Inspection on 12/09/06 for Allport Road (86)

This inspection was carried out on 12th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Allport Road (86) 08/03/06

Allport Road (86) 19/11/05

Allport Road (86) 06/01/05

Allport Road (86) 21/06/04

Allport Road (86) 20/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Allport Road (86) 86 Allport Road Bromborough Wirral CH62 6AG Lead Inspector Lesley Owen Unannounced Inspection 12 & 25 September 2006 04:30 th th Allport Road (86) DS0000018963.V303925.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 Allport Road (86) DS0000018963.V303925.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. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allport Road (86) Address 86 Allport Road Bromborough Wirral CH62 6AG 0151 334 9698 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) jane.roberts@wirral.autistic.org Wirral Autistic Society Jane Anne Roberts Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Only adults (aged 18 - 64 years) with a learning disability may be accommodated The Manager is to complete her NVQ Level 4 in Management. The Manager to be registered for 134A Allport Rd for a 3 months until an application to relinquish the registration of the home has been processed. 8th March 2006 Date of last inspection Brief Description of the Service: 86 Allport Road provides accommodation for three adults with a learning disability. Wirral Autistic Society who has several care homes for adults with a learning disability in the area runs the home. Wirral Autistic Society provides a range of services and facilities, which are fully utilised by the service users accommodated at 86 Allport Road. The home is a detached, domestic property in a residential part of Wirral. It is within walking distance of the local shops and a few minutes drive away from Bromborough, where there are a selection of shops, banks and leisure facilities. The home has access to public transport via the local bus and train service. The home offers single occupancy rooms for service users. There is a communal lounge, a dining room, which can also be used as a sitting room, an activities room and kitchen. There is a large garden with a patio to the rear of the house. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit began at 4.40pm and took place over two hours. The manager of the service was on site at the time of the visit. At the start of the inspection all three service users were at home having just returned from their day time activities. The inspector spoke with manager, two members of bank staff who were providing cover at the home and the service users during the time at the home. During the inspection time was also spent in the office examining records held for service users, a sample of maintenance records were also seen and a tour of the house was made. A second visit was made to the service on the 25th September to look at staff files and the complaints log. In addition a preinspection questionnaire which provided the inspector with additional information was submitted prior to the inspection. Survey forms were also left at the home for service users to complete if they wished. What the service does well: What has improved since the last inspection? The home had no outstanding requirements at the last inspection and recommendations had been implemented. Further improvements have been made to the environment to ensure service users live in comfortable and safe surroundings. Allport Road (86) DS0000018963.V303925.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. Allport Road (86) DS0000018963.V303925.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 Allport Road (86) DS0000018963.V303925.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prior to being admitted to the home the needs of the service user would be assessed to ensure that their identified needs could be met. All service users admitted to the home are provided with contracts/terms and conditions which tell them about the service they will receive. EVIDENCE: The home has a Statement of Purpose and service user guide. The service user guide has been amended since the last inspection and the inspector was provided with a copy. There have been no new service users admitted to the home since it opened. During discussion the inspector was informed that if a vacancy were to arise at the home the prospective service user would be assessed by the manager and by a representative from the day services of the organisation. The prospective service user would be visited by the manager where they were living and information would be gathered from the service users’ carers, social worker and any other relevant agencies. All information gathered during the assessment would be recorded. An examination of an initial assessment pro forma undertaken at a previous inspection indicated that all the information recommended in this standard is included. The statement of purpose includes information about the assessment process the terms of contract and confirms that service users would be encouraged to Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 9 visit the home prior to admission when ever possible. The current charges at Allport Road ranges from £876 - £1646 per week and is based on individual care packages. Additional charges are made for hairdressing, sports and leisure, holidays, clothing and footwear and staff expenses incurred on trips out/holidays etc. Allport Road (86) DS0000018963.V303925.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Care plans were in place to ensure that service users needs are met. Service users were being supported as individuals and activities chosen to meet their particular needs. Risk assessments were in place to support work with service users and managed in such a way as to maximise independence. EVIDENCE: The care planning documentation held on each service user is comprehensive and has been developed and agreed with them. Where service users are unable to agree to their care plan, relatives have been consulted about the plan of care. The care plans are based upon information obtained during the pre-admission assessment process and cover all identified areas for intervention. For each identified area that the service user requires support/supervision or assistance e.g. morning routine information is available to ensure that staff meet the individual service user’s needs. Care plans are reviewed at six monthly intervals and where possible all parties involved in the care of the service user attend. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 11 During discussion with the manager and the two staff on duty it was clear that staff had knowledge of and understood the individual service users needs and were able to ensure that their needs were met. Service users are consulted on and participate in, all aspects of life in the home. This was evidenced during the inspection when the inspector observed one service user assisting in preparing the evening meal. Another service user who spoke to the inspector was changing their bed and explained that this was one of the agreed tasks they undertook. Risk assessment and risk management are addressed within individual care plans and behaviour management guidelines are provided for staff. From discussion with the manager, staff are aware of individual service users needs and work hard at balancing the service user’s need for privacy and independence whilst maintaining their safety and this is reflected in the individual arrangements in place for each service user. Guidance is provided for staff to assist service users to make decisions about their own lives and support is given in relation to the service users individual communication needs. Allport Road (86) DS0000018963.V303925.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The individual interests of service users are promoted whilst maintaining their safety. The staff team ensure that individual service users are offered opportunities to take part in a range of activities, including household tasks which develop skills and promote independence. EVIDENCE: Service users are encouraged to develop their individual skills and all attend day centre during the week where they follow individual programmes and interests .One service user attend college 1 day each week and two service users have work placements. Service users are supported to participate in community activities either individually or collectively where possible and have hobbies that they take part in. An activity plan viewed showed that individual service users join in activities in accordance with their needs skills and individual preferences. At the time of this visit after the evening meal service users and staff had decided to go out together in the home’s vehicle for a drive and then a walk. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 13 A seven-day holiday is provided for service users, on an annual basis. Wirral Autistic Society has a narrow boat and two holiday lodges which are available to all its service users. The cost of holiday accommodation, transport and staff expenses are payable by the service users. Service users are encouraged to maintain family links and friendships and this was evidenced through discussion. The arrangements for contact with family are written into individual service user care plans so that staff can facilitate arrangements for service users to keep in touch with people they want to. Service users also have the opportunity to meet people and make friends with individuals, who do not have their disability, through attendance at social clubs and community activities From observation and discussion the home’s routines are as flexible as possible, although during the week they are governed by going to the day centre college or work experience placements. Service users have tasks to undertake in the house depending on their assessed need which are clearly identified in their care plans. All activities undertaken whether in the house or outside are subject to risk assessment. Written guidelines for staff emphasise the need to promote the privacy and dignity of service users. The staff induction also covers these aspects of care. A nutritional assessment is available for each service user and weight is regularly monitored as part of the care process so that any problems or concerns can be identified and addressed. A record of all meals provided is maintained and service users eat their meals together. Service users decide on their choice of meals weekly, but the menu can always altered if they change their minds. Service users are encouraged to be involved in preparing meals and a rota has been developed that identifies whose turn it is. At the start of this inspection a service user was helping a member of staff prepare tea. Allport Road (86) DS0000018963.V303925.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): He 18, 19 and 20 The quality in this outcome area is good. The judgement has been made using available evidence including a site visit to the home. Care plans give clear guidance to staff to assist service users in the way that meets individual needs. Medication practices are within a safe framework and arrangements are put into place to ensure that service users healthcare needs are met EVIDENCE: A key worker system operates in the home which provides each service user with consistency and continuity of support. Where required, information is available for staff about the assistance and guidance service user’s need to ensure their personal care needs are met. There are appropriate arrangements in place for service users to access the services of a doctor, dentist, optician and other health care professionals where required. A record of all visits made is maintained on each service users file. Service users are supported and helped to manage their own healthcare in accordance with their abilities The organisation has policies and procedures in relation to the safe handling of medicines which are available for staff to refer to. Where staff provide assistance with the administration of medication it is signed for. Medication is appropriately stored. The manager informed the inspector that both permanent Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 15 and bank staff receive training in the administration of medication and training records submitted prior to the inspection confirmed that this. As all the service users have lived at the home for a number years the issues of capacity and consent to the administration of medication have been addressed by the home. Where a service user chooses to self medicate a risk assessment is carried out prior to this happening. At the time of this inspection one service user was self-medicating and appropriate documentation was available on file. Allport Road (86) DS0000018963.V303925.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The quality in this outcome is good. This judgement has been made using evidence available including a site visit to the service. The home has the appropriate policies and procedures in place to protect service users rights and ensure their safety EVIDENCE: The previous inspection confirmed that the home has a detailed and illustrated complaints procedure, available in different formats, which was made available to all service users on admission to the home. It is understood that the procedure has been recently updated. The complaints procedure is also outlined in the service user guide. From observation and comments made by service users on the day there are clear indications that they feel able to voice their dissatisfaction or make their concerns known with anything in the home as it arises. One service user completed a survey form which confirmed that they knew who to talk to if they were unhappy with anything The home has received two complaints in the last twelve months, one which was partially substantiated, no complaints have been received by CSCI since the inspection of Allport Road in March 2006. Appropriate records are kept which showed that the complaints had been dealt with appropriately. The organisation has an adult abuse and whistle-blowing policy and training records confirm that staff have received training in the prevention of abuse. During discussion the inspector was informed that the society is looking at providing more specific training in the protection of vulnerable adults. There are policies and procedures in place in relation to managing verbal and physical aggression and where service users display this behaviour, written Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 17 behaviour management plans are drawn up detailing how staff are to respond. Staff receive training in behaviour management strategies and non-violent crisis intervention. Training records indicate that one member of staff requires this training and the inspector was assured that this was being addressed. Procedures are in place for the managing of service users money and individual personal allowances are forwarded from head office to the home. Where any money is spent on behalf of a service user a receipt is obtained and forwarded to the organisations head office. No monies were checked at this inspection. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Allport Road provides service users with a safe, homely and well maintained environment. EVIDENCE: The home is a detached property situated in a residential area and is close to local amenities. It is in keeping with other properties in the area and there are no outward signs that it is a care home. The location and layout of the home is suitable for the current service user group but would be unsuitable for anyone requiring the use of a wheelchair. All port Road is decorated and furnished in a domestic style and provides a very homely environment for service users. Since the last inspection further improvements have been made, a new carpet has been fitted in the lounge, new dining furniture and a three piece suite have been purchased. A new boiler has recently been fitted and relocated upstairs. Plans for the future include the upgrading of one bathroom, the second will be upgraded next year. The kitchen and utility area are to be decorated and new floor covering fitted. The downstairs toilet is also to be decorated and new shelving for the storage of bed linen and towels is to be installed. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 19 There is a lounge and separate dining room and a domestic style kitchen, laundry facilities are provided in an out building. All service user bedrooms are individual and personalised and the furniture and fittings are of a good quality. The home has two bathrooms with shower faculties and toilets and there is a toilet on the ground floor. Thermostatic valves are fitted to all water outlets except the kitchen and water temperatures are monitored Standards of hygiene in the home are good and evidence that all staff work hard at to ensure that the home is well maintained. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, and 35 The quality in this outcome is good. This judgement has been made using available evidence including a site visit to the home. Recruitment and selection procedures ensure service user rights are protected. EVIDENCE: Examination of the staff rota and discussion with the manager indicated that there are sufficient staff on duty to meet the needs of service users at the time of the inspection. The three service users are supported by a staff team of four who work on a rota basis. Two members of staff are on duty at all times when all the service users are at home. At night there is one member of staff on duty who sleeps in. The home currently has a vacancy for a support worker and this post has been advertised internally. Additional support to the staff team until this vacancy is filled is currently being provided by bank staff employed by the organisation or by staff from other services in the organisation. In order to ensure consistency of care staffs that have previously worked with the service users provide cover and this was confirmed during discussion with the staff on duty, one who was bank staff and the other who worked in the day services. At present within the staff group 2 members of staff has achieved NVQ level2, and the third is registered to undertake NVQ2. As all staff files are held centrally at the main offices of the organisation arrangements were made for these to be seen during a second visit to Allport Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 21 Road. The records of the three permanent members of staff were examined and found to be satisfactory, and contained the information identified in Schedule 2 of the Care Homes Regulations. All staff files inspected contained contracts, job descriptions, interview notes. Enhanced Criminal Checks are undertaken on all staff. Evidence was available on file that new staff had completed induction training. Discussion with the bank staff on duty confirmed that they had received induction training and training specific to the work they were expected to carry out. One of the bank staff on duty at the time commented that “the training was good” The home has a training and development programme for staff that is linked to the service and the needs of service users. Computer records are held of all training undertaken by staff and these were provided prior to inspection, training certificates are kept by staff. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The outcome in this standard is good. This judgement has been made using available evidence including a site visit to the service. The home is well managed and run in the interests of the service users. The home is well maintained to ensure the safety of service users. EVIDENCE: The registered manager of the home has many years of experience of working with people with autism, having worked for the Wirral Autistic Society for nineteen years. During that time she has held a number of positions within the organisation and has been the registered manager for this and three other small homes since 2003. The manager has obtained a number of qualifications including the NVQ4 in management. At the time of the inspection the manager was visiting the home to speak to the two bank staff who were on duty that night and to ensure that everything was running smoothly. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 23 The home has a number of systems in place to gather information about the service provided. Wirral Autistic Society is accredited by the National Autistic Society, which carries out an inspection of the services provided and the inspector was provided with a copy of the last review undertaken in March 2006. The organisation also conducts an internal audit of the society, as a whole, on an annual basis. The views of service users are obtained at informal house meetings with staff and individually through key workers. The day service also provides a forum for service users to give their views on the services that they provide. The manager undertakes monthly house checks and Regulation 26 visits are carried out and copies forwarded to CSCI, which identify any areas requiring action and how they are addressed. The checklist completed as part of the pre-inspection questionnaire confirmed that policies and procedures are in place. A random sample of records held in the home were checked, these included the monitoring of fridge and freezer temperatures, hot water temperatures and fire safety. At the time of the inspection a new fire detection system was being installed and the work was due for completion in a couple of weeks. When completed it will include the fitting of an internal swipe card system to open the front door which will provide additional security for service users. Once installation has been completed the appropriate checks will be undertaken. It is recommended that the fire risk assessment for the house be reviewed annually. The pre-inspection questionnaire confirmed that all other checks in relation to maintaining a safe environment had been undertaken and dates were provided of training undertaken in relation to health and safety issues. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 3 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 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 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 Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 25 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. 2. Refer to Standard YA23 YA42 Good Practice Recommendations To ensure all staff receive training in behaviour management and non-crisis violent intervention. To review the fire risk assessment annually. Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 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 Allport Road (86) DS0000018963.V303925.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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