Inspection on 06/06/06 for 1 Alexandra Street

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 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

1 Alexandra Street 21/05/08

1 Alexandra Street 01/11/05

1 Alexandra Street 01/11/05

1 Alexandra Street 07/06/05

1 Alexandra Street 07/01/05

1 Alexandra Street 28/06/04

1 Alexandra Street 19/01/04

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 08/07/2008.

CARE HOME ADULTS 18-65 1 Alexandra Street Stone Stafford Staffordshire ST15 8HL Lead Inspector Mr Berwyn Babb Key Announced Inspection 6 June 2006 11:45 1 Alexandra Street DS0000005072.V298813.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 1 Alexandra Street DS0000005072.V298813.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. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 Alexandra Street Address Stone Stafford Staffordshire ST15 8HL 01785 615510 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) RMP Care Miss Lorraine Paula Lawton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: 1-3 Alexandra Street is an end of terrace house and its adjoining neighbour, in a quiet residential district in the northern quadrant of the township of Stone. The two properties have an interlinking door on the ground floor, and provide a total of six single rooms, one of which is on the ground floor. The properties open onto the pavement at the front, but at the rear there are enclosed yards, with separate gardens across the communal backs, that serves several of the properties in this row. Both houses have a kitchen, and there are three communal areas where resident service users can associate. There is a staff sleeping in room with a fireproof cabinet for secure storage. The home is registered for the accommodation of six younger adults who have a learning disability, and seeks to meet their assessed needs in a domestic style of setting, with no outward signs that this is in fact a care home. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection for the 2006/2007 inspection year was carried out during the afternoon of Tuesday the 6th June. When the inspector arrived the care manager/general manager for RMP Care was present in the home, together with a senior carer. The proprietor was making preparation to take most of the men out for a picnic, but the inspector was able to talk to all of them, either before they left, or through the afternoon to the two who chose not to avail themselves of this trip out. What the inspector saw and heard convinced him that the home was being well run for the benefit of those people who lived there, and that the management and staff were committed to continuously updating their knowledge of the specialist and general needs of the residents. The management and staff went to great lengths to be helpful throughout the afternoon, and used the occasions to discuss ideas for future good practice, both within this home, and within learning disabilities provision. What the service does well: What has improved since the last inspection? New garden furniture has been provided for the courtyard at No. 1, and the garden wall has been painted. The surfaces of the floors have been renewed downstairs at No. 1, with a superior, easy clean, ceramic tile. The skirting board in the dinning room has been replaced, and in one of the lounges, new seating and an occasional table have been provided, together with original pictures by a local artist. The radiator has been fitted with a handcrafted cover, to protect residents from accidental burns. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 6 A new full width carpet has been laid on the stairs, hall, and landing of No. 3, with new doors and architraves to the upstairs rooms. The kitchen in No. 3 has been repainted, and new chairs provided. One resident was enthusiastic about his new carpet and “really cool” bedding. 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. 1 Alexandra Street DS0000005072.V298813.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 1 Alexandra Street DS0000005072.V298813.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The outcome for this group of residents is good because the assessment coordination of prospective resident’s needs with the capability of the home to meet those needs was shown to be good. EVIDENCE: The inspector examined the contract of one resident taken to determine the quality of the assessment, and this detailed all the required aspects of the standard. The contract had been signed by the resident, who spoke with the inspector, appeared to have a working grasp of the contents and implications of his contract. Records showed that admission to the home was an extended process, with the assessment being a living process, built up over time, and including observation made by both parties during trial visits of increasing duration. All current residents had been referred via the Care Management or Care Programme Approach, and had thus received the full support of the statutory services. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 The outcome for this group of residents was good because previous reviews of care plans had found them to be comprehensive including where residents had engaged in individual choices, and where those choices posed a risk, were enabled through education, training, monitoring, and support, to achieve the highest possible level of independence. This inspection confirmed this. EVIDENCE: Each resident had a personal care plan that had been formulated from the initial care management assessment, with reviews at a maximum of the recommended intervals, and more frequently where circumstances had indicated this. These plans, a sample of which were read during the afternoon, covered not only the assessed and changing needs of residents, but also the personal choices that they made, and any risk assessments that had to be performed, in order that they could safely undertake any chosen activity. Where this is some meant their choices had to be restricted, there was a clear audit trail of how this decision had been arrived at. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 10 The plans were professionally compiled, with no inappropriate entries, and an audit trail from the awareness of a need, to the generation of an individual plan, and the input undertaken to achieve support of that resident in the identified need. There was also discussion about the outside professionals who were involved in the care of the residents, and verification of this came from the documents, together with the involvement of family and other advocates working on behalf of the individual. Staff were observed to be respectful of the dignity and rights of the residents, to the extent that one resident though provided with a key to the privacy lock, choose to leave his door open, as a mark of the trust that he had in the staff. The inspector was able to observe the complexity, especially in relation to the choice of going out for the picnic that resulted from even a small group of people being enabled to fully exercise their individual choice. One resident used Makaton symbols to improve his ability to tell the inspector how he was able to use the bus safely, to go and see his father in the next town. He was very proud of the bus pass he had recently received, and discussion with the senior carer confirmed the training and monitoring he had received to ensure that he was capable of managing his own safety whilst using this. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 The outcome for this group of residents was good because previous experience had shown that the small community of this home is a true domestic image, where the needs and choices of residents were met within the parameters of the wider neighbourhood. Nothing was seen, heard, or experienced during this inspection to contradict this. EVIDENCE: Residents all had daytime activities that had been obtained with the help of R. M. P. Care staff, and which were appropriate to their needs and choices. Some of them were less than happy with decisions that had been taken by the providers of day care services [not R. M. P.], as they felt their opinions had not been listened to, and that changes in the service had adversely affected the benefits they received. Further discussion with the care manager determined that they were assisting these residents to make their voice heard with the local authority providers. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 12 Residents, and their carers, were able to list activities undertaken in the community to the extent that there was no difficulty in being assured that they were fully exercising their community presence. These activities included using local shops, library, theatres, pubs and restaurants, swimming pool, sports halls, religious centres, parks [for football and cricket as well as open space enjoyment], and community centres. Some people were assisted to a greater degree than others, depending upon their ability. Discussion, and verification through the staff rota, showed that flexible staffing arrangements supported excursions and hobbies [attendance at clubs] during the evening and weekends, not just during the main part of the day. One resident was effuse in his explanation of how he maintained contact with members of his family, and the care plans of others showed how they engaged in family, general, and personal friendships. Some of the residents had shared personal histories with residents in other R. M. P. homes, and these were obviously more closely maintained, but the evidence seen suggested that they were able to access friendships with people who did not share their Learning Difficulties, as well as with people who did. What was observed both on the day directly, and from care plans, relatives, and others involved in the care of the residents, confirmed that the routines of the home had to revolve around them, and not the other way around. What was seen was a very clever marriage of individualised care in a group setting. Two residents gave a full account of their dietary likes and dislikes, and observation showed that as many as 6 different meals could be under preparation, to respond to their different individual choices. Staff gave all the appearance of revelling in this challenge, rather than resenting it. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The outcome for this group of residents was good because previous experience had indicated that the health and personal care of these residents has been met in a sensitive and proactive fashion, and this view was confirmed at the inspection. EVIDENCE: The men who stayed and talked with the inspector indicated that they had no issues with the way their personal care was provided, and that their lifestyles were a result of their own choices [and abilities]. Observation of the dynamics between them, and the staff remaining in the home, confirmed that they were treated with great sensitivity and dignity, and their privacy and independence was supported and enhanced at all times. People were asked for permission before anyone entered their room, and were spoken to in a manner that always gave them the opportunity to be the authoriser of decisions taken in the conversation. A review of the personal care profiles and discussion with a carer revealed that there were thorough programmes for each person to ensure attention to their health care needs. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 14 All were under the care of hospital consultants, and the outreach of the Community Learning Disability Services, based in New Burton House Stafford, and were also registered with local G. P. practices, from where came the District Nursing inputs, as and when necessary. In addition there was evidence of monitoring and support to ensure take up of all other health appointments and issues, together with regular visits to or by the Dentist, The chiropodist, the Hearing Clinic, and the Optician. For those needing such services, there were also sessions with the speech therapist, and the dietician. The “Well Man” system of regular basic health checks was recorded, together with ongoing issues being progressed by the home on behalf of the men, for equal treatment for people with a Learning Disability, as for those without. This primarily revolved around getting local health care providers to recognise and address the fact that providing the same level of information for self examination for a person with say, Downs Syndrome, as they do for someone who does not have a Learning Disability, is not treating them fairly and equally, and that to achieve a balance, there needs to be positive bias in favour of the former group, to give them the same possibilities to keep a check on their own well being. In respect of the administration of medications Policies and procedures reviewed were appropriate, as was the arrangement made for the storage. All members of staff were recorded as having received training in the administration of medication, and individual care plans contained signed consent for the resident to have medication administered, as they either choose not to do this themselves, or are judged to be “at risk” from carrying out such a procedure themselves. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The outcome for this group of residents was good because the history of this organisation of having robust policies backed by actual procedure to ensure the safety of the vulnerable adults for whom they care was re-affirmed on the day, as was the commitment to ensure that their voices were heard, using advocates where necessary to achieve this. EVIDENCE: The inspector talk to residents, who were able to tell him how they would let someone know if they had any concerns, and correctly identified the person in charge of the home at the time to be a safe person to approach. The inspector also undertook a formal interview with member of staff, and questioned her concerning her understanding of policies and procedures to do with adult protection and voicing opinions. She was able to answer all his questions in a way and with such authority, that he felt the residents of 1-3 Alexandra Street were being cared for by staff who would recognise the signs of any abuse being present, would respond to it in a proper fashion, and would initiate the adult protection procedures correctly. Appropriately formatted forms were on display in the home, telling residents of R. M. P. Care homes in both word and picture, what they should do if they wanted to complain about anything, and all of the comments cards received from relatives, confirmed that they were aware of the complaints procedure as well. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 The outcome for this group of residents was good because the proprietors have worked to maintain the best environment achievable with property of this maturity and type. EVIDENCE: The inspector toured all the communal areas of the home, and those private bedrooms to which he was invited by their residents. He had been informed through the provider dataset that two bedrooms had received new carpets since the last inspection, in addition to those seen on the stairs, landing, and hall, at No. 3, and on the stairs at No. 1. As mentioned in the introduction, new doors and architraves had been provided upstairs at No. 3. when the ceiling was painted, and the skirting board in the dinning room had been renewed. The completion of the kitchen in No.1. with superior ceramic floor tiles that continued into the hall, made the environment feel very regarded, and was a testimonial to the dedication and skill of the director who provides the majority of the maintenance in the home. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 17 In the lounge there was new easy furniture of sumptuous comfort, a new occasional table and curtain rods, and specially commissioned new wall paintings by a local artist. The inspector discussed with the care manager the impending provision of a cover for the radiator, hoping that it would be of the same high quality as the one recently made for the dining room, as this would enhance the ambience of the room even further, whilst providing further protection that the thermostatic controls, against the danger of accidental burns. Individual rooms seen were in excess of the minimum size required, and were individually decorated to reflect the tastes of their occupants. The two residents who showed the inspector their rooms were very pleased to point out and talk about the artefacts that they had collected and the evidence of the interests they held, together with mementoes of holidays, outings, and their family. Touch up painting and renewal of a windowsill had taken place in one bathroom, and it was noted that the heater was of the newer, low temperature surface variety. Privacy locks of an appropriate type that could be overridden by staff in case of an emergency, were fitted. The home does not currently accommodate anybody who needs environmental adaptations or disability equipment. All areas of the home visited were clean and hygienic, and discussion and observation of policies revealed a commitment to reducing any possibilities of cross infection or contamination. Residents played their part in keeping the home clean and tidy, some obviously gained self esteem from this activity, others less so. However, the outcome was that all residents were able to enjoy a home that was well decorated and maintained, was not stigmatised by outward sign of being a care establishment, and was well furnished and comfortable, and was clean and free of malodour. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34,35 The outcome for this group of residents was good because previous indications were that this organisation shares an highly ethical ideal concerning the care of residents who have a Learning Disability, and only recruits staff who are able to demonstrate that they share this ideal. This concept was confirm by the activities undertaken by the inspector for this visit. EVIDENCE: The inspector discussed recruitment procedures with the care manager, who is also the general manager for the group of homes owned by the providers, and she is instrumental in the recruitment of all staff for the organisation. She outlined a procedure that meets all the requirements of the standard, and with the permission of that member of staff, showed him a staff file that contained a proper application form, two written references, clear criminal records check, an induction policy that amongst other things, detailed training in the protection of vulnerable adults, and citizens rights, and confidentiality and the freedom of information act. Her provider data set listed all the mandatory and specialist training that employees have to receive, and she had details of when various certificates were due to expire, so that further “refresher” training could be arranged. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 19 The carer present during the inspection confirmed in her formal interview that regular and open supervision did take place, and that the manager and her providers were always willing to offer guidance and support when approached, either formerly, or en-passant. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The outcome for this group of residents was good because the registered manager is highly proactive in renewing her own database, and that of her staff, and because the quality that she upholds is that of the resident above that of any other person in their life, and because all practicable steps have been taken in the past to ensure the health, safety, and welfare of all at 1-3 Alexandra Street. EVIDENCE: The registered manager is not only a resource to this home, but to others in the R. M. P. group, making herself available for supervision and support, and constantly bringing policies, procedures, and practice up to current best practice standards. She was one of the first managers to obtain the necessary qualification required as from this year of 2005, and was able to demonstrate her commitment to continuing training and development. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 21 The inspector was able to collect evidence to support the meeting of this standard from discussion with residents, management, and staff, and from observing things as he toured the home. It was apparent that the various pieces of training and encouragement that had taken place with both residents and staff, had decreased risks for them, or made them aware of these in the first place. The commission has been furnished with a letter from the accountants to the effect that the business is viable, and thus confirming that resident’s future is secure in this home. The newly produced quality assurance tool has now been deposited with the commission, and this is very thorough, detailing staff performance, individual support, effective intervention, medical/professional advice, outcomes for residents, participation in everyday activities, advocacy, resident participation, community participation, external activities, internal environment, staffing, management, written guidance, and the general issues of disciplinary procedures and the confidentiality of residents personal details. This very robust tool is welcomed, and the inspector looks forward to seeing examples of completed copies. The director who oversees and carries out most of the maintenance has now obtained his P certificate to recognise his proficiency in minor electrical work. The above evidence suggests to the inspector that this home takes every possible precaution to ma ximise the health, safety, and welfare, of everybody at 1-3 Alexandra Street. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 4 29 4 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA24 Good Practice Recommendations The registered person is recommended to take steps to ensure that the guard to the radiator in the lounge is fitted as soon as possible, and to be alert to any possible risks to individual residents. 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 1 Alexandra Street DS0000005072.V298813.R01.S.doc Version 5.2 Page 25 - 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!