Inspection on 05/02/08 for 104 Highlands Road

This inspection was carried out on 5th February 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

104 Highlands Road 28/06/07

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 104 Highlands Road 104 Highlands Road Fareham Hampshire PO15 6JG Lead Inspector Pat Trim Unannounced Inspection 5th February 2008 10:00 104 Highlands Road DS0000068980.V356760.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 104 Highlands Road DS0000068980.V356760.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. 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 104 Highlands Road Address 104 Highlands Road Fareham Hampshire PO15 6JG 01329 849399 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) Disabilities Care Management Ltd Post Vacant Care Home 10 Category(ies) of Learning disability (10), Physical disability (10) registration, with number of places 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2007 Brief Description of the Service: 104 Highlands Road opened in December 2006. It is a purpose built residence for ten people with learning disabilities. There are four flats on the first floor and two en suite single bedrooms. The ground floor provides accommodation for 8 people in single en suite bedrooms. The flats have their own shared access or can accessed via the main home. Therefore people living in the flats can be independent, or involved in the life of the main home as appropriate to their needs and wishes. There is an enclosed garden. The home is close to local shops and a doctor’s surgery. The home provides services to people who have complex needs. The fees range from £1600.00 to £4150.58 per week. The service user’s contract and statement of terms and conditions state that fees include all care, and accommodation costs, food, drink, heating and lighting, laundry done on the premises, and any other staff services. They do not include costs of newspapers and periodicals, hairdressing, dry cleaning, chiropody, treatment by dentists or opticians, or the purchase of clothing and personal effects. 104 Highlands Road DS0000068980.V356760.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 1 star. This means people who use this service experience adequate quality outcomes. This report summarises information received about the service since the last inspection of 28th June 2007. We usually ask for comments and feedback from people living in the home, relatives, and visitors before an inspection visit; but there are no service users currently living in the home. We looked at the last inspection report to see what had been said about the home and talked to the inspector who wrote it. We looked to see if we had received any complaints about the home and saw that we had not. We also looked at any information the home had given us about what might have happened since we visited. We used some of the information the registered manager gave us about the home in a form called the Annual Quality Assurance Assessment (AQAA). This is a form the home has to fill out every year to tell us what they are doing to make sure the home gives the people who have used the service the care that they want. A site visit was arranged with a few days advance notice for 5th February 2008. The visit focussed on discussion with one of the providers, and a tour of the building. There are currently no people using the service and no staff are employed; therefore the quality rating is adequate as it is not possible to assess quality outcomes for service users. What the service does well: What has improved since the last inspection? What they could do better: 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 6 As there were no people currently using the service all of the key standards could not be fully assessed to measure the service provision. It was also not possible to establish whether the three remaining requirements from the last report had been met as these relate to actions needing to be taken to support and protect people living in the home. The provider said the acting manager, working in the home at the time of the previous inspection, had informed him action had been taken whilst people who use services were living in the home and staff employed. This action will need to be maintained when new people move into the home and new staff are employed. The providers had not kept any records at the home relating to people who lived there as these records had gone with them to their new home. Regulation 17 requires records relating to people living in the home to be kept for three years from the date of the last entry and are available for inspection at all times. A requirement was made that these records must be kept at the home for any person who moves into the home. 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. 104 Highlands Road DS0000068980.V356760.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 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no service users, staff or manager at present; therefore it is not possible to fully assess this part of the service for the outcomes for service users. There are systems in place which if used, would ensure service users have a detailed assessment before they move into the home and would only be offered a place if the service was able to meet their needs. The statement of purpose and service users’ guide is now available in formats that would meet the needs of the people who may use the service so they would have information that would enable them to make a decision about whether to move in. EVIDENCE: The last inspection report found good transitional arrangements for the person living in the home at the time of the inspection. No one else has moved into the home since this time, apart from someone who came as an emergency placement and who left the home after two weeks. The provider confirmed assessments were completed for this person, but did not have them in the 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 9 home at the time of the inspection. However, he stated they were available and could be brought to the home if required. The provider said the person’s care manager came to the home to discuss the admission. The provider said there had been no changes made to the admission procedure and assessment process since the last inspection. The home has an admission procedure that states anyone moving to the home will have a full assessment of need completed before admission and that they will be encouraged to visit the home and spend time there before deciding to move in. It was not possible to look at the quality of a completed pre admission assessment as no one is currently living in the home and no completed assessments were available. A requirement was made following the last inspection that the statement of purpose should be available in formats that met the needs of people who use the service. The information pack given to anyone thinking of moving into the home was now available in pictorial format as well as a written version. 104 Highlands Road DS0000068980.V356760.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 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no service users, staff or manager at present; therefore it is not possible to fully assess this part of the service for the outcomes for service users. Systems have been put in place to develop and review an individual plan of care, which if used, would identify how the person liked to live and their wishes and aspirations. The philosophy of the home would expect staff support to people who live in the home to make decisions about how they spend their time. Staff will still need clear guidance on how to manage aggressive behaviour if appropriate action is to be taken to diffuse the situation and help service users become calm. EVIDENCE: The last inspection found that the home relied on the plan the person living in the home brought with them, rather than developing their own. There was a 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 11 format for regularly reviewing the plan, but the reviews were not taking place. Daily records were good and there was evidence the person using the service was supported to make decisions about their daily life. The last inspection also found that staff did not have clear guidance about to manage aggressive behaviour or what action they needed to take to diffuse situations and support the service user to calm down. A requirement was made that risk assessments must be developed to give staff this guidance. The provider said the files containing the plans, reviews, risk assessments and daily records had gone with the service user to their new placement and he was not able to show us any examples of care plans, reviews or risk assessments. He said staff did know how to support the service user when they presented with challenging behaviour and that all staff received Strategies for Crisis Intervention and Prevention (SCIP) training within one month of joining the staff team. The provider offered to send for copies of the care plan and risk assessments from the new providers. However, as the service user had moved from the home some months earlier it was felt this was not appropriate. The provider agreed to keep the records for any future admissions as required by Regulation 17. The AQAA, completed whilst the acting manager was still working in the home and the service user still living there, stated that the acting manager was aware the existing care plan needed to be reviewed and amended to reflect changes in the service user’s needs and abilities. 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no service users, staff or manager at present; therefore it is not possible to fully assess this part of the service for the outcomes for service users. There are systems in place to ensure people who might live in the home would be able to be involved in activities that interest them and could make choices about their routines of daily living, social contacts and activities. The current practice of locking communal areas does not enable everyone who comes to live in the home to be able to access everywhere independently. EVIDENCE: The last inspection report said there were good outcomes for the person who lived in the home. The person had a structured day that met their needs and they were supported to maintain contacts that were important to them. 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 13 The AQAA stated that the person’s needs had to be at the forefront of care planning. The person living in the home at the time the AQAA was completed had asked for more educational opportunities and these were being looked at. The AQAA recorded that people living in the home were supported to make choices about all aspects of daily living. As stated in previous sections of this report, there were no records available to see how people had been supported to make choices about their daily routines, activities and contacts with the community from the time of the previous inspection until they left the home but the previous inspection report gave information about how the person living in the home was able to choose from a wide range of activities. At the last inspection it was noted that the door to the kitchen was kept locked. It was still locked at this inspection but the provider explained this was for security reasons because the building was empty. He said the door had been locked when the upstairs flat was occupied. This was to encourage the person to use the facilities in the flat rather than the communal areas. He said that anyone living in the home would be given a key to these areas so they could use them when they wished. This might restrict their use by people with physical disability. The provider said the practice would be reviewed on an individual basis when anyone was admitted to the home. 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no service users, staff or manager at present; therefore it is not possible to fully assess this part of the service for the outcomes for service users. There are systems in place to ensure that service users would be supported to access healthcare professionals so the home could promote the health and wellbeing of those living there. There is now a robust medication procedure in place that staff could follow which would enable them to manage the receipt, administration, storage and disposal of medication safely. EVIDENCE: The only person to have lived in the home on a permanent basis was able to manage their own personal care and did not require any assistance from staff. There was no information about the person who came for a week’s stay and the provider did not know what help the person had required. There was therefore no evidence to show staff knew how to give people help with their personal care. 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 15 The previous inspection report found that the person living in the home had their health care needs met. They were able to regularly see a psychiatrist, psychologist and speech therapist, all provided by the organisation. They were also able to see their doctor and dentist when they needed to. The AQAA stated a psychiatrist visited people living in the home regularly and he/she monitored their medication. The provider had copies of correspondence from a psychiatrist relating to some work they were doing when the person using the service was still living in the home. This showed the person living in the home continued to get health care support from the time of the last inspection until they left the home. The medication policy stated that people who wished to manage their own medication would be supported to do so within a risk framework. A requirement was made following the last inspection that staff must be provided with a medication procedure so they could safely manage medication. A procedure had been provided which gave staff clear guidance about how medication should be ordered, checked into the home, stored, administered and returned. 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no service users, staff or manager at present; therefore it is not possible to fully assess this part of the service for the outcomes for service users. There is a complaints procedure in a format suitable for those who might live at the home so they will be clear about how to express their views if they are unhappy with the service. Appropriate staff training would be provided in safeguarding adults from abuse, so risks to people living in the home would be minimised. EVIDENCE: The last inspection report made a requirement that the complaints procedure needed to be available in formats that met the needs of people living in the home. The AQAA stated that it was now available in suitable formats and the provider had a copy of the pictorial version. This was easy to follow and gave information about how a complaint would be investigated. The AQAA recorded no complaints had been made to the home since the last inspection and the commission had received no complaints about the service. A requirement was made at the last inspection that the practice of making the service user living in the home at the time pay for damages to the home or for take away meals must be reviewed. The provider explained that a system of rewards for behaviour had been devised as a coping strategy with the help of the psychologist. The practice of making the person pay something towards damages was also part of a strategy introduced following advice from the 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 17 psychologist and a letter was seen confirming this was appropriate for the person who had the understanding to know why this was being done. The provider said that following the last inspection, time had been spent discussing how to make sure staff had the training and skills they needed in relation to safeguarding adults. He said the induction had been changed to provide more opportunities for training and stated that any staff employed in the home would have safeguarding training as part of their induction. As there were no staff currently employed in the home it was not possible to ask them about their understanding of safeguarding issues. The provider said the home had information about safeguarding and that the files of staff previously employed in the home contained evidence they had received training. 104 Highlands Road DS0000068980.V356760.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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no service users, staff or manager at present; therefore it is not possible to fully assess this part of the service for the outcomes for service users. People who move into the home will benefit from a new building which is clean, newly decorated and furnished, and safe. EVIDENCE: The last inspection report stated that the home provided a well-designed environment that met the needs of the person living there. The AQAA also stated that the home was furnished to a high standard to meet the needs of service users. The home has been purpose build and consists of eight bedrooms downstairs, all of which have en suite wet rooms. One of these rooms was being used as a quiet room. There is also a communal lounge/dining room, and another small room that may be developed as a sensory room. In addition to the showers in 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 19 each en suite there is one assisted bath for those who prefer or need this. There is an office, staff sleeping in room, toilet, sluice room, laundry and kitchen. Patio doors from the lounge/dining room open onto the garden. Upstairs there are two one-bedroom and two two-bedroom flats. Each has a small kitchen, lounge, bathroom with bath and overhead shower, and one or two bedrooms. There are also two single en suite bedrooms. One staircase leads into the main body of the house and another direct to an external door. Each flat has an intercom system connected to doorbells by the external door. This way the flats can be visited without having to go through the main building. The provider explained that rooms have been minimally furnished, as it was the expectation that people moving into the home would want to personalise the rooms with their own things. The home employs a maintenance man who visits weekly to carry out safety checks and minor repairs to keep the property up together whilst it is empty. 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no service users, staff or manager at present; therefore it is not possible to fully assess this part of the service for the outcomes for service users. There is a robust employment procedure, which if followed, will ensure service users are safe. A staff training programme needs to be put in place if any future service users are to be confident staff have the training and skills they need to meet their needs. EVIDENCE: The employment procedure required all the relevant checks, such as Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) to be completed before staff began working in the home. However, The previous inspection report found the employment procedure was not being consistently followed and made a requirement that the procedure must always be used. The provider said the home currently employed no staff so there were no records to view. 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 21 The previous inspection report stated there was no record of any training programme and no training records. The AQAA, completed after the previous inspection was completed, recorded that staff training and supervision was now in place. The provider said that should the home receive a referral staff would be employed, inducted and trained before the service user moved into the home. He also said mandatory courses such as food hygiene and moving and handling would be completed during the induction period. 104 Highlands Road DS0000068980.V356760.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 41 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A registered manager needs to be appointed to manage the home on a day-today basis and to monitor outcomes if people moving into the home are to live in a well managed service that meets their needs. EVIDENCE: The last inspection report commented that the new manager was beginning to improve practice in the home. This manager left before registration and there is no current manager in post. The last report said there were a number of issues that needed to be addressed for the home to run effectively and for the benefit of anyone living in the home. These included: 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 23 Providing sufficient staffing levels to support the person using the service, whilst allowing systems, processes and procedures to be developed so that home will function effectively as more people move in. Planning for service development in an orderly way. Supporting staff training. Staff were expected to undertake any nonmandatory training in their own time. Resolving difficulties with the rota and the high number of additional shifts staff were expected to do to cover staff vacancies. As the only person living in the home moved out and there is currently no registered manager or staff, it cannot be established whether these issues had been resolved and would not re-occur when new people move into the home and new staff are employed. No records relating to service users who had moved out were being kept in the home. A requirement was made that records must be kept for any future admissions to the home for at least three years from the date of the last entry. There were a number of requirements following the last inspection that related to health and safety issues. It could not be established whether the acting manager had contacted Hampshire Fire and Rescue Service (HRFRS) for advice about holding open fire doors, but only one was found wedged open during the inspection and the provider said this was because the maintenance man was working on it. The requirement to test the fire alarm system in accordance with HFRS guidance had been met and a record of regular testing was seen. The requirement relating to the regular testing of equipment such as boilers and the specialist bath had been met. The AQAA gave information about service contracts and test certificates for fire safety equipment were seen. 104 Highlands Road DS0000068980.V356760.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 X 2 2 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 2 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X 2 X 2 X 1 2 X 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 25 YES 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 YA41 Regulation 17 Requirement Records relating to service users must be kept for not less than 3 years after the date of the last entry. Timescale for action 01/06/08 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 104 Highlands Road DS0000068980.V356760.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 104 Highlands Road DS0000068980.V356760.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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