Inspection on 04/08/05 for 3 Ashley Avenue

This inspection was carried out on 4th August 2005.

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

3 Ashley Avenue 28/11/08

3 Ashley Avenue 19/01/07

3 Ashley Avenue 13/02/06

3 Ashley Avenue 26/01/05

3 Ashley Avenue 29/06/04

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Southfields

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

CARE HOME ADULTS 18-65 3 Ashley Avenue 3 Ashley Avenue Folkestone Kent CT19 4PX Lead Inspector Lisbeth Scoones Announced 4 August 2005 9:30 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 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 Stationary 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. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 3 Ashley Avenue Address 3 Ashley Avenue, Folkestone, Kent, CT19 4PX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01303 252787 Blythson Limited Richard Emrys Jones Care home only 3 Category(ies) of Learning Disability x 3 registration, with number of places 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26 01 05 Brief Description of the Service: 3 Ashley Avenue is one of four Proactive Development care homes in Folkestone owned by Blythson Ltd. It provides personal care and support for 3 service users with a learning disability. It is a semi-detached house comprising three floors with a small and larger back garden. Residents’ single accommodation is situated on the first floor. The home is adjacent to no 5 Ashley Avenue, which is owned and managed by the company. The home is located in a quiet road within walking distance of the shops and other amenities. The registered manager for both homes is Mr Richard Jones. The company also provides supported living services within the community in their own home to individuals who have developed through the residential services. 24 Hour support and an on-call service is provided. The environment is of a high standard, well furnished, peaceful and welcoming. Staffing levels are high. During the day, staff are provided on a two to three basis, managed by a team leader. At night, a member of staff undertakes a sleep-in duty. A senior member of staff is always on call. As part of the programme of care, the home provides daily structured meaningful, individualised activities. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5.5 hours and comprised discussions with 2 of the 3 residents (one resident was out on placement), the manager and other staff on duty, a tour of the communal areas, visit to a resident’s room by invitation and the review of records. Prior to the inspection, the 3 residents and two relatives completed a comment card in which they expressed their satisfaction with the service provided. A resident’s less favourable comment about choice of placement was discussed within the appropriate context. The manager completed a detailed self-assessment of the home’s compliance with the national minimum standards. Supported by staff, one resident attended a work placement, one resident a football match and one resident worked on the allotment. What the service does well: What has improved since the last inspection? Since the previous inspection, the manager expects to complete the NVQ4 in management in December 2005. A support worker has been given the additional role of placement coordinator. The communal areas have been redecorated and refurbished in a tasteful manner. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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 standard(s) 2 2 No new resident is admitted until a full and comprehensive assessment of need has been undertaken. EVIDENCE: 2 No new residents have been admitted since the previous inspection. It is ascertained that the preadmission process is comprehensive and includes visits to the home and participation in projects to allow the resident to get to know the staff and other service users living in the home. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 6 and 10 Residents know that their personal goals are reflected in their individual plans and that their views are liststeded to and their records kept securely. 7 and 8 Residents make decisions about their lives with assistance as needed and they are consulted about all aspects of their life in the home. 9 Staff enable the residents to take risks as part of an independent lifestyle. EVIDENCE: 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 10 6 Every resident has a care plan, which covers all aspects of personal and social support and health care needs. The initial care plan is discussed and objectives set with the resident who is constantly involved in the updating and reviewing process. The manager said that care plans need further fine-tuning to become a truly individualised record for each resident. Care plan reviews occur every other day during handover of a shift. Residents have a weekly and monthly care plan review with the manager. Formal care reviews with care managers, residents and relatives are carried out twice a year or as requested. The home has a yearly, monthly and weekly file for daily reports. For the purpose of handover, the weekly file is used. Handover files contain detailed daily records, incidents reports, the daily task planner, risk assessments, completed nutrition charts and weekly review signed by the resident. An accountability sheet is used at handover. 7, 8 and 9 It is evident from conversations with the residents that staff respect the residents’ rights to make decisions about every aspect of their lives within a risk assessment framework. Every new activity introduced is covered with a risk assessment. It was agreed that risk assessments in the residents’ file would be reviewed, as some of these may no longer be relevant. Residents are provided with training about their personal safety as e.g. in road awareness. It was observed that staff assist the resident in problem solving in an empowering manner. During house meetings and weekly reviews, staff provide the residents with the information they need to participate in the dayto-day running of the home. 10 All staff sign the confidentiality agreement. Residents’ records are kept maintained and stored securely. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 11, 12, 13, 14 Residents are provided with many opportunities for personal development. They are able to take part in suitable appropriate activities both as placements in the community and leisure activities. 15 and 16 Residents are encouraged to have close links with their relatives and develop personal relationships. Residents’ rights are respected and responsibilities recognised. 17 Residents are offered a healthy diet and take part in the preparation of a choice of meals. EVIDENCE: 11 Moving towards independence is part of the ethos of the home. An assessment tool for living in the community has recently been introduced. Residents are encouraged to use problem-solving techniques and counselling/therapy is offered as part of the contract. Residents have a structured week, which includes either voluntary or paid work and attend 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 12 college for a variety of courses as e.g. IT, cookery and communication. A resident is interested in a course in car maintenance. Staff encourage and support residents to attend local colleges and adult education schemes. They help residents with benefits and finance problems. A member of staff assisted a resident with opening a bank account. Staff support residents’ community participation and residents attend pubs, leisure centres, go shopping etc. The company provides a vehicle and residents use public transport services as appropriate. A support worker has recently been assigned the work place coordinator and is currently expanding the range of options available to the residents. These include work placements, college courses and placements at the Learn Direct Centre, which focuses on literacy skills through the use of computers. Education within the home is encouraged. Residents’ additional involvement in conservation work is being explored as well as the development of particular skills or interests. An allotment has recently been purchased for the residents’ use. Employers of work placement would be asked for formal feedback every two months. Residents are offered a range of entertainment and leisure facilities. Three holidays a year are provided up to 30 days. Residents are involved in the planning of these. Such holidays provide opportunities for independent living skills. The residents spoke enthusiastically about a much-enjoyed recent holiday in France. A high quality Summer Holiday newsletter with coloured photos provided an enjoyable souvenir of the trip. In April 2005 the residents had a holiday in Snowdonia. 15 and 16 The newsletter referred to is sent to all residents’ relatives to keep them informed of their relative’s progress and enjoyment. Visits to relatives are encouraged. A resident regularly visits his family and said how much he was looking forward to these events. As already referred to, residents are provided with weekly counselling. Residents from other Proactive homes meet on a regular basis. They share holidays and visit each other’s homes for parties and barbecues. Proactive homes are competing for the “best kept garden” and a friendly football match in fancy dress raised £80 for Comic Relief. As part of promoting independence, all residents have a responsibility for housekeeping tasks, which include cooking and gardening as identified on the daily planner. All residents have keys to their bedrooms. Service users are encouraged to make choices in relation to all aspects of life as e.g. outings, what to eat, what to wear, which TV programmes to watch, how to spend pocket money etc. Guidelines on getting up and going to bed times are included in the contract. Standard 18 applies. The home operates a scheme that links participation in agreed daily tasks to 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 13 monies earned or lost (participation charge). Participating with agreed tasks would earn the service users monies to spend on activities at the weekend. Not participating would lose them monies. The idea was first introduced during a house meeting and is proving successful and residents enjoy the challenge. The scheme is included in service users’ contracts of residency. See also standard 18. 17 Residents assist in devising menus, which are healthy and varied. Nutritional assessments are carried out. Staff and residents eat together in a pleasant dining area. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 18 Residents receive personal support in a manner that they choose and require. 19 Residents’ physical and emotional health care needs are met. 20 Good medication administration systems ensure that residents’ medication needs are met. EVIDENCE: 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 15 18 Staff encourage service users, with due regard for privacy, to be as independent as possible. Life skills activities include cooking, dealing with laundry, computer skills, literary and numeracy skills, budgeting as well as social skills. See also standard 11 in respect of personal development and standard 16 in respect of the “participation charge”. It is evident that staff know the residents, their likes, dislikes and preferences very well. 19 Residents are supported to take control of and manage their own health care. Health checks are carried out when required including visits to wel- men clinics. Weekly specialist support is provided through outside agencies and prompt referrals made to appropriate specialists when required. Residents are registered with a GP and residents have access to dentists and chiropodists. 20 The home has a policy on the administration of medication and staff have received medication training. MAR charts and other records pertaining to medication were examined and had been well maintained. It was recommended that an initials list be maintained. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 22 23 Residents know that their views are listened to and acted upon. Residents are protected from abuse. EVIDENCE: 22 Residents are aware of and are encouraged to use the home’s complaint procedure. It is evident that staff encourage and enable the residents to discuss any concern they nay have. All complaints are investigated usually within 7 days and recorded.within 23 Staff said that they are trained in adult protection issues as evidenced on the home’s training matrix. There is an adult protection policy and flow chart, stating the steps to take if an AP alert were to be made. The home has robust recruitment procedures, which include CRB and POVA checks and the obtaining of 4 references. See also standard 34. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27, 28, 30 24 Residents live in a homely, comfortable and safe environment maintained to a high standard. 27 Residents are provided with a good standard of bathroom and toilet facilities. 28 Residents are provided with a good standard and choice of shared rooms. 30 The home is clean and hygienic. EVIDENCE: 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 18 24 The home provides a welcoming, safe, tastefully decorated and furnished environment for the service users with pleasant well-tended front and back gardens. There is a patio area, which may be used for barbecues. 28 The home has four day areas, including the kitchen, which are well furnished, comfortable, colourful and homely. The games room has a pool table and table tennis, much enjoyed in the evenings and weekends. There is a quiet lounge for residents to be alone according to their wish. 27 and 30 All areas, including a bathroom and toilet visited were clean and odour free. The kitchen was spotless and the laundry area very tidy. The washing machine is new. There is a daily cleaning planner and residents are encouraged and expected to participate. It was noted in the Section 26 reports, that the directors keep a close eye on cleanliness, hygiene and tidiness in the home. As confirmed on the training calendar, formal infection control training is scheduled twice a year. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 35, 36 31 Residents know that they are supported by staff who are aware of their role and responsibilities. 32 and 35 Residents are supported by competent and qualified well-trained staff. 34 Residents are supported and protected by the home’s recruitment procedures. EVIDENCE: 31 Richard Jones is the manager for 3 and 5 Ashley Avenue, registered with the CSCI. Care is provided in teams, consisting of a team leader and residential social worker. Staff have recently been provide with new job descriptions clearly setting out their roles and responsibilities. Staff are first introduced to the home’s aims and values at induction. This is further reinforced at house meetings and during supervision. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 20 32 and 35 The home provides two to three staff during the day and one member of staff at night for sleep-in duties. A senior member of staff is always on call. There is a low staff turnover and the company’ s flexi staff is used to fill the gaps left by illness and holidays. Through induction, on going training, monthly staff and residents’ meetings, the manager ensures that the staff have the necessary knowledge of the disabilities and conditions of the residents. It is evident that the home is committed to staff training. The company employs an Operations Manager who is Proactive’s training coordinator. The Operations Manager is the LDAF Coordinator who ensures that all new staff receive LDAF induction and foundation training. The company’s managers are LDAF mentors. As confirmed on the Proactive training calendar, all statutory training is scheduled twice a year. Additional resident specific training includes adult protection, delegation/supervision & teamwork and crisis prevention & intervention. 34 A support worker discussed the process of his recent recruitment. A sample of staff files confirmed the home’s robust recruitment procedures. It is the home’s policy to obtain 4 references. It was recommended that the detail of information thus obtained be scrutinised in respect of relevance to the job and the “status” of the referee. The induction training includes equal opportunities and knowledge of disability legislation. 36 There are daily handovers whereby the manager is always present. The manager said that there is an open door policy. A recent development is the setting of objectives for each member of staff. Such objectives would be discussed at supervision. All staff have monthly, formal supervision as agreed in the contract. A supervision matrix is in place. Appraisals are undertaken annually. Staff said they feel supported by management. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 42 37 and 38 The manager provides clear leadership with all the staff who demonstrate an awareness of their roles and responsibilities. Residents benefit form the ethos of the company and the open and inclusive management approach. 39 The home regularly and consistently reviews its performance through a series of systems of self-review and consultation which include the views of the residents and relatives. 42 The health and safety of residents and staff are promoted and protected. EVIDENCE: 37 and 38 Richard Jones is the registered manager and has nearly completed NVQ level 4 in management. Mr Jones continues to demonstrate a commitment and enthusiasm to provide a quality service for the residents and a good working environment for the staff. It is evident that the manager promotes an open culture and communicates a clear sense of direction and 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 22 leadership. It is evident that residents and their relatives are always included and their views and options sought and acted upon. Every two days, at the change of shift, there is a comprehensive handover. Even when not on official duty, the manager, directors and team leaders are on call to give advice in emergencies. There are regular staff meetings both formal and ad hoc as situations arise. Staff said they feel well supported by the manager and the manager said the director’s support him. Mr Jones said that the company provides him with training opportunities to support him in his role Residents’ meetings take place every month and are minuted. Once a week individual care reviews are carried out with the service user, the manager and team leader. 39 An excellent review, monitoring and audit programme is in place. A scored Service Audit has been introduced. There is an annual development plan (seen on display) which states the home’s aims and objectives. There are six monthly reviews with care managers, regular house meetings and weekly care plan reviews and objcetives. The Directors formally visit the home and produce detailed, monthly reports in accordance with Regulation 26. These demonstrate a clear health and safety audit of the premises and services provided and include interviews with staff and residents. The reports include an action sheet which identifies the timescaled action to be taken when deficits are found and which member of staff is resposible for carrying this out. The home uses a daily task planner which incorporates the standard of cleanliness and safety and maintenance checks. These tasks are planned on a 4 weekly basis. 42 Staff attend regular statutory and refresher training. Daily health and safety checks are undertaken and recorded. Regulation 26 reports comment on regular fire drills, smoke detector maintenance and contents of first aid kits. Qualified people test appliances and there are on call arrangements for maintenance. Risk assessments to ensure safe working practices are carried out and signed by residents and staff. The manager is vigilant in reporting accidents and incidents to the CSCI in accordance with Regulation 37. 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x 3 4 x 4 Standard No 11 12 13 14 15 16 17 4 4 3 4 3 4 3 Standard No 31 32 33 34 35 36 Score 4 3 x 3 4 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 3 Ashley Avenue Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 4 4 x x 4 x H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 24 na Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 Good Practice Recommendations 3 Ashley Avenue H56-H05 S23141 3 Ashley Avenue V238954 040805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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. 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