Inspection on 12/05/06 for 21 Longton Road

This inspection was carried out on 12th May 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

21 Longton Road 13/10/05

21 Longton Road 20/05/05

21 Longton Road 30/11/04

21 Longton Road 17/05/04

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 21 Longton Road 21 Longton Road Stone Staffordshire ST15 8DQ Lead Inspector Mr Berwyn Babb Key Announced Inspection 12 May 2006 11:30 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 21 Longton Road Address 21 Longton Road Stone Staffordshire ST15 8DQ 01785 615505 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 Mrs Rosemary Jean Hulme Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th October 2005 Brief Description of the Service: The home is an end terraced house property set within walking distance of the centre of the market town of Stone. The appearance of the home is in keeping with the surrounding properties and as such does not present itself as a care setting. The location of the home provides for good access to public transport systems.The Home provides care for up to five younger adults with a learning disability. The accommodation is on two floors and consists of a lounge, large kitchen, utility room, toilet and bathroom, plus an en suite bedroom on the ground floor. There are four single bedrooms on the first floor. There is an enclosed courtyard to the rear of the property that leads to a grassed garden as well as giving access to Cross Street.The aims and objectives of the home are to provide a small comfortable home which is staffed to meet individual service users needs and enable development and integration into the local community. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 Friday the 12th May. When the inspector arrived the care manager/proprietor was present in the home, together with the general manager for RMP Care, a senior carer, and during the course of the afternoon the inspector was able to talk to four of the five current residents, the fifth was spending time with her family. The most vocally able of these residents appeared to take great pleasure from showing off the improvements that had been made to his own room. In addition to redecoration, he had received new and in his view, better, furnishing, and appeared to be very well satisfied with the care he was receiving at 21 Longton Road. To a greater or lesser degree, as they were able, the other residents verified this with view to their own particular situation. 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 and society in general. What the service does well: What has improved since the last inspection? Since the last inspection the door linking this to the adjoining RMP care home 20 Longton Road, has been decommissioned. And this home now stands alone in terms of staffing. As indicated in the summary, the bedroom of one gentleman has been completely redecorated, much to his obvious satisfaction. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 6 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. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 their needs and aspirations were observed to be known through the assessment process, and from observation and records, shown to be met. EVIDENCE: Verifying that prospective residents individual needs and personal choices had been assessed prior to them being offered a place in the home, commenced with a review of the sample of the person centred plans. Those used, confirmed that a full multi agency community care assessment had been made available on each resident, and that his had formed the foundation for the representatives of the home to make the decision as to whether they would be able to meet that persons needs and aspirations, and to therefore be able to offer them a place in the home. Discussion with a couple of the residents elicited the information that they had been a full partner in the production of their assessments, and that prior to moving into the home they had been able to make visits, so that they could look around, ask questions, and get to know the other people living in the home, before forming the conclusion that this was the place where they wanted to live. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 9 The discussion with one resident included a consideration of a specialised need highlighted in the assessment, where he had agreed to certain restrictions in order to safe guard his own well being. He was able to discuss this openly and without rancour, and appeared to appreciate the improvements that this had made to his quality of life. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 The outcome for these residents is good because their quality of life was being enhanced by the assistance given to them, to find or maintain, input into education, training, and community presence. This was recorded with their assessed and changing needs and the decisions that they made, either alone or with assistance, in the very robust personal care plans and individual profiles. EVIDENCE: Each resident had a personal care plan that had been formulated from the initial care management assessment, and which in total and in its individual elements, had been reviewed at a maximum of the recommended intervals, and more frequently where circumstances 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. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 11 Where this is some way had to be restricted, there was a clear audit trail of how this decision had been arrived at, and decision with one resident, confirmed that he had been a party to this, accepted the conditions, and gained satisfaction from the outcome. 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 fastidious in respecting the dignity and rights of the residents, to the extent that one resident though provided with a key to the bedroom privacy lock, choose to leave that the key in the door, 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 and preparation of an evening meal, that resulted from even a small group of people being enable to fully exercise their individual choice. Evidence of choice being linked to recorded assessments of risk involved was seen in the programme that been put in place to enable a new resident to safely access the community and with a more established resident, with the use of behavioural techniques to monitor vulnerability, and enlarge those areas where she chooses freedoms that could otherwise be of risk to her. A feature of the care plans of those residents who lacked an awareness of some of the facets of their own bodies, was the sensitivity of plans to ensure the promotion of good social and medical hygiene. It is difficult to find the right place to record this in the inspection report, but the emergence of a community of the residents, not just of this particular home, but also of the adjacent and some of the other near by homes provided by RMP care, contributes towards the openness of the management to enable risk taking, and the safety net supporting the taking of such risks. Put simply, where and as they are able, the residents ‘looked out for each other’. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 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 is good, as from discussion and observation in care plans, it seems that the activities engaged in by them were appropriate, that their lives were enhanced by playing and active part in the local community, that they were able to engage in and maintain appropriate and varied relationships, that they were valued as people, and enjoyed considerable freedom in respect of the enjoyment of their meals, allied with encouragement to balance their diet with plenty of fruit and vegetables. EVIDENCE: During the afternoon residents were returning from their daytime activities at centres for education and training, and engaged in animated discussion concerning what they had been doing throughout the day. Learning disability homes in this part of mid-Staffordshire are fortunate in having access to a wide variety of such places, and this is reflected by the access enjoyed by the residents of 21 Longton Road. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 13 In Stone there is a centre to assist people with acquiring and maintaining the skills of the activities of daily living, and within the last year, a spoke of the local authority day services provision has been ‘planted’ on a small industrial site about a mile and a half from this home. While both these are within walking distance, transport is arranged or provided to enable residents to attend the rural project at oak tree farm near Hilderstone, and also for those able to benefit from the more formal training in agricultural and animal husbandry, at Robaston College between Penkridge and Coven. One off courses are arranged through Staffordshire county council’s central day service provision in Stafford, and during the longer college vacations, records and discussions showed that arrangements had been made to provide residents with alternative activities in a near by church hall, with input from both professionals and volunteers. As alluded to above, more able residents use public transport were this available and helpful to them in accessing their places of activity and entertainment. Where a group of residents are to participate in a day out together, [sometimes in company with friends from other R. M. P. Care homes close by] records and discussions showed that taxi’s, mini buses, or coaches had been hired by the providers, to enable these activities to take place smoothly. It was also verified that arrangements, including specific insurance, were in place for some staff members to use their cars for the provision of transport for residents, and this had been especially useful where a small number had wanted a night out, or a meal out, in one of the adjacent towns. It was confirmed by viewing the staffing rota, that at times this might involved an extra carer being used flexibly, so that those who did not chose to join in were able to do their own thing in the home. Conversation with residents confirmed that they were able to maintain ties with their families and former friends, and were supported to develop new friendships, both the close ties of personal friendships, and the more general befriending of acquaintances. Towards the end of the inspection preparations were underway for the evening meal of those people who were eating ‘at home’ and personal choices were discussed, together with the input that residents had in the choosing of, purchasing of, and preparing of, the ingredients for their meals. Everybody was encouraged to partake to the limit of their ability, and some obviously relished the esteem that performing certain tasks provided them with. Various people discussed a recent birthday celebration in a neighbouring home, where there had been group input into the ‘curry night’, and the care records showed that various other ‘theme’ meals were enjoyed by the residents, including various take-aways and of course, fish and chips. The care plans also evidenced that health dictated dietary requirements existed for some residences, and that the least restrictive way of addressing these was constantly being sought. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 14 The providers demonstrated a commitment to healthy eating, and quantities of fresh fruit were observed to be ready available both in the communal areas of the home, and in two of the bedrooms visited during a tour of the establishment. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 15 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 is good as their dignity was felt to be activitely promoted by the way in which they received personal support, including that for their physical and emotional health needs, and in the freedom they were given to be responsible for their own medication following appropriate risk assessments, and with suitable safe guards. EVIDENCE: During the afternoon various conversations took place with individual residents over aspects of their health care, especially in relation to things identified in the care plans. These confirmed that the home was proactive in ensuring that they had access to all the usual tertiary provisions of dental, ophthalmic, audio care, together with chiropody and speech therapy, as well as the more specialised clinical and hospital provisions necessitated by their individually assessed needs. Well man and well woman screening was seen to be accessed were this was available, and much hard work was evidenced by the providers in trying to improve the outcomes of this, with particular reference to testicular and breast awareness. Currently they were seen to be working to engage the input of nursing professionals sympathic to and knowledgeable about the ability parameters of those with a learning disability, to assist them to monitor these needs. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 16 It was clear from discussion and from comparing care plans, that programmes were based on meeting the individuality of the residents of the home, rather than on a lowest common denominator of one size fits all provision of care. Staffs was seen to be flexible in responding to and accommodating the needs of five highly individual life style programmes, and management procedures were equally seen to be driven by the needs of the users of the service, however much extra contingency planning this might have involved them in. Conversations held during the afternoon highlighted the different levels of awareness of residents towards the management of and the necessity for their medication, and this was reflected in the different levels to which they were responsible for ensuring compliance with prescribed medication programmes. This ranged form being fully dependant on the input of staff to ensure that the correct preparation was taken in the correct quantity at the appropriate time, through self-administration with monitoring, to total control over specific treatments. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 17 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 is good as residents were unable to express concerns, and as far as is possible, were protected from abuse. EVIDENCE: Those care plans reviewed contained information about how to make a complaint, and this was enhanced with pictures to reinforce the meaning of the words being used. Handy leaflets of this information were on display in the home, and when questioned, a resident was able to identify an appropriate avenue for expressing any concerns that he may have had. He was equally empathic that it should be included in this report that he did not have any concerns or complaints that he wished to make. Discussions about measures taken to protect residents from abuse was held with the management representatives, and included recognition of steps that they had recently taken to protect the well being of more vulnerable residents, by the creation of a more highly staffed unit in an adjacent home. Involvement with the service has shown them to be extremely proactive in championing the rights of their residents to live their life free from fear of abuse, and ensure that the proper procedures are followed, should any abuse be suspected. They should be commended for the ability they have displayed to uphold the rights and care needs of all parties involved in any such situation, and to go that extra mile to ensure the most amenable outcome where residents are involved. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 The outcome for this group of residents is good as the conditions of the premise together with the programmes of maintenance and quality of furnishing, fittings, and cleanliness, together with safe storage arrangements and infection control, all contribute towards residents enjoying their comfortable and homely environment that is safe as is possible to make it. EVIDENCE: A full tour of the environment was conducted, and as previously mentioned the room of one resident had been fully redecorated and provided with new furnishings, much to his enjoyment. The providers continue to improve other areas of the home, without losing site of the domestic nature that they are attempting to achieve, and without any stigmatising outwards signs that this is in fact a care home. The premises were clean, tidy and free from offensive odour, and individual residents took pride in informing the inspector of the part that they had played in reaching this standard. Laundry facilities in this home are contained in a separate room thus not imposing on either the kitchen or dining areas of the home. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 19 Discussion with a member of staff on duty demonstrated that she had a clear understanding of issues surrounding infection control and good hygiene, and discussion and observations made while reading care plans further demonstrated that policies and procedures were in place to address any issues relating to hygiene within the home. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 The outcome for this group of residents is good as observation of policies and procedures, and the employment practices and training schedules in the home determined that these were targeted at ensuring the needs of residents being appropriately met, by experienced and qualified staff. EVIDENCE: The inspector spoke to a senior care member who was able to acquaint him with the programme of training that she had undertaken in the recent period, and that which was planned for the near future, and these included refresher courses on such things as emergency first aid, health and safety, food and hygiene, moving and handling and as previously mentioned infection control. Policies and procedures for the recruitment, retention and training of staffing, especially induction training, was discussed with the proprietor/care manager, and her responses satisfied the inspector that adequate waiting is given to obtaining written references, clear criminal records bureau checks, and verifications of CV’s, before accepting somebody for employment as a carer in the home. She was at pains point out that in an important part of their recruitment procedure was to introduce prospective employees to the residents of the home to gage their feeling about having that person working with them. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 21 The pre-inspection questionnaire that had been completed gave a full account of the years training schedule, and of the qualifications held by those people employed as carers in the home. The belief that these showed that the interests and wellbeing of residents was being addressed by the numbers of staff and ability of staff employed, was supported by observation of the interaction between residents and members of staff during the course of this inspection. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 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 is good as the home benefited from good management structures and daily input of the proprietors, that in turn ensured that residents experienced a well run home. EVIDENCE: The proprietor who is also the registered care manager has been in the post for a number of years, and displays a wide-ranging knowledge of the specialities associated with running a home for people who have a learning disability. The views of service users are regularly canvassed both through the formal quality assurance tool that the providers have developed, and on an ad-hoc basis through day-to-day conversation with the care manager. The views of professionals involved in the care provided in this home were sought prior to the inspection, and comments cards received back have informed the opinions based in this report. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 23 Discussions with the senior carer on duty covered the safe working practices being used in the home, and bought to light that a series of safety audit take place at regular intervals, including nightly checks when the residents have retired. She also discussed the training and regular staff discussions on such issues as first aid, fire safety, and health and safety, and was aware of the regulations regarding the containment of substances hazardous to health. This discussion deepened and widened to include the proprietor/care manager and issues concerning the special needs of the residents in relation to fire safety, and revealed that an information sheet has been placed by the fire panel, with information to be used by whoever calls the fire brigade on the most accessible route for any appliances to take in order to access the property. The inspector also learnt at this time of ongoing work with one individual during fire drills, in order to encourage him not to re-enter the building until told it was safe so to do. Further work being engaged in with other residents included the use of a praise reward strategy, to encourage them in an appropriate response to the setting off of the fire alarm. Whilst it is not possible to completely guarantee the safety of all people at all times, it appeared to the inspector that the proprietors, managers and staff of this home were proactive in trying to ensure that the residents benefited from the best possible management of the home. 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 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 3 X 3 X 3 X X 3 X 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 25 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 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 Page 26 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 21 Longton Road DS0000004975.V293338.R01.S.doc Version 5.1 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. 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!