Inspection on 09/01/07 for 6 Lord Street

This inspection was carried out on 9th January 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

6 Lord Street 19/01/09

6 Lord Street 24/01/06

6 Lord Street 06/09/05

6 Lord Street 08/03/05

6 Lord Street 25/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 6 Lord Street 6 Lord Street St Annes On Sea Lancashire FY8 2DF Lead Inspector Phil McConnell Unannounced Inspection 9th January 2007 09:30 6 Lord Street DS0000010010.V322146.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 6 Lord Street DS0000010010.V322146.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. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 6 Lord Street Address 6 Lord Street St Annes On Sea Lancashire FY8 2DF 01253 722800 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) jilldavis.lorddurham@tiscali.co.uk Mr David Calwell *** Post Vacant *** Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Lord Street Care Home is currently registered to accommodate up to three adults who have a learning disability. The home is located in a quiet residential area of St Annes but within easy reach of the main shopping centre of the town and community facilities and resources. Communal areas of the home are domestic in character and each resident is accommodated in single bedroom accommodation. Service users access the local community and are an accepted part of it. The staff group ensure there is a homely and comfortable atmosphere in the home and that service users are enabled and empowered to maintain and maximise their independence. The present rate of charging is between £260-£708. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The variety of information was used to assess the key standards that are identified in the National Minimum Standards for Adults (18-65) including: service users’ survey forms (all positive), the pre inspection questionnaire, completed by the manager and an unannounced inspection visit to the service. During the inspection visit the service users’ files and three of the staff files, including the last person to be employed by Lord Durham care homes were examined. There was the opportunity to speak to two of the service users, the manager (who was available throughout the day), two members of staff and the registered owner. The staff on duty were welcoming and helpful and it was observed that a good rapport existed between the service users and the staff. The providers’ policies, procedures and all other documentation including health and safety files and certificates were examined and found to be up to date and satisfactory. Overall there was a calm relaxing and pleasant atmosphere throughout he inspection visit, with the manager and staff being very helpful and cooperative. What the service does well: It is recognised that routines within the home are flexible. This is so that service users can with support and guidance choose the lifestyle of their choice. This is achieved with the provision of adequate staffing levels, enabling service users to pursue their chosen individual activities, whether it be supported employment, attending college or social activities within the community. Staff were observed during the inspection visit spending time talking to and listening to the service users. This positive and stimulating interaction had been observed on previous inspections and in the organisations other care home. In feedback received and in discussion with some of the staff, there is a consensus that the home has improved greatly since the new manager came to work there (August 2006). Some of the comments were, “since Jill came, everything is spot on” and “the manager has turned it right around, if you go to her with anything it gets done, it gives you such peace of mind”. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 6 There appears to be a really good ‘team spirit’ in the home, with the staff team demonstrating commitment, flexibility and contentment with their work. One person said, “this is my first time in care work and I love it, I find it very rewarding” and another said, “I get a lot of job satisfaction from my work here”. The training provided by the organisation was seen to be of a good standard and one staff comment was, “I’m really proud of myself in getting my NVQ level 2 and I can’t wait to start level 3”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 6 Lord Street DS0000010010.V322146.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 6 Lord Street DS0000010010.V322146.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): Standard 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The pre-admission process needs to be more robust, in order to ensure that no person is offered accommodation before their needs are appropriately and professionally assessed. EVIDENCE: All of the service users’ files were examined including the last person to be admitted and all of the required documentation was in place, except for a completed needs assessment for the latest service user. There was no written evidence of a pre-admission assessment having been carried out, however, the person did have a care plan and it was stated that the service user and his family gave this information verbally. The manager was informed that there is a requirement to obtain an initial assessment of needs from the placing authority or to ensure that the home carries out their own full needs assessment, which needs to be documented. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 9 Some of the comments from service users were, “I had lots of information before I came to live here” “I love it here, its brill and cool” and “I was asked lots of times if I wanted to come and live here and I visited lots of times”. Part of the organisations ‘statement of purpose’ (a document which details the care and support a person would receive) includes, “We aim to offer care, compassion and support to all residents. We will encourage them to maintain their own individuality and to take a pride in themselves and their own achievement. The needs and aspirations of the residents are paramount. The home and staff are there to enable them to be met”. In observation and discussion with the service users and feedback from service users’ questionnaires, it was apparent that the staff team are committed to ensuring that the above is put into practice. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service It is apparent that service users’ care plans are daily working documents and reflect the needs of people being supported. Individuals are encouraged and supported to make appropriate decisions and take assessed risks in their lives, empowering them to be as independent as possible. EVIDENCE: The service users’ care plans were detailed, with relevant and sufficient information to help ensure that people’s needs are being met. Care plans are reviewed on a three monthly basis and more regularly if a persons changing needs are evident. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 11 The staff also maintain regular, informative and meaningful daily record communication sheets. Service users are as much as possible actively involved in decision making, taking into account their individual level of ability, some of the service users comments were “we get asked everyday, what we would like to do” and “we do make decisions, but sometimes have to take turns to decide”. The natural interaction between service users and staff was observed during the inspection visit and it was apparent that people were being encouraged and empowered to make informed decisions. There were individual and corporate risk assessments, helping to demonstrate that service users are supported to live as independently as possible. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in meaningful and appropriate activities, giving them the motivation and stimulation to promote a sense of achievement and wellbeing. Service users are encouraged to keep contact with their relatives and friends, to help ensure that relationships are maintained. The food menus provide a balanced and wholesome diet, helping to promote a healthy eating plan for service users. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 13 EVIDENCE: In discussion with service users, members of staff and from information gathered from written records it was clear that service users have the opportunity to participate in varied and valued activities both in the local community and further a field, including: paid employment, voluntary employment, attending meaningful college courses and people having regularly opportunity for going on days out to places of interest. This is usually one to one support, giving the service user some specific individualised support. Some of the comments from service users were, “we do lots of different things that we want” I go out and I have a job and go out to evening groups. I do what I want” and one of the staff said, “In this house you are lucky to find people in”. Throughout the home there were photographs of individuals participating in a variety of different leisure and recreational activities and in discussion with service users, staff and with other information gathered, there was a sense of achievement and excitement about the different activities that people are involved in. Some of the photographs were of a recent supported holiday to Benidorm, which the three service users went on. It was apparent from the information available that people do have appropriate relationships with family and friends and during the inspection visit one of the service users received a telephone call from a relative. The person was given privacy and it was evident that this is a normal procedure. There is a strong link between the two homes in the care organisation and the service users and the staff confirmed that service users often participate in leisure and recreational activities together, one staff member commented, “most of the service users have been friends for a long time”. It was observed that there was a good rapport between the staff on duty and the service users and it was evident that respect, privacy and dignity are demonstrated within the home. Service users are supported (as much as possible) to prepare and cook their own meals and are actively involved in choosing menus. One of the service users said, “Sometimes I cook the lunch and I do the coffees” and the manager commented, “Service users are free to choose their meals on a daily basis. We have no set menus”, helping to highlight that people are enabled to take decisions and make choices in their daily lives. 6 Lord Street DS0000010010.V322146.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. All of the support given to service users is provided in an appropriate, courteous and dignified way. The home works in partnership with other agencies to ensure that service users’ health needs are fully assessed and addressed. The medication procedures are satisfactorily administered to safeguard and protect the service users. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 15 EVIDENCE: The three service users’ written records were well organised with individual care plans, covering: physical ability, mobility, medical history, and pattern of living, with health action plans in place for each person. They also included personal information, such as N0K and telephone numbers in the event of an emergency. These files/plans gave clear guidance for care staff on how to provide personal care to service users. One person is having on going support with a training programme with regards to using his own alarm clock. This person was quite pleased about the progress he has made and said, “I am getting myself up of a morning now, and it’s great”. There were daily communication handover sheets, which were informative and up to date, in order to assist the carers in meeting the service users’ daily needs. Medication procedures and records were examined and found to be satisfactory, with staff being appropriately trained in the storage, administration and recording of medicines. It was suggested to the manager that it would improve the medication procedures, if further detail could be added to the records, with particular regard to PRN medication (as and when required). To indicate when you know it is required, how do you know? And what the medication is for? Following the previous inspection visit, the home had received a visit from one of the pharmacists from the commission for social care inspection (CSCI) and the advice and guidance that had been given was being carried out. GP’s hold regular medication reviews for service users, which also helps to guarantee that correct medicines and dosages are administered to individuals, in order to safeguard, promote and maintain their health. 6 Lord Street DS0000010010.V322146.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. Satisfactory policies and procedures are in place, helping to protect and safeguard service users. EVIDENCE: The policy and procedures were examined and found to be thorough and concise, with relevant addresses and telephone numbers for Social Services and for CSCI (commission for social care inspection). The home now has access to the ‘No secrets’ document, which gives guidelines regarding the protection of vulnerable adults. (Previous recommendation). All staff have received ‘The Protection of Vulnerable Adults’ training which is supplied by an independent training organisation. (Ormerod Trust). In speaking to staff they all had a full understanding of the importance of the protection of vulnerable people. On person said, “I have had POVA training and I am fully aware of the procedures to follow, if I suspected any kind of abuse”. All staff had signed to confirm that they had read the policy and procedures regarding ‘Concerns and Complaints’ and that they would adhere to them. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 17 Service users’ files contained complaint cards, which were in an easy format, thereby helping service users who may have some reading difficulties to better understand. There have been no complaints received since the last inspection visit. 6 Lord Street DS0000010010.V322146.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 adequate. This judgement has been made using available evidence including a visit to this service. Although the home is clean, hygienic and comfortable. There is a need to make progress with the redecoration and refurbishment plans. This will help improve the environment and increase the service users’ wellbeing and safety. EVIDENCE: A tour of the home was carried out and it was generally clean and homely, with collages of photographs placed around the home, showing various activities, days out and holidays that service users have been involved in. The service users’ bedrooms all contained evidence of individuality, with their own possessions and different items of interest or activity on display. It was stated that plans are in place to decorate the whole house, including the service users’ bedrooms. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 19 There is a bedroom provided for staff when they are on ‘sleep in’ duty, however, it appears that some staff are not using this facility and are sleeping in the service users’ lounge. The owner and the manager were informed that this is not an acceptable practice and an assurance was given that this practice would cease immediately. The kitchen is in need of being replaced, as it is looking very worn, old and impractical. Once again it is planned for a new kitchen to be installed and whilst it is being fitted, the service users will go on a short holiday, in order to cause as little disruption to them as possible. The laundry, bathroom and toilet facilities are adequately provided within the home. It was suggested that the replacement of the spiral staircase could perhaps be a longer term goal to promote health and safety. It was also suggested to remove the notice ‘visitors must sign in’ and the other signs referring to ‘no smoking’ at the front of the home. This would help to demonstrate ‘ordinary living’ principles and values and give a clearer indication that people with learning disabilities are part of the community and live in an ordinary house. Generally the home is in need of some attention. And as already mentioned the organisation has said that they are committed to refurbishing the home throughout. 6 Lord Street DS0000010010.V322146.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. The staff are well trained and competent, giving the confidence that service users are adequately and appropriately supported. A thorough recruitment policy and procedures were in place, ensuring as far as possible the protection of service users. EVIDENCE: A thorough recruitment policy was in place with satisfactory procedures (reviewed January 2006), which took into account the need to protect service users. The staff files that were examined contained: recently revised contracts of employment, references for employment, job descriptions, medical questionnaires, annually signed policy on medication, policy on gifts to staff and other personal information such as, NOK, GP and any medical conditions. 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 21 There was evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks. This helps to ensure that service users are protected and safeguarded by having a robust recruitment selection process. At the time of the inspection visit the home was a member of staff down and interviews had been planned for later in January 2007. In the interim period the present staff were covering the vacancy. This was another example of the commitment, support and caring attitude of the staff team. Staff files also contained certificates for National Vocation Qualification (NVQ) at level 2 with over 50 of the staff having achieved this award. As previously mentioned, the staff were very complimentary regarding the quantity and quality of the training they had received and the examination of the training programme and matrix confirmed this. The staff on duty during the inspection visit demonstrated that they were well trained and more than adequately skilled to meet the service users’ needs. The support and care that was provided was calm and unhurried, helping again to show that the staff were committed to the people that they supported and cared for. 6 Lord Street DS0000010010.V322146.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. The home is well managed and organised, ensuring as much as possible that service users receive a good service. All health and safety checks are satisfactorily carried out, helping to guarantee that the safety and welfare of service users and staff is promoted and protected. EVIDENCE: The manager at Lord Street was appointed to the post in August 2006. She has over 10 years of experience in the care and support of people with Learning Disabilities and with people who have mental health problems, having 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 23 previously been employed by the NHS and Lancashire County Council Social Services Department. There is a consensus of opinion that the manager has, “turned the place around for the better” The service users, the staff and the owner were all complimentary of the management skills that are being demonstrated. In discussion with the owner it was stated, “they will aim towards Jill becoming the ‘registered manager’”. Information and advice was provided to enable this process to commence and an application for a registered manager was sent for on the day of the inspection. Some of the comments from the manager were, “This is the best staff group, I have ever worked with and everyone of the staff go way and beyond what is expected of them, they are very committed”. The organisation has completed ‘A Quality Development Plan’ for 2006/2007, which incorporates the objectives that were achieved for 2004/2005, including: A revised complaints procedure, with new service user questionnaires and it was reported that these questionnaires are being used successfully. The organisation has maintained the Investors in People Award, (a quality assurance monitoring organisation) demonstrating that there is a commitment from the organisation to have its quality of care assessed both internally and externally. All of the homes policies relating to health and safety were inspected and were found to be up to date, with review dates in place, helping to show that the health and safety of all who live and work at Lord Street is taken seriously. Inspection certificates, including; electrical inspection, portable appliance testing certificate (PAT), gas inspection and employers liability insurance were available for examination and up to date. There was documented evidence of fire alarm and fire drills being completed on a regular basis. This all helps to ensure that service users and staff are protected and safeguarded with regards to health and safety matters. 6 Lord Street DS0000010010.V322146.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 2 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 2 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 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X 6 Lord Street DS0000010010.V322146.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. 1. Standard YA2 Regulation Requirement Timescale for action 31/01/07 2 YA24 14 (1) (a) (b) (c) (d) (1) The registered provider (2) (a) (b) should ensure that a preadmission assessment is carried out before accommodation can be offered (2) Ensure that the assessment of service users needs are kept under review.. 23 (2) (b) The registered provider should & (d) ensure that the home is in a good state of repair and reasonably decorated. 30/04/07 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 YA37 Good Practice Recommendations It is strongly recommended that the present manager be registered with the commission for social care inspection (CSCI) as soon as possible (Recommend within 2 months). 6 Lord Street DS0000010010.V322146.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 6 Lord Street DS0000010010.V322146.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. 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