Inspection on 29/09/05 for 63 Junction Road

This inspection was carried out on 29th September 2005.

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

63 Junction Road 15/02/06

63 Junction Road 20/07/05

63 Junction Road 17/01/05

63 Junction Road 04/10/04

63 Junction Road 11/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

Extracts from inspection reports are licensed from CQC, this page was updated on 19/12/2008.

CARE HOME ADULTS 18-65 63 Junction Road Leek Staffordshire ST13 5QN Lead Inspector Richard Eaves Unannounced Inspection 29th September 2008 09:00 63 Junction Road DS0000004964.V372177.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 63 Junction Road DS0000004964.V372177.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. 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 63 Junction Road Address Leek Staffordshire ST13 5QN 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) 01538 382542 Choices Housing Association Limited Mrs Sandra Aileen Perkin Care Home 5 Category(ies) of Learning disability (5), Physical disability (2) registration, with number of places 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 LD - 2 may be PD Date of last inspection 3rd October 2006 Brief Description of the Service: 63 Junction Road is a well-maintained domestic style detached residence, which fits unobtrusively into the surrounding suburban setting on the outskirts of Leek. The home is registered to provide care for five people with medium dependency needs and who have learning disabilities requiring 24-hour care. Accommodation is provided on two floors. The first floor is accessed by a main stairway. On the ground floor there are two bedrooms, two day-rooms and the kitchen/diner, and there are three further bedrooms on the first floor. Three of the bedrooms have en-suite facilities including showers, and the bathroom is equipped with both bath and a separate power shower operating over the bath. There are five toilets situated throughout the house. The service is operated by Choices Housing Association, a non-profit organisation who provide care and other services throughout Staffordshire and Stoke-on-Trent. People may wish to obtain up to date information about fees from the Home. 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This key unannounced inspection visit was undertaken by an Inspector from the Commission for Social Care Inspection, over one day using the following information: reports from the organisation relating to the conduct of the home, records maintained at the home, the annual quality assurance self assessment, (AQAA) and reports by other agencies. The inspection involved looking around the home including, a number of bedrooms, the communal rooms and service areas and provided an opportunity to speak with the people who use the service and the staff. What the service does well: What has improved since the last inspection? In the previous report a recommendation was made that potentially combustible material is stored safely and this has been implemented and all 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 6 aspects of fire and chemical safety have been reassessed and action taken to improve. 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. 63 Junction Road DS0000004964.V372177.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 63 Junction Road DS0000004964.V372177.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): Standards 1 – 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are provided with good sources of information, although this should include the fees to help them make informed choices. People wishing to move into the home can be confident that the home can meet their needs and they are invited to visit the home before making a decision. EVIDENCE: The home provides information in formats appropriate to those people who use the service including pictorial format, which is easy to follow and recently reviewed. The information is available in the person centred file, which is kept in people’s bedroom. The service undertakes in-depth assessments; including an extended trial period over 6 to 12 weeks to ensure the service is appropriate and needs are identified and can be met. The service assessment is complemented with inputs from specialist services. The self-assessment, (AQAA) by the service identifies that the assessments are used to inform the development of person centred plans and health action plans. The full involvement of the people who 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 9 use the service and their families is demonstrated throughout the process with detailed information on likes and dislikes and how to communicate, such as use of ‘makaton’ signing and interpreting of physical signs like agitation and restlessness. The level of communication ability is identified during the assessment and examples seen showing limitations to signing yes or no. The assessment process also prioritises needs and wishes for inclusion in the person centred plan. The whole process is subject to regular quality review. All people in the service have a social services contract and their involvement is shown by writing their name to accept the terms of the contract. 63 Junction Road DS0000004964.V372177.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): Standards 7 – 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the service are supported to make decisions about their own lives including taking risks and a record is kept within their individual plan. EVIDENCE: We selected three files to check in detail, we call this case tracking, and found these to be person centred in approach and to include risk assessments and risk reduction strategies. Person centred means that the service is tailored to meet each person’s needs individually in a way that understands every aspect of their lives. Each person’s file is located in their bedroom and is fully accessible to them. The contents cover such areas of support as personal care, health, medication, communication, mobility finance, leisure and recreation. Routines are outlined as well as involvement in such aspects of daily living as laying of tables before 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 11 meals, tidying and cleaning their own room or doing their own laundry. The person centred plan includes a comprehensive range of all the activities participated in both at the home and away, each supported with full risk assessment and identification of the level of support required. This ranges from one to one, to independently going out. On the morning of this inspection one person who uses the service was out in the town independently and returning before lunch. Another was being assisted with their personal appearance as an active event and in preparation to attending the Gateway club. The service’s self-assessment, (AQAA) identifies that the plans are reviewed quarterly by the personal care and deputy manager and 6-monthly with the addition of other stakeholders. The people who use the service are fully involved in all aspects of the reviews. The AQAA also tells us that new approaches have been introduced to improve communications with wider use of pictorial data such as Important to/ Important for, Good day/Bad day and we saw these in use. An events file is maintained for each person recording all memorable times and examples of these were viewed. Staff said that now the whole system is on computer reviewing is easy and kept fully up to date. The manager identified that team meetings are also person centred in focus by using a ‘What’s working/What’s not working’ approach, staff confirmed that the system encourages staff involvement and a positive approach to addressing issues and improving staff skills. This means that staff understand and have the skills needed to meet people’s individual needs. 63 Junction Road DS0000004964.V372177.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): Standards 11 – 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People are supported to achieve meaningful lives through personal development and access to leisure, social and recreational activity. People using the service are provided with healthy food, which they enjoy. EVIDENCE: The opportunity to learn and use practical living skills is an important element in the person centred plan for each person and includes maintaining family relationships and taking opportunity to fulfil spiritual needs. One person attends church regularly where the family attend but accesses this with staff support independently, confirming a personal choice to attend. People are supported to make their own choices in regard to taking up educational opportunities; currently one attends college to study numeracy, literacy and art, while another until recently studied woodwork. Attendance at 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 13 the Gateway Cub is generally more popular as this provides a mixture of sports, social and craft opportunities. One person participates in voluntary work at a garden centre and he says it provides him with a good feeling of doing something worthwhile. Over the summer each person took up a holiday of their choice, two taking a caravan holiday and others at a country cottage. Regular day trips were also undertaken. The planning of these and for future events such as preparing for Christmas is undertaken as a group but with individual wishes also included. Staff were observed to seek permission to enter occupied rooms and this extends to staff ringing the front door bell to be invited into the home. The AQAA also identifies that people open their own mail and are addressed by their chosen name. The people using the service meet weekly to plan the next week’s menu for the evening meal. One person who had missed the meeting was offered the chance to look at the selection and add in any personal choices. Breakfast and lunch meals are a free selection on the day. Individual records of daily intake are maintained and the menu evaluated monthly to ensure a balanced and nourishing diet is taken. Fresh fruit, vegetables and fruit juice is included in the diet. We took lunch and enjoyed a relaxed meal with all participating in the conversation. The people using the service confirmed their pleasure with the meals and discussed the morning’s events and plans for the remainder of the day. 63 Junction Road DS0000004964.V372177.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): Standards 18 – 21 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home meets the health and personal care needs of the people using the service with detailed assessments and care planning, respect and privacy and access to health care. Medications are well managed, facilitating the promotion of people’s health. EVIDENCE: Staff receive training during their induction on the need to promote privacy, dignity and respect in all their interactions with the people who use the service. This was observed over the day and addressed sensitively and in a natural way. Clear plans identify routines and personal choices and the involvement of health care specialists are clearly identified. Each person has an identified key worker known as the personal carer within the service. Each person has a health action plan that is also provided in user-friendly pictorial format. The plan provides detailed guidance on how the individual might present symptoms of pain and other distress. It includes full information 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 15 about the person’s general health issues and any appointments with health services. Individual aids and adaptations are identified and a range of health risks assessed including moving and handling, nutrition and health conditions such as diabetes and epilepsy. The health action plan is reviewed and summarised monthly. The allocation of staff allows for the same gender involvement when support with personal care is needed. Each person attends a well woman/well man clinic annually. All staff have received accredited training in the management and administration of medication and receive updates annually. The service has support and independent audits from their Pharmacist. Inspection of the records of administration, storage and disposal are completed thoroughly. Each person has individual protocols and monitoring for effects of medicines in place and the GP reviews their medication at least annually. The person centred approach to care provides for addressing the issues of ageing and dying in a sensitive and effective way. The service uses a process known as ‘For when the time comes’ and staff said they were comfortable in using this and thought that it did not cause upset in obtaining people’s viewpoints and wishes. 63 Junction Road DS0000004964.V372177.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): Standards 22 – 23 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People using the service and their supporters can be confident that their views will be listened to and acted upon. Staff are taught how to uphold the welfare of the people using the service. EVIDENCE: A clear and concise Complaints Procedure is displayed in the main hallway, which includes reference to us, as the regulatory body, together with contact details. The procedure is produced in formats appropriate to each person who uses the service such as large print and pictorial. No complaints have been received during the past year. There is evidence of recording minor concerns, in the form of a grumble book that staff can access should they consider that any person is generally unhappy with a particular situation and there is good evidence of a positive response to these concerns. Regular meetings for people using the service provide opportunities for them to raise items that cause them concern and regular surveys of views both of them and their families provide them further opportunity. The home has policies and procedures in place to protect the people using the service from abuse, and a ‘whistle blowing’ policy. They also have a copy of 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 17 the local multi agency policy for responding to abuse, and the Department of Health ‘No Secrets’ document. Staff have all received training in the Protection Of Vulnerable Adults. The staff we spoke with said they were confident that they know what constitutes abuse and that they would respond to any signs that they may observe. There have not been any safeguarding referrals during the past year. All staff have been checked by the Criminal Records Bureau and Protection of Vulnerable Adults list as part of their appointment 63 Junction Road DS0000004964.V372177.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): Standards 24 and 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who use the service live in a comfortable home that offers them a life style suited to their age and condition. Specialist equipment, consistent with the needs of the people at the home is available to facilitate the provision of care. EVIDENCE: People using the service live in a well-maintained, detached property in a residential area close to shops and local community facilities. Accommodation is provided on the ground and first floor, which is accessed by stairs. This limits the availability of accommodation for people with a mobility disability to the 2 ground floor rooms. The ground floor bedrooms have en-suite facilities including showers, and the first floor bathroom is equipped with both bath and a separate power shower operating over the bath. 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 19 We looked around the home and no major issues were identified. The home was clean and there were no offensive odours. We were invited to view the bedrooms and found them to be individually decorated to a good standard with wallpaper of the person’s choice. Each bedroom reflected the person’s interests and had mementos of activities undertaken over time, each room being homely and attractive. The AQAA says that the lounge and dining rooms have recently been refurbished and refitted with new furnishings. Maintenance and environment monitoring is to a high standard. A formal cleaning schedule is in place with details of tasks to be completed. We saw that the home is being kept clean and hygienic and that staff receive infection control training. The Control Of Substances Hazardous to Health (COSHH) cupboard was observed to be safely locked. The laundry is modern and a new washing machine has been fitted recently. 63 Junction Road DS0000004964.V372177.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): Standards 32 – 36 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Staff are clear as to their individual roles and responsibilities and are enthusiastic, sufficient in numbers, well trained and committed to maximising the quality of lives of the people using the service. The recruitment practices, staff training and supervisions contribute to ensuring the needs of the people using the service are met. EVIDENCE: On appointment new staff undertake a programme of induction that includes the first week at head office followed by six months in-house induction with assessments, this is followed by enrolment for the Learning Disability Qualification and on completion allocation for NVQ level 2 at the next opportunity. The current level of NVQ qualification is 70 with the remaining staff enrolled. The rotas confirm that staff numbers across the 24hour period are appropriate to the needs of the people using the service and past evidence supports the 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 21 fact that numbers are adjusted according to their presenting needs. In addition to the manager, 3 staff are allocated for the morning, 2 for the afternoon/evening and 1 overnight with a senior staff on call. Recruitment for the home is overseen by the organisation’s Human Resources Department and equal opportunities and employment legislation are fully taken into account. A sample of two staff files including the most recently employed staff, show these to be completed to a very good standard with all appropriate pre-employment checks being undertaken such as Criminal records Bureau (CRB) and Protection Of Vulnerable Adults (POVA) first. This ensures that the people using the service are supported by the right people. Each member of staff has a training and development programme supported by an appraisal system that is reviewed quarterly. Appropriate emphasis is given to mandatory training and an inspection of the training matrix show this to be complete and up to date. Training certificates were available on each of the staff files viewed and included fire safety, moving and handling, first aid, infection control and safeguarding. Other training provided for all included accredited medication administration, behaviour management, food hygiene and specialist training for epilepsy and the use of specific medications. The AQAA also identifies that staff are trained in personal safety, lone working and managing challenging behaviour, (MAPA). Staff are supervised and records of these kept on file, those files viewed were up to date and relevant in content. In conversation staff said the level of support was very good and one said the level of training is second to none, the best they have experienced. Staff also said the team meetings were much better with the introduction of the ‘What’s working/ What’s not working approach. 63 Junction Road DS0000004964.V372177.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): Standards 37, 39 and 42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The management systems in the home are open, positive and protect the people using the service. EVIDENCE: The home is led by a well qualified and experienced manager whose leadership style promotes an efficient and relaxed home and is well regarded and liked by the people using the service and staff alike. This was apparent from conversing with people as well as observing the interactions over the day. The manager keeps up to date with her management training, having recently taken a leadership and management course. 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 23 The service formally audits quality on a regular basis based on the best practices of the British Institute for Learning Disability and also the organisations own quality of life survey. Regular audits include confidentiality, infection control, financial and dignity. In addition to these there are monthly visits from a principal officer and during these visits an audit is undertaken conforming to the various sections in the National Minimum Standards publication for care homes for adults (18 to 65). Surveys are undertaken as part of the quality assurance process and this year the views of families have been sought and a survey of people who use the service and stakeholders is currently ongoing. Results from previous surveys were seen and Home improvement action plans developed and undertaken. The organisation give out staff surveys and seek their views on their personal experience at work. Health and Safety is given appropriate priority with a broad range of monitoring and maintenance in place with all staff receiving health and safety training at induction and on annual mandatory up dates. During the tour of the building it was observed that all corridors were clear of obstructions and the premises are kept in a safe condition. Appropriate arrangements are in place for the monitoring, recording and reporting of accidents. An inspection of the service and inspection certificates identified these to be up to date. Documentation also show that staff working at the home hold up to date certificates in health and safety, first aid, manual handling, food hygiene and fire safety. 63 Junction Road DS0000004964.V372177.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 4 2 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 4 X 4 X X 4 X 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations 63 Junction Road DS0000004964.V372177.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 63 Junction Road DS0000004964.V372177.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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