Inspection on 01/11/06 for Cloverdown

This inspection was carried out on 1st November 2006.

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

Cloverdown 17/02/08

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Cloverdown Kenmare Road Knowle Bristol BS4 1PG Lead Inspector Melanie Edwards Key Unannounced Inspection 1st November 2006 09:30 Cloverdown DS0000067992.V314267.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 Cloverdown DS0000067992.V314267.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. Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cloverdown Address Kenmare Road Knowle Bristol BS4 1PG 0117 9639 179 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) admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Miss Elizabeth Julia Spires Care Home 18 Category(ies) of Learning disability (18), Learning disability over registration, with number 65 years of age (18) of places Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 18 persons aged 40 years and over requiring nursing care Staffing Notice for Mortimer House dated 22/5/01 applies The manager must be a RN on Parts 5 or 14 of the NMC register Date of last inspection Brief Description of the Service: Cloverdown, formally Mortimer House care Home is registered to accommodate up to eighteen residents with learning disabilities. Aspects and Milestones Trust run the Home. The property is a modern building set in its own grounds with a garden and patio area. The Home has a minibus for the use of residents and public transport can also be accessed a short distance from the Home. Parking is available at the front of the premises. The fee charged for staying at the Home is £985.12 a week. Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Seven of the fifteen residents living at the Home were consulted. Three members of staff were consulted about roles and responsibilities, training needs, and how they support residents. Staff were observed supporting the residents with their needs. A selection of records relating to the running and management of the Home were inspected. A sample of residents care records and care plans were also reviewed. The majority of the environment was seen with the only areas not viewed being one resident’s bedroom. What the service does well: What has improved since the last inspection? What they could do better: There should be additional storage space provided to store residents continence aids discreetly. Also as residents have only moved into the new environment in the last three months and are still adapting to the place it is recommended a fire drill take Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 6 place in the near future. This is to ensure staff and residents know what to do in the event of a fire. 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. Cloverdown DS0000067992.V314267.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 Cloverdown DS0000067992.V314267.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): 1,2,3 Quality in this outcome area is good. Residents’ needs are being assessed and, residents feel satisfied with how their needs are met. Also Residents’ are provided with the necessary information to help them to understand the service provided by the Home. This judgment has been made using available evidence including a visit to the service. EVIDENCE: To find out how the residents were helped to find out about the new Home a copy of the residents guide was reviewed. The guide included up to date information about the new Home that residents and staff have moved to, as well as the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs was also included. The complaints procedure was also in the document. The Trust who own the Home, had informed us before the inspection, that residents were fully consulted about the decision to move to the new building. Although one resident did say that they had had no choice in the move. To find out how the effectively residents’ needs have been assessed, since they moved to the Home, the assessment records of two residents were looked at The staff team had completed detailed assessments of the physical, mental health and social needs of each resident. There was also information recorded Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 9 about the resident’s views of their care. Included in the assessments were the likes and dislikes of residents, and their choice of social activities. The assessments had been regularly evaluated and updated with the involvement of residents. This helps to demonstrate residents’ needs are monitored and kept under review by the Home. To find out how well the Home is meeting residents needs two care plans were reviewed (see also standard 6). There was detailed information written for each resident stating how to them with their needs. The staff were assisting residents with their physical, and social needs in a sensitive and skilled way. Staff were also observed talking to residents in a warm manner. This helps to demonstrate that residents are well supported by staff. Residents spoke very positively about how staff continue to support them. Examples of comments made by residents included, ` they help you have a bath, they take you out in the minibus,’ ` it’s alright here, we see the staff more because the office is nearer,’ `the staff are very nice,’ and `we see more of the staff.’ Cloverdown DS0000067992.V314267.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): 6,7,9 Quality in this outcome area is good. Residents’ needs are assessed and their care plans reflect how their needs are met. Residents are well supported to make decisions and to take risks in their daily lives. This judgment has been made using available evidence including a visit to the service. EVIDENCE: To find out how effectively residents are being supported to meet their needs two care plans were inspected. There was a detailed personal profile, completed for each resident. This included the personal history of the resident occupant, information about their physical and mental health history, as well as a record of the important people such as family and friends for the individual. There was also an informative plan of care for each resident to address his or her physical, mental, and social, needs. Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 11 The care plans generally aimed to promote the independence of the person in their daily lives. There was evidence written in the records that residents had been consulted in the care planning process. There was also evidence that the care plans had been evaluated and updated on a regular basis. Staff were observed to be assisting residents in a sensitive and calm manner, and were meeting residents needs in the manner stated in the care plans. There are fewer local facilities for residents to use in the area surrounding the new home. Residents said that they do still go out with staff in the minibus, on a regular basis. This must remain a long-term priority for residents to continue to attend a range of social and therapeutic activities. One resident said that they still attend a local fellowship group for people who are partially sighted, held at a church near the new home. This is evidence that demonstrates how residents are being supported and encouraged to take some risks as part of an independent life style. There was detailed information included in the care plans about potential risks the resident may face, and any risk behaviours. The plans of care clearly recorded the preferred approaches staff should take. There was also information written in the two residents records that showed staff were aiming to support the individual to maintain their independence in their daily living. Residents were consulted about their preferred meal options for the following days meals. This is an example of how residents are supported to take an active role in the day-to-day running of the Home. Residents were also getting up at different times during the morning, which helps to demonstrate how their choices and different preferences are respected There are also regular residents meetings where residents can set their own agenda for these meetings. Cloverdown DS0000067992.V314267.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): 12,13,14,17 Quality in this outcome area is good. Residents are well supported to take part in a range of appropriate leisure activities. They are further supported to be a part of the community and to have opportunities for personal development. This judgment has been made using available evidence including a visit to the service. EVIDENCE: Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 13 As already mentioned in the report there are fewer local facilities for residents to use in the area near the new Home. Residents do still go out with staff in the minibus on a regular basis. One resident still attends a local fellowship group for people who are partially sighted, held at a church near the new home. Residents also said they go to the local church on a regular basis, and two residents comments how friendly and welcoming the vicar of the Church has been to them. A massage therapist visits the Home on a regular basis giving one to one massages to residents, the therapist was carrying out massages with residents on the day of the inspection. One resident said how much they liked having their hand massaged. There are also adult education teachers who continue to run groups for residents. One resident showed the inspector the artwork they had made during their one to one session with the teacher. There was information recorded in the two residents records that confirmed they regularly take part in a range of social and therapeutic activities. A ` moving in’ party was held the previous weekend, and several residents said they had enjoyed this social event. Residents have recently been on holiday to Sandbay. Two residents said how much they had enjoyed the holiday. Residents also benefit from outside musical entertainers who visit the Home on a regular basis. Several residents said how much they liked both entertainers. An outside hairdresser has started coming to the Home, because there is no local hairdresser nearby. Several residents said that they liked having their hair done at the Home. A copy of the current menu was reviewed to find out what sort of meals residents are provided with and if they are offered choices. There was a range of dishes recorded as being available for each day. There was evidence seen that demonstrate residents likes and dislikes are included when menus are planned. There was a varied choice of meal options available for the residents. Meal options included a range of traditional, nutritional meals. All of the residents said that the food at the Home was very good. A sample of both lunch time meals options were tasted .The choices were home made beef and vegetable pie, or cheesy pasta, with leeks, boiled potatoes, and green beans. The meals were both tasty, and well cooked. There was also a third meal choice of cold meats, salad and boiled potatoes This demonstrates residents are able to choose from a range of meal options. Cloverdown DS0000067992.V314267.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): 18,19,20 Quality in this outcome area is good. Residents are being supported with their needs in the way preferred by them, and their needs are being met. The residents ’ medication is being stored administered and disposed of safely. This judgment has been made using available evidence including a visit to the service EVIDENCE: Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 15 Despite the move to the new Home in another part of Bristol, residents have been able to keep the same GP. The doctor concerned has known residents for many years, and continues to support them with their health needs. This is clearly very beneficial for residents in that they will have medical support from someone who they know and trust. A record is kept in residents care records of the physical health needs, and appointments (see also standard 6). This is a record of the residents’ last optician, chiropody, dental and G.P appointments. This helps to demonstrate that residents’ health care needs continue to be well met. As also referred to in the report, there was written evidence in the two residents care records which showed the preferred day to day routine of the residents and their particular likes and dislikes. This helps to demonstrate how residents are being involved in the planning of their care. The plans of care also stated the preferred manner in which to assist the residents to meet their mental health and social needs. Staff were talking with the residents in a relaxed manner and residents and staff have built up close trusting relationships. The procedures for the administration storage and disposal of medication were checked to monitor if there are safe systems in place. Medication was stored in the staff office in a locked wall mounted metal cabinet. The medication administration charts of two residents were read in detail. There was a recent photograph of each resident kept near the chart. The charts were legible and up to date, they contained the signature of the dispensing member of staff, as well as the reasons for any omissions had also been recorded. There were also administration guidelines to assist staff when administering residents’ with their medication. There was evidence recorded on a selection of the residents drug administration charts that stock checks are being carried out. This helps to demonstrate that residents medication stock is being stored administered and disposed of safely. Cloverdown DS0000067992.V314267.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): 22,23 Quality in this outcome area is good. Residents will be supported to make complaints about the service. Also there are systems in place to protect residents from abuse. This judgment has been made using available evidence including a visit to the service. EVIDENCE: The complaints record book was looked at to see how effectively residents’ complaints are dealt with. There had been no complaints made since before the last inspection, however there was written information that demonstrated when residents do make complaints these are taken seriously and responded to thoroughly by the Home. Residents said that they would talk to any of the staff if they did want to make a complaint. One resident also said if there was anything wrong they would speak to the inspector who would put it right for them. There are procedures and guidance information on the topic of ‘ the protection of vulnerable adults from abuse’. This helps to protect vulnerable adults who live at the Home, if staff can access the necessary information to ensure their protection. The majority of the staff have attended recent training to help them better understand issues around the protection of vulnerable adults from abuse. Cloverdown DS0000067992.V314267.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 Quality in this outcome area is good. Residents now live in a Home that is suitable for their needs and lifestyles, promotes their independence, and is clean, hygienic, and generally satisfactorily maintained. This judgments has been made using available evidence including a visit to the service EVIDENCE: Cloverdown is built on three levels and was previously a purpose built Bristol City Council Care Home. The Home is set in its own grounds. The gardens looked satisfactorily maintained and there are patio seats and an area where residents can sit and walk in warmer weather. The Home looked clean and tidy in the areas that were viewed. However there is clearly a need for a programme of redecoration to be undertaken, as the decoration looks worn, and tired in a number of rooms. There were decorators decorating one of the lounges during the inspection. There is wheelchair access to the Home and the gardens. There is a lift giving access to all floors. Residents are living on the ground floor and the lower ground floor, and they have access to both floors. Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 18 There are adaptations in place to assist residents and visitors with disabilities throughout the Home. A number of residents said that they preferred the new environment; one resident said it was `flatter’, and another resident said it was `safer’. There is a dinning room and four lounges. Residents were observed sitting in the lounges and dinning room, looking very relaxed and comfortable in their surroundings. Residents also went to see staff in the office, and several residents said they liked having the office nearer to them. Bathrooms include specially adapted baths to assist residents who may have reduced mobility. Toilets are situated in readily accessible parts of the Home near to communal areas and bedrooms. The bathrooms and toilets were clean, and were well stocked with hand towels and soap to help minimize risk from cross infection in the Home. However continence products are being stored on open shelves in the toilets. It is recommended that additional storage space should be provided to store things more discreetly. Cloverdown DS0000067992.V314267.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34, Quality in this outcome area is good. Residents are supported by a sufficient number of competent, qualified staff. This judgment has been made using available evidence including a visit to the service. EVIDENCE: The recruitment procedures were not checked on this inspection. The Trust are in the process of moving all staff recruitment records back into the care Homes, however this has not yet taken place for staff at the Home. These records may be requested at the next inspection. Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 20 The staff on duty were asked about recent training that they had attended. Staff have undertaken a range of training courses relevant to the needs of residents. There was also information seen in staff training files that demonstrated staff said had attended a range of training courses and study days that related to the needs of the residents in their care. There was information seen that demonstrated staffs are also booked to attend forthcoming training in food hygiene, first aid and fire safety. The staff duty record for November 2006 was reviewed to find out how many staff are on duty each day to support residents with their needs. There had been a small amount of sickness recorded and agency staff had covered the shortfall in staff. There is at least five staff on duty during the core hours of day including at least one registered nurse. There are two members of staff on duty at night, with members of staff that works a `sleeping in’ shift and is available for support if needed. There is also a full time chef, a part time laundry assistant, and domestic staff employed. All of whom were on duty on the day of the inspection. There is also an on call support system to support staff and residents out of hours and at weekends. Based on the evidence seen during the inspection, the number of staff on duty meet residents needs. The staff observed during the inspection conveyed they were able to communicate and support residents in a sensitive manner. Cloverdown DS0000067992.V314267.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 Quality in this outcome area is good. Residents’ benefit from a well run home and can be confident that their views will be listened to. Residents and staff health and safety is being protected. This judgment has been made using available evidence including a visit to the service. EVIDENCE: Ms Spires the registered manger is currently on a four months secondment at the Trust head office. The deputy manager Ms Sol Gorge is running the Home in her absence. Ms Gorge is a qualified learning disabilities nurse. Her career record shows that she has a number of years of experience working with residents who have leaning disabilities. This helps to demonstrate Ms Gorge is suitable and qualified to fulfil the role of manager in the absence of Ms Spires. Residents, who were consulted, said they could speak to any of the staff if they had any concerns. Residents were also observed approaching staff, and looking very relaxed and comfortable in their company. Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 22 As mentioned previously in this report there are regular ‘Residents Meetings’. Residents can set their own agenda for these meetings. This all helps demonstrate that residents feel secure and relaxed in the Home, and can express their views in the Home. The Home ensures records are kept in a locked metal cabinet in the office. The residents’ care records, and the records that were seen relating to the running of the Home were satisfactorily written, legible, up to date, and well maintained. This helps to demonstrate residents confidentiality is being protected, and also that Ms Gorge is ensuring that legal records required for the effective running of the Home are being kept in order. The monthly monitoring visits of the Home that must be carried out by a representative of The Trust are being undertaken as required by law. There are records of these visits being sent to the Commission. The records that have been seen, demonstrate that the designated individual responsible for the visits spends time consulting with residents and their representatives and observing staff. The environment looked at was generally satisfactorily maintained, however as previously mentioned there is clearly a need for a programme of redecoration to be undertaken, as the decoration looks worn and tired in a number of rooms. A maintenance worker was carrying out repairs during the inspection. They explained that they have been able to spend extra time at the Home, since residents moved in to make sure the building is safe and in good order for residents. Staff are provided with regular training in health and safety matters including first aid, and moving and handling practices. This should help protect residents’ health and safety if staff are knowledgeable and well trained in health and safety principles and practices. All staff also completes food hygiene training to ensure they maintain their knowledge of good food safety practises The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. However as residents have only moved into the new environment in the last three months and are still adapting to it is recommended that a fire drill takes place in the near future to ensure staff and residents know what to do in the event of a fire in the new Home. Cloverdown DS0000067992.V314267.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 3 2 3 3 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 N/A 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 24 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 YA42 YA24 Good Practice Recommendations A fire drill should take place involving residents and staff. There should be additional storage space to store residents’ continence products. Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Cloverdown DS0000067992.V314267.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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