Inspection on 17/05/07 for Astor Lodge View

This inspection was carried out on 17th May 2007.

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

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

Other inspections for this house

Astor Lodge View 07/05/09

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

CARE HOMES FOR OLDER PEOPLE Astor Lodge View Lamb Street East Cramlington Northumberland NE23 6SF Lead Inspector Anne Urwin Brown Key Unannounced Inspection 17th May 2007 09:30 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 Astor Lodge View DS0000069904.V342260.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. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Astor Lodge View Address Lamb Street East Cramlington Northumberland NE23 6SF 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) 01670 735012 Southern Cross Opco Ltd Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the ome are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places 29 The maximum number of service users who can be accommodated is 29 16 November 2006 2. Date of last inspection Brief Description of the Service: Astor View Lodge is a purpose built home in a rural area of Northumberland on a site comprising of two homes: Astor View and Astor Court. Both homes have only recently been taken over by Southern Cross Opco Ltd. Astor Court was not part of this inspection, having its own separate registration. The village of East Cramlington is a short distance away, with a small range of local amenities including shops, public houses, a post office and Church. The area is served by public transport and the coastal areas of Northumberland and the town centres of Cramlington and Blyth are within easy reach by bus or car. Astor View is registered to provide care to 28 older people and 1 person under the age of 65 with a physical disability. All areas internally and externally are accessible to wheelchair users and all people living at the home are able to enjoy single bedrooms with en suite facilities. Externally, generous car parking is available. Fees range from £409.40 plus a third party top up of £15.00 for local authority funded residents to £450.00 per week for privately funded residents. There is a Statement of Purpose and Service User Guide in place to inform prospective residents and their relatives about the service provided at Astor Lodge. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 16 November 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 17 May 2007. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: The needs and wishes of each person living at Astor Lodge had been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. Appropriate plans of care and risk assessments had been completed for each person. This meant staff had the information they needed to support each person. The arrangements for monitoring and meeting the health care needs of people living at Astor Lodge were good. This meant that people received the care and support they needed. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 6 The arrangements for supporting people to make decisions about their daily lives and individuals preferences are clearly recorded. Satisfactory arrangements were in place for people to take part in activities in line with their needs and preferences. The arrangements for supporting people living at Astor Lodge to maintain contact with their friends and family were good. The relationships between staff and people living at the home were good and personal support was provided in such a way as to promote and protect privacy and dignity. The meals at the Home provided a varied, nutritious diet. Staffing levels were adequate and appropriate training is provided. This means that staff has the skills to meet the needs of the people living at Astor Lodge. The staff are well supported by the Acting Manager. 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. Astor Lodge View DS0000069904.V342260.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 Astor Lodge View DS0000069904.V342260.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): Standards 1, 2, 3 and 6 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is provided for people thinking about living at Astor Lodge so that they are able to decide whether or not to move into the home. Contracts are clear and fair and protect people living at the home. Good comprehensive assessments are carried out before and after admission to ensure that peoples’ needs can be planned and met at Astor Lodge. Intermediate care is not provided at Astor Lodge. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 9 EVIDENCE: The Statement of Purpose/Service User Guide is comprehensive and contains all of the information identified in Schedule 1 of the Care Standards Regulations. It includes information about the services offered by the home including staffing, who the home can care for, social activities, and arrangements for religious observance as appropriate, complaints, care planning, and the homes environment. Changes are being made to the Statement of Purpose/Guide to reflect the recent change of ownership of the home. Residents and their representatives are encouraged to visit the home and spend time, this results in them having good information on which to base their decision to move into the home. Each person is supplied with a written contract and copies were available in the individual files. New contracts are being prepared to reflect the change of ownership of the home. The home’s contract provides clear information about peoples’ rights and responsibilities, what is covered by the fees and terms and conditions of occupancy. One resident said that she could recall having signed the contract and understood its content. Individual records contain comprehensive pre-admission assessments, which are completed by the Manager or the senior staff. The assessments cover the areas identified within Standard 3 of the National Minimum Standards for Care Homes for Older People. Staff draw up individual plans of care using the information in the assessment. In addition care management assessments were available in the records sampled. Four people spoken with during the inspection said that they were satisfied that staff were aware of their needs when they came to live at the home. They said they felt well supported when they came to live at Astor Lodge. The home is not registered for, and therefore does not provide, intermediate care. Astor Lodge View DS0000069904.V342260.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): Standards 7, 8, 9 and 10 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good individual plans provide information for staff to support meeting peoples’ needs. Care is planned sensitively with people living at the home in a way they prefer. Peoples’ health care needs are well met using a multi-agency approach. This helps to keep people healthy. Good procedures and practice for dealing with medicines protects those living at Astor Lodge. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 11 EVIDENCE: Each resident has an individual plan of care, which is based on the admission assessment and is then added to during the placement. The care plans contain an assessment for nutrition, skin care, moving and assisting, and continence promotion as well as a dependency rating. These are agreed with residents, up to date and are regularly reviewed. Comprehensive risk assessments are in place for specific interventions, and these are updated when necessary. Each person has regular reviews and they are involved in this process together with relatives/representatives if appropriate. Three people said that they are well looked after at Astor Lodge and they are very happy with the support they receive. They also said staff are caring and kind. Staff are well informed about individual needs and demonstrated this during the inspection. Peoples’ health care needs and any specific treatments are clearly recorded. All contact with the doctor, district nurse and other health care professionals is recorded appropriately. Records showed that the home seeks expert advice from external professionals if necessary. Aids and other equipment are in place for those who need it. Residents said that the staff are aware of their health needs. They said they get support to attend appointments. Three people said they were satisfied that they can access the health services that they need. The systems for managing medicines in the home are in line with safe working practice guidelines. The records relating to the administration of medicines are fully completed and staff are clear about the procedures. A monitored dosage system is in use. Arrangements are in place for senior staff to consistently monitor administration systems. Storage space is limited. Staff training in handling medicines has been provided so that they understand their responsibilities. Risk assessments are in place for people wanting to manage their own medicines and lockable storage is provided. Astor Lodge View DS0000069904.V342260.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): Standards 12, 13, 14 and 15 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have good opportunities to take part in a variety of leisure pursuits and activities that helps them to maintain good links with the local community. People living at Astor Lodge are encouraged to exercise control over their lives, which helps them retain their independence. Mealtimes are flexible to suit individual preferences and lifestyles. People are give plenty of choice and are supported sensitively to eat meals where they have specific needs. EVIDENCE: People living at Astor Lodge said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within care plans. There is a programme of activities and information about this is made available to people living there. People coming to live in the home receive information that describes regular activities and outings organised. Staff said that they are able to spend time on an individual basis with people living in the home. The atmosphere is homely and during the inspection it was observed that people are encouraged to make choices about where and how they spend their time. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 13 There are videos, music tapes, newspapers and books available. Three people said they much preferred spending time in their rooms as they enjoyed their own company, but two of them usually joined other people in the dining room at mealtimes. People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Two people said that they could see visitors in their own rooms or in the public areas of the home. Information is available for relatives about visiting and this is made available before a resident is admitted. One relative said that staff are welcoming and she enjoys visiting the home, as there is a relaxed atmosphere. The Acting Manager made a point of speaking to visitors and was readily available to support relatives and provide information. People are encouraged to continue to manage their finances for as long as they are able and this was evident from care plans. They are encouraged to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are encouraged to follow their own religion and local ministers visit the home regularly. Information is available at the home about advocacy services if any resident needs this. The menu shows that a varied diet is provided that offers choice at each mealtime. Peoples’ likes and dislikes are recorded and the staff regularly consults with them about the food. There is choice about where food is served so that people can choose to have their meals in their room or in the dining room. People living in the home said that the food is sufficient, and has improved since a new cook was appointed. They said that they have plenty of choice as well as being able to make suggestions for the menu. Staff have completed Food Hygiene training. Astor Lodge View DS0000069904.V342260.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): Standards 16 and 18 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place and is clearly displayed to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Good arrangements for protecting people using the service are in place. EVIDENCE: The home has an open culture that encourages people living there to express their views and concerns. Each person is supplied with a copy of the complaints procedure, which is clearly written and easy to understand. People living in the home said they were aware of how to make a complaint and that they felt able to speak to the acting manager or the staff if they have any concerns. Records of complaints are good and this includes details of the investigation and any actions taken. Staff were aware of how to help someone living at Astor Lodge to make a complaint. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 15 Policies and procedures provide clear guidance to staff about protecting people living in the home and the action to be taken in the event of any allegations being made. People using the service are made aware of what abuse is and the safeguards in place for their protection. Access to external agencies is promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in Protection of Vulnerable Adults. Astor Lodge View DS0000069904.V342260.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): Standards 19, 20, 21, 22, 24, 25 and 26 were inspected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Astor Lodge provides a safe environment that encourages independence. The home is comfortable and generally well maintained. The new owners are implementing a planned programme to improve the decoration, fixtures and fittings. Good quality accommodation is available for individuals in single rooms with en-suite toilets. Specialist equipment is available to maximise peoples’ independence. The home is clean, pleasant and hygienic, although improvements to the laundry facilities have not been completed. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home was purpose built for the client group and as a result has good-sized corridors and is designed to allow service users to use the entire home with ease and in safety. The Home has recently changed ownership and the new owners have a programme to improve the décor, fixtures and fittings. The Acting Manager has identified equipment and furnishings he feels are needed to maintain good standards. Some maintenance issues including a gap at the top of one of the external fire doors, the décor in bathrooms and some bedrooms were outstanding and the Acting Manager said that these are identified for action. Records show that maintenance issues are generally dealt with promptly, but change of contracts leading up to the new ownership has affected this over the two months. The garden is usually well maintained, but this has been affected by the lack of a maintenance contract. Parking is available to the front of the home. There are sufficient bathrooms and toilets, and appropriate aids and adaptations are available. One hoist is awaiting repair. All bedrooms have en-suite accommodation and are of a good size. The residents spoken to were happy with the decoration and maintenance standards. The home is clean and was odour free. The residents’ bedrooms were personalised reflecting individual choices and preferences and three residents asked about their bedrooms said they were happy with the decoration and that they were kept clean by the staff. Some towels and bedding are worn and frayed. All rooms have windows for ventilation. Central heating is fitted and the temperature can be adjusted. Radiator guards are fitted to protect people living at the home. Tests are carried out annually on all electrical equipment. Thermostatic controls are fitted to all hot water outlets. Emergency lighting is fitted. The laundry is very small and there is a damp, unpleasant smell. The décor is poor, tiles have come off the wall and an old washer has not been disposed of. Staff followed infection control policies throughout the day. The light and emergency call cords were all clean and all emergency cords readily available throughout the home. Infection control procedures are followed and staff have access to information and training. Astor Lodge View DS0000069904.V342260.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): Standards 27, 28, 29 and 30 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are sufficient to meet the needs of the people living at Astor Lodge. Opportunities for training are good and this enables staff to learn new skills to better support the people living at the home. Good recruitment procedures protect people living at the home. EVIDENCE: The rota showed that staffing levels are adequate to meet peoples’ needs. People living in the home said during the inspection that there were enough staff on duty at the home. One person said that there “are enough staff on duty and that they are kind and helpful. They know what I need help with.” Staff said that there are enough staff to cover the rota and that arrangements for covering holidays and sickness work well with people usually working extra hours when necessary. At night there are two waking night staff on duty and those living in the home said that they find this sufficient for their needs. A level of over fifty per cent of trained staff has been achieved at Astor Lodge and further training is planned. Staff are committed to training and recognise the importance of gaining recognised qualifications. They said they feel training is well supported by the management of the home. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 19 Staff recruitment policies and procedures are in place to protect people living at the home and records show that these are followed. Appropriate reference and Criminal Records Bureau checks are carried out and evidence of these was in individual records. The training records show that appropriate training opportunities were provided during the past year. Records are clearly maintained and offered an efficient and easily examined system. Statutory training is provided and includes moving and handling, food hygiene, first aid, fire, and health and safety. Staff said that new staff receive appropriate induction training and records confirm this. They also said that there have plenty of opportunities to access training. Astor Lodge View DS0000069904.V342260.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): Standards 31, 33, 35 and 38 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has an open style and good management systems eensure that the service provided suits the needs and wishes of the people living at the home. Quality assurance systems are in place, but these are being revised because of the recent takeover of the home. The systems will help to shape the quality of the service to suit the needs of the people living there. Personal allowance management is good and the systems and records are in place to allow audit to be effective. Peoples’ financial interests are safeguarded by the appropriate systems for handling money held on their behalf. People living in the home and staff are protected by the good systems and practices for health and safety. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 21 EVIDENCE: The Manager has an open style and has the required qualifications and experience to run the home and meet its aims and objectives. There are clear lines of accountability being developed as the Manager has only recently assumed responsibility for running Astor Lodge. He is also the Manager of Astor Court, which is on the same site. Management systems for strategic and financial planning are being developed following the transfer of ownership and the new management arrangements for Astor Lodge. The Manager has a clear vision of the home’s values and priorities. The Manager communicates a clear sense of direction and is able to evidence an understanding and application of ‘best practice’ systems in relation to customer satisfaction, continuous improvement and quality assurance. One of the people living at the home said “He (the Manager) is approachable and I can talk to him if I have any concerns.” The Manager undertakes regular training and understands and values the importance of his continuing professional development. There are effective systems in place for safeguarding and managing money held on behalf of people living in the home including clear records. People using the service or their relatives have access to the records whenever they wish. Records show that training in moving and handling, first aid, fire safety, food hygiene and infection control is provided at regular intervals. Staff said that they receive this training. Records showed that regular checks are made of electrical equipment and the central heating system. Risk assessments are in place for safe working practices. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Records of fire alarm tests, servicing of fire equipment and the alarm, fire training and emergency lighting are kept in a suitable manner. Full details of accidents are kept. Astor Lodge View DS0000069904.V342260.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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 3 X 3 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 23 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. 1 2 Standard OP26 OP33 Regulation 16 24 Requirement Work to upgrade the laundry facilities needs to be completed. An annual development plan must be drawn up using information collected as part of the quality assurance audit. Timescale for action 31/07/07 31/08/07 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 OP19 Good Practice Recommendations A redecoration programme is needed to identify priorities that include bathrooms, bedrooms and toilets. Astor Lodge View DS0000069904.V342260.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Astor Lodge View DS0000069904.V342260.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. 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