Inspection on 07/06/07 for Abbey Lea Care Home

This inspection was carried out on 7th June 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

Abbey Lea Care Home 03/01/06

Abbey Lea Care Home 04/05/05

Abbey Lea Care Home 04/10/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbey Lea Care Home York Road Barlby Selby North Yorkshire YO8 5JP Lead Inspector Jo Bell Key Unannounced Inspection 7th June 2007 09:15 X10015.doc Version 1.40 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 Abbey Lea Care Home DS0000059063.V333714.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 Older People. 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. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbey Lea Care Home Address York Road Barlby Selby North Yorkshire YO8 5JP 01757 213811 01757 708523 abbeyleacarehome@aol.com none Holistic Care Provision Limited 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) Mrs Beverley Ann Emmett Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23) of places Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 23(OP) and up to 23 (DE(E)) up to a maximum of 23 service users. 23 Service Users to be accommodated on the understanding that communal space be increased sufficiently to satisfy National Minimum Standards for Care Homes for Older People - Standard 20, by 31st March 2006.. 3rd January 2006 Date of last inspection Brief Description of the Service: Abbey Lea care home is a two storey building set in its own grounds and is situated in the village of Barlby, which is close to the market town of Selby. It is on a main bus route to the city of York. The fees per week are £410. Hairdressing, chiropody, newspapers and magazines are subject to additional costs. People can obtain this information from the service, through Inspection reports which are displayed in the entrance area, and this is discussed in individual terms and conditions. The home is owned by Holistic Care Provision Ltd and provides long term care for up to 22 older people who may have dementia care needs. It also has one further place, which offers respite care. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key inspection of the service took place on Thursday 7th June 2007. Prior to the site visit a pre-inspection questionnaire was completed. Three comment cards from doctors, eight surveys from people using the service and thirteen surveys from relatives were returned to The Commission for Social Care Inspection. One inspector spent seven hours at the care home, throughout the day people in the lounge, dining room and individual bedrooms were spoken with. Five relatives discussed their experience of visiting the service, and six members of staff along with one health care professional from the community nursing team was spoken with. During the day observations of care practices took place, aspects of health and personal care, safety, and the environment were all inspected. Overall, the home provides a high standard of care in a kind and caring environment, everyone spoken with at the visit confirmed this. Many words including ‘wonderful, excellent, and marvellous’ were used by people in the service, and their visitors to describe what they thought of the home and the staff. What the service does well: What has improved since the last inspection? The environment is extremely pleasant, since the last visit many rooms have been redecorated to a high standard which people commented on. Further plans are in place to develop a sensory garden area which will give people the opportunity to use different senses, and be stimulated in a safe environment. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable) People who use the service experience excellent quality outcomes in this area. Needs are assessed in a comprehensive and detailed manner. This means individual needs can be met. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Three pre-admission assessments were inspected. These had been completed by the manager who has an excellent understanding of the needs of people with dementia. All three assessments had detailed information in regarding personal care needs. If a person has a care manager this assessment is used to inform the home’s assessment and helps to build up a complete picture. Discussions with people using the service and their relatives also confirmed that these assessments had been completed. There is one emergency bed available that is used by social services. Although one person had arrived a day ago a temporary assessment and plan had Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 9 already been completed. The manager confirmed that a discussion takes place with the care manager when someone needs to come to the home at short notice. Information is gathered both verbally and in writing. The home does not offer intermediate care. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 People who use the service experience excellent quality outcomes in this area. The standard of health and personal care provided is high, and this is carried out in a respectful and dignified manner. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People are well cared for, the standard of care is high and observations showed people looking clean and smartly dressed. The hairdresser is available and people have their nails cut, glasses cleaned and make up applied if requested. One person said ‘the staff are just wonderful’, another comment was ‘I am so well looked after’. Both male and female staff are available and people can make a positive choice about who offers them personal care. Staff were observed treating people in a dignified and respectful manner, a friendly banter was evident and staff were genuinely keen to make sure peoples needs were being met. Staff were observed knocking on doors prior to entering, and a health care professional visiting the home confirmed that any Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 11 procedures for example taking blood or doing dressings is always carried out in a private room. Three care plans were inspected in detail and this included discussions with these three people, their relatives and members of staff who care for them. The care plans were detailed and clearly mapped out the person’s previous history, and the current personal and health care needs. Risk assessments relating to nutrition, moving and handling and the prevention of falls were in place, this is beneficial to ensure any risks can be minimised. Some people had a special ‘sensor mat’ in their bedroom which when touched set off an alarm so the staff could identify if this person had fallen or was in danger. The appropriate moving and handling equipment was in use which helped the member of staff, but also ensured people were moved in a safe manner. The accident book is completed and audits of this take place to identify if a particular person is at risk falling, or whether there are areas of the home that pose more of a risk to people. The manager is aware that incidents need to be reported to CSCI, or to the Health and Safety Executive. A discussion took place regarding nutrition, the manager and staff have a good understanding of the action to take if a person is under or over nourished. The doctor or dietician can be contacted and staff can recognise the signs when someone is losing weight. People have their medication administered in a safe manner. Staff have undertaken training in administering, storing and disposing of medication. Regular audits of the system take place to identify any areas for improvement. Medication is administered through a box system where a weeks supply of medication is available. No errors were found on the three medication charts inspected. Fridge temperatures are taken, and the drugs trolley is stored in a secure room. Whilst there were no controlled drugs in use the cupboard containing them had come away from the wall. The manager was alerted to this and took action to resolve this straightaway. People were observed receiving their medication following appropriate checks. A policy is available which underpins this practice. This protects people receiving medication. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 People who use the service experience excellent quality outcomes in this area. A range of activities are available and enjoyed on an individual basis. Visitors are encouraged and the food and drink provided is of a good standard. This all enhances daily life for people using the service. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People can enjoy a range of activities in the home, observations showed people reading newspapers, listening to music and watching television. Various entertainers visit the home and staff take people either outside in the garden or on trips into Selby for fish and chips, to church services or for walks into nearby villages. Aromatherapy is available where people have their hands or shoulders massaged. One relative said this has beneficial in relaxing one person in the home who can become agitated. Tai Chi is offered which both men and women enjoy, and one to one sessions with the staff are available. During the afternoon staff decide which activities would be suitable. Information is recorded regarding which people enjoyed which particular activities. One person use to be an organist and the home are in the process of obtaining an organ for this person to use. The manager is aware this may or Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 13 may not be successful. Another person use to play bridge and this is something which staff are hoping to get involved in. The home have a fundraising meeting on a regular basis to discuss how to raise money for activities and also to decide which activities would be suitable. Relatives are also involved with this process. One lady said ‘I love reading my newspaper on a morning’. Staff were observed bringing the paper to this person during the morning. The surveys returned from relatives had variable information regarding activities, some stated people were stimulated enough, others said more activities would be better. However, everyone spoken to at the site visit said they were happy with the activities and the five visitors spoken with all confirmed this. The visitors book confirmed that people are welcomed into the home at any time during the day. People are encouraged to be independent and live their life as they wish, daily routine is fitted around individual needs and people can choose to participate in activities, church services, outings or daily life as they want to. The local clergy visit monthly to offer communion, and the Roman Catholic priest is available when needed. Three people confirmed this, one other person said she has no religious feelings and does not wish to take part in this type of activity. Staff recognise that people have different cultural and religious needs. At lunchtime people were observed enjoying home cooked meat and fresh vegetables. The dining room is pleasant and pot crockery, stainless steel cutlery and material napkins and table cloths were in place. Suitable chairs were provided and a pleasant atmosphere with people chatting and discussing a range of topics was observed. One relative coming to visit asked if they could eat together as a family, this was arranged in a private room. One visitor said he was always offered tea/coffee or lunch when her arrives and is always made to feel welcome. The food available was served hot and presented in a suitable manner. Soft diets are available, plate guards and specialised cutlery are available if needed, and staff were observed offering assistance in a dignified manner. Pureed food can be made and this is done separately and presented on the plate in an appealing manner. Both the cook and manager confirmed this. At breakfast time a cooked meal is offered, and during the evening a choice of food is offered. At supper time drinks and a snack are available (which is important for diabetics). Currently there is one main course available at lunchtime, whilst everyone spoken to confirmed they were happy with this it would be beneficial having a menu available so people know what they are having to eat before it is served. The cook confirmed the menus are rotated on a regular basis, and she confirmed she had undertaken food hygiene training. This should ensure food is prepared and served correctly. During lunchtime there were enough staff to help people and protective clothing was worn. Views and opinions regarding food are verbally sought by the care staff and discussed with the manager. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience excellent quality outcomes in this area. People are aware of how to complain and any issues are dealt with promptly and effectively. People are safe in the home, the risk of harm is minimized through staffs excellent understanding of abuse issues. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People living in the service know how to complain. Relatives confirmed that they would not hesitate to discuss any issues with any member of staff including the manager. One survey said ‘I have no complaints at all’. One person said ‘I don’t need to know how to complain, because everything is wonderful’. Five relatives all confirmed they are aware of the complaints procedure but no issues have arisen. The procedure is on display and no formal complaints have been received either by CSCI or through the manager. Staff said they would feel confident in going to the manager if they had any concerns about care practices, and both visitors and people using the service all said they feel any issues would be dealt with straightaway. People were observed being treated in a dignified manner. One person was concerned about her finances and she repeatedly asked staff for information. Staff managed this situation well and offered reassurances that her money was safe and looked after, this situation could have escalated. People said they felt safe, and moving and handling practices were observed. These were found to Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 15 be appropriate. All care staff on duty during the morning were spoken with regarding their understanding of protecting vulnerable people. Abuse training has been completed and those spoken with were very aware of the different types of abuse and the action to take if an incident is witnessed. Staff understood the term ‘whistle blowing’ and felt the manager would protect them if they had given information regarding another member of staff. Throughout the day people said they felt safe at the home, and observations confirmed that staff understood needs of people with dementia. The manager was aware that social services would need to investigate an allegation of abuse and the system for making a referral. Not only to the safeguarding adults team but also if necessary to the protection of vulnerable adults list. These systems all help protect people in the home and will minimise any risk of harm through different types of abuse. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. The home is clean, well maintained and suitable for people with dementia care needs. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People live in a clean and safe environment, many rooms have been decorated to a high standard and input is sought from each person as to how they would like their room decorated. Consideration has been given to the choice of colour and décor suitable for people with dementia, as this can have either a positive or a negative effect on people’s well-being. The manager confirmed that a sensory garden is planned in the future which will further stimulate people. Flower beds are evident and the manager is keen for relatives to be involved with new ideas regarding the environment. One relative had bought some flowers which were placed on the patio outside the persons room. There are Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 17 two communal lounges which are waiting for new carpets. One use to be a smoking room and this smell was still evident. The manager is aware of the implications regarding the new no-smoking regulations due to come into force in July 2007. Whilst the home is not purpose built, it is extremely homely and comfortable. People using the service commented positively on the standard of décor. One person said ‘I have a lovely room and it is always clean’. Another relative said ‘my relatives room is beautiful’. There are sufficient bathrooms and toilets to meet individual needs. More signage on doors would be beneficial to ensure people know which is the bathroom, toilet and dining room. The home has a laundry room with one washing machine and one tumble drier, care staff on a night are responsible for ironing and staff during the day ensure washing is put in the machines. People were observed wearing clean and well ironed clothes. A system is in place to ensure people have only their own clothes returned to them. Staff have received infection control training and protective clothing and hand-washing was evident. This prevents cross contamination which reduces the risk of harm to people using the service. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 People who use the service experience good quality outcomes in this area. People are cared for by well trained, competent staff who are recruited safely. This means individual needs are met. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People are able to have all their needs met due to a good ratio of staff to people using the service. Staff are competent, knowledgeable and well trained in areas of dementia care. Many positive comments were received, for example ‘the staff are kind and caring’. ‘Staff are well trained’ and ‘I never have to wait long for anything’. The manager is supernumerary and there are four care staff for twenty three people during the day, in addition to this there is a support worker, cook and maintenance person. Currently 83 of staff have achieved an NVQ level 2 or above in care. This is an excellent achievement and helps ensure that care is delivered to a consistently high standard. Staff receive induction training in the first few weeks they are employed. This is equivalent to Skills for Care (set of standards for staff to work to regarding care practices and health and safety). Records and discussion with staff confirmed this takes place. People are protected through good recruitment procedures. Staff are employed following a criminal records bureau check, and a protection of vulnerable adults Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 19 check. Two written references are obtained and a standard application form is completed. Three staff files were inspected and whilst this information was in place, on one occasion two references had been obtained, though one was poor, and not directly from the current employer, and the other was satisfactory. The manager confirmed a discussion had taken place with the potential employee regarding this but this was not documented anywhere. Therefore there was insufficient information to confirm the suitability of this person. This needs to be in place to ensure people are protected. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 People who use the service experience excellent quality outcomes in this area. The manager runs the home in the best interests of people living in the service, with health and safety needs being consistently met. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home is clearly run in the best interests of people and their relatives using the service. The manager has completed an NVQ Level 4 in management and is registered with the CSCI. She has undertaken a range of dementia training and is keen to ensure peoples views and opinions are sought and acted upon. Everyone spoken with including staff, visitors and people using the service all complimented the manager on her approach, professionalism and knowledge and experience in her role as manager. Staff spoken with confirmed they Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 21 would discuss any issues with the manager and felt confident action would be taken. Currently relatives attend meetings where the running of the home is discussed, the manager has previously considered having ‘residents meeting’, but feels some issues are better discussed on a one to one basis. Whilst no formal quality assurance system is in place there is a programme of auditing regarding care plans, medication, care practices, and the environment. These were clearly documented. Surveys are sent out on a yearly basis and information is obtained from these and improvements are made where necessary. Staff routinely talk with people and ensure they are happy with the service they receive. Three people’s finances were discussed, individual purses are available with documented records identifying the amount of money each person has available. All three checked corresponded with the records and receipts for chiropody, and hairdressing are available. One relative confirmed this system is in operation and said this was discussed during the admission processes. The home has relevant insurance to cover money being stored at the home. People have their health and safety needs met. The home is well maintained and systems are in place for checking water temperatures, electrical equipment and maintaining moving and handling equipment. Five water temperatures were tested and found to be satisfactory. A fire risk assessment has been undertaken to ensure the manager is aware of the action to take if a fire is detected. All staff receive fire training, moving and handling, first aid and health and safety. Three files confirmed this and all staff spoken with discussed a wide range of training including abuse, managing challenging behaviour, infection control, food hygiene and medication training. The manager is committed to ensure staff understand this group of people and the needs they may have. Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 4 3 x x x x x x 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 4 x x 4 Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 23 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 OP15 Good Practice Recommendations Consideration should be given to the use of menus at mealtimes, this would make people aware of the food they will be served. The manager should document any discussions undertaken with an employee regarding recruitment references. This would act as a safeguard if any issues occur in the future. 2. OP29 Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Abbey Lea Care Home DS0000059063.V333714.R01.S.doc Version 5.2 Page 25 - 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. 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