Inspection on 17/04/07 for 62 Wright Street

This inspection was carried out on 17th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

62 Wright Street 02/03/06

62 Wright Street 13/10/05

62 Wright Street 16/03/05

62 Wright Street 12/08/04

62 Wright Street 17/03/04

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 62 Wright Street Mencap Homes Foundation 62 Wright Street Horwich Bolton Lancashire BL6 7HY Lead Inspector Lucy Burgess Unannounced Inspection 17th April 2007 09:30 62 Wright Street DS0000009317.V297680.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 62 Wright Street DS0000009317.V297680.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. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 62 Wright Street Address 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) Mencap Homes Foundation 62 Wright Street Horwich Bolton Lancashire BL6 7HY 01204 694286 H4037@mencap.org.uk Royal Mencap Society Ms Janice King Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd March 2006 Brief Description of the Service: 62 Wright Street is a domestic property providing support and accommodation for up to 4 people with a learning disability, each have complex and multiple disabilities. Staffing is provided throughout the day and night. The property provides 4 single bedrooms, living and dining rooms and kitchen. The home is internally connected to the bungalow next door. Additional aids and adaptations are provided throughout the home to meet the needs of the service users. The home is situated close to Horwich town centre and has good access to local shops and bus routes. There is a small front and back garden, mainly paved. Parking is available on the street. The home also has its own vehicle. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home is registered to provide accommodation for up to 4 people with learning disabilities. The inspection visit was unannounced and took place over half a day for a period of 5½ hours. The inspector took the opportunity to look round the home, view records, observe interactions with residents and talk with staff. As the Manager was not on duty at the time of the visit, the inspector spoke with the Manager by telephone a few days following the inspection. As part of the inspection the Manager was asked to complete a pre-inspection questionnaire and feedback surveys were sent out to residents, relatives and health care professionals. The inspector received feedback from 2 relatives and 2 GP’s. Comments have been added to the report. All the ‘key’ standards were looked at during this inspection visit. What the service does well: Residents living at Wright Street require a great deal of support so that their health and personal care needs are met. This is done by a staff team that has been trained to a high standard and who are clearly able to do their job. Each of the residents were seen during the visit and all appeared happy relaxed and well cared for. As most of the residents are not able to express their needs and wishes verbally, the staff team make sure that they clearly communicate with each other so that they support each resident in a way they feel suits them. This information is also recorded within each of the care plans so that the way in which the support is to be provided can be clearly understood. Comments were received from GP’s and relatives. This was very positive and included comments such as; ‘this is a well run home’ and ‘I have the highest regard for the staff team and the management of the home and feel my relative is extremely well cared for’. Overall the residents are provided with an excellent standard of care having their needs well met. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 6 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. 62 Wright Street DS0000009317.V297680.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 62 Wright Street DS0000009317.V297680.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. The admissions process gives an assurance that a resident will only be admitted if the home can meet their needs. EVIDENCE: There have been no changes with regards to the residents living at the home. As identified within the report for 60 Wright Street the manager at 62 Wright Street follows the same process of resettlement. Mencap has a clear process, which is followed when assessing and resettling prospective residents. Information is gathered from a number of sources, which enables them to make an informed decision about the suitability of the placements. Prospective residents and/or their representatives are also provided with information and opportunities to meet the staff team and other residents they may be living with. This too informs the decision about whether placements are made. Once agreed, information gathered would be used to inform the development of the care plan. Placements are reviewed following an initial settling in period. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive information about residents assessed and changing needs as well as areas of risk are included within their care plan detailing how each individual chooses to live their life. EVIDENCE: Care plans and assessments have been completed for each of the residents and explore all aspects of their daily life including areas of risk. Due the health and physical needs of the residents living at the home great importance has been placed on ensuring that a consistent approach is followed by staff. In light of this comprehensive information and assessments have been completed for staff to refer to. These have been developed by the team as a whole as well as accessing the support and advise of professionals where necessary. Care plans are presented in the first person and focus on how each individual chooses to live their life, what their preferences are, their daily routine, what support they need and how they would like it to be provided. Information is provided in an easy to read format and includes pictures. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 10 Information was examined for two residents who have experienced changing needs, which are being monitored and assessed. The plans of care had been updated on a regular basis due to the changes and action taken providing a good overview of the person, their needs and what intervention had taken place. Reviews are also carried out with the Local Authority reviewing team and minutes are held on file. Risk assessments are also completed and focus on any area where a potential concern has been identified. Assessments have been completed with regards to epilepsy, rescue medication, personal care, using the vehicle, hoisting and bed guards. These too provide guidance for staff in ensuring the safety of residents. Further records are made with regards to daily reports, medication and finances, these are monitored on a regular basis. As most of the residents are not fully able to express their views and opinions verbally, time was spent observing routines and speaking with staff. Each team member demonstrated that they have a good understanding in relation to the running of the home and the needs of the residents. Each felt that they were all able to bring individuals skills and strengths to the team, which enabled them to work well together. The home continues to utilise the intercom system, which is provided in each of the residents’ bedrooms. This is only used during the night shifts to monitor the health needs of residents. Risks assessments have been completed taking privacy into consideration. The home also has an on-call system in place, which offers support throughout the day and night. Feedback was received from relatives. Comments included, , ‘I have the highest regard for the staff team and the management of the home and feel my relative is extremely well cared for’. Two surveys were also received from GP’s who support the residents, they commented, ‘this is a well run home’ and answered ‘yes’ to the staff communicating clearly and working in partnership, that they demonstrate a clear understanding of needs, that their advise is incorporated into the plan and that medication was appropriately managed. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 – 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social and leisure opportunities are made available to residents enabling them to lead a full and active lifestyle as possible. Dietary needs of residents continue to be closely monitored ensuring their health and nutrition is maintained. EVIDENCE: Discussion was held with staff with regards to the daytime routines of residents. Due to recent changes in funding, money previously available for activities and holidays has been cut. It was felt that this may impact on the choice and frequency of what is available to them. Staff stated that once information was clearer they would be able to look at what options were available to them as well as exploring other interests which may be suitable. At present routines vary depending individual routines. Due to the physical needs of residents much of the morning time is spent supporting residents with 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 12 rising, addressing their personal care needs and preparing and assisting with breakfast. The rest of the day is spent at leisure following activities both in and away from the home. Since the last visit residents have enjoyed a number of activities, which have included theatre trips, football matches, shopping, colouring and gateway club as well as attending the sensory activity centre. Further arrangements are being made to access the hydro pool. Sufficient staffing is provided so that each person is able to pursue his or her individual activities and interests. Due to restrictions in their mobility residents are fully supported by staff. The home has access to a vehicle, which enables residents to access the wider community more easily. Relationships with family and friends are also encouraged and maintained with regular visits taking place. One of the residents has also recently returned from a holiday in Blackpool, which was supported by staff. Again the choice of meal is based on individual preferences. Each resident has their own particular support need in this area. One resident is fed through a peg, for which all staff have received training. The resident who was ‘tracked’ during the visit had an appointment to see her GP that afternoon to discuss diet and nutrition due to concerns around swallowing and weight management. Each resident is offered a balanced diet, which includes an occasional take away or meal out. Records are maintained of meals and of weights, so that this area can be monitored as part of their health care plan. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal, emotional and health care support is provided in way that safely and effectively meets the individual needs of residents. EVIDENCE: Much of the support provided at Wright Street focuses on maintaining the physical well-being of residents due to their high physical needs. Three of the rooms are provided with ceiling tracking hoist so that safe support can be provided when providing care. Additional aids and adaptations are also available throughout to enable staff to support residents safely when accessing all areas of the home as well as providing comfort and relaxation. As already identified additional support is provided in relation to peg feeds, rescue medication and mobility. Training and guidance has been provided by the community nurses and physiotherapist so that the team can promote the health and well-being of residents. Active monitoring and intervention, where necessary is maintained by the staff within the home. Ongoing health intervention is provided with access to all health professionals including GP’s, district nurses, epilepsy clinic, dietician etc. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 14 One of the residents who was ‘tracked’, has been experiencing difficulties with swallowing. Appropriate action has been taken by the team and tests have been undertaken by the hospital to establish the cause and any treatment that may be required. Whilst this is still on-going information within the care plan reflected this with regular additions being made so that information was clear. Agreement has been made for the community nurse to visit and draw up a clear procedure for staff to follow with regards to rescue medication ensuring risk is minimised. The nurse will also review and update procedures in place for two other residents. Staff felt fully informed and supported by the health care professionals who support the home. Staff continue to provide support to all appointments away from the home. Where visits take place in the home residents are seen in the privacy of their own rooms. The staff team consists of both male and female support therefore where possible same gender support is provided. The medication system was also examined. The home continues to use the monitored dosage system, which is supplied by BOOTS pharmacy. The last audit carried out by the supplying pharmacist was October 2006. No issues were noted. All medication is administered by staff due to the needs of residents. Each have received relevant training, this will also be undertaken by the newest member of the team. Detailed information is recorded about each resident with a pen picture and medical/health history about their support needs. Medication is reviewed regularly with health professionals. On examination of the system it was found that medication continues to be stored appropriately. MAR sheets are also completed on administration of medication to evidence what has been taken. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 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. 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. Robust procedures and training are in place ensuring that residents are listened to as well as being protected. Information is also provided to residents in a way that they can understand. EVIDENCE: As previously identified the home has clear robust policies and procedures covering complaints and protection. The manager and staff have received training in this area relevant to their role and responsibilities ensuring residents are protected. A new user-friendly document covering adult abuse and protection has been shared with the home and copies have been provided to each of the residents. Appropriate recording systems are in place should any concerns or complaints be raised. No complaints have been raised with the CSCI or the home. Three of the residents are unable to verbally communicate and therefore would rely on relatives or an appropriate advocate to act on their behalf. Feedback was received from 2 relatives who expressed that they had never needed to raise any concerns about the home and the care provided. The home also has further written policies and procedures for adult protection. These include dealing with whistle blowing, aggression, service users finances and missing persons. All staff have a Criminal Record Check in place. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 16 During the visit the inspector looked at how residents’ finances are managed. Records continue to be made of all transactions along with regular checks ensuring balances accurately reflect money held. Monthly audits are carried out by the managers to ensure that the information held is correct. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Wright Street continues to provide a comfortable homely environment for those that live there. Aids and adaptations have been provided to enable the necessary support required in meeting the complex needs of residents. EVIDENCE: Accommodation within the home comprises of a lounge, large open dining room and kitchen. There are four single bedrooms, 2 bathrooms and 2 separate toilets. The home also has a designated laundry area, which is shared with residents next door as well as a staff office/sleep-in room. The environment has been well adapted to meet the needs of residents whilst still maintaining a homely feel. Each of the residents’ bedrooms were looked at. Three of the rooms are now fitted with ceiling tracking hoist to assist in moving and handling. Rooms are individually decorated and furnished. One resident is currently having her room redecorated and new furniture is being purchased. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 18 The kitchen has now been completed with new fixture and fittings. New electrical goods and new flooring have also been provided. New flooring has also been provided within the bathrooms. Previous work required in the dining room and shower room caused by damp has now been addressed. The dining room has been redecorated and the shower room re-plastered, this now need to be painted. It was found that the extractor fans within the bathrooms/toilet were full and required cleaning. In the lounge, space is provided to accommodate specific seating for each of the residents. The carpet appeared soiled and required cleaning. The inspector spoke with the manager following the inspection who explained that consideration would be given within the new budget with regards to replacing the carpet and some of the furniture, which is also damaged due to the homes cat. Further discussion has also been held with the landlords with regards to changing the fire as well as the provision of a generator following a recent power cut, which left the home without power for approximately a day and a half. This is being explored for both number 60 and 62. The home continues to use a monitoring system, which is used at night times due to the health needs of residents. Information is recorded with regards to its use to ensure the rights and privacy of residents are protected. The home has a separate laundry, which is sited away from the kitchen. Sufficient equipment is provided and includes a sluicing facility. Adequate provisions are in place with regards to protective clothing and the management of clinical waste. During the visit the home was found to be clean, tidy and free from odour. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 19 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. Staff employed by the home have been appropriately recruited and trained ensuring that the needs of residents are supported by competent and efficient staff. EVIDENCE: Since the last inspection visit 2 members of the team have left. Some recruitment has taken place and a new part time worker has been appointed. Where hours are not covered by existing staff, shifts are offered to Mencap relief staff. On the day of the visit a relief worker was on shift however had previously been a permanent member of staff and was therefore fully aware of the residents needs. As the manager was not on duty during the visit, staff personnel files were not examined, however no previous issues have been identified in this area. Mencap has clear procedures in line with legislation and good practice guidance with regards to the recruitment of new staff. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 20 In relation to NVQ training, all but the newest member of the team have completed the course. The Manager has also completed the NVQ 4/Registered Managers Award. An on-going programme of training is offered, which explores areas, which are specific to the needs of residents living at the home. This includes safe swallowing, peg feeds, epilepsy, risk assessments, respond and respect, protect and respect and POVA as well as mandatory refreshers. Further courses identified also include equality and diversity, attendance management and disciplinary and grievance. A group discussion was held with the staff on duty who confirmed that a lot of training had been provided. Team members also discussed how duties are allocated drawing on individuals’ skills and abilities, which enabled them to work effectively as a team. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 21 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 management and conduct of the service ensures the safety and well being of residents. EVIDENCE: The management arrangements for the home have remained consistent with regards to the Registered Manager and Service Manager, with clear lines of responsibility and accountability in place. As already stated the Registered Manager has completed the NVQ 4 and Registered Managers Award along with other training and development relevant to her role. This has included management training in POVA, New Restructure Launch for Mencap and performance management. As part of the home’s quality assurance, on-going evaluation and review takes place to ensure that the aims of the home are met. The Service Manager 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 22 completes monthly visit reports of which copies are held within the home and forwarded to CSCI. Regular supervision with the manager is also undertaken. Staff confirmed that they too have received supervision and appraisals where areas of training and development are discussed. Meetings are also held for staff and minutes are recorded. Due to the needs of residents, formal meetings are not held. Members of the team also have delegated responsibilities to carry out regular checks ensuring the health and safety of residents is maintained. Health and safety checks continue to be addressed. Up to dates certificates were seen for the gas, 5-year electric, small appliance, fire alarm and equipment, emergency lighting, bed rails and ceiling-tracking hoists. Further internal checks are carried out in relation to fire safety and water temperatures. General risk assessments have been completed in relation to the environment along with Coshh assessments. Work identified following a visit from the fire officer had also been completed. This has involved selfclosing devises being fitted to fire doors. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 23 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 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 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations Work required with regards to the cleaning of the lounge carpet and the extractor fans should be carried out providing a clean environment for the residents. 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 62 Wright Street DS0000009317.V297680.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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