Inspection on 25/06/08 for 40 Venner Avenue

This inspection was carried out on 25th June 2008.

CSCI found this care home to be providing an Good service.

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

40 Venner Avenue 14/09/07

40 Venner Avenue 13/12/06

40 Venner Avenue 28/09/05

40 Venner Avenue 13/05/05

40 Venner Avenue 15/02/05

40 Venner Avenue 17/06/04

40 Venner Avenue 12/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 40 Venner Avenue Northwood Cowes Isle Of Wight PO31 8AG Lead Inspector Nick Morrison Unannounced Inspection 25th June 2008 01:00 40 Venner Avenue DS0000012549.V365159.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 40 Venner Avenue DS0000012549.V365159.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. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 40 Venner Avenue Address Northwood Cowes Isle Of Wight PO31 8AG 01983 293782 F/P 01983 293782 charlotte.ridett@islecare.org 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) Islecare `97 Ltd Mark Thomas Kenyon Care Home 4 Category(ies) of Learning disability (0) registration, with number of places 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: 2. Learning disability - LD The maximum number of service users who can be accommodated is: 4 14th September 2007 Date of last inspection Brief Description of the Service: Venner Avenue is a small residential home for adults with learning disabilities and is part of the Isle Care Group of homes situated on the Isle of Wight. The home is a detached bungalow located in a quiet residential area of Northwood, within walking distance of local shops and the main bus route between Newport and Cowes. There are four single bedrooms for the service users and a communal lounge and dining/kitchen. Gardens are to the front and rear and are easily accessible by the residents. Parking is available on the front drive and the road at the front of the house. There is both level and ramped access to the front and level access at the rear. The service is part funded by social services and the primary care trust. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit that occurred on 25th June 2008 and lasted five hours. During this time we toured the premises, looked at the files of all service users, met each of them and observed the support they were receiving. We also met the Manager and two members of staff and observed interaction between staff and service users. All records and relevant documentation referred to in the report was seen on the day of the inspection visit. We also referred to service’s own self-assessment of the home. What the service does well: What has improved since the last inspection? What they could do better: Two requirements have been highlighted in this report relating to staff training in physical intervention and using care plans to record how individual in the home are to be protected. There are also two recommendations relating to the storage of food and the provision of fresh fruit and vegetables. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 6 Further work is needed to fully implement the home’s quality assurance system and the Manager has this in hand. 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. 40 Venner Avenue DS0000012549.V365159.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 40 Venner Avenue DS0000012549.V365159.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 are is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their needs and aspirations assessed prior to moving into the home. EVIDENCE: The home requires a full care management assessment for each person before they move into the home. In addition to this, the home does it’s own comprehensive assessment. Records showed that all assessments were in place prior to the person moving in and that service users and their families had been involved in the assessment process. 40 Venner Avenue DS0000012549.V365159.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, 8 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having clear care plans and risk assessments in place and from being supported to make their own decisions. EVIDENCE: There had been a requirement from the previous inspection that the service users plans should be regularly reviewed and updated and should reflect both the current aspirations of the service users and the support required to achieve those aims and objectives. The service users plans should also be working tools and the staff should feel confident enough in the information provided to use the plans during their dayto-day contact and support of the residents. This requirement has now been met. All service users had new care plans in place and records demonstrated that these were being reviewed on a regular 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 10 basis. Staff spoken with were aware of the care plans and were involved with them on a daily basis. Care plans appeared to reflect the current needs of service users and also reflected their assessed needs. Care plans also contained risk assessments that were also kept up-to-date and reflected the current needs of service users. There had been a recommendation from the previous inspection that the service user plans and risk assessments should clearly reflect where and why a limitation has been placed on an activity and these should be regularly reviewed and updated. Where accidents occur details of the management options considered should be recorded on the risk assessment, i.e. falls from a garden chair - possible management options: closer observations of service users, review and improve how the equipment is secured or replacement of furniture if unsuitable, etc. These issues had clearly been addressed within the new care plans and risk assessments and this recommendation has been addressed. There had been a requirement from the previous inspection that the company should make arrangements to discuss with the service users and their representatives how they can best be supported when making decisions, around such complicated issues as a lease car scheme, which is likely to meet both their needs as younger adults and people with both physical and educational disabilities. The lease car should be reviewed with the above parties, taking into account people’s right’s not to be stranded and/or socially isolated should the car breakdown. The particular health care needs of the client’s and how staff can gain quick and appropriate access to people in emergency/urgent situations. This requirement has also been met. Care plans did describe the ways in which people made decisions. Staff were aware of these and it was clear from observation on the day of the inspection visit that staff worked according to the care plans and supported people to make decisions. One member of staff asked a service user what she wanted to drink and took different bottles out of the cupboard and patiently waited while the service user decided what she wanted. The house vehicle has been replaced. Service users were involved in this as the home was able to test the vehicle for a day to ensure that it met each person’s requirements and was comfortable for them. 40 Venner Avenue DS0000012549.V365159.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 good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their rights respected and from balanced and nutritious meals. They also benefit from having the opportunity to engage in a wide range of activities both inside and outside of the home. EVIDENCE: There had been a recommendation from the previous inspection that if the management believe people can become better integrated into the community by undertaking community based scheme’s i.e. maintaining local flowerbeds, etc. It is important to ensure that these activities are kept up with, as a failure to do so could result in the opposite reaction being achieved. This recommendation has now been addressed and service users in the home were being supported to water the flowers on a regular basis. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 12 This is part of the community watch scheme and is an imaginative way for people living in the home to be involved in the local community and to make their own contribution. Records of activities and discussion with staff showed that service users were supported to make use of a wide variety of local facilities and to be involved in the activities they had chosen. People did make some use of local day services for part of the week. The home liaised well with day services to ensure that people’s needs were met. Individual preferences about activities were recorded in peoples care plans and it was clear that the activities arranged for each person reflected their interests. There was a board in the kitchen to explain what activities each person was involved with for the day and what staff support they required. This and records of activities demonstrated that activities were individual and that sufficient staff support was allocated. Over the past year the Manager of the home has changed and staffing in the home has become more consistent. This has led to a more relaxed and consistent atmosphere in the home. One service user’s parents believed this had contributed to the fact that she was now talking a lot more than she had done previously. People living in the home were supported to maintain contact with their friends and families. Records were kept of visits from families and of people going to stay with families. People were also supported to maintain contact with their families over the telephone and staff assisted them to make telephone calls if necessary. Menus showed that food in the home reflected the identified preferences of each person living there. People had individual meals according to their preferences and were able to make choices on the day about what they wanted if they did not want what had been identified on the menu. Staff ensured that mealtimes were a relaxed, enjoyable and social occasion for people and provided the support each person needed. Service users were also able to contribute to the choice of food as they were supported to choose food in the supermarket and put it in the trolley if they thought they might like it. It was noted that on the day of the inspection visit people had tinned food and there was a lot of tinned food in the cupboard. There was also no fresh fruit in the home and a limited amount of fresh vegetables. It is recommended that the home review the amount of tinned and fresh food used. Some food, including unwrapped vegetables, was stored in the laundry area. This is an infection control issue and a requirement has been made in respect of this. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 13 During the inspection we observed that service users were referred to by different names by staff throughout the day. It is recommended that the service establishes each person’s preferred form of address and ensure that this is recorded and consistently used by all staff. 40 Venner Avenue DS0000012549.V365159.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 good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their healthcare needs met and are protected by the home’s medication policies and practices. EVIDENCE: Care plans contained information on how people preferred to be supported with their personal care. The files of people living in the home demonstrated that healthcare needs were monitored and that people were supported to use healthcare services as necessary. There were comprehensive records relating to each person’s health. Each person’s healthcare needs were monitored and recorded on a regular basis. Where people had used healthcare services there were records detailing the time and date, the reason why they attended and any outcomes as a result of the consultation. Staff in the home liaised closely with healthcare professionals in the interests of people living in the home. The system for administering medication in the home was clear and was stated in the home’s policies. Staff spoken with who were involved in administering medication said they had received good training and demonstrated that they 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 15 had a good understanding of medication issues. Medication records were clear and up-to-date and all medication was stored appropriately and safely. There was a comprehensive system in place for monitoring medication with regular checks and crosschecking to minimise the possibility of any errors occurring. 40 Venner Avenue DS0000012549.V365159.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. Service users benefit from having their views listened to and are protected by the home’s policies and practices EVIDENCE: There had been a requirement from the previous inspection that the proprietary company must take steps to ensure that all new staff employed within the home are appropriately supported/inducted into the home environment. The management must also ensure that a detailed description of how a client shows displeasure an/or upset, etc is included within the service user plan, along with details of how the staff should be assisting/supporting a client to manage their feelings and seek a satisfactory resolution. This requirement has now been met. Induction records were clear and comprehensive and staff spoken with confirmed they had received a comprehensive induction programme. Care plans had been re-written and contained clear information about how to support individuals with their behaviour. Observation on the day of the inspection showed that staff understood the care plans and supported people accordingly. There has been a history of mild but continuous incidents involving one particular service user showing aggression to other people living in the home. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 17 These incidents were well documented and the home has ensured that relevant people were informed about each incident. The new Manager has ensured that care plans detail exactly how this person should be supported on these occasions and has liaised with the Community Learning Disability Team in devising the plans. These support plans, along with the fact that there is now a more defined and regular staff team in the home, have resulted in the number of these incidents decreasing significantly over the past few months. Staff spoken with confirmed this and said they were able to deal with incidents in a more positive way now. Observation on the day of the inspection visit showed that staff were aware of the plans to support this person and that they implemented them. This resulted in potential incidents being dealt with before they escalated. Part of the way staff dealt with these incidents occasionally necessitated mild physical intervention where staff needed to physically redirect the person. Not all staff had received training in physical interventions at the time of the inspection visit, but the Manager assured us that training was planned for those people who had not already received it The home has a complaints policy in place, but no complaints had been received. The home has good policies and procedures in place for dealing with allegations or suspicions of abuse. Staff had received relevant training and had read the home’s policies. 40 Venner Avenue DS0000012549.V365159.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. Service users benefit from living in a clean, comfortable and safe environment. EVIDENCE: There had been a requirement from the previous inspection that the management must make arrangements for the gardens to be adequately maintained and for repairs and damage to be addressed within a reasonable timescale. The company management must also review its estates strategy, so as redecoration does not have to be done by care staff in order to maintain and/or create a homely and well-kept environment. The company management must also review any/all service level contracts, as it is unacceptable and unhygienic for a home to be without an appropriately operating laundry facility. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 19 This requirement has now been addressed. The gardens have been improved and arrangements are in place for them to be maintained. The home now has a laundry facility in the garage that is fit for its purpose – although a requirement has been made in respect of storing food in this area. The Manager is clear about the responsibility for maintaining the home and liaises with the housing association that have a maintenance system in place. The house is very homely and comfortable. There are pictures of service users in the lounge area and the kitchen/dining room acts as a focal point for activity in the house. Service users are able to move freely around the home and appeared to feel comfortable. Service users’ bedrooms are well equipped and they have been able to bring their own possessions with them to the home. The home was clean throughout, while remaining comfortable and homely. There were cleaning rotas in place for each day of the week to ensure that cleanliness was maintained and clear records were kept of what cleaning had been done. Service users were supported to be involved in the cleaning of the house if they had identified this as something they had wanted to do. 40 Venner Avenue DS0000012549.V365159.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 benefit from being supported by adequate numbers of welltrained staff and are protected by the home’s recruitment policies and practices. EVIDENCE: There had been a requirement from the previous inspection that the company management must ensure that at all times appropriate and adequate staffing levels are maintained within the home. Staff should not be required to ask sister establishments or off duty staff to staff the home, whilst other duties/tasks are undertaken. Staffing levels had been increased since the previous inspection. On the day of the inspection there were initially two members of staff on duty and a third member of staff later. The Manager was also present. This appeared to be sufficient for the needs lf the people living in the home. The increase in staffing had contributed to the decrease in problems in the home. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 21 The home had previously been managed in conjunction with another home and staff had worked across both of them. The new Manager and the Provider had altered this so that the home is now managed independently and staff only work in the one home. This has produced positive effects for the home and for people living there. Recruitment records in the home demonstrated that all staff were employed within the home’s recruitment policy and that all necessary pre-employment checks had been undertaken prior to them beginning work in the home. Staff spoken with confirmed they had been required to provide all relevant information prior to beginning work in the home. Staff training was well managed and good records were kept of the training that each member of staff had received, what training they still needed to do and when updates were required. Staff spoken with said the training was useful and relevant to their role and that access to training was good. Discussion with the member of staff on the day of the inspection visit, as well as reference to staff files, demonstrated that all staff received regular support and supervision sessions with the Manager and that records were kept of these sessions. We were also told that the Manager was always available for advice and support and that staff found her to be very supportive throughout their work. 40 Venner Avenue DS0000012549.V365159.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 good This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well managed home that is safe and responsive to their needs. EVIDENCE: There had been a requirement from the previous inspection that the company management must provide adequate support and resources to the registered manager to ensure the satisfactory running of the home and the safety and wellbeing of the service users. The company management and the registered manager must seek to resolve issues within a timely fashion and not delay at the expense of the service provided to the residents, i.e. replace broken or damaged equipment, address 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 23 issues of maintenance and décor, review the lease car scheme and its suitability based on the heath and physical support needs of the current client group. Observation on the day of the inspection visit showed that this is no longer a problem in the home and so the requirement has been met. The current Manager has been in post since the beginning of the year. She is not registered as the manager but is in the process of applying to be registered as the Manager of the home. Staff spoken with on the day of the inspection visit said that the new Manager had made a big difference to the home, particularly in respect of being available and supportive, ensuring that staffing numbers were sufficient and ensuring that care plans were in place and followed consistently. The quality assurance process in the home is being developed and is focussed on the people living in the home and will use their feedback as the basis for improvements to the service. The Manager has a good understanding of quality assurance processes and plans to develop the system further and fully implement it. Examination of the fire logbook demonstrated that it was kept up-to-date. There were effective systems in place for monitoring and managing health and safety issues in the home. Good records were kept of all health and safety issues including fire, appliance servicing, substances hazardous to health, accidents and electrical testing. All staff received initial training in health and safety as part of their induction as well as regular updates. Regular checks and records were kept relating to health and safety aspects of the home. 40 Venner Avenue DS0000012549.V365159.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 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 2 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 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 25 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 2 Refer to Standard YA16 YA17 Good Practice Recommendations Service users’ preferred form of address should be recorded and used by all staff Menus should be reviewed to ensure that service users receive sufficient fresh fruit and vegetables. 40 Venner Avenue DS0000012549.V365159.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 40 Venner Avenue DS0000012549.V365159.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!