Inspection on 16/12/05 for 55 Drubbery Lane

This inspection was carried out on 16th December 2005.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

55 Drubbery Lane 22/01/07

55 Drubbery Lane 23/09/05

55 Drubbery Lane 07/12/04

55 Drubbery Lane 07/07/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 55 Drubbery Lane 55 Drubbery lane Blurton Stoke on Trent Staffordshire ST3 4BH Lead Inspector Peter Dawson Unannounced Inspection 16th December 2005 10:00 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 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 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 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. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 55 Drubbery Lane Address 55 Drubbery lane Blurton Stoke on Trent Staffordshire ST3 4BH 01782 311324 01782 311324 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) Royal Mencap Society Mrs Julie Hawley Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd September 2005 Brief Description of the Service: 55 Drubbery Lane is registered to provide care for 5 adults with learning disabilities and associated physical disabilities, although the current design and usage is suitable only to accommodate 3 people in single bedrooms (there were previously 2 double bedrooms). The possibility of converting the large garage/carport area to increase the number of bedrooms has been discussed but the current situation seems to be that Mencap who operate the service had decided the accommodation may be vacated. There is no written or confirmed decision notified to the Commission about this but the speculation provides an anxious and unsettled atmosphere for both residents and staff. Both should be formally informed about future plans and the options available for their future. There are currently 3 residents, two have been resident at Drubbery Lane since opening 15 years ago. A further resident admitted 6 months ago, although the future of the service is in question. The home is managed by the Mencap Homes Foundation initially for people who were in long-stay hospital care. The home is a spacious and carefully adapted bungalow situated in superb extensive grounds. All 3 residents have wheelchairs for mobility and all areas of the home and grounds are easily accessible. The home is situated in a residential area with good access to all main towns. 2 people-carriers which transport wheelchairs are available. There are 3 spacious bedrooms one has large en-suite facility, all have adequate space for wheelchair use, hoist etc. There is a large lounge/dining area overlooking the garden. There is a communal bathroom with assisted facility and separate toilet areas. There is a large kitchen area and laundry and office accommodation. Furniture, fittings and equipment are to a high standard. All bedrooms have been redecorated recently. All areas are bright and the home presents an atmosphere of a warm, and welcoming family environment. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. All 3 residents were seen at the time of the this unannounced inspection. All were spoken to together and separately. There were discussions with the 2 members of staff on duty throughout the time of the inspection. The home was decorated ready for Christmas with several Christmas trees, external lights and many garlands etc. throughout the home. Each resident had chosen Xmas decorations for their bedrooms and proudly showed the effects which were excellent. There was an excited anticipation of Christmas, and discussions with staff about planned parties, and other social events. Engagement between residents and staff was good and indicated warm and relaxed relationships. Discussions about the closure of the home was with staff. Residents were not drawn into the discussions, although they are obviously aware of the pending future situation. Residents move freely around the home, all are wheelchair bound but there is good access to all parts of the home. Residents spoke freely about life at Drubbery Lane and made positive comments about their relationships with staff. There was an obvious warmth and feeling of security in the exchanges observed. The home presented a normal family atmosphere. This is a high standard environment suitably adapted to the needs of the 3 residents. Staff reported the latest time given for closure by Mencap is now June 2006. There are ongoing meetings with social services staff and all residents have now registered with several local housing offices/societies. There is only 1 requirement and 1 recommendation made at the time of this inspection. Staff continue to provide the necessary care and support for this group in a very positive way, despite the pending closure plans. What the service does well: An excellent high standard environment, easily accessible for all 3 wheelchair users in the home. Personal relationships are established positively in this small home and where possible chosen lifestyles accommodated. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 6 A high level of personal support is provided for all residents with high physical dependency needs. 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. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 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 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1–5 Pre-admission procedures including assessments and visits were obtained prior to admission of recently admitted resident. There is a statement of purpose and service users guide available in the home and cover all required information. Standards relating to Choice of Home are met. EVIDENCE: The statement of purpose and service users guide have been recently updated with resident input. A resident admitted 6 months ago visited the home prior to admission, spent time with resident and staff, had meals at the home and also overnight stay prior to admission. She said that she had made the decision herself about the suitability of the home for her. A pre-admission assessment and Care Management Assessment were obtained prior to admission and formed the basis of care planning information. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 - 10 Care plans were of an exceptionally high standard. The needs and individual choices of residents were evidenced to be paramount to the home philosophy. Standards relating to Individual Needs & Choices are met. EVIDENCE: Care plans are located in residents bedrooms allowing ongoing access. Plans are very comprehensive and give all required information to provide care. Care plans sampled were very impressive containing information on the social, health, emotional and recreational needs of residents. Documents also included a Mencap tape of the complaints procedures, activity sheets, 24 hour plan of care and also the Person Centred Plan – compiled with the resident and setting out the needs and aspirations of the person with individual objectives. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 10 Care plans contained very comprehensive risk assessments covering all aspects of resident activity. All were reviewed on a monthly basis by the Key Worker. The standard of care planning information seen was excellent. During the inspection residents were seen to be involved in decisions about their lives, this included routines of the day, outings, timing of activity and plans in the run-up to Christmas. Staff spoke to residents in an adult way respecting their right to make decisions. There were examples of non-action if the resident did not wish to pursue a particular course of action. A resident attending external visit to Chiropodist was consulted about timing of transport and the appointment and the reason for the visit re-enforced in a reassuring way. The permission of residents were seen to be sought in relation to opening post, preparing for external visits and to enter bedrooms etc. All residents have the services of the Independent Advocacy Service. The rights of residents and the principles of maximising independence were seen to be exercised. Discussions with residents confirmed that they were consulted about rising/retiring times, bathing, outings, food choice and relationships. Some repetitive behaviour was seen to be dealt in a tolerant, understanding and positive way. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 - 17 All residents have individual programmes of activity which are usually met. The present staffing shortages limit some activities and the specific allocation of 1:1 time for a resident is not possible at this time. Her needs are therefore not being met. The accent is upon accessing facilities in the community and readily available transport is available for this purpose. EVIDENCE: A 21 year old resident admitted 6 months ago attends college course for Life Skills. She also attends with other resident keep-fit group and separate craft group (both non disability). She also attend church activities and goes out with staff on an individual basis for shopping trips etc. Additional funding had been approved from the placing authority to provided additional 1:1 hours each week to meet the needs of this resident. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 12 Because the future of the home is presently unknown and some staff have left, existing staff are attempting to cover vacant posts – it has not been possible to provide these additional hours. These are vital in relation to the age and needs of the particular resident. An example is the need to undertake external activities in the evening, but this is not possible due to the needs of other residents in the home and the staffing situation generally. The providers are required to provide additional staffing hours as agreed with the Local Authority to meet the needs of this particular resident. All residents are permanent wheelchair users and totally dependent upon appropriate transport being available to access community facilities. This need is met –the home has 2 vehicles able to accommodate wheelchairs and allowing residents to go out alone with staff or together. This works well with residents paying 43p per mile for transport from DLA benefits (there is actually no cap on the maximum use of vehicles). The residents at Drubbery Lane all have individual weekly activity sheets outlining their needs both internally and externally. Family contacts are promoted where possible but there are limitations for the 2 long-stay residents, although these are pursued where possible. The recently admitted resident will be going to relatives for the day at Christmas and transport is readily provided by the home. Personal relationships are supported – presently a resident with female friend in another home is being transported between the homes to support the relationship. The three residents spoke with enthusiasm about the pre-Christmas social activities. There are visits to the theatre and pantomime arranged, with a party/disco in the home and external meal in restaurant arranged also. Residents have recently been to Britannia Stadium for a concert. 2 people went to Devon with staff for holiday earlier in the year. Staff were in some dilemma about a resident very keen to visit Father Christmas in shopping centre and making demands with excitement. It was agreed that disappointment should not be an option by applying ageappropriate rules, but that appropriate timing and sensitivity could limit any concerns about preserving dignity. Staff had acted quite appropriately. All health care services, hairdressing etc are accessed in the community by all residents. Community, leisure and educational activities are accessed by all residents to meet individual needs and choices. Residents said that they were happy with food provision at Drubbery Lane. They are involved in daily choices of menu and there is a good facility for all residents who are wheel chair bound to assist with meal preparation in the kitchen area. There had been a “cooking day” prior to the inspection day. Residents were heard to be asked about their choices for the mid-day meal. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 – 20 The arrangements in place for meeting personal and health care needs are satisfactory. There is a safe system of medication in use in the home at this time. EVIDENCE: Personal care was inspected by means of observations, discussions with residents and staff and information contained in care planning information. The three residents in this home have high physical dependency. All are wheelchair users and the hoist is used for one resident. The bedrooms have good facilities for using specialist equipment. A highly dependent resident has large bedrooms (previously shared room), plus large easily accessible en-suite with walk-in shower. Her needs are met admirably. There is a large bathroom with bath hoist. All facilities for providing personal care are good. Complete privacy and dignity are preserved in providing personal care, this was confirmed by residents, observed during the inspection and facilitated in a well equipped environment. All staff have recently had updated training in moving & handling techniques. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 14 The care plan of a recently ill resident showed that required medical attention had been sought at an early stage, appropriate treatment given and overnight hospital stay arranged. The Occupational Therapist was requested to review the moving & handling assessment in the light of changed physical circumstances. The person is still monitored by the nursing service in the home by means of blood tests etc and returning to good physical health. A good service is reported from the local GP surgery, generally with visits to the surgery by residents assisted by staff, but home visits made where circumstances demand. A referral to the Dietician was recently made for 2 residents and advice given relating to balanced diets. Care plans contain all required information to provide personal care and all health care matters are very well documented. Visits from health care professionals are recorded with outcomes in care plans. Actions required to meet health care needs are carefully defined and actioned swiftly as required. Medication is supplied in MDS (blister-packs) from the local pharmacy and a good service reported. There is no self-medication but MAR sheets and records relating to the receipt, storage and disposal of medication were inspected and accurately managed. It is recommended that the home obtain a recent edition copy of a medication reference book – one was not available whilst medication was being discussed during the inspection. A resident prescribed PRN rectal diazepam at the time of the last inspection has been reviewed as required with GP/Consultant and the medication is no longer prescribed. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 -23 Standards relating to complaints an protection were found to be met. EVIDENCE: There is a complaints procedure in the home which also includes pictorial symbols, there is also a Mencap audio version of the complaints procedure with care plans in all bedrooms. There are robust procedures in the home relating to adult protection. Staff training in these areas is regularly updated and discussed in staff supervision. Financial records were not inspected on this visit. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 – 30 There is a high standard environment which is well maintained with good access both internally and externally for the 3 residents who are wheelchair users. The home is suitable for its stated purpose. There are plans to vacate the premises in the near future and the excellent spacious facilities provided at Drubbery Lane would be difficult to replicate. EVIDENCE: The home provides an attractive and comfortable environment and presents a homely domestic type environment. The standard of furniture, fittings, equipment and décor are to a good standard. All bedrooms have been redecorated this year, residents involved in choices of colour schemes/themes. All three bedrooms are spacious, one has exceptionally large bedroom and equally large en-suite with shower for very dependent resident. All bedrooms are very well personalised, reflecting the interests and individuality of the resident. All residents are wheelchair users and the facilities throughout the home for access are excellent. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 17 There is a large assisted bathroom allowing good wheelchair access. There is a separate toilet with appropriate aids/fittings. One resident has self-propelled wheelchair another secured here electric wheelchair from home since the last inspection, allowing her greater freedom of movement and independence. The garden area is large (1/4 acre) is private and secluded. Much used and enjoyed by all residents in the summer months. Access to the garden is good. The standards of hygiene throughout the home are good and infection control measures observed to be in place and practised. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 –33 and 35 - 36 Staff commitment to residents remains very high despite the anxieties generated by current situation. Staff morale is inevitably very low due to the planned closure of the home. The staffing situation needs to be closely monitored and arrangements made to provide the 1:1 care approved for a resident. EVIDENCE: There is a committed staff group in this home most having worked for several years and established ongoing positive relationships with the residents. The home is staffed to a weekly 364 hours. At the time of the last inspection there were 80 hours per week of care staff vacancies, since that time 2 night staff have left and not been replaced. The home is for planned closure. Permanent staff are not replaced. Agency staff are used. At the time of the this inspection one of the 2 staff on duty was from an agency, she has in fact worked at the home over a period of 5 years, but the increasingly diminishing permanent staff numbers means that relief staff have been employed who do not know the residents. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 19 Existing staff had attempted to cover the reduced staffing numbers but this is putting increasing pressure upon those staff, some of whom are seeking alternative employment due to the threatened closure. Whilst there remains an exceptionally high level of commitment staff feel it is not always possible to provide the flexibility to meet social care needs. Specific 1:1 staffing hours have been allocated by Care Management to meet the needs of a new resident, but this is not presently possible due to the staffing situation described. This means that those needs are not being met. This matter must be addressed and is a requirement of this report. There are 2 staff on duty throughout the day and one waking member of staff on duty at nighttime and one sleeping in on-call. There is not always a Senior Member of staff on duty. The Manager currently works 30 of her 37.5 hours per week “hands on” on the rota. A domestic assistant works 10 hours per week, laundry and catering services are provided by care staff. The majority of staff have completed NVQ training and the standard of 50 of NVA trained staff by 2005 is therefore met. All staff received Moving & Handling training in November 2005. There is a plan of regular supervision in place for all staff. Staffing records were not inspected on this visit. No new staff have commenced since the last inspection. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 – 39, 41 and 42 The Manager takes a positive lead in the home. Staff are committed to resident care despite the insecurities surrounding the home. Health and Safety matters inspected were found to be satisfactory. Standards inspected were found to be met. EVIDENCE: Mrs Julie Hawley was approve as the Registered Manager of the home in September. She has considerable experience in similar settings and is presently studying for the Registered Managers award. She takes a positive lead in the home and is attempting to support both residents and staff in a difficult situation of insecurity for all. She provides the necessary support and continuity required in the home at this time. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 21 Records inspected were all to a high standard. Care plans were particularly impressive with very detailed, comprehensive information concerning all aspects of residents lives. Risk assessments were in place and reviewed regularly. The resident group is quite highly dependent and it was pleasing to see risks identified and further broken down into areas requiring specific actions by staff to reduce risks. The necessary detail was present. All staff have recently received Moving & Handling updates which is particularly important for this group. Staff have also all had Food Hygiene training provided by Mencap and Fire training for all staff was undertaken on 22.4.05. Fire records showed that the alarm system and emergency lighting had been carried out regularly at required intervals. There are regular fire drills which include evacuations. There is fire risk assessment in place and reviewed annually. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 2 12 2 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 2 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 55 Drubbery Lane Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x 3 3 x DS0000008245.V273235.R01.S.doc Version 5.0 Page 23 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. 1. Standard YA11 Regulation 16(2)(n) Requirement The home must provide facilities for recreation including activities relating to recreation and training. Timescale for action 16/01/06 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 YA20 Good Practice Recommendations Provide up to date medication reference book. 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 55 Drubbery Lane DS0000008245.V273235.R01.S.doc Version 5.0 Page 25 - 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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