operation and their health action plan identified that they require a walking stick to assist with mobilisation, which they were observed to be using during this visit. Another persons care plan identified their dislike in attending health appointments and monitoring of their Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 15 diet. These matters were supported by risk assessments, which we were informed, have been discussed with the persons appointed care manager. The homes medication administration systems were examined A list is maintained of staff who are trained and authorised to administer medication. All medication administered was signed for on the medication administration record. It was observed that one person who receives paracetamol, this had been hand transcribed by staff on to the medication administration record, which had not been checked and signed by two members of staff. This was brought to the attention of the deputy manager, which was attended to during this visit. Medication is dispensed using the monitored dose system (MDS). Records were maintained for all medication received and disposed of. Agreed protocols were in place for the administration of homely remedy medication. One person self medicates and is provided with a lockable facility in their room, which is supported by a risk assessment. Manor Green Road (62) DS0000013524.V359586.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 &23 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that the views of service users are listened to and acted upon. People living in the home are protected from abuse. EVIDENCE: An accessible complaints procedure was seen on display throughout the home and a complaints record logbook is maintained. Two matters raised by people using the service were recorded with the action taken. The Commission for Social Care Inspection has received no complaints since the previous visit. Three people spoken with during this visit said that were happy living in the home and one person spoken with said, “I can talk to staff, if I have any problems and they help and support me”. The local authority multi- agency safeguarding adults from abuse procedures were in place and the company also has their own procedures. Three members of staff training files were viewed, which confirmed that they had received, appropriate training. The deputy area manager informed us that they currently making arrangements to book staff to attend updates. There have been no matters referred following the local authority safeguarding adults from abuse procedures since our previous visit. One member of staff spoken with was clear about the procedures and had awareness of the action they should take if they witness or are made aware of any incident where the safety or protection of a vulnerable person is compromised. Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 17 Manor Green Road (62) DS0000013524.V359586.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 & 30 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained, comfortable, homely and safe environment. EVIDENCE: The home is based in a residential area near to Epsom town centre and local shops are nearby. The furniture and fittings are domestic in style providing a home-like environment. The home is well maintained providing a comfortable place to live in. The service has identified further improvements including bedroom redecoration and carpet replacement. There is an accessible, large and well-maintained garden to the rear of the house. At the previous visit it was identified that an appropriate area be made available for a staff sleeping in room. Due to space constraints the bed used by staff was moved from the office and staff sleep in on a fold up bed in the dining room. We were informed that the dining room is not regularly used by people living in the home and that staff do not use this room until people have gone to bed. This matter was also discussed with people at their home meeting Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 19 who stated that they have no objections to this arrangement and notes of the meeting seen during this visit confirmed this. However it is recommended that this matter is still perused and that appropriate facilities are made available for staff separate to peoples living areas. The home was cleaned to a good standard and was hygienic. The home has infection control procedures in place and staff receive training in infection control and food hygiene. Manor Green Road (62) DS0000013524.V359586.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): 31, 32, 33, 34 & 35 People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Improvement is needed to ensure that the current staffing arrangements in the home meet the needs of people and that welfare and safety is protected. Staff have the appropriate qualifications and skills to meet the needs of people and they are protected by robust recruitment procedures. EVIDENCE: At the time of our visit there was only the deputy manager on duty. Most people who live in the home were leaving for work and activities except for one person. There are two other members of staff who regularly work in the home who are employed by the company on bank and have supported people living in the home for a number of years. The duty rota reflected that there was only one member of staff working on each shift except for one day a week. We were informed that the home used to have two members of staff on duty plus there is also now a manager vacancy. It was observed that one member of staff was working a number of long shifts including a number of sleep-in duties throughout the week Therefore it was required that the staffing levels be regularly reviewed Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 21 ensuring that the numbers of staff employed in the home are sufficient to meet the needs of people living in the service and that the hours worked by staff are addressed ensuring that peoples welfare and safety is protected. We were informed that there is always a manager on call and assistance is available from other homes locally if help is required. At nighttime people are supported by a sleep in member of staff and a requirement was made that a lone working risk assessment be completed. The company promptly attended to this matter and the outcome has been provided to us. Job descriptions for the staff on duty were available and staff spoken with during our visit was clear about their duties and responsibilities. Staff are provided with a copy of the General Social Care Council (GSCC) code of conduct. There is an overall company-training plan with a varied range of training available. Information seen on three members of staff files demonstrated that they receive training and development, which supports the needs of people living in the service. This training included mandatory training in safeguarding adults, fire awareness, food handling, health and safety, first aid and managing medication. Two members of staff had received training in equality and diversity, epilepsy, dignified management of conflict and future training is being arranged in person centred planning. The deputy manager who was present during this visit was aware that some training required updating but demonstrated to us that arrangements are in place to arrange dates for this training. The deputy manager said that she is waiting to commence the National Vocational Qualification (level3). Another member of staff spoken with confirmed that she holds National Vocational Qualification (Level3) The company has a staff induction programme based on good practice, however as there have been no new members of staff employed this could not be tested The inspector spoke to two members of staff who were clear about their roles and responsibilities and informed the inspector about training and development Recruitment is based on an equal opportunities policy. Three members of staff personal files were sampled which were maintained to a good standard and contained the required information, which included fully completed application form and two written references. Enhanced Criminal Record Bureau checks are completed with appropriate records being maintained. Manor Green Road (62) DS0000013524.V359586.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 & 42 People using g the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is not managed by an experienced registered manager. The service is able to demonstrate that it is run in the best interests of people and their health and safety is protected. EVIDENCE: Prior to this visit a manager was in post that was registered to manage two services. We were informed that this person no longer manages this service due to work constraints therefore this has created a manager vacancy. This post has been vacant for number of months therefore it is required that the company appoints a manager to run the home The home is currently being run by the deputy manager who has worked in the home for ten years and provided a good knowledge of the needs of people living in the home. Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 23 Information provided indicates home ensures the views of people living in the home are promoted. This was demonstrated by the company providing people living in the home and their relatives with annual feedback surveys, which were seen during this visit. The outcomes from these surveys are analyzed. The home also holds home meetings, which are minuted. The report completed by the Commission for Social care Inspection is bought to the attention of people living in the home. A person spoken with said, “Staff discuss this report with us at our meeting” The company also holds an annual forum whereby people using the service can raise their views. Monthly quality visits are conducted which were available for viewing in the home. These were detailed and comprehensive. The company also conducts an independent quality assurance assessment, which is carried out every three months. The report completed by the Commission for Social Care Inspection is bought to the attention of people living in the home. A person spoken with said, “Staff discuss this at our meetings”. Information supplied In the Annual Quality Assurance Assessment states that the company has a policies and procedures group and all staff are involved in up dating these. A range of policies and procedures were available in the home at the time of our visit and were up to date and staff spoken with during this visit were aware of the these procedures ensuring that the rights and best interests of people living in the service are protected. Certificates were in place confirming that routine servicing and maintenance of equipment is conducted. Fire records were maintained which indicated that a fire assessment was in place and that fire alarms are checked and fire drills are conducted. At the previous visit it was required that a risk assessment be conducted in respect of the uncovered radiators. A detailed risk assessment has now been completed. Manor Green Road (62) DS0000013524.V359586.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 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 3 STAFFING Standard No Score 31 3 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 4 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 2 X 4 X 3 3 X Manor Green Road (62) DS0000013524.V359586.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. 1 Standard YA33 Regulation 18(1)(a) Requirement The registered person must regularly review that sufficient numbers of staff are employed in the home to meet the assessed needs of people living in the service. The registered person must appoint a manager to run the home. Timescale for action 06/04/08 2 YA37 8 06/05/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Manor Green Road (62) DS0000013524.V359586.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South East The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Manor Green Road (62) DS0000013524.V359586.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. 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