Inspection on 04/04/07 for 33 Blanford Road

This inspection was carried out on 4th April 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

33 Blanford Road 23/08/05

33 Blanford Road 26/04/05

33 Blanford Road 23/11/04

33 Blanford Road 26/08/04

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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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 Blanford Road (33) 33 Blanford Road Reigate Surrey RH2 7DP Lead Inspector Sandra Holland Unannounced Inspection 4th April 2007 12:45 Blanford Road (33) DS0000013487.V333216.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 Blanford Road (33) DS0000013487.V333216.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. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blanford Road (33) Address 33 Blanford Road Reigate Surrey RH2 7DP 01737 243818 F/P 01737 243818 blanford@prospectha.org.uk 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) Prospect Housing and Support Services Mr Anthony Berner Care Home 6 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2), Physical disability (1), of places Physical disability over 65 years of age (1) Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Of the four residents within category LD, up to 1 may also fall within category PD (Physical Disability). Of the two residents within category LD (E), up to one may also fall within category PD (E). The age range of service users falling within the categories LD or PD is 40-64 years. The age range of service users falling within the categories LD (E) or PD (E) is 65 years and over. 23rd August 2005 Date of last inspection Brief Description of the Service: 33 Blanford Road is a large, detached bungalow located in the town of Reigate. The home is registered for up to six adults who may have learning or physical disabilities. Of the people with learning disabilities, two may be over 65 years of age and of the people with a physical disability, one may be over 65 years of age. The home is owned and managed by Prospect Housing and Support Services. Service users have individual bedrooms and share adequate bathroom, toilet and shower facilities. The combined lounge and dining room are domestic and homely in character, with views over a large, well-stocked and enclosed garden. Furniture in the lounge is sufficient and can accommodate all the service users, including those in wheelchairs. The fees at this service range from £1222.56 to £1473.91 per week. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection site visit was carried out by the Commission for Social Care Inspection (CSCI) under the “Inspecting for Better Lives” process. Mrs Sandra Holland, Regulation Inspector, carried out the site visit over five and a half hours. Mr Anthony Berner, Registered Manager, was present representing the service. A full assessment was carried out of all information held about the home prior to the visit. A pre-inspection questionnaire was supplied to the home and this was completed and returned. Some of the information supplied will be referred to in this report. During the visit to the home, a number of records and documents were sampled including service user’s individual plans, medication administration record (MAR) charts and staff files. A tour of the premises was undertaken and all five service users and seven members of staff were met with and spoken with. As the inspector does not share the communication methods of some of the service users, their responses were assessed by observation of their facial expressions, body language and their interaction with staff. The inspector would like to thank the service users, staff and manager for their hospitality, time and assistance. What the service does well: The home successfully offers a high level of personal support that is specific to the needs of each individual. All service users are actively encouraged to be as independent as possible and to develop their skills. The individual plans for service users are well written, regularly reviewed and viewed from the service user’s point of view. The service users are supported by the home to be a part of the local community and there is a good range of activities in place for them to take part in. The home has its own vehicle to enable service users to get to their activities. The home supports and positively encourages service users to keep in contact with their friends and family. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 6 Service users are well supported by a stable team of staff and it is clear that staff are committed to the needs of service users. Members of staff spoken with said that they are happy working at the home and some had worked there for a number of years. The home is effectively managed in an open way and it is clear that all aspects of the home are led by the wishes and needs of those living there. 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. Blanford Road (33) DS0000013487.V333216.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 Blanford Road (33) DS0000013487.V333216.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 and 4. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The needs of service users are fully assessed before they are admitted to the home. Prospective service users are given a number of opportunities to visit and to “test drive” the home. EVIDENCE: The manager stated that very comprehensive, formal assessments of the needs of prospective service users have been carried out. The format for this was seen and it was noted that the assessment was carried out from the service user’s viewpoint and took full consideration of their wishes, likes and dislikes, as well as all assessed needs. There is a vacant room at the home and the manager stated that a prospective service user is currently being assessed to see if the home suits their needs. The prospective service user has made a number of visits to the home, including for meals and for overnight stays. This has enabled the prospective service user to meet other service users and staff, and enabled staff to fully assess their needs. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 9 As most service users are supported financially by a local authority, copies of any assessments carried out, or minutes of planning meetings held under the care management process, have also been obtained and kept on file. Two service users living at the home have moved in since the last inspection and appear to have settled successfully and a complimentary letter from the relatives of one of these service users was seen. Blanford Road (33) DS0000013487.V333216.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 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed and informative individual plans are available to guide staff to the support needs of service users and these include the support required to manage risks to service users. Service users are well supported to make decisions. EVIDENCE: Comprehensive individual plans have been drawn up for each service user to describe their support needs and the services and facilities the home needs to provide to meet these needs. The individual plans that were seen were in very good order, contained the required information, had been regularly reviewed and were written in a person centred way. A detailed support profile provides information regarding each service user’s specific needs at any time during the day or night and how these are to be provided, and these are updated to reflect any identified changes of needs. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 11 Assessments have been carried out of any risks to the service users, including risks involved in mobility, choking, moving around the house, getting lost whilst out in the community and the risks involved in personal care. These were very detailed and included ways to prevent risks and how to manage them to minimise the risks to service users, whilst enabling them to be independent. The manager stated that assessments of risks are regularly reviewed and are also reviewed if changes in the risk or service users’ needs, occur. A record is maintained in the service user’s individual plan of any actions or goals that are agreed and who will be responsible for ensuring that these are carried out or achieved. It was noted that many of the goals recorded had been achieved within the agreed timescales. Staff advised that most of the service users require full support with making decisions due to the limitations of their disabilities. Staff offer service users choices, such as selections of foods, items of clothing and types of music to listen to, and staff assess the service users’ responses. Staff emphasised the importance of knowing and understanding service users’ likes, dislikes and preferences in supporting their decision-making. Service users may indicate their choices by verbal responses, facial expressions, body language or behaviours. Blanford Road (33) DS0000013487.V333216.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 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in a range of activities and to be active members of their community. Service users are offered and supported to plan a well balanced diet. EVIDENCE: Each service user’s preferred activities are recorded in their individual plan and photographs were available showing them taking part in these. The range of activities to develop skills included pottery classes, cookery and line dancing, and leisure activities included swimming, horse and cart riding, sensory sessions and musical events. From the posters and photographs in the home, it was clear that service users are supported to access the wider community, visiting theatres and places of interest and as well as local restaurants, pubs and shops. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 13 The manager stated that service users are actively supported and encouraged to maintain family contacts. Families are welcome to visit service users and staff also support service users to go to visit their families. Where family contact is very limited, the manager and service users’ key-workers provide active support to encourage families to have more contact with their relative at the home. Cards have been sent to family members by service users, assisted by staff, and brochures about the home have also been sent to demonstrate the level of support and care provided. Service users were observed to be coming and going to their planned or spontaneous activities throughout the inspection. One service user went out to a planned activity with a member of staff and another service user went out for a drive with a staff member. A full-time designated activities worker is employed at the home to provide additional support to service users, to enable them to lead fulfilling and active lives. The home currently has a wheelchair accessible vehicle to enable service users to be transported to their various activities, places of interest and shopping. Service users were seen enjoying their evening meal, which appeared well balanced and appetising. From the four-week menu plan which is followed, it was clear that service users are offered a varied selection of meals which take their personal preferences into consideration. A main meal is offered and an alternative is listed for each day. Staff advised that in addition to these choices, service users are welcome to request other options such as omelettes. To assist service users to plan well-balanced meals, staff have assembled pictures of food items or meals and these pictures are also used on the dining room noticeboard to show the meals for the day. Where they are able, service users are welcomed to select, plan and cook their own meals with the support of staff. Staff stated that service users make individual choices for their breakfast and this is taken at a time of their choosing. The main meal of the day is served in the evening and is taken family-style as a group with staff. Blanford Road (33) DS0000013487.V333216.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 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way that they prefer, and their healthcare needs are well met. Medication is appropriately managed. EVIDENCE: The manager advised that each service user has an allocated keyworker to ensure that they receive support in the way they prefer. The keyworker takes responsibility for maintaining and updating service user’s individual plans and accompanies service users to activities and appointments whenever possible. It was very positive to note that each keyworker has shift time specifically allocated on the staff rota to spend with their service user. Staff were observed to provide personal support very discreetly and in a manner that actively promoted service users’ independence, privacy and dignity. Staff advised that service users’ preferences in receiving personal support from staff of the same sex are respected. The manager stated that this was taken into consideration when planning the staff rota. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 15 From speaking to staff and from records seen, it is clear that service users are supported by a number of healthcare professionals and that their healthcare needs are well met. Service users have received support from healthcare professionals including dentists, chiropodists, general practitioners, community nurses, hospital specialists and opticians. Service users’ prescribed medication is provided to the home by a national pharmacy in a monitored dosage system. This system is designed to safeguard against medication errors and enables staff in the home to monitor the amounts of stock held. Medication is stored appropriately in a central, locked cupboard and is administered by two staff, who both sign the medication administration record (MAR) chart. The amounts of medication held were randomly checked with the record held and these accurately matched. A small number of medications are supplied in original packs and boxes. The reducing quantity of these is recorded after each administration and on a weekly basis as monitoring procedures. Pharmacist monitoring visits to the home have been carried out and no requirements were made following the last visit. A personal details record sheet and guidelines for the administration of “as required” medication were held alongside the MAR charts, which is good practice. Blanford Road (33) DS0000013487.V333216.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 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’s complaints procedure is fully accessible but no complaints have been received. Staff are aware of their responsibilities in the safeguarding of service users. EVIDENCE: The home’s complaints procedure is available in pictorial and written forms and these are displayed in the entrance hall and in the Service Users’ Guide which is made available in the hall, and no complaints have been recorded since the last inspection. It was observed that the majority of service users would not be able to complain in a formal way due to their communication difficulties. Staff advised that they would be aware of service users’ dissatisfaction or unhappiness, as this would usually be displayed by changes of behaviours, body language and facial expressions. Staff advised that they would report any changes to the manager or person in charge, to ensure that appropriate support was provided and any relevant procedures followed. Service users who were able, confirmed that they would speak to the manager if they were unhappy. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 17 From speaking to staff it was clear that they are aware of their responsibilities in safeguarding service users. Staff stated that they would report any concerns or suspicions of abuse to the manager or person in charge. If needed, staff knew that they could also refer any concerns to the area manager or to other agencies outside the home. In the event of an allegation of abuse, the manager stated the home would follow the Surrey Multi-Agency Procedure for the Protection of Vulnerable Adults. A copy of the Surrey procedure is kept in the home and the home also has its own policies and procedures, including abuse and whistle-blowing. Staff training records were seen to include the safeguarding of vulnerable adults. Service users’ monies for day-to-day use are securely held for safekeeping and individual records of these are maintained. Staff advised that these are checked and recorded by two people at each transaction and at each staff shift changeover. To further safeguard service users, monies held on their behalf are checked on a weekly basis by the manager, and by the Prospect organisation finance department on a monthly basis. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. 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 home provides a comfortable, safe environment which is suited to the needs of those living there, and is clean and hygienic. EVIDENCE: The home is attractively decorated in bright and cheerful colours and is well furnished and equipped in a homely style to meet service users’ needs. Adaptations such as handrails have been made to the home to support service users with physical disabilities, but these are discreet and do not indicate the level of service users’ needs. Service users’ rooms had been made personal with their own belongings, including pictures, televisions, music facilities, soft toys and ornaments. Photographs of the service users enjoying days out, holidays and other events are attractively displayed all around the home. Examples of service users’ artwork are also proudly displayed. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 19 A large garden is available to service users and is accessible to wheelchair users by a ramp. There is a large patio equipped with tables and chairs and staff advised that service users enjoy having their meals outside in good weather. All areas of the home were seen to be very clean and well presented and appeared hygienic. Liquid hand cleanser and paper towels were provided in all appropriate places. Personal protective equipment, including gloves and aprons, are available to staff and were seen in use. The laundry was appropriately equipped and was positioned away from food storage and preparation areas. Products that may be hazardous to health were stored in locked provisions in the laundry room. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. 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. Service users are effectively supported by a stable team of staff who are appropriately recruited and trained. EVIDENCE: From the information and records seen at the home, it was clear that service users are supported by a small team of staff, many of whom have been employed at the home for over two years. Staff advised that they provide support to service users in all aspects of running the home, including shopping, cooking, domestic and laundry tasks. Staff also provide support with transport and a wide variety of activities. The manager stated that a number of staff have undertaken and achieved National Vocational Qualifications to level 2 or above and the home is on target to meet the recommended 50 trained staff. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 21 Staff were observed to interact well with service users, listening to and observing their responses, and giving time for service users to respond. Staff were open, cheerful and welcoming. Recruitment records for staff are held centrally within the Prospect organisation and a small number of these were randomly selected and were brought to the home for inspection, as the agreed procedure. These contained the required records and documents. All appropriate recruitment checks, including references and Criminal Record Bureau (CRB) disclosures, had been carried out. Staff training records were seen, and covered training required by law and training to develop knowledge and skills. These included medication training, food hygiene training, first aid, fire safety and the safeguarding of adults. Other training undertaken by staff related specifically to service users’ needs and included communication, learning disabilities and person-centred planning of support. The staff team is mainly male, and this is reflected in the service user group, as the majority of the service users are male. The staff group are of mixed cultural and racial backgrounds, whilst the service users are British. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well managed home and their health, safety and welfare is promoted and protected. EVIDENCE: It was clear that the manager is very experienced and qualified for the role. The manager stated that he has many years experience in care and has carried out acting manager and deputy manager roles, before being appointed as manager five years ago. The manager advised that he has undertaken and achieved NVQ Level 4 in Care and the NVQ Registered Manager’s Award. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 23 The manager has created an open and inclusive atmosphere, providing clear direction and leadership. From the outcomes for service users, the stability of the staff team and the standard of the records maintained, it is clear that the service is effectively managed. The manager advised that an audit of the quality of the service provided was carried out in the summer of 2006. The outcomes were generally positive, but the manager stated that actions had been planned where these had been found necessary. A further audit was in process at the time of the inspection and it was agreed that the manager would forward the outcomes to CSCI for review. From information supplied, it is clear that the required maintenance and checks on systems and equipment in the home are carried out appropriately and to the required frequency to promote the health, safety and welfare of all who live and work there. During the tour of the home no hazards to the health or safety of service users were observed. The home’s insurance certificate and health and safety at work poster are displayed as required. Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 3 X X 3 X Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Cascade Way 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 Blanford Road (33) DS0000013487.V333216.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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