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Inspection on 23/08/07 for Cherre Residential Care Home

Also see our care home review for Cherre Residential Care Home for more information

This inspection was carried out on 23rd August 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

The following improvements have been made to the premises: One downstairs bathroom has been refurbished There is a new sofa in one lounge and a new TV in the other The outside windows have been painted Five bedrooms have been redecorated

What the care home could do better:

No areas in need of improvement were identified at this inspection.

CARE HOME ADULTS 18-65 Cherre Residential Care Home 2 Daneshill Road Leicester Leicestershire LE3 6AL Lead Inspector Kim Cowley Unannounced Inspection 23 August 2007 4.30pm Cherre Residential Care Home DS0000063188.V341637.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 Cherre Residential Care Home DS0000063188.V341637.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. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherre Residential Care Home Address 2 Daneshill Road Leicester Leicestershire LE3 6AL 0116 2517567 F/P 0116 2517567 crc.ltd@ntlworld.com 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) Cherre Residential Care Ltd Miss Hema Malini Patel Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31st May 2006 Brief Description of the Service: Cherre Residential Care is registered to provide care for fourteen younger adults with learning disabilities. The home is situated in a residential area close to Leicester city centre within easy reach of a range of local amenities. There are eight single and three double bedrooms, two lounges, and a dining area. There is a large paved garden area to the side of the property. The basic fee is £328 per week with additional costs if a resident needs one to one care. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, the inspector spent half a day reviewing information relating to the home. During the course of the inspection, which lasted four hours, the inspector checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspector also met five other residents, two relatives, the Manager, Duty Officer, and three members of the care staff team. What the service does well: Cherre Residential Care Home is a spacious detached property well suited to the needs of the residents who live there. Residents are accommodated in either single or double rooms, depending on their preferences. All resident have been involved in choosing the decoration for their bedrooms. One resident showed the inspector his bedroom, which he was proud, of, and said he had chosen all the colours/furniture himself. One relative said, ‘My relative loves his room and has got it how he likes it.’ A resident commented, ‘This is the best home I’ve ever been in.’ On the day of inspection it was a resident’s birthday and his party was in full swing. A buffet had been prepared with dishes chosen by the resident who’s birthday it was. Residents, relatives, and staff had been invited and the atmosphere was lively and sociable. When the party finished the inspector spoke to a group of residents in the kitchen where they were having hot drinks before bed. They were discussing their forthcoming holidays. Some are going to Spain and some to the English seaside. One resident said, ‘I like it here because we get to go on trips and holidays.’ In the past residents have holidayed in Florida and Las Vegas. Each resident has an individual activity programme. Some group activities are organised and these are chosen and planned at residents meetings. Currently Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 6 activities include photography, arts and crafts, bowling, meals and trips out, holidays, college and day centre attendance, and voluntary and paid work A relative said, ‘My relative leads a normal life here. He picks his own clothes. He goes out for meals. He chooses what he wants to do and the staff help him.’ Visitors are welcome at the home at any time. One visitor told the inspector she was always made welcome at the home and included in get togethers and events. Staffing levels are good and extensive one-to-one support is provided for residents who need it. All staff interviewed were professional, caring and knowledgeable about the work that they do. They demonstrated a thorough knowledge of the residents in the home and how best to meet their needs. Relationships between residents and staff were seen to be excellent. One resident said, ‘The staff are very friendly,’ and another commented ‘The staff never shout.’ Relatives also praised the staff team, and made the following comments: ‘The staff here are well trained. They really take care of the residents. I have a lot of confidence in the staff. I trust them 100 and because of them we have peace of mind’, ‘The staff never talk down to the residents’, and ‘The staff help the residents to do everything they want to do.’ It was evident at the inspection that residents, relatives and staff have confidence in the Manager and get on well with her. Relatives praised her ability to run the home well. One commented, ‘I have complete trust in Hema. She listens to my ideas and shares her own ideas with me’, and another said, ‘When my relative came here Hema caught on straight away about how to approach him. She understands him – something no-one else in any other home has been able to do.’ What has improved since the last inspection? What they could do better: Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 7 No areas in need of improvement were identified at this inspection. 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. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 8 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 Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Residents’ needs are fully assessed prior to admission to ensure the home is suitable for them. The service user guide provides a user-friendly introduction to life in the home. This judgement has been made using available evidence including a visit to this service. (Standard 1 and 2 were inspected.) EVIDENCE: The Manager assesses all individuals who are interested in coming to the home. Assessments are ‘person centred’ which means they focus on prospective residents’ individual needs. Those inspected were factual, nonjudgemental, and comprehensive. They included details of a person’s educational/vocational background and aspirations. Assessments by other health and social care professionals had been taken into account, as had the views of the prospective resident and their relatives. Records showed the assessment process is thorough and effective, and that the ethnicity and diversity needs of people who are interested in coming to the home are given full consideration. To help prospective resident decide whether or not the home is right for them, the people who live there have created a service user guide. This excellent resource is full of pictures of day-to-day life in the home and will give prospective residents an idea of what it is like to live there. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Detailed care plans help staff to identify and meet residents’ needs. Residents are encouraged to make choices about all aspects of their lives. This judgement has been made using available evidence including a visit to this service. (Standards 6, 7 and 9 were inspected.) EVIDENCE: All residents have care plans that describe their needs and explain how staff are to meet them. Three were inspected and found to be detailed and to cover all aspects of a resident’s life including care and health, and social, vocational and cultural needs. They are reviewed at least every six months and updated as necessary. Due to their importance staff must read them and sign to say they have done so. Risk assessments are included and cover areas such as going out alone or accompanied, using the kitchen, and using public transport. In addition residents have person centred care folders that they keep in their rooms. One resident showed his to the inspector and talked her through it. It contained his likes/dislikes, life story, and aspirations. Each resident have individual goals that they work towards and ‘sign off’ when achieved. Through Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 11 saving and learning new skills this resident had been able to purchase items and equipment for his room. Some of the residents have complex needs and can be challenging at times. The Manager believes behaviour management is the key to working with them and improving their quality of life. She said, ‘We use positive reinforcement and observe body language so we can avert challenging behaviour before it occurs.’ Staff also use a multidisciplinary approach, calling on the expertise of consultants, social workers, learning disability nurses, and the Outreach team when addressing behavioural issues. Two relatives interviewed said they were satisfied with the care in the home. Comments included, ‘This home is wonderful. My relative has settled in really well. He gets the care he deserves’, and ‘Since my relatives has been here there’s been a huge change in him for the better.’ Residents are consulted on all aspects of their lives and care plans evidenced this. They are offered daily choices with regard to activities, personal care and food. Residents’ meeting are held once a month and give residents the opportunity to participate in the running of the home. Advocacy services are used if a resident needs to resolve a conflict with the support of an independent person. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Daily living and social activities enable residents to lead full lives and grow in independence. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 15, 16 and 17 were inspected.) EVIDENCE: On the day of inspection it was a resident’s birthday and his party was in full swing. A buffet had been prepared with dishes chosen by the resident who’s birthday it was. Residents, relatives, and staff had been invited and the atmosphere was lively and sociable. When the party finished the inspector spoke to a group of residents in the kitchen where they were having hot drinks before bed. They were discussing their forthcoming holidays. Some are going to Spain and some to the English seaside. One resident said, ‘I like it here because we get to go on trips and holidays.’ In the past residents have holidayed in Florida and Las Vegas. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 13 Each resident has an individual activity programme. Some group activities are organised and these are chosen and planned at residents meetings. Currently residents are taking part in the following: • • • • • • • • • • Photography Arts and crafts Bowling Discos Meals out Day trips Holidays Day centres Colleges Voluntary and paid work A relative said, ‘My relative leads a normal life here. He picks his own clothes. He goes out for meals. He chooses what he wants to do and the staff help him.’ Visitors are welcome at the home at any time. One visitor told the inspector she was always made welcome at the home and included in get togethers and events. Care plans showed that cultural and diversity needs are met. Some residents worship at nearby churches and temples. One resident attends a cultural group where his first language is spoken. Facilities are available in the home for residents with physical disabilities. Care staff cook the meals helped by residents where appropriate. Vegetarians and non-English diets are catered for. Healthy eating is promoted but ultimately residents decide what they eat. All residents praised the food and told the inspector what some of their favourite meals were. One relative commented, ‘The food is varied and good. My relative needs his diet carefully monitoring and the staff do this.’ Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ personal and health care needs are met in the way they want by staff in the home. This judgement has been made using available evidence including a visit to this service. (Standards 18, 19 and 20 were inspected.) EVIDENCE: Residents’ care needs are set out in their care plans, and personal care is provided in line with their wishes and requirements. Records showed that personal care is delivered with sensitivity with the emphasis on treating residents with dignity and respect. One relative said, ‘The residents always look smart and their clothes are well coordinated, clean and pressed.’ Staff help residents to live as healthy lives as possible. ‘Health Action Plans’ are in place. Records showed that staff have had training in preparing these plans and facilitating their delivery. A range of health care professionals provides services to residents including GPs, learning disability nurses, occupational therapists, consultants, physiotherapists, chiropodist, dentists and opticians. Records showed that residents’ health has improved since they have been in the home and that appropriate aids and adaptations are in place. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 15 The home’s contract pharmacist has trained all staff who administer medication and most have completed a 12-week ‘Safe Handling of Medication’ course. Detailed medication records are in place and medication is kept securely. The home’s community nurses have provided specialist training in administering certain medications. No residents self medicate at present. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Staff know how to safeguard residents and help them express any concerns they might have. This judgement has been made using available evidence including a visit to this service. (Standards 22 and 23 were inspected.) EVIDENCE: A written complaints procedure is displayed in the home and a user-friendly pictorial version is in the service users’ guide. Residents interviewed said they would tell the staff if there was anything wrong. Records showed that they had done this in the past. There have been no formal complaints since the last inspection. A relative said, ‘If I was concerned about anything I would go to Hema. She is very approachable.’ The Manager said that all staff are trained during their induction in safeguarding adults, cover this area in their NVQs (National Vocational Qualifications), and know what to do if abuse is suspected. They also attend safeguarding training provided by the local authority, and safeguarding is a regular agenda item at the monthly staff meetings. This helps to ensure that residents in the home are protected from abuse, neglect and self-harm. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents live in an environment that community-based, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 24 and 30.) EVIDENCE: The home is spacious and well suited to the needs of the residents who live there. It is situated in a residential area close to shops and other local amenities including bus service to Leicester city centre. There is a good range of communal areas so residents can choose whether to spend time alone or in company. At the side of the home is a large secluded paved garden. Residents who smoke do so outside as the home is non-smoking. There are eight single and three double bedrooms. Resident accommodated in the doubles have chosen to share. One double has two different colour schemes, one each end, at the residents’ request. All resident have been involved in choosing the decoration for their bedrooms. One resident showed the inspector his bedroom, which he was proud, of and said he had chosen all the colours/furniture himself. One relative said, ‘My relative loves his room and Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 18 has got it how he likes it.’ A resident commented, ‘I like it here because it’s near my college.’ Since the last inspection the following improvements have been made to the home: One downstairs bathroom has been refurbished There is a new sofa in one lounge and a new TV in the other The outside windows have been painted Five bedrooms have been redecorated The premises appeared to be in a good state of repair. There has recently been a burst pipe in one of the offices and the floor is being replaced. All areas inspected were clean and tidy. Care staff are responsible for keeping the home clean helped by residents where appropriate. One resident told the inspector he liked to help out by vacuuming the lounges Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Friendly, professional and appropriately trained staff meets residents’ needs. This judgement has been made using available evidence including a visit to this service. (Standards 32, 34 and 35.) EVIDENCE: A multiracial staff team is employed consisting of the Manager, Deputy, duty officers, and senior support workers and support workers. Staffing levels are good and extensive one-to-one support is provided for residents who need it. All staff interviewed were professional, caring and knowledgeable about the work that they do. They demonstrated a thorough knowledge of the residents in the home and how best to meet their needs. Relationships between residents and staff were seen to be excellent. One resident said, ‘The staff are very friendly,’ and another commented ‘The staff never shout.’ Relatives also praised the staff team, telling the inspector: ‘The staff here are well trained. They really take care of the residents. I have a lot of confidence in the staff. I trust them 100 and because of them we have peace of mind as a family.’ ‘The staff never talk down to the residents.’ ‘The staff help the residents to do everything they want to do.’ Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 20 ‘The best thing about the staff here is that they don’t treat residents like they are a nuisance, and if they did Hema would get rid of them.’ Staff files were inspected and found to be well organised and complete. The Manager and a member of staff confirmed that no one starts work in the home without the required checks being carried out including CRB/POVA and two written references. The recruitment of appropriate staff helps to ensure residents are safeguarded. All staff have a 12-week induction period, which includes statutory training (for example, fire safety and food hygiene). When staff have completed their induction they go on to take NVQs and the majority have Level 2, 3, or 4. Further Training is provided both in-house and externally, including courses specifically for staff working with people with learning disabilities (or example, person centred care and challenging behaviour). All staff have supervision with the Manager or one of the Duty Officers every two months. The home does not employ ancillary staff as care staff are expected to cook and clean, involving the residents where possible so they improve their daily living skills. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. The home is well managed with the focus on empowering and enabling residents. This judgement has been made using available evidence including a visit to this service. (Standards 37, 39, and 42 were inspected.) EVIDENCE: The Manager owns the home and has substantial experience of running care homes for people with learning disabilities. She has the City and Guilds qualification in Managing Care and is currently undertaking her Registered Managers Award. She has undertaken a range of relevant short courses to keep her up to date with good practice in learning disabilities. She is a person centred care trainer and on the person centred care local working party. She leads by example in the home, ensuring the staff team are focussed on giving residents choice. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 22 It was evident at the inspection that residents, relatives, and staff have confidence in the Manager and get on well with her. Relatives praised her abilities to run the home well. One commented, ‘I have complete trust in Hema. She listens to my ideas and shares her own ideas with me’, and another said, ‘When my relative came here Hema caught on straight away about how to approach him. She understands him – something no-one else in any other home has been able to do.’ Residents are involved in the running of the home at monthly meetings. These are well attended and minutes showed that residents’ views are sought and their suggestion acted upon. Residents can also give their views on a one to one basis to their key worker and these are recorded and fed back to the Manager. An annual survey of residents’ views is carried out with the results published and included in the service user guide. Good polices and procedures are in place to help to ensure the home is run safely. Inspections have been carried out by the home’s Environmental Health Officer and Fire Officer and their advice taken. The home is registered with a health and safety support network and can access advice and information 24 hours a day. The premises have been risk assessed and precautions taken to increase residents’ safety, for example window restrictors have been fitted and water/radiators are temperature controlled. Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 4 3 X 4 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Cherre Residential Care Home DS0000063188.V341637.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 Cherre Residential Care Home DS0000063188.V341637.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Cherre Residential Care Home DS0000063188.V341637.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. 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