Inspection on 25/04/07 for 110 Primley Park

This inspection was carried out on 25th April 2007.

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

110 Primley Park 22/12/05

110 Primley Park 08/06/05

110 Primley Park 11/03/05

110 Primley Park 04/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 110 Primley Park Paignton Devon TQ3 3JX Lead Inspector Doug Endean Announced Inspection 25th April 2007 10:00 110 Primley Park DS0000018307.V334420.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 110 Primley Park DS0000018307.V334420.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. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 110 Primley Park Address Paignton Devon TQ3 3JX 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) 01803 556319 Mr William Henderson Mr William Henderson Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for maximum 1 LD Date of last inspection 22/12/05 Brief Description of the Service: The service provides a home for one person with a Learning Disability. It is also the providers family home, and is shared with his family who include the service user in all aspects of their family life such as entertainment, family holidays, eating out, shopping and how to be an individual in a family situation. This provides stability and values of a caring environment in the warmth of a family home where a consistent skilled approach has improved the service users behaviour and wellbeing. The local community are also supportive to the home making them part of it in many ways. The home is, as one would expect of a family home, consisting of a lounge, kitchen diner and three bedrooms on a reverse level plan design. There is a large outside paved area plus a good-sized lawn. The elevated position offers a stimulating view of some of Paigntons suburbs and the sea beyond. The present charge for the is £1000 per week. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on Wednesday 25th April 2007 commencing at 10:00 hours. The Registered Provider/Manager and the only person using the service were present throughout the inspection and fully cooperated with the process that lasted four hours. Both individuals took part in discussions with the inspector during the course of the inspection. No “service user” survey forms were used for this inspection. However the person using the service did answer questions and the Registered Provider/Manager produced a complete pre-inspection form. There are no staff employed by the Registered Manager in the home. What the service does well: 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. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 6 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 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 7 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): The homes performance was assessed against 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of pre-admission preparation was excellent and did include a multidisciplinary approach. EVIDENCE: This home was set up to provide a service for one person. The provider registered the home for this purpose alone and the aims and objectives were presented at the contract stage, and vetted by appropriate individuals. Before the person using the service was admitted to the registered home there were extensive discussions with the National Health Service Learning Disability service regarding the care and the risks involved. The provider was a party of these discussions as he was employed by the Learning Disability service at that time and had been a carer of the person using the service for several years whilst she was in hospital. The inspector saw evidence in the care record that the Psychiatrist, Psychologist and other National Health Service staff were involved in the assessment process and the decision to admit the person using the service to the registered home. The assessments were through and informative as are the risk assessments that have been regularly reviewed to meet changing circumstances. Care plans were established from the initial 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 8 information and the inspector saw these. The care plans include some restrictions to the person using the service’s freedom of movement. The inspector saw that there are very clear reasons given for these restrictions, and these are regularly reviewed and recorded in the case record. The service has now been operational since 2001. The Psychiatrist and Registered Nurse input, from the Learning Disability service, is now on a request basis. There is, at the least, a quarterly review carried out by the very supportive General Practitioner. However the person using the service does attend a day centre twice a week where other trained staff also continually assesses behaviour. The person using the service has family who do visit the home from time to time. 110 Primley Park DS0000018307.V334420.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. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against 6, 7 & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager has provided a program of care that has enabled the person using the service to develop personal skills so that she can exercise choice and make decisions. The level of supervision is appropriate to the levels of risk. EVIDENCE: The Registered Manager provided evidence that care plans are produced, and that they are reviewed at least monthly. The care plans include social care and learning such as how to manage money and tell the time. They include how the social care need might be met such as twice-weekly attendance to a day centre as well as normal home life arrangements such as shopping and meals out and holidays abroad. All the plans are supported by risk assessments that were also regularly reviewed and altered to reflect changes that do occur. Risks are managed in a responsible way to benefit the person using the 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 10 service. The plans were clearly written using a recognized format where each identified need was stated, and how it was to be addressed followed by the expected outcome and a review date. The person using the service has taken part in there development and agreed to the content. She made the inspector aware of this during the inspection. The person using the service is relatively independent within the restrictions that are included in her care plan. She manages her personal hygiene with supervision and decides what she will wear. Within the family household she helps with shopping and can choose the food she would like to eat. She can now prepare her own hot drinks but cannot prepare meals. Meals are prepared with her making choices about what she would like to have. The Registered Manager does regularly take the person using the service out for a meal with family and friends where she can socialize and choose what she would like to eat. The person using the service does have access to her own bank account but is assisted in its management by the Registered Manager. The person using the service has their own private bedroom with their own property such as clothes and a CD player and CD’s. She shares the other areas of the home as a member of the family would. The home is nicely decorated and well maintained by the Registered Manager. For the safety of the person using the service the home has a missing persons policy and procedure that the inspector saw. It gives clear details of what is to be done and a description of the person using the service. The General Practitioner is involved on a regular basis in monitoring general health needs. The inspector saw evidence in the case record of regular monitoring of blood serum levels for medication that is being used by the client. A regular check is kept on weight gain/loss and records were seen in the case file. 110 Primley Park DS0000018307.V334420.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. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against 12, 13, 15, 16 & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The person using the service experiences a high level of independence within the home that has enabled her to develop personal and social skills that have enabled her to take her place in the community. All this is carried out within closely monitored levels of risk and supervision. The Registered Manager has provided a home and education for the person using the service that has a allowed her to experience life within safe parameters. EVIDENCE: The person using the service will not be able to take up gainful employment or employment training due to the nature of their condition. However, she is involved in many social activities both as a member of the household as well as when she attends day care centre twice a week. At the centre she is among 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 12 people with similar disabilities and joins them in social activities including trips out around the locality. The Registered Manager provides the person using the service with therapeutic and educational stimulation on an ongoing basis. She is included in all the normal family activities including food shopping, purchasing cloths, family entertainment including barbeques with neighbours and meals in restaurants. She also accompanies the family on holidays abroad and mixes with other people from other countries and other cultures. The person using the service has family that visit the home on occasions and are welcomed to use the family facilities during the visit, which is supervised by the Registered Manager. The person using the service has her own bedroom that is in good order and to her liking. She has commented to the inspector that she enjoys her room and has it set out to her own liking. She has chosen to refuse the offer of a lock fitted to her bedroom door and this is recorded in her case file. The whole household is freely available to the person using the service and she was using it appropriately during the course of the inspection including the patio space in the good weather. She was also interacting freely with the Registered Manager and the inspector using first names in her conversation. The person using the service has her nutritional needs monitored so that she does have a balanced diet. She does food shopping with the family and makes her choice of food known during these excursions that fit in then with the household meal planning. She has learnt to make drinks and also prepare basic snacks. The Registered Manager and his wife, who also takes part in the general activity of caring when not at work, prepare meals. Main meals are eaten together in the home as a family event. Meals are also enjoyed by the person using the service, and the family, at local restaurants frequented by them all. 110 Primley Park DS0000018307.V334420.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. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against 18, 19, & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a sensitive, and respectful approach towards the person using the service that maintains her dignity and independence. There are good arrangements for the monitoring of the person using the service health care requirements. EVIDENCE: The Registered Manager has developed clear guidelines, risk assessments and care plans that are follow. These allow the client to live as a part of the family and exercise personal choice within an acceptable degree of supervision and safety. The person using the service has taken part in developing the guidelines and care plans and agreed to them and she informed the inspector of this. There is no turnover of staff at this home with the care and supervision being provided by the Registered Manager. This level of consistency has provided a sound base for the person using the service. The person using the service does 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 14 have female contact from the Registered Manager’s wife when she is not at work. The day care centre is also involved, and other family and friends include themselves in social activities that the person using the service is a part of. The person using the service is guided to follow the care plan and be involved in normal household activities. She does have a routine that includes the time she gets up and when meals are taken. The Registered Manager, and his wife, help her choose cloths and to maintain her appearance. Regular visits to the General Practitioner and dentist maintain her in good health. The Registered Manager may make contact with other health care professionals for advice and support should this be needed. The person using the service is not able to manage her own medication. The whole management activity of medication is under the control of the Registered Manager. There is safe storage arrangements and clear records of administration. The General Practitioner is involved in quarterly reviews of the prescribed medication. The Registered Manager has a good knowledge of the medication that is in current use and has good documentation that describes the medications being used and the side effects that may be experienced. The inspector saw all the records including the homes policy and procedure for the management of medication. 110 Primley Park DS0000018307.V334420.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. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear arrangements in place for the protection of the person using the service from abuse. EVIDENCE: The complaints procedure is clearly structured for the client to follow and always available. The client was able to tell the inspector who to talk to or raise concerns with if there was cause. The home have there own copy of the “Alerters Guide” and also have evidence of in house training using the POVA DVD supplied by the local authority. The Registered Manager also has attended adult protection training when in the employment of the National Health Service. There was evidence provided that he possesses up-to-date information on the latest “Safeguarding People” information and the contact details of the team working in Torbay. The client is given the opportunity to raise complaints also when attending day care centre and appointments with other health care professionals. The Commission has had no complaints about this service. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 16 The Registered Manager, helped by his wife, are the only staff working at the home and provide care 24 hours a day. The inspector saw that there were sufficient levels of checks for them that included a Criminal Records Bureau check. The Registered Manager was also fully vetted by the Local Authority at the time of his original registration. The arrangements for safe management of the client’s financial affairs were seen by the inspector and found to be satisfactory. The person using the service has their own bank account and full records detailing its management were shown to the inspector as the Registered Manager does help the person using the service to manage this issue. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 17 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): The homes performance was assessed against 24, 25, 26, 27, 28, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is suitable for the needs of the person using the service in that it provides her with a well maintained home. EVIDENCE: The person using the service lives in a registered care home that is actually a three bed roomed reverse level domestic house in a suburb close to the town of Paignton. The home is clean and well decorated. There has been further decoration since the last inspection. It has modern furnishings in all rooms and is well maintained. The Registered Manager produced records of maintenance of such items as electrical equipment during the inspection. There is no specialist equipment in use in the home. There have been fire and Environmental Health assessments of the premise. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 18 The person using the service has a single bedroom that looks out onto a large garden to the rear of the property. She stated that she is happy with her choice of room and it is comfortable. The room is adequately furnished to her liking and contains personal items such as a CD player for entertainment. There is no lock to the bedroom door for good medical and psychological reasons. Information regarding this was seen in the case record. The person using the service also stated that she did not want a lock on her bedroom door. The person using the service has full access to all parts of the home and there are risk assessments or care plans that cover such things as preparing snacks in the kitchen to managing personal care in the bathroom. The bathroom is domestic in nature, fully tiled and had a toilet and wash hand basin, a bath and shower facility. The person using the service can operate these facilities but does need a degree of supervision. The outside area provides a sitting area at the front of the house and a barbeque area and garden to the rear all of which are used by the person using the service. The laundry facilities are as with any domestic dwelling, an automatic washing machine plumbed in and found in the kitchen. This is adequate for the needs of the person using the service and the household. The person using the service requires no specialist equipment. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 19 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): The homes performance was assessed against 32, 34 & 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager is suitably skilled and experienced to provide a high level of care and supervision to the person using the service. EVIDENCE: The Registered Manager is skilled in the management of problems that do present at unpredictable periods. These skills have been acquired both through training and also through his career experiences working in the field of learning disability. The Registered Manager has several valuable years experience of working with the person using the service whilst she was in National Health Service care. The home is achieving its aims and objectives as a result of the approach used and skill of the Registered Manager. The risk assessments and care plans are evidence of the Registered Manager ability to recognize problems and formulate a plan that is within the capacity of the person using the service, and the home, to achieve. The discussion’s held during the inspection also provided the inspector with insight into the 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 20 Registered Manager’s knowledge of the person using the service and her individual needs. The Registered Manager has attended adult protection training when employed in the National Health Service. He has a copy of the Alerters Guide and also has his own copy of adult protection training on DVD. There was evidence provided that he possesses up-to-date information on the latest “Safeguarding People” information and the contact details of the team working in Torbay. In addition to this the inspector saw evidence of other training that is appropriate to the service that is being provided. This included holistic approach to care, challenging behavior, counseling, total communication, epilepsy, observation and recording, speech and language therapy, control and restraint, breakaway, infection control, essential food hygiene and first aid. He was also employed as at a senior management level for 22 years and has skills that are transferable in managing people and businesses. He provided evidence that he has a certificate in Higher Management. The home does not recruit staff. The Registered Manager has his own staff file and this included a Criminal Records Bureau check. The Registered Manager was also fully vetted by the Local Authority when registering the home in 2001. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 21 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): The homes performance was assessed against 37, 39, 40, 41 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and is achieving its aims and objectives. The flexible approach to management that has been adopted is excellent and focuses on the person using the service. EVIDENCE: The Manager has in excess of 22 years experience in business management and also several years experience in working in the area of learning disability before establishing this home in 2001. The home was established with one objective, to meet the challenging needs of one the one resident who lives there following the closure of the hospital where she had lived for many years. This objective has been met, and continues to be met under the direction of 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 22 the Registered Manager, who provides many of the one to one hours of care. The person using the service has clearly benefited from living in this well run home. The Registered Manager does have a Certificate in Higher Management obtained when he was in industry, and other skills learnt through training, which he uses to achieve the aim and objectives of the home. The inspector reported on the training in the pervious section. The Registered Manager provided information that shows a review of the service provided every three months. The quarterly antecedent notes provide a record of what was occurring in respect of the person using the service in an ongoing way. This information is then compared with the care plan outcomes to establish if the aims and objectives of the home are being met. The person using the service is also a daily indicator of the homes achievement when compared to the initial pre-admission information. The total review includes comment on the person using the service well-being, involvement in activities, general health issues, incidents and medication. The home has policies and procedures that are relative to the service that is provided. They are well written and are included in the case records along side the appropriate issue being dealt with such as medication and unexplained absence of the person using the service from the home. The standard of all record keeping at this home is very high with reviewed care plans, daily records, maintenance records and policies and procedures. The inspector also saw evidence that the Registered Manager keeps up-to-date records on fire safety including weekly fire alarm checks. There is also a professionally produced accident book but no entries have been necessary to date. The overall management of the home is excellent and is “service user” led. The day–by-day care plan and management reviews carried out by the Registered Manager, who is also the provider, enable the person using the service to experience a service that is flexible and appropriate to her immediate needs. The service is very focused on the person using the service who is benefiting from the closeness of this family styled environment. There was also evidence that the home has an appropriate level of insurance that is required for a care home. 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 23 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 3 4 4 3 4 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 110 Primley Park DS0000018307.V334420.R01.S.doc Version 5.2 Page 26 - 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!