Inspection on 16/05/07 for Abbeydale

This inspection was carried out on 16th May 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

Abbeydale 13/12/05

Abbeydale 01/09/05

Abbeydale 07/02/05

Abbeydale 16/09/04

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 Abbeydale Grove Road Ilkley West Yorkshire LS29 9QE Lead Inspector Nadia Jejna Unannounced Inspection 11:00 16th May 2007 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 Abbeydale DS0000001237.V329412.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. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeydale Address Grove Road Ilkley West Yorkshire LS29 9QE 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) 01943 603074 01943 608077 bob.dey@btinternet.com Mr Robert Bramley Dey Mrs Catherine Elizabeth Dey Pamela Denman Care Home 36 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (4), Old age, not falling within any other of places category (32) Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for DE is specifically for the named service user Date of last inspection 13th December 2005 Brief Description of the Service: Abbeydale is large, period, detached, stone built property, which has been extended in line with the character of the building. It stands in its own grounds and has the benefit of car parking areas, well-maintained gardens and a sun terrace, which is accessible by stairs or ramp. Abbeydale is in a quiet residential area of Ilkley. The home is within walking distance of the town centre and shops. It is close to local bus routes and is within easy reach of a railway station and the main roads to Leeds, Bradford and Skipton. The home provides care for up to 36 residents of both sexes over the age of 65. They may take up to 4 residents with dementia over the age of 65. Nursing care is not provided. The home is tastefully decorated and furnished to a very high standard. Accommodation is provided over three floors in 28 single bedrooms and 3 double rooms. Two of the double rooms are being used as single bedrooms. There are three lounge areas and a large dining room. A shaft lift allows access to all floors and there is a stair lift connecting the ground and first floor. Information about services provided by the home can be found in the Statement of Purpose and Service User Guide. These will be provided on request. At the time of writing this report weekly charges for residential care are from £350 to £700 a week. This information was provided in the pre inspection questionnaire in February 2006. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One visit was made on 16th May 2007. The home did not know that this was going to happen. Feedback was given to the manager at the end of the visit. The purpose of the visit was to make sure the home was being managed for the benefit and well being of the residents. Before visiting the home the inspector asked for information from the manager which included asking about what policies and procedures in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. Comment cards were sent to the home to be given to residents, their relatives and other visitors to find out what their views of the home were. At the time of writing this report 5 resident and 6 relatives surveys had been returned. In order to find out how well staff knew residents care plans were looked at during the visit and residents, visitors and staff were spoken to. Other records in the home were looked at such as staff files, complaints and accidents records. What the service does well: Care is provided in a clean, tidy, well-maintained home, which has been furnished and decorated to a very high standard. The home owners are ‘hands on’ and very involved with the day-to-day running of the home. They work closely with the manager and staff and have established good relationships with the people living in the home and their relatives. There are systems in place to make sure that a consistently high standard of care is given. This includes care plans that give a clear picture of the person and how to meet their needs, communication systems, regular training for staff, formal staff supervision, monthly residents meetings and regular surveys of peoples views. There is a programme of planned activities and ample provision of books, videos, DVDs, jigsaws, CDs and board games. Two of the lounges have widescreen televisions and video or DVD players and one of the televisions is Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 6 connected to satellite TV. The home has a mini bus and there are regular trips out. People said that they were happy living in the home, they were more than satisfied with the care given to them and that the food was very good. They said that staff were polite and respected their privacy. The home has a warm, friendly and welcoming atmosphere. Visitors said that they were welcomed at any time and were always offered refreshments. They also said that they were kept up to date and informed about any changes in their relatives care needs. It was clear that that there are good relationships between the staff team, people living in the home and visitors to the home. Regular residents/relatives meetings are held and twice yearly quality assurance surveys are carried out which involve residents in the running of the home. 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. Abbeydale DS0000001237.V329412.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 Abbeydale DS0000001237.V329412.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): 1, 2, 3, 4 and 5. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to enough information about the home to be confident that the services provided will meet their needs. EVIDENCE: Copies of the Statement of Purpose and Service User Guide are available in the reception area. They can be provided in large print on request. Copies of the last two inspection reports are displayed on the residents’ notice board. Relatives said that they had been given enough information about the home to be able to make the decision on whether or not it would meet the needs of their relative. They and people living at the home said that they had been invited to visit the home, look round and meet other people already living there. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 9 Comments made on survey forms returned were: • ‘Staff always have a smile and nothing is too much trouble.’ • ‘We are satisfied with all aspects of care provided.’ • ‘It is an excellent care home. The staff are attentive, sympathetic and efficient. They provide a service that helps my relative have a good quality of life and I cannot praise the home, its owners and staff highly enough.’ Somebody who had come to live in the home a few months ago and their relative were spoken to during the visit. They said the manager had been to see them and had carried out a pre admission assessment and made sure that their questions about the home were answered. A copy of this was seen in the care plan. It was detailed and provided enough information for the manager to be sure that the person’s needs could be met. The manager was very clear about making sure peoples needs could be met by the numbers and skills of staff in the home. If people’s needs changed they would be reassessed and appropriate action taken, such as having more staff on duty or arranging specialist support for the individual and training for staff. Abbeydale DS0000001237.V329412.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 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are treated as individuals and with respect. Care plans show that their health and personal care needs are identified and met. EVIDENCE: Two care plans were looked at. These showed that resident’s needs had been assessed, identified and appropriate care plans put in place. A detailed assessment is carried out within the first few days of moving into the home. This gives a very clear picture of the person at the centre of the care plan. The plans are evaluated and updated every four weeks. Those seen showed that the person living in the home and or their relatives had been involved with the process. Appropriate health assessments are carried out. These include moving and handling, nutrition and risk of developing pressure sores. If any risks are identified staff request the input of appropriate specialist advice via the GP (General Practioner) and district nurses. Where people were identified as at risk of falling the GP and the community matron are contacted to assess if Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 11 there were medical problems that might be contributing and to help with falls prevention. The manager said she was going to contact the falls prevention team for specialist advice as well as training for staff. Information from people living at the home and surveys returned said that: • They got the care and support they needed. • They received the medical care and support they needed. • Staff listened to and acted on what they said. • That staff were polite and always respected their privacy. It was clear that there are good relationships between staff and people living in the home. Staff were seen to be polite and respectful when talking to people and knocking on bedroom doors before entering. Information from relative’s questionnaires and visitors in the home said that: • The staff were very good at keeping them informed of any changes in their relatives condition, such as illnesses or accidents if they happened. • Their relatives received the care and support as expected and agreed. • They had seen their relatives care plans. Policies and procedures around dealing with medication were in place. The manager also had a copy of the Royal Pharmaceutical Guidelines. Senior care staff are responsible for administering medications and all have received certificated training. Staff were following safe procedures when giving medication to people. Abbeydale DS0000001237.V329412.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): 11, 12, 13, 14 and 15. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are encouraged to participate in social and leisure activities, to maintain links with their friends and family and to exercise choice and control over their lives. EVIDENCE: As part of the pre admission assessment the manager makes sure that she gets all the detail and information possible about peoples social cultural and religious needs. This is so she can make sure any special needs not already catered for in the home can be met. People’s social and recreational interests and preferences are recorded in the care plans. These provide good detailed information about their life history and what they used to enjoy doing. When people come to live at the home they are given information about the local churches. A minister from the local Methodist church visits the home every three weeks to perform a service and given communion to those who want it. A lay visitor from the Catholic comes to the home to provide communion for Catholic people. Two people attend their parish churches each Sunday. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 13 There are regular planned activities in the home, which include quizzes, bingo and video/DVD sessions. Information about planned events in the home, local transport, taxis, local events was displayed on the residents’ notice board by the dining room. The lounges are provided with ample supplies of books, videos, DVD’s, jigsaws, CD’s and board games. Two of the lounges have wide screen TV’s and video or DVD players. One of the TV’s is connected to receive additional stations so that people who want to watch sports can. During the visit there was a quiz taking place in the dining room in the morning. After lunch some people went for a trip in the mini bus and a lady came in to play the organ and entertain the people at the home. The provider bought the organ to replace a piano. It is electronic and can be set to play different tunes; people choose what kind of music they want to listen to and staff will set it going so that there will be background music in the lounge area. The home has it’s own minibus and has employed driver’s who take people out on trips most weekdays. The drivers plan the routes and go to local places of interest, parks, museums and shopping. People said that they enjoyed the trips out very much. The manager has made sure that all people in the home can use the minibus. It has been adapted so that the front seat turns and out and lowers to ground level, meaning that somebody with limited mobility can be safely transferred to the seat and enjoy trips. People living at the home said that they decide what their daily routine will be, where they will spend their time and whether or not they join in with planned activities. They said that the staff are very supportive in helping them to do this. People are offered the choice of having their meals in the dining room, their own room or one of the lounge areas. Sherry and fruit juices are offered half an hour before the meal is served. They said that the food was very good and that there was a good choice of meals and alternatives. Copies of menus were sent with the PIQ. They showed that three course meals are offered at lunchtime. There is one main course but an alternative of fish or an omelette is always available. The menu looked varied and appealing. The manager said that special diets can be catered for. Meal choices are changed regularly to include seasonal foods and to take people likes and preferences into account. For example some people in the home prefer lambs liver and one person prefers calves liver and these are catered for. Another regular addition to the menu is smoked trout that is bought when people are taken on trips to a trout farm in the Dales. Information from people living at the home and their relatives said that: • Visitors were welcomed at any time and offered refreshments. • People living at the home were supported to live the life they chose. • The needs of different people were met, including race, disability and religion. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 14 • • Activities were arranged that people could choose to take part in. They enjoyed the meals and the food was very good. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 15 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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home feel safe and are confident that their concerns will be listened to and dealt with. EVIDENCE: The complaints procedure is displayed in the entrance hall and included in the information given to residents. A record of all complaints made is kept. It is the homes policy that all concerns raised by residents are dealt with through the complaints procedure and that they are responded to appropriately. The PIQ said that there has been one complaint since the last inspection which the manager dealt with to the satisfaction all involved. Copies of the home and local authority adult protection procedures were in place. The manager has attended abuse and adult protection training and then cascaded it down to the staff via team meetings and staff supervision. She is going to look into attending the local authority two day course in adult protection for care home managers. She said that staff enrolled on NVQ (National Vocational Qualification) training were learning about abuse as part of their course work. Staff said that they would not hesitate to report any actual or suspected abuse. Information from people living at the home and their relatives said that: • They felt safe living in the home. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 16 • • They knew who to talk to if they were unhappy. They knew how to make a complaint if they needed to. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 17 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, 20, 21, 24, 25 and 26. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live a clean, tidy, safe and well maintained home which is suitable for their needs. EVIDENCE: The home is decorated and furnished to a very high standard. It was clean, tidy and well maintained. The provider makes sure that regular checks are carried out on all hot water outlets and records are kept. The last fire safety officers visit was in July 2006 and an agreement was reached that any recommended work would be completed by July 2007. The grounds, garden and patio areas are well maintained, colourful and equipped with garden furniture to enable service users to sit outside and enjoy the views. The provider said that the gardens have won the Ilkley and the regional Yorkshire ‘in bloom’ contest twice. People living at the home said how much they enjoyed looking at and sitting out in the gardens. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 18 There are three lounge areas and a dining room. These have all been redecorated and new furniture provided. Two of the lounges are set out as quiet reading areas and somewhere where residents can watch TV or listen to music. They provide comfortable, relaxing sitting areas for people. The bedrooms are spacious and some have an added area that can be used as a sitting room. The extra space and comfort achieved with this arrangement is valued and appreciated by people. The rooms are furnished and decorated to a very good standard and can bring their own belongings and make the rooms ‘theirs’. The manager said that all rooms are redecorated when they become empty and before a new person comes in. All rooms have low-level opening windows providing views of the grounds. The bedrooms on the ground floor of the extension, facing Grove Road, have French-doors, which open out, onto a paved patio area. Most of the rooms have en suite facilities, which includes a shower. There is ample provision of communal toilets and assisted bathing facilities on each floor. There is a well equipped hairdressers room on the ground floor. The laundry is on the ground floor. Residents’ clothes looked well laundered and neatly pressed. They said that the service was prompt and efficient. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 19 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 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by safe recruitment procedures. Their needs are met by the numbers of trained and competent staff on duty. EVIDENCE: Staff rotas sent with the PIQ showed that there were enough care and ancillary staff on duty to meet the needs of people living in the home. Information from talking to people and surveys returned said that staff were available when people needed them. The last inspection was December 2005. Since that date only six staff have left, showing that the home has a very stable staff team of which at least half have been at the home for over five years. Information from the manager and the PIQ said that training provided over the last twelve months has included infection control, moving and handling, first aid, fire safety and induction training. Six out of seventeen care staff have got NVQ (National Vocational Qualification) level 2 or above and this training is ongoing. The manager said that new care staff receive induction training that is equivalent to the Skills for Care common induction standards. A carer who started working at the home in September 2006 said that they had completed Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 20 the induction training and that when they started they were ‘extra’ on the rota working alongside an experienced carer. Recruitment records for two staff were looked at. These showed that all appropriate pre employment checks had been carried out before employment was offered. Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 21 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, 32, 33, 35, 36 and 38. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of people living there. EVIDENCE: The registered providers are very ‘hands on’. They oversee the running and management of the home and are in most days. It was clear that they had established good relationships with people living in the home and their visitors. The manager is registered with the CSCI and has the necessary experience and qualifications needed to manage a care home. She is responsible for the day-to-day management assisted and supported by senior care staff. Internal quality assurance systems are in place and the home is accredited with the Investors In People quality assurance award. Regular audits are Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 22 carried out by the manager which includes getting the views of people living in the home and their relatives twice a year. The manager has put new questionnaires together which are being given out now. She has also made a questionnaire to be given to people to complete four to six weeks after moving in to the home. She hopes the responses to this will help to improve the admission process and identify areas where staff can help people at this time. The results of surveys are collated, included in the Service User Guide and discussed at the regular ‘residents and relatives’ meetings. The manager said that feedback from people is very important to make sure people are satisfied with the services they receive and if they have any suggestions for changes and or improvements. The manager said that staff attend 1 to 1 formal supervision sessions every two months. Information from staff said that: • supervision sessions provided them with training and updates on different topics such as fire safety and abuse awareness. • training needs or other issues would be identified and discussed as part of the supervision. • Regular staff meetings were held. • The providers and manager were approachable and very supportive. • It was a good place to work. The manager said that the provider acts as appointee for one resident. Appropriate records of all financial transactions are kept. The provider said that it is the home’s policy to request that either residents or their relatives deal with finances. The PIQ said that all required maintenance and annual servicing of equipment in the home was carried out and that records are kept. The manager said that fire safety risk assessments are in place and staff receive fire safety training at regular intervals. She said that all senior staff now carry laminated pocket cards with the fire safety procedures printed on them for quick reference wherever they are in the building. This is good practise. Abbeydale DS0000001237.V329412.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 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 3 3 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 X X 4 3 4 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 X 4 Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Abbeydale DS0000001237.V329412.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Abbeydale DS0000001237.V329412.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!