Inspection on 08/05/07 for Richards House

This inspection was carried out on 8th May 2007.

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

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

Other inspections for this house

Richards House 21/02/06

Richards House 05/11/04

Richards House 15/04/04

Similar services:

Littledale Hall Therapeutic Community

Bennett House

Padgate House

Mary & Joseph

Westcliffe House

Hamer Cottage

Turning Point (Hoole Road)

Stanfield House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Richards House Richards House 23 Townley Street Middleton Manchester Greater Manchester M24 1AT Lead Inspector Tracey Rasmussen Unannounced Inspection 8th May 2007 09:15 Richards House DS0000025534.V338553.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 Richards House DS0000025534.V338553.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. Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richards House 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) Richards House 23 Townley Street Middleton Manchester Greater Manchester M24 1AT 0161 653 4662 0161 653 4662 Turning Point Ms Janice Barnardo Care Home 5 Category(ies) of Past or present alcohol dependence (5), Past or registration, with number present drug dependence (2) of places Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 5 service users to include: up to 5 service users in the category of A (Alcohol dependent) under 65 years of age; up to 2 service users in the category of D (Drug dependent) under 65 years of age. The service should employ a suitably qualified and experienced manager who is registered with the CSCI. 21st February 2006 2. Date of last inspection Brief Description of the Service: The service, which is run by the national charity, Turning Point, aims to provide a supportive substance free environment where residents can examine their lives to date, reach a greater understanding of their substance misuse and develop ways of achieving changes. The residential project comprises the main ‘first-stage’ house at 23 Townley St which provides 5 places. There are also two ‘second-stage’ properties within walking distance of Richards House. All properties are located close to the centre of Middleton, and provides good access to transport links, shopping areas and leisure facilities. Referrals are accepted from all areas of the United Kingdom and service users’ duration of stay is usually between 6 and 12 months, depending on available funding. The current weekly fee was £346.50. As part of the project’s philosophy, service users participate in a range of individual and group activities, including: one-to-one support; relapse prevention; stress/anxiety management and relaxation. Alternative therapies such as auricular acupuncture, aromatherapy and Indian head massage are also available to service users. Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced key inspection site visit on the 8th May 2007. This means that the staff in the home did not know that an inspection was to be undertaken. The inspection included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last inspection. All key inspection standards were assessed at the site visit and information was taken from various sources which included, talking with people in the home; talking with a volunteer, interviewing the person in charge and student on placement. A brief tour of the home was also undertaken and a sample of care, employment and health and safety records seen. Similar comments made at the previous inspection have been repeated in this report as the quality and focus of the service continued to be maintained at a high consistent standard. No requirements were made at the last inspection and no requirements have been made following this inspection. A brief explanation of the inspection process was provided to the person in charge at the time of visit and time was spent at the end of the visit to provide verbal feedback of the findings from the inspection visit. What the service does well: Richards House provides a specialist service in that it focuses on assisting and supporting people to get better, who have an alcohol or drug dependency problem. This is achieved by working with each person living in the home through an agreed programme of rehabilitation. The group of people living in the home at this visit were all new to the service and were still settling in and getting to know the local community. The people said, they felt supported in the home and that the ‘staff were lovely’ and ‘approachable’. The group said they had all wanted to come into the home to get better and they received a lot of information about what the home offered before deciding to move in. The group of people said that they had to agree to house rules and staying sober was the priority; they said that they had discussed their plans of care and agreed them, that they attended a group meeting every day to discuss a range of issues and that they also had a personal one to one meeting with a staff member to discuss individual concerns. Two of the people said they also Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 6 had enjoyed the alternative therapy services provided (Indian head massage and foot detox). Before to moving into the home each person received a detailed assessment to determine if the home could meet his or her needs. If admission to the home is appropriate and the person agrees to the move then individual written plans are recorded with the full involvement of the new person and he or she receives a copy of this plan. Care planning records focused on each person’s individual needs and included information about the person’s wishes and preferences. The service encourages and promotes the rights of people receiving the service and people in the home said they were consulted about routines in the home; that they were not restricted and they, “could come and go as they pleased”. Other records such as, pre-employment checks for new staff, health and safety checks, monitoring records for complaints and compliments were also kept up to date and were of a good standard. Training records seen, showed that the service trained it’s staff in a wide variety of areas to ensure the diverse care needs of the people living in the home could be met safely. 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. Richards House DS0000025534.V338553.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 Richards House DS0000025534.V338553.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): 1,2, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New people wanting to come into the home have their individual needs and aspirations assessed before admission and are provided with up to date information about the services provided. This means that any new people coming into the home know what to expect from the service and can be confident that their specific needs could be met. EVIDENCE: Turning Point offer a specialised service at Richards House, one that focuses on short term rehabilitation of people with alcohol and drug dependencies. Clear procedure and practices are followed from the point of a new referral to the home so that the needs of the new referral are properly assessed. This makes certain that the unique needs of each person moving into the home can be met. Nobody moves into the home without first agreeing to the move. People living in the home did say they agreed to moving in because they wanted to get better. Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 9 The preferred practice of the service is to invite prospective new people to the home, to discuss and explain the purpose of the service, to show them around and introduce them to the other people that live there. An information guide (Service User Guide) is also provided to the person. This practice also allows staff in the home to undertake a preliminary assessment of care needs with the new person and enables the prospective new person to decide on the suitability of the service for them. However if a potential new person has not completed a detoxification programme, staff from the home do go out and assess people’s needs and explain about the service offered by the home. On the day of admission an induction programme is gone through with the new person and this includes agreeing a plan of care, explaining the rules and the terms and conditions of staying at Richard’s House. Care files seen on this visit included records of the induction process followed with new admissions in the home and signed agreements to several things such as the confidentiality policy, the License Agreement which included house rules; facilities and services and a furniture inventory; and the complaint procedure. The person in charge said that the service was open to all people regardless of ethnicity or cultural background so long as they had a alcohol or drug related dependency problem and wished to get well. The person in charge did say that it was quite rare that they received referrals for people with diverse ethnic and cultural backgrounds. Richards House DS0000025534.V338553.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, 8, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service offers a person centred approach by supporting people to make decisions, take risks, and by increasing self esteem and promoting independence. EVIDENCE: All the people in the home were fairly new to the service provided by Richards House, as a consequence were still settling into the home and developing their own routines. Discussion with the people living there indicated that their rights were not restricted and they were free to come and go as they wished. The group said that they met every morning for a meeting to discuss what they had been doing over the weekend or what they planned to do that day, or to agree housekeeping tasks or to listen to advice or information for example on Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 11 different aspects of health, living a sober life, assertiveness and building self esteem. Care planning records were comprehensive and included clinical risk assessments. Care plans contained information to reflect the personal wishes and aspirations of the person receiving the service and they had signed their agreements to the plans. Discussion with people living in the home indicated that the care plans were being followed. Discussion with the person in charge at this visit identified that the personal wishes of each person in the home were respected. The person in charge said that usually the group living in the home at the beginning of the week, planned the weekly menus, agreed a cooking schedule and did a food shop. However the current group of people had all decided to plan their own meals and shop for themselves because their dietary preferences were varied. The people living in the home said they preferred to have their meals this way and that this allowed them the freedom to eat when they wanted. As part of the planned programme of support one to one sessions were undertaken with each person at least once a week and this allowed the person to discuss personal issues and progress in a private environment. The people in the home could also book a therapy session such as head or foot massage. Richards House DS0000025534.V338553.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 excellent. This judgement has been made using available evidence including a visit to this service. People in the home are encouraged and supported by the staff to acquire new skills and to live more independently through access to community and leisure facilities. Dietary needs and preferences are respected and the people in the home exercise choice and control over what they eat. EVIDENCE: The rehabilitation programme provided in the home is dependent on the people in the home working with staff to join in and contribute to the programme. One of the home’s ground rules is that all people living in the home attend the daily group meeting where a variety of topics are discussed The group work, one to one sessions and the use of alternative therapies form an important part of the treatment and recovery programme. Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 13 The group at Richard House was quite new and had yet to establish meaningful activities out in the local community. One of the people in the home said they were frustrated and bored because they felt they needed to be occupied more. Access to the local sports centre had been arranged and it was anticipated that this would help with the person’s frustration. Care plans seen did identify goals for the individual person so that activities in the local community could be established. The person in charge said that one afternoon per week a voluntary training organisation visited the home and assisted each person with some form of accredited training such as Computer Literacy And Information Technology (CLAIT); Driving Theory Test; laptop training and Health and Safety card for the building trade. The person in charge also said that people in the home were encouraged to buddy up with former occupants of Richard House who were living almost fully independently and maintaining sobriety successfully. The referral and pre-admission assessment process identifies the resident’s needs in respect of family links. Individual risk assessments detail the involvement of families and relatives. Families, including children, can visit the home with prior agreement of staff and the other people living in there. A detailed assessment is undertaken and pre visit check list ensures all relevant authorities and contact details for the period of the visits are in place. Recently the group living in the home had agreed to keep family visits to a maximum of three days per week out of respect for those people in the home who do not get visits. The people in the home are expected to be responsible for contributing to the running of the home and this includes ensuring household chores such as cleaning and shopping are done as agreed. Privacy and independence are promoted and the people in the home have their own keys to the front door of the home, their bedroom and a lockable storage facility. As stated previously the current group of people living in the home had agreed to cater to their own diverse dietary needs, however the staff in the home did undertake monitoring of dietary intake to ensure a balanced diet was taken. Richards House DS0000025534.V338553.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. People in the home are supported to manage their own health care and medication needs so that they retain control and independence in their life. EVIDENCE: Care plans were available for the wide ranging care needs of the people in the home and this included health care needs. Plans were recorded for the people to register with local GPs and dental practices. People living in the home said they had registered with the local GP. The people in the home said they were still getting to know the home and the routines but felt that the staff were lovely and approachable. The group said that they felt supported by the staff but one person expressed concern about the lack of staff being available at weekends because there was nothing to relieve the boredom. However the people in the home were still establishing themselves in the local area and not had much opportunity to develop activities and interests out in the local community. Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 15 People in the home are encouraged and supported as far as possible to be selfmedicating. Lockable facilities to store medication are available in each person’s bedroom. The staff in the home undertake a risk assessment of each person’s skills and abilities to self medicate and a plan of action is then agreed to make sure medication is taken as prescribed. At this visit one person was being supported with their medication and this meant that the person in charge stored the medication in a locked cupboard and dispensed each day, one days medication into a day dosage tray. The dispensing of the medication was undertaken jointly with the person the medication was prescribed for. Both the person and the staff member signed the medication administration sheet. The people living in the home are responsible for ordering their own medication, collecting the prescription and getting it filled at a local chemist. The medication is then booked into the home with a staff member. Staff also record medications that are to be returned to the pharmacist and obtain the signature of the pharmacist when medication has been returned. Richards House DS0000025534.V338553.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. People in the home can be confident that complaints are treated seriously and staff will respond appropriately to safeguard them from abuse. EVIDENCE: Appropriate policies and procedures are in place, which offer protection to the people living in the home. The person in charge said that complaints or concerns were taken seriously and acted upon. Records indicated that the home had not a complaint for a lengthy period of time. The complaints policy had good information on each stage of the complaints procedure. A monthly summary of complaints was sent to the Head Office. Each person living in the home were given a handbook on admission, and the complaints procedure is included in this. The people living in the home said they felt confident that they could go to the staff to discuss any issues or concerns. Appropriate policies and procedures to safeguards people living in the home were in place and the person in charge was clear on the procedures to be followed if abuse was suspected. Richards House DS0000025534.V338553.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. People live in a safe, well maintained home that was clean and odour free. EVIDENCE: The home was clean and tidy and furnished as if it was a normal traditional family home. The lounge had recently benefited from being redecorated and laminate flooring had been laid. A new fire was to be fitted on the day of the inspection. The kitchen /dining room offered plenty of space for all the occupants of the home to dine comfortably. The person in charge said that a new kitchen was to be fitted sometime in the near future. The therapy room was in the basement of the home and this offered a large private space to undertake alternative therapies. Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 18 One unoccupied bedroom was seen and this was clean and presentable. The people in the home had keys to their own rooms; they confirmed that they brought personal items with them to make their bedroom more homely. Bathing and toileting facilities were available and these were lockable so privacy and dignity was maintained. Richards House DS0000025534.V338553.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, 33,34, and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment vetting practices, staffing levels, training and skill mix were appropriate to meet the different needs of people living in the home and promoted their health and safety. EVIDENCE: The person in charge stated that the home had had a staffing problem in recent months and that a new staff member had been recruited but was waiting for CRB clearance. The manager of the home had also been absent for a number of weeks and a acting manager was providing management cover. At this visit, the acting manager was not on duty. On the day of the inspection visit the person in charge was on duty with a student social worker and administrative support worker. The person in charge said that usually another staff member was on duty. Recently the home has had to use bank staff or an agency workers regularly, to ensure continuity the same bank or agency staff members have been used. At this Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 20 visit the student social worker had been in the home for a number of months and was confident in providing support to the people living in the home. People living in the home did say they felt that the home was short staffed on occasion. Three staff employment files were seen and these contained evidence that robust recruitment procedure were followed. Police check (CRB) information was held at the organisation’s head office, however the unique reference numbers of the police check certificate was held on the appropriate staff file. Clear policies and procedures were available for staff to use in the event a police check did identify criminal offences. One staff file contained a record of the wide-ranging training provided. Training courses included, person centred planning, health and safety, managing challenging behaviour, medication training, fire marshal training, manual handling, food hygiene and first aid. The home had used one bank staff member on a regular basis over a period of time and it was reported that bank staff were not sent on training courses. The manager should consider providing training to bank staff especially if the staff member is used frequently over a period of time. The student social worker confirmed that she received a lengthy induction when she commenced her placement and that she had found working in the home challenging and rewarding. Both the person in charge and the student social worker confirmed that they received regular one to one support and records were available for this. Richards House DS0000025534.V338553.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 of the home promotes the health, safety and wellbeing of the people living there. People living in the home are listened to and are able to influence the daily routines in the home. EVIDENCE: The registered manager of the home had not been in the home in recent weeks due to circumstances beyond her control. An acting manager had been deputising for the manager, although she was not on duty at the time of this visit. People in the home, although all relatively new to the service all said that had been consulted about the routines in the home and about their individual plans Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 22 of care. They said they were satisfied, on the whole with the service they received and they were complimentary about the person in charge (on duty at this visit), saying she was ‘lovely’, ‘approachable’ and ‘you can talk about anything to her’. The home also monitors the quality of the service it provides and sends out questionnaires to people who have completed the rehabilitation service seeking their views and opinions. Service quality questionnaires are also sent out to care managers. Returned questionnaires were available for review and all contained positive responses. People in the home are also encouraged to send a representative to the staff meeting to raise general concerns. Minutes were available from previous meeting and issues such as security lighting at the back of the property had been raised and responded to. Comprehensive health and safety checks are undertaken on a monthly basis and this included reviewing risk assessments. Richards House DS0000025534.V338553.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 3 2 3 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 x LIFESTYLES Standard No Score 11 x 12 3 13 4 14 x 15 4 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 Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 24 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. 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 YA35 Good Practice Recommendations The manager should ensure that bank staff used regularly in the home benefit from the same training opportunities provided to permanent staff, so that all staff working in the home are trained to the same standard. Richards House DS0000025534.V338553.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford 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 Richards House DS0000025534.V338553.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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!