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Inspection on 07/08/07 for 58 Whichers Gate Road

Also see our care home review for 58 Whichers Gate Road for more information

This inspection was carried out on 7th August 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

No requirements were made after the last inspection in September 2006. However, the manager has made a number of improvements to the environment and the garden and work is ongoing. Lights have been provided in the garden and a small greenhouse situated near the kitchen. The lounge has been redecorated and residents have been supported further to individualise their rooms.

What the care home could do better:

No requirements were identified as a result of this inspection. There are some recommendations in the body of the report about staff records and medication storage. The manager has been in post for over a year and an application has not yet been received for registration. This will be followed up separately to the report.

CARE HOME ADULTS 18-65 58 Whichers Gate Road Rowlands Castle Hampshire PO9 6BB Lead Inspector Ms Sue Kinch Unannounced Inspection 7th August 2007 09:00 58 Whichers Gate Road DS0000011747.V342908.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 58 Whichers Gate Road DS0000011747.V342908.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. 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 58 Whichers Gate Road Address Rowlands Castle Hampshire PO9 6BB 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) 023 9241 3141 Mr David Rodgers Mr David Rodgers Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2006 Brief Description of the Service: 58 Whichers Gate is a three-bedroom house located on the outskirts of Rowlands Castle. The service provides an ordinary living setting for three people with a learning disability and independence is promoted. The Home is not staffed on a 24-hour basis as support is targeted to the needs of the three residents accommodated. There is however, staff on call at all times. All the residents have their own bedroom and access to all parts of the Home with the exception of the office, which is locked when staff are not using it. The Home is close to the village of Rowlands Castle, which has a number of small shops and local facilities. Weekly fees are £480.00. 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place over three and a half hours during which time the three residents, a member of staff and the manager were spoken with. The visit followed a review of the file and information that had been sent to CSCI since the last inspection. This included an Annual Quality Assurance Assessment (AQAA) completed by the manager. All areas of the home and garden were viewed with the manager or residents. A selection of records were also viewed and considered at the home. Discussions were also held with two relatives after the site visit. What the service does well: What has improved since the last inspection? No requirements were made after the last inspection in September 2006. However, the manager has made a number of improvements to the environment and the garden and work is ongoing. Lights have been provided in the garden and a small greenhouse situated near the kitchen. The lounge has been redecorated and residents have been supported further to individualise their rooms. 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 58 Whichers Gate Road DS0000011747.V342908.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 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a comprehensive assessment process ensuring residents’ needs are identified by the home prior to admission. EVIDENCE: At the inspection of September 2006 it was found that the home had a comprehensive process of assessment that is undertaken by the home’s manager prior to a placement being offered to a resident. However there have been no new admissions to the home for a number of years. The manager reported at the last inspection that the process would include a prospective resident visiting the home prior to a placement being offered during which time interaction between residents currently accommodated would take place and staff views gained. A number of visits would take place (if appropriate) before a firm offer of a placement is made. The manager stated in the AQAA that the policy had been reviewed in March 2007 and during this inspection process said that the admissions policy and procedures had not changed. . 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 9 58 Whichers Gate Road DS0000011747.V342908.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are actively involved in planning their support taking account of risks and are able to make decisions and choices on a day to day basis so they can do the things that they like doing. EVIDENCE: From conversation with the people living at the home and the manager and, consideration of the personal files that people keep in their rooms, there is sufficient evidence that they are aware of the service planned for them. The written information is clear, well organised and up to date. All people living in the home have had recent monthly and annual reviews. One care plan was not in the file as the manager said that it was being updated. However, much of the support needed was documented in the files. This included many recently reviewed risk assessments covering a range of issues relevant to independent living with action plans for staff and/or residents to follow when staff were not in the home or when out. Some elements of the action to take such as:in the case of fire, maintaining safety in the garden, kitchen and bathroom, and when 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 11 going out, were discussed with individuals who were able to describe action needed and support given by staff. People living in the home all confirmed, in discussion about care provided by staff, that they received the help that they needed. One person said that they were helped with things like the gardening and diet but that they could ‘do the things I want to do’. Another said ‘the support is very good here’. Relatives spoken with supported this view. Records are held for each person demonstrating the support that is given on a day-to-day basis and enabling staff to be aware of support given. A communication book is also available for recording general things to be done. Throughout discussion about the home the inspector was informed of residents making choices about all aspects of their lives with support as needed from staff. One person said that they have their own routines. They can come and go as they liked and they felt listened to. Interactions between people living and working in the home were respectful and relaxed with residents making decisions about jobs, food and shopping. 58 Whichers Gate Road DS0000011747.V342908.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): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home are supported to be involved in the community for recreation, educational and employment purposes based on their wishes promoting their independence and decision-making. EVIDENCE: How the residents lead their lives was discussed with each person living at the home and all spoke of the household jobs that they agreed to do and how they have organised them. They spoke of the part-time jobs that they all have and all liked doing, helping in a care home, a pub and a do it yourself store. They also spoke about a range of leisure activities including going shopping and visiting the pub, swimming, line dancing, and keep fit. Some activities are planned and some are spontaneous. All said that they had enough to do and liked doing what they did. They have also been supported to complete ‘Listen to me’ documents, which detail what they like doing and want to do in the future. These were discussed and reflected what people said. They said that 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 13 plans were in place for all to attend a new drama class in the autumn, one person to continue with line dancing and an art and craft class for another. The manager said that she was spending time assisting people to try out new things and support individual choices too. Each month in the monthly review the manager encourages people using the service to plan a trip out and a theatre trip was being planned following the July review with alterations to staffing for this. This is also discussed in house meetings. The manager also keeps a record of the activities that people are supported with. People had a holiday in May 2007 in the New Forest. Conversations with residents included discussions about friends and relatives.The residents are supported to maintain those relationships. There is regular contact with family and friends with visitors being welcomed to the home. Relatives confirmed that are also involved in the reviews and kept informed of key issues. There is an intercom and camera installed to enable residents to see and speak to anyone visiting the home. As found at the last inspection residents were able to explain how and when they use the system. A discussion was held in the kitchen with all residents and the manager about how the food is organised. Residents are supported to do the shopping and agree a menu on a day-to-day basis. On the day of the site visit they agreed on lunch during the morning and said that they decided what to eat and organised it but had help with some meals. They all record food eaten. The records showed variation and a staff member said that they were encouraged to eat healthily. They said that they like the food that they eat and they liked their responsibilities. They are also involved in cleaning the kitchen and had specific tasks that were their own or shared with staff. 58 Whichers Gate Road DS0000011747.V342908.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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have support with meeting physical, emotional and health needs in a sensitive way and are assisted to be independent in this such as in self medication. EVIDENCE: Residents said that they receive the personal care that they wish to have and needs are documented in the plans. Relatives commented positively on the emotional and physical well being of residents being met and one mentioned how the levels of support provided have increased their relative’s independence and confidence. Records are held of health needs and of appointments made with health professionals for meeting these needs. A sample was viewed and was noted for doctors, opticians, dentist and a chiropodist. A relative commented on the support given by staff in helping with appointments and on their careful monitoring to make sure appointments are kept to. They also spoke of liaison with families to keep them informed of important issues. Confidentiality is considered when assisting with health appointments and in a discussion with 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 15 the manager and one resident during the visit this was demonstrated when a request not to discuss something personal was met. Self-medication is promoted in the home and all residents are involved following risk assessments that are regularly reviewed. Small amounts of medication are dealt with in the home and are recorded as dispensed by the manager and the residents then hold these and records when they take them. All but one had stored them in cupboards and advice was given to the manager ensure that they are stored securely in their rooms to prevent risk to others. The rest of the medication held by the manager is not in a locked cupboard but is in a closed cupboard in the office, which is locked when not in use. There was evidence that the new member of staff had been assessed as competent to deal with medication and the manager said that training was planned for that person. 58 Whichers Gate Road DS0000011747.V342908.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents’ benefit from being listened to on day-to-day basis. A complaints policy and procedure and alternative systems are in place to ensure that residents concerns are addressed. The manager and staff member have a good understanding of adult protection issues, which assists residents in protection from abuse. EVIDENCE: The home has a complaints procedure which residents have access to. During the inspection residents were freely discussing issues and making suggestions with the staff and manager and did not raise any concerns or issues. They said they talked to the manager if they needed to and throughout the inspection many examples of needs being met were discussed. The member of staff said that the manager always listened to the residents. The manager reported in the AQAA that there had not been any complaints since the last inspection. Two relatives asked were aware of the complaints procedure but said that they were able to discuss any issues as necessary and did not have any complaints. The manager said that the local adult protection policy is in the home. She has not needed to make a recent referral. She is aware of the local procedures and the role of social services. The member of staff on duty had been trained in adult protection and was aware of whistle blowing and what to do if any abuse is suspected. 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 17 The risk assessments for each resident take their personal safety into account and as referred to the sections on individual needs and choices the manager assesses these risks regularly. 58 Whichers Gate Road DS0000011747.V342908.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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable, clean, hygienic and safe environment is provided for people that meets their needs and reflects their personal choices. EVIDENCE: The home is bright, airy and fresh. The home is decorated to a good standard and the manager was able to give examples of how it is regularly worked on to make improvements and renewals. The lounge had been decorated while the people living at the home had been on holiday. This had been carried out with the residents’ consent and relatives had been involved in this. Residents all spoke well of the home and how much they like it and it’s décor. One resident had just chosen a new carpet, which had been laid the day before the inspection visit. Residents agreed that they have a strong sense that it is their home. All have personalised bedrooms and one person who has a small bedroom also has an office near it, which is organised to their taste. Two residents were going shopping in the afternoon to buy more furniture. 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 19 Shared areas of the home are attractively decorated and arranged and this makes the house look homely and comfortable. Furniture is of a satisfactory quality in the dining and lounge areas. The residents would rather have a shower than a bath and currently the shower facility, which has been used over the bath, is not working. The residents have requested to have a walk in shower and the manager said that this is included in the current action plan for the home and is planned to be completed by the end of 2007. Hand washing facilities are provided in the kitchen bathroom and WC and these areas are suitably equipped with soap and towels. In the AQAA the manager had confirmed that policies and procedures are available for infection control and that staff had received training in it. At this inspection the new member of staff had not yet been trained but the manager was assessing the training needed. In the AQAA the manager said that cleaning rotas are reviewed regularly and at the site visit it was noted that records are held of jobs done by residents and staff showing that the system is active. A long back garden is available to residents but they have been advised through risk assessment to only use one part of it due to an uneven surface. However this leaves plenty of space for them to use. This area has been improved with the shed being cleared out and seating area has been improved with lighting. 58 Whichers Gate Road DS0000011747.V342908.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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported by staff committed to the aims of the service with relevant skills and opportunities to develop them further. The recruitment process includes full checks but all relevant records must be in the home at all times. EVIDENCE: There has been a change in staffing at the home since the last inspection. The manager and one member of staff provide care and support over the five weekdays each week. A total of 27 care and management hours are provided. This offers support more frequently than found at the last inspection and the manager said that this was decided based on the residents needs. Residents thought that they had enough support to meet their needs, as they are able to do a number of things independently including using the community. What to do if support was needed when staff were not on duty was discussed with two of the residents who were able to say what they would do and they described the on call system. The telephone numbers were clearly posted on the wall near the telephone. 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 21 The previous member of staff had recently left and the one member of staff employed in the home commenced employment in the week before the inspection. The member of staff is known to the residents and was already in the employ of the owner at another home. The manager agreed that the induction records needed to be recorded but there was sufficient written evidence of training already received to demonstrate that training had been received in health and safety, understanding abuse, managing challenging behaviour, and fire. There was also evidence of supervision having been started and evidence of the previous member of staff receiving regular supervision. The manager was planning to enrol the member of staff to be assessed to NVQ level 2 in September 2007 and to plan the skills for care induction. The interactions shown by the manager and staff towards the residents were positive and supportive whilst listening to the residents. The manager talked of empowering the residents and assisting them to lead their lives. The member of staff spoke of the role of motivating people whilst respecting their space and independence. At the two previous inspections recruitment records have been satisfactory. One member of staff has been recruited since the last inspection. Although the manager was aware of records needed not all of the relevant records were in the home. An enhanced criminal record bureau check and POVA first check had been carried out prior to employment by the company ten months before in the previous home and evidence was available. However the manager said that other records such as the references had not yet been transferred. She was advised to ensure that all information relevant to recruitment is in the home at all times. 58 Whichers Gate Road DS0000011747.V342908.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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home are supported to do the things they wish to do by an effective manager with good leadership skills and a clear direction ensuring that the wishes of the service users are met whilst safety is taken into account. EVIDENCE: The manager has been in post for over a year but is not yet registered. She said that she had recently submitted an application to register as manager for this home and another registered home. At the time of the inspection the application had not been received at the Southampton office and the manager was following this up with the administration section of the home. In the AQAA the manager reported to have in 2006, completed the Registered Manager’s Award and a National Vocational Qualification Level 4 in management. The 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 23 manager said that she was waiting for her certificates. She also said that she had a file recording her training that was up to date although this was not viewed on this occasion. The manager demonstrated an awareness of the range of responsibilities she has to meet the aims and objectives of the home throughout discussion. She reported in the AQAA that all policies and procedures in the home had been reviewed in March 2007. There are effective quality assurance systems in the home and the manager has a range of checks, including health and safety, of the service completed routinely by herself and staff which are recorded. The manager also identifies action needed as a result of the checks and monitors these regularly. Samples of records held were viewed. The manager has a range of ways to check that the service is meeting the needs of residents. Apart from day to day discussion and the regular monthly and annual reviews for residents, they are consulted in three monthly meetings and twice a year through questionnaires. The manager said that she had just started to ask for opinions of the service from involved relatives through questionnaires and had one completed feedback sheet so far suggesting more frequent meetings for the residents. The manager was considering this. The Annual Quality Assurance Assessment required to be completed before the inspection was submitted before the inspection visit. It was discussed at the inspection and advice was given about how to provide more detailed information. The registered provider makes regulation 26 visits every other month and records are held of these visits. However these should be carried out monthly and the manager was reminded of this. Systems are in place to monitor health and safety in the home. Staff are trained and advised of their roles and responsibilities. Checks are in place as referred to above. Household risk assessments are in the kitchen and there were records of recent kitchen checks in relation to food hygiene in the kitchen. A sample of records was viewed in relation to checks and maintenance in the home. These included checks of fire drills the equipment and system, electrical equipment, and gas servicing and these had all been checked within the correct timescales. There are also risk assessments, fire and hazardous substance assessments, which have been reviewed. Residents are involved in fire drills and are able to say what they would do if a fire occurred. 58 Whichers Gate Road DS0000011747.V342908.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 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations 58 Whichers Gate Road DS0000011747.V342908.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 58 Whichers Gate Road DS0000011747.V342908.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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