Inspection on 03/07/07 for 25-27 Teewell Avenue

This inspection was carried out on 3rd July 2007.

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

The inspector 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

25-27 Teewell Avenue 14/08/06

25-27 Teewell Avenue 23/01/06

25-27 Teewell Avenue 10/08/05

25-27 Teewell Avenue 22/02/05

25-27 Teewell Avenue 06/09/04

25-27 Teewell Avenue 18/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOME ADULTS 18-65 25-27 Teewell Avenue Staple Hill South Glos BS16 2NF Lead Inspector Melanie Edwards Key Unannounced Inspection 3rd July 2007 09:20 25-27 Teewell Avenue DS0000003357.V337588.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 25-27 Teewell Avenue DS0000003357.V337588.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. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 25-27 Teewell Avenue Address Staple Hill South Glos BS16 2NF 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) 0117 9701573 admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Mr Michael Thurgur Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Old age, not falling within any of places other category (7) 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 5 persons aged 19 years and over with Mental Disorder May accommodate up to 5 persons aged 65 years and over with Mental Disorder 14th August 2006 Date of last inspection Brief Description of the Service: Aspects and Milestones, a charitable Trust own 26 and 27 Teewell Avenue, Staple Hill. It provides a home for seven adults with a mental disorder who require personal care services only. The houses are semi detached and are interconnecting on the ground floor. There are seven single bedrooms, three in one house and four in the other. The two houses operate as one care home with one manager and a single staff group. The home is situated in the residential area of Staple Hill and nearby there are small local shops, pubs and a church. Further a field, in Downend; there is a library, health centre and more shops. The fees for staying at the Home are from £272 to £334 a week. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Five of the seven residents who live at the Home were consulted during the inspection. Time was spent talking to Mr Mike Thurger, the registered manager. One member of staff was observed assisting residents with their range of care needs. A sample of records that relate to the day-to-day running of the Home, as well as care records were inspected. The Home was viewed throughout. The Home was operating within the required conditions of registration, which we impose. The conditions of registration set out the type of care and the needs of persons as well as the numbers of persons who may stay at the Home. What the service does well: What has improved since the last inspection? What they could do better: All staff should attend regular training on the subject of the `protection of vulnerable adults ‘. This is to helps increase staff understanding so that residents are protected from harm and abuse. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 6 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. 25-27 Teewell Avenue DS0000003357.V337588.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 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2.Quality in this outcome area is good. Residents have their needs met and their needs assessed. Residents are given the information that they need to help them make informed choices about the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how residents can get the information they need about the Home a copy of the service users guide was read. A copy of the statement of purpose was also read. This is a legal document that all Homes must produce showing how they intend to run the Home and meet residents needs. The statement of purpose and the service users guide include helpful information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service will meet residents’ needs is included. The complaints procedure is in the document for residents to know how to complain. There are pictures of the Home, and community to help inform the reader about the service. A copy of both documents, and a copy of the last inspection report are kept in the hallway so that residents and visitors can read them if they so wish. To find out how well residents needs are met one care plan was read. There was helpful and detailed information written that clearly showed how to assist 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 9 the resident with their different needs. This is referred in detail in the next section of the report. To find out how effectively residents’ needs are assessed one assessment record was read. An informative assessment had been written about the residents’ physical, mental health and social needs. In the assessment was information about the likes and dislikes of the person, and their preferred choice of social and therapeutic activities. The assessment had been written in a person centred style. This helps staff to see the person as a unique individual with their own wishes and values. There was evidence written in the staff meetings records that showed the residents assessment record and care plan had been regularly evaluated and updated. This helps to demonstrate resident’s needs are monitored and reviewed. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. Residents needs are assessed and their care plans reflect how needs are met. Residents are supported to make decisions and to take risks in their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how effectively residents are being supported to meet their needs one care plan was read. Mr Thurger had written a detailed personal profile with the involvement of the resident concerned. This included their personal history and information about their physical and mental health history and information about the person’s family and friends. There was also an informative plan of care to address the person’s physical, mental, and social, needs. The care plan clearly and simply sets out what the persons needs and wishes are, and how best to support them. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 11 The care plan aimed to promote the independence of the person in their daily life. There was evidence written in the records that staff had included the wishes and opinions of the resident. There was also evidence that the care plan had been evaluated and updated on a regular basis. Two residents said that they attend regular review meetings with the Mr Thurger , social workers and sometimes the psychiatrist. One resident said, ‘ I’d much rather go to the meetings then have them talking about me when I’m not there’. This is a good example of residents being directly involved in planning and reviewing their own care. Mr Thurger and the support worker assisted residents in a sensitive and calm manner, and met resident’s needs in the manner stated in the care plans. All of the residents spoke positively about how the staff help them, residents said the staff were very kind and helpful to them. Residents go out with staff on regularly basis and attend a range of social and therapeutic activities. Residents went out throughout the day to places that they enjoy going in the community. Two residents went out to the shops to buy some provisions for the Home. This is good evidence of how residents are well supported to take risks in their daily lives. There was detailed information included in the care plan that was read about the potential risks the person may face, and any risks from particular activities that they take part in both in and out of the Home. The plan of care clearly recorded the preferred approaches staff should take. There was also information written in resident’s records that showed staff were aiming to support them to maintain their independence in their daily living. Residents were observed getting up at different times during the morning, which helps to demonstrate how their choices and different preferences are respected. 25-27 Teewell Avenue DS0000003357.V337588.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): 12,13,15,16,17.Quality in this outcome area is good. Residents are well supported to take part in a range of appropriate activities. They are further supported to be a part of the community and to have personal relationships. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The resident’s care records that were read include written information that confirmed they regularly go to different community activities, including the shops, and different social drop in centres. There are local facilities for residents to use in the area near the Home. Residents go out with staff, or sometimes on their own on a regular basis. One resident has just returned from a golfing holiday with Mr Thurger.This is a hobby of theirs, and they said that they had had a really good time. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 13 Residents go out for coffee, as well as to nearby pubs, and other social venues thereby helping to ensure a varied and fulfilling life. Some residents chose to go to the local church and to community based drop in mornings and regular bingo sessions. The service users guide says that the Home operates a very open policy for receiving visitors. Some residents have friends and family who come to the Home to see them. Residents also go out to meet friends. These are good examples that show residents are supported to keep contact with friends and family. The menu record of residents’ meal choices was reviewed to see if residents are provided with a varied and well balanced diet. There was evidence that residents choices were nutritionally well balanced, and varied. All of the residents said that the food at the Home was very good. The lunchtime meal choices were either cheese salad rolls or corned beef salad rolls. All of the residents said the lunch was very nice. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. Residents are being supported with their needs in the way preferred by them, and their needs are being met. Residents ’ medication is being stored administered and disposed of safely This judgement has been made using available evidence including a visit to this service. EVIDENCE: The procedures and systems in place for administration, storage and disposal of medication were checked to monitor if the systems are safe. The medication administration charts of three residents were inspected. There was a photograph of the person maintained with each record. This should ensure medication is administered correctly to the person named on the chart. All staff administering medication completes regular training to enable them to do this safely. There are written guidelines in place to advise staff of the preferred way that residents like to take their medication. This will guide staff and ensure medication is administered in the way residents prefer. The stock of medication held in the Home was satisfactorily organised. Medication that was no longer required was being returned to the pharmacist. The medication administration charts were legible, up to date, and contained the signature of the dispensing member of staff. This demonstrates residents’ medication is administered safely. The reasons for any omissions had also been written on the charts. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 15 The Psychiatrist and team support residents with their mental health needs. There was information seen in residents care records from the psychiatrist, who gives advice and support to residents with their particular needs. There are regular care reviews held in the Home involving residents, staff from the home and the psychiatrist and team. All residents are registered with local GP Practices. There was information written in the care records about the preferred day-today routine of the residents and particular likes and dislikes. This helps ensure residents who use the service’ needs are met in the way that is preferred by them. Mr Thurger and the support worker were clearly very familiar with the information in care plans, and how best to support residents with their care needs. There was information in the daily records that staff monitor and observe the health of residents and call the doctor, if they were concerned about the person. There was information that showed that residents receive support and treatment as required from the specialist Psychiatrist. One resident said that the psychiatrist was coming in the near future with their social worker for a review meeting of their health care needs. The resident concerned said they would be attending this meeting. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. Residents are satisfactorily protected from the risk of abuse or harm, and residents’ views will be listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints record book was reviewed to find out how effectively Mr Thurger responds to residents ’ complaints. There had been one complaint made since the last inspection. The complaint was about the alleged unacceptable attitude and behaviour of a support worker. Mr Thurger and Aspects Trust had dealt with the complaint thoroughly and taken action to make sure the complaint was dealt with satisfactorily. Mr Thurger sees each resident on a daily basis when he is working. He makes time for all residents to discuss their needs and if they have any particular issues or matters that concern them. This is a good way to support people to make complaints if they so wish. There are procedures and guidance information on the topic of ‘ the protection of vulnerable adults from abuse’. This helps to protect vulnerable adults who live at the Home if staff have the necessary information to ensure their protection. However the staff team have not attended recent training to help them better understand issues around the protection of vulnerable adults from abuse. This training is beneficial as it makes staff have a better understanding of what abuse is, and should protect residents as a result. 25-27 Teewell Avenue DS0000003357.V337588.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): 24,25,27,30. Quality in this outcome area is good. Residents live in a Home that is suitable for their needs and lifestyles, and is clean, hygienic, and satisfactorily maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Teewell Avenue Care Home consists of two converted private houses in a residential area, a short distance from the suburb of Staple Hill and near to bus stops, shops, pubs, a park, churches and a library. This helps ensure residents can be a part of the community if they so wish The Home has its own garden that looked to be satisfactorily maintained. There are patio seats and an area where people can sit and walk safely. One resident was observed spending time sitting on the patio during the inspection. The building is wheelchair accessible. The Home is a two-storey building, and people have access to all areas on each floor. There are adaptations in place to assist people with disabilities. However there is no lift to the first floor for people who cannot manage the stairs. This has been written into the service users guide so that people can be aware of this information about the environment. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 18 Bedrooms were clean tidy, generally spacious in size, and satisfactorily maintained. All bedrooms are for single use. Bedroom doors are lockable; one resident was seen locking their bedroom door. This is a good way for residents to maintain their own privacy. The Home looked clean and tidy in all areas that were viewed. Residents looked very relaxed and comfortable in their environment. Residents were sitting at the kitchen table, and in both lounges talking together without the presence of staff. The bathrooms include specially adapted baths to assist people who may have reduced mobility. Toilets are situated in readily accessible parts of the Home near to communal areas and bedrooms. The bathrooms and toilets were clean, and were well stocked with hand towels and soap to help minimize risk from cross infection in the Home. 25-27 Teewell Avenue DS0000003357.V337588.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): 32,33,36.Quality in this outcome area is good. Residents are supported by a sufficient number of competent, qualified staff who are supported and supervised in their work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The recruitment procedures were not checked on this inspection. Aspects and Milestones Trust are in the process of moving all staff recruitment records back into the care Homes, however this has not yet taken place for staff at Teewell Avenue Care Home. These records may be requested at the next inspection. The staff duty record for shifts in July 2007 was inspected to review the number of care staff on duty to support residents to meet their needs. There is a minimum of two staff on duty for a day shift, consisting of two care staff, and one staff member at night. An extra staff member will also work on several days in the week to support residents. Mr Thurger and the support worker were calm and relaxed when carrying out their duties. All of the residents were observed being well supported by Mr Thurger and the support worker on duty. Based on the evidence from the inspection the number of staff on duty at any time is the minimum number necessary to ensure peoples’ needs are being met. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 20 Mr Thurger provides the staff with regular structured supervision sessions to assist them in their work and to help them to understand residents needs. A sample of supervision records was looked at. These records showed Mr Thurger supervises and regularly checks on the standard of work of all staff in the Home. A random sample of staff training records were seen to find out if staff undertake regular training to help them keep up to date in their knowledge of residents and their needs. The training records demonstrated staff had attended training relevant to the needs of residents. This should help ensure well-trained and knowledgeable staff meets residents’ needs. 25-27 Teewell Avenue DS0000003357.V337588.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): 37,39,42. Quality in this outcome area is good. Residents’ benefit from a stable and well-run Home. The health and safety of residents and staff is satisfactorily protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr Thurger is a qualified mental health nurse. His career record shows that he has a number of years of experience working with people who have mental health needs. He is registered with us as the manager of the Home. This demonstrates Mr Thurger is considered suitable and qualified to fulfil the role of registered manager. All of the residents who spoke to the inspector were very positive about Mr Thurger. Examples of comments made by residents included, ` Mike’s lovely’, `Mike’s one of the best’, and `Mike is very organised’. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 22 Residents ’ records are kept in a locked metal cabinet in the office. The care records and records that were seen relating to the running of the Home were satisfactorily written, legible, up to date, and satisfactorily maintained. This helps to demonstrate residents confidentiality is being protected, and also shows Mr Thurger ensures legal records required for the running of the Home are in order. The monthly monitoring visits of the Home that must be carried out by a representative of Aspects and Milestones Trust are being undertaken as required by law. There are records of these visits being sent to us. The records that have been seen, demonstrate that the designated individual responsible for the visits spends time consulting with people and their representatives and observing staff. There are currently no residents meetings held in the Home. Mr Thurger said that residents are asked on a regular basis if they would like to start having residents meetings and currently residents do not wish to. This information has also been included in the service users guide to the Home, and was confirmed by the residents the inspector met. The Trust is carrying out detailed quality audits of its Care Homes. A copy of the audit ‘ tool ’ that is used was seen during the inspection. The views and outcomes for the residents are used as the main way of judging if the quality of care at the Home is good enough. This shows how the overall quality of the Home is being monitored on a regular basis, and the views of residents are central in this process. The environment looked safe and satisfactorily maintained in all areas viewed. There is a record of the monthly checks of the environment. These checks were up to date and showed that a member of staff audited the health and safety of the Home environment on a regular basis. Staff undertake regular training in health and safety matters including first aid, and moving and handling practices. This should help protect residents’ health and safety if staff are knowledgeable and well trained in health and safety principles and practices. Staff check the temperatures of all high-risk cooked food before it is served to people to make sure it is hot enough and safe to eat. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. 25-27 Teewell Avenue DS0000003357.V337588.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 N/A 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA23 Good Practice Recommendations All staff should attend regular training on the subject of the `protection of vulnerable adults ’. This is to help increase staff understanding so that residents are protected from harm and abuse. 25-27 Teewell Avenue DS0000003357.V337588.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 25-27 Teewell Avenue DS0000003357.V337588.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. 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