Inspection on 09/10/07 for 31 Vauxhall Drive

This inspection was carried out on 9th October 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

31 Vauxhall Drive 11/05/06

31 Vauxhall Drive 29/12/05

31 Vauxhall Drive 18/07/05

31 Vauxhall Drive 18/01/05

31 Vauxhall Drive 29/07/04

31 Vauxhall Drive 23/03/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 31 Vauxhall Drive Woodley Berkshire RG5 4EA Lead Inspector Annette Miller Unannounced Inspection 9 October 2007 1.45 th DS0000011381.V348733.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 DS0000011381.V348733.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. DS0000011381.V348733.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 31 Vauxhall Drive Address Woodley Berkshire RG5 4EA 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) 0118 9448896 debbie.hobbs@new-dimensions.org.uk www.new-support.org.uk New Support Options Ltd Mr Timothy David Holland Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places DS0000011381.V348733.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2006 Brief Description of the Service: 31 Vauxhall Drive is a care home providing 24-hour care and accommodation for up to six adults with learning disabilities and possible physical disabilities. There is a lounge and conservatory for communal living. The kitchen leads off the lounge, as does the conservatory. All bedrooms are single and the two bedrooms on the ground floor have en-suite facilities including adaptations to meet the needs of service users who have a physical disability. A bathroom and separate shower room are located on the first floor and there is a toilet with wash hand basin on the ground floor. There is a secluded garden with patio and seating that is easily accessible from the conservatory. The home is situated in a residential road close to Woodley shopping precinct, a sports centre and doctors’ surgery. It is close to Reading town centre and public transport stops near to the home. Car parking is available immediately in front of the home, or on the adjacent road. The home has its own mini-bus. The fees for this service range from £1,237.96 to £1,339.29 per week. DS0000011381.V348733.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection from 1.45 pm to 5.30 pm. It was a thorough look at how well the service is doing and took into account detailed information provided by the registered manager in the home’s Annual Quality Assurance Assessment (AQAA), sent to the Commission for Social Care Inspection (CSCI) before the inspection. The inspector spoke to residents and members of staff to obtain their views of the home, toured the premises and looked at records and documents relating to the care of the residents. CSCI survey forms were sent to residents, relatives and staff, as well as health and social care professionals, before the inspection. Comments were received from 2 residents, 6 relatives, 2 staff and 2 care managers. Their comments are referred to within the report. The senior support worker who was on duty provided good assistance to the inspector and dealt with the inspection in a professional manner. The registered manager was off duty and the inspector telephoned her the following day to give verbal feedback about the inspection. What the service does well: The registered manager provides strong leadership and receives good support from her staff team. Training opportunities are good ensuring members of staff are well trained and competent to carry out their duties and responsibilities. Relatives made good comments about the home’s management and also the standard of care. These included: “Under the excellent management of Debbie Hobbs, the staff appear to have the right skills and experience”. “My relative has blossomed since moving to 31 Vauxhall drive.” “The staff are all so open and listen to our daughter and explain any problems through with her, so she settles down…” A member of staff said: “The company is good to work for.” DS0000011381.V348733.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000011381.V348733.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 DS0000011381.V348733.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People admitted to the home are assessed before admission to ensure the home is able to meet a person’s individual care needs. This ensures people are admitted appropriately. EVIDENCE: The manager has a good understanding of the importance of conducting a full needs assessment before people move into the home. This ensures the home can provide the care that is needed. Four residents have lived in the home for some time and are well settled, indicating their individual care needs are being met. One person was transferred from another of the company’s homes to 31 Vauxhall Drive in 2007, where there is more equipment and space to accommodate a wheelchair user. The person settled well and decided she wanted to stay. Her care file was looked at and there was a good amount of information obtained prior to admission in letters from professionals. The inspector understands that some information was also obtained verbally. It is recommended that pre-admission information is recorded on a pre-admission assessment form so that the manager can be sure that all of the required information has been obtained. DS0000011381.V348733.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A high standard of care is provided that is consistent with people’s identified needs and risk management plans. EVIDENCE: Every resident has an individualised plan of care that identifies the person’s care needs. The key principle of the home is that people using the service are in control of their lives as much as possible. Residents are encouraged within their capabilities to be involved in writing their own care plans. This ensures people have input into their care planning ensuring their needs and choices are met. Key workers actively provide one to one support, keep the person’s care plan up to date and make sure that other staff always know the person’s current needs and wishes. Staff are fully committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible. Evidence of this was seen in a range of risk management plans that help to promote independence. DS0000011381.V348733.R01.S.doc Version 5.2 Page 10 Residents are supported and encouraged to maintain their independence to the best of their ability. For example, by helping themselves to snacks and drinks throughout the day within the scope of their risk management plans. Any restrictions imposed for whatever reason are clearly recorded within the care plans and the reasons why. A resident who returned a CSCI survey replied “Yes I do” to the question: Do you make decisions about what you do each day? Policies are in place to make sure that staff members take into account culture, ethnicity and religion when planning the care of individuals. Information provided in the Annual Quality Assurance Assessment (AQAA) completed by the manager shows there is an equality and diverse committee within the company. A member of staff from 31 Vauxhall Drive sits on this committee ensuring information is passed to other staff members. From the evidence seen the inspector considers that this home would be able to provide a good service to meet the needs of people from different backgrounds. DS0000011381.V348733.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are helped to take part in activities both in the community and in the home that meets their personal preferences. This ensures there is a good range of stimulating and motivating activities for people to choose from. EVIDENCE: The service has a strong commitment to enabling people who use services to develop their skills, including social, emotional, communication and independent living skills. The practice of staff promotes individual rights and choices. One resident who returned a CSCI survey replied “Yes” to the question: Do you make decisions about what you do each day? All residents are encouraged to have a meaningful and active role in the local community within each person’s capability. This includes using local facilities and clubs that, for example, provide opportunities for swimming, line dancing and attending women’s guild meetings. One resident has a part-time job and staff are actively supporting another resident to find suitable work. DS0000011381.V348733.R01.S.doc Version 5.2 Page 12 A care manager from social services said on a CSCI survey: “Staff try to support service users to access a variety of social/leisure activities. They also make sure individual requests are considered and have gone to great lengths to ensure they are fulfilled, e.g. pop concerts and overnight stays.” The majority of relatives who returned CSCI surveys think the care home helps them to keep in touch with people living in the home. 5 relatives responded “always”; 1 said “sometimes”. Relatives confirmed they could visit at any time. A relative wrote on a CSCI survey: “Staff encourage my sister to communicate with me and often prompt her to tell me things”; another said: “My son is helped to ring me when he wishes”. The menus show that residents have a balanced and nutritious diet. A support worker was preparing the evening meal, which consisted of beefsteak with gravy, mashed potatoes and broccoli. It looked appetising and smelt good. Pudding was cheesecake. A bowl of fresh fruit was available for residents to help themselves from. One resident is keen to cook and this is encouraged. DS0000011381.V348733.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff team has a good understanding of the residents’ support needs. This is evident from the positive relationships that have been formed between the staff and residents. EVIDENCE: Staff are provided with appropriate information in residents’ care plans to help them identify the support people require within personal care. This also ensures that residents preferred routines are respected. Support workers are trained and competent in health care matters and the home arranges training on health care topics that relate to the health care needs of the residents. Adaptations were seen within the rooms of those residents who have a physical disability, to ensure safe and comfortable moving and handling. All residents have their own room where privacy is assured. Care plans had evidence of residents receiving regular health care. Appointments with health professionals are arranged as necessary and people are helped to keep their appointments. During the inspection the inspector saw arrangements being made to accompany a resident to her doctor’s surgery for a pre-arranged appointment. DS0000011381.V348733.R01.S.doc Version 5.2 Page 14 Medication policies and procedures are in place and staff members who have responsibility for medication receive regular training updates. The community pharmacist supplying the home with medication carries out a regular audit to check standards. This was last done in February 2007 when good standards were found. Relatives made good comments in CSCI surveys about the standard of care at the home, such as: “Vauxhall Drive provides excellent care and support to my relative. They are very professional, yet the home is always full of laughter.” “My relative has blossomed since moving to Vauxhall drive.” 5 out of 6 relatives who replied to the CSCI survey said they “always” feel that the care home meets the needs of their relative; one said “usually”. A resident who returned a CSCI survey answered “always” to the question: Do the staff treat you well? DS0000011381.V348733.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that people feel their views are listened to and acted upon. EVIDENCE: The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. Information provided on the home’s AQAA refers to 4 complaints being received, all of which were resolved within the 28-day timescale. CSCI has not received any information concerning complaints about 31 Vauxhall Drive since the last inspection. 4 relatives who returned CSCI surveys replied “Yes” to the question: Do you know how to make a complaint about the care provided by the home if you need to? 1 said “can’t remember”; 1 said “No”, but added a comment to say: “I have never needed to raise concerns about my relative’s care”. 2 residents returning CSCI surveys responded “Yes” to the question: Do you know who to speak to if you are not happy? The manager is clear when an incident needs to be referred to the local authority as part of the local safeguarding procedures in place. Two safeguarding referrals to the local authority have been made and one staff member was referred to the protection of vulnerable adults list. The manager sent information about these incidents to CSCI when they occurred, showing the issues were dealt with appropriately. DS0000011381.V348733.R01.S.doc Version 5.2 Page 16 The home has policies and procedures in place to safeguard residents from abuse and training on the protection of vulnerable adults (POVA) is provided. A support worker confirmed she attended a full day’s POVA training in 2006 and was aware that another member of staff had attended during 2007. DS0000011381.V348733.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing residents with an attractive and homely place to live. EVIDENCE: The environment is well maintained providing homely and comfortable surroundings. Décor in the communal rooms is good and furnishings are of a good standard. The conservatory leading from the lounge provides extra seating in a pleasant location looking across the garden. There is good access from the conservatory to the garden and this provides good opportunities for people to spend time outdoors if they wish. The home has a planned programme of redecoration. A resident’s bedroom has been redecorated recently and new soft furnishings are planned. Another resident has chosen a new colour scheme for his room including new flooring. This work features in the 2008/9 business plan and quotes are already being obtained. Residents have personalised their bedrooms to suit their individual tastes. DS0000011381.V348733.R01.S.doc Version 5.2 Page 18 The number of bathroom and toilet facilities is appropriate for the size of the home. Laundry facilities are good and hazardous products are stored in a lockable cupboard to protect residents from harm. To prevent possible exposure to scalding the health and safety executive recommend hot water is controlled close to 44ºC at baths and basins used by residents, and showers close to 41ºC. The first floor bath recorded 45ºC and the first floor shower 46ºC. Since the inspection the manager has confirmed in writing that a plumber has checked water temperature and reduced it to the recommended temperature level. The manager confirmed that weekly checks on water temperature are in place. The home is well lit, clean and tidy and smells fresh. The home has a good infection control policy and has obtained the Department of Health guide ‘Essential steps’ to assess current infection control management. This indicates the commitment given by the manager to ensuring good procedures are in place to reduce risk of infection. A relative wrote on a CSCI survey: “Vauxhall Drive is always a very warm, welcoming home. It is always clean and tidy. The residents appear to be happy and well cared for. The staff go to great effort to ensure that individual needs and requirements are met.” Another relative said: “The home creates a good environment for my relative to live in.” DS0000011381.V348733.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, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and protected and have their needs met by competent and trained staff. EVIDENCE: There are consistently enough staff available to meet the needs of the residents and all staff receive relevant training that is focussed on delivering improved outcomes for people using the service. At the time of inspection there were three support workers for 5 residents and the inspector saw staff had time to sit and talk to the residents and to provide the help and care they needed. The manager places a high level of importance on training and staff report that they are supported through training to meet the individual needs of people using the service. The three carers on duty all gave a good account of recent training and this ensures their knowledge and skills are up to date. Four of the seven permanent support workers have the care NVQ level 2 or 3, although one is on temporary secondment to another of the company’s homes. One support worker is on the training. A senior support worker is an NVQ DS0000011381.V348733.R01.S.doc Version 5.2 Page 20 assessor and is therefore able to provide help and assistance to members of staff on NVQ training, as well as assessing their progress through training. The inspector was unable to check recruitment files as the manager was off duty and is the only person at the home who has access to them. The manager confirmed verbally during a telephone conversation the following day that the necessary recruitment information and checks were obtained before starting new members of staff. A return visit to check a sample of files was not carried out on this occasion as no concerns about recruitment were made at the last inspection. Also, it was apparent that the manager was clear of her responsibility in this area to ensure residents’ safety and wellbeing. The manager confirmed that all staff attended induction following appointment and that induction was based on the nationally approved induction standards set by the Skills for Care Council. A relative said on a CSCI survey: “The staff are all so open and listen to our daughter and explain any problems through with her, so she settles down…” Comments from staff on CSCI surveys included: “I am proud to be on the staff team”. Another said, “The staff really do care for the people living at Vauxhall”, although added a comment saying that occasionally more staff were needed to ensure one-to-one support was available. DS0000011381.V348733.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people living and working there. EVIDENCE: The manager is responsible for the day-to-day running of the home. She was appointed the acting manager in 2005 and the permanent manager in 2006. She works to continuously improve services for residents. The manager has recently been approved by CSCI as the home’s registered manager. She is currently on the management NVQ level 4 training (Registered Manager’s Award), which is nearly completed. She confirmed to the inspector that she then intended to commence the care NVQ level 4. These qualifications are needed for Standard 37 to be assessed as ‘fully-met’. DS0000011381.V348733.R01.S.doc Version 5.2 Page 22 A relative wrote on a CSCI survey: “Good team led by Debbie.” Another said: “Under the excellent management of Debbie Hobbs, the staff appear to have the right skills and experience”. A staff member told the inspector she considered she was well supported and was able to approach the manager to discuss anything she wanted to. This member of staff also said the company “is good to work for”. The home has a good track record of continually seeking improvement through acting on feedback from relatives and residents. Also, the good training opportunities that are provided ensure staff have the necessary skills and experience to enable them to carry out their roles and responsibilities effectively, ensuring good outcomes for people living at the home. The inspector checked one resident’s money account and found the amount in the account matched the records. The organisation regularly conducts financial checks to ensure correct procedures are followed. This gives assurance to residents that their money is safe. Petty cash is available for staff to spend, for example, on refreshments and admittance to public events when on outings with residents. The home works to a clear health and safety policy and staff are trained to put theory into practice. Regular random checks take place to ensure staff are working to it. The company places high priority on the safety of people living in the home and staff working there and provides a range of policies and guidance to underpin good practice. Health and safety within the home is regularly monitored by the manager and also by the company during its regular monthly inspection visits to the home. The inspector discussed with the manager submission of Regulation 37 notifications as none had been received since the last inspection (reference CSCI policy and guidance: Notification of deaths, illness and other events. The manager confirmed there had been no incidents to report since the last inspection. DS0000011381.V348733.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 2 X 4 X X 4 3 DS0000011381.V348733.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 YA2 Good Practice Recommendations The information obtained before a person is admitted should be recorded so that there is a full record of the preadmission assessment to show that all care needs have been assessed. DS0000011381.V348733.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 DS0000011381.V348733.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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