Inspection on 21/06/06 for Denmark House

This inspection was carried out on 21st June 2006.

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

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

Other inspections for this house

Denmark House 26/11/07

Denmark House 05/12/05

Denmark House 08/06/05

Denmark House 17/11/04

Denmark House 15/06/04

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 Denmark House 36 Denmark Road Gloucester Glos GL1 3JQ Lead Inspector Kath Houson Unannounced Inspection 21st June 2006 09:30 Denmark House DS0000016423.V304535.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 Denmark House DS0000016423.V304535.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. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Denmark House Address 36 Denmark Road Gloucester Glos GL1 3JQ 01452 383888 F/P 01452 383888 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) www.carehomes.co.uk Cathedral Care (Gloucestershire) Limited Mrs Nicola Anne Shaw Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: 36 Denmark House is a detached Victorian house within walking distance of Gloucester city centre. The home is owned by Cathedral Care (Gloucestershire) Ltd. The home provides accommodation to nine service users with a learning disability who may also challenge the service. Some service users have autistic spectrum disorders. All service users have single rooms, some with en suite facilities. There are spacious communal areas, and large gardens to the rear of the house. The home has a car and a people carrier at its disposal. The home is reviewing how best to provide information about the home to prospective service users. At the time of the inspection the fees for the home were being assessed. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The unannounced inspections took place over two days in June 2006. The registered manager was available over the two days, and a short visit made by the Responsible person also occurred during the inspection. Twenty-one key and six-non key standards were examined. This included an examination of documentation; three service users were case tracked, a tour of the environment and a short succinct feedback was given to conclude the inspection visits. A short discussion with a staff member and a service user formed part of the inspection. The inspector would like to extend her thanks to the service users, staff and management for their assistance with the inspection. What the service does well: What has improved since the last inspection? What they could do better: Continued development of team building is needed to provide support to the new manager. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 6 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. Denmark House DS0000016423.V304535.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 Denmark House DS0000016423.V304535.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): 2 and 5 The quality for this outcome is good. This judgement has been made using available evidence including a visit to this service. The admissions procedure is detailed and individualised which would ensure that individuals whose needs can be met are admitted into the home. EVIDENCE: The home has a good assessment procedure. The newly appointed manager is in the process of rewriting the homes Statement of Purpose, the Service User Guide and the home’s Terms and Conditions. The manager decided that the current paperwork is out of date and does not reflect the home’s potential. The objective is to ensure and further enhance that the residents each have the necessary information that will assist in making an informed choice about their place of residence. For instance the manager felt that the information presented required new impetus to reflect that the home is under new management. In addition the home is establishing good lines of communication that is inclusive for both staff members and residents. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 9 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, and 9 The quality for this standard is good. This judgement has been made using available evidence including a visit to this service. Residents are supported in a review of their assessed and changing needs, and are able to develop additional skills which assist in enhancing independence. Good systems are in place to ensure that residents are appropriately risk assessed and that their personal goals are reflected in their care plans. EVIDENCE: Three residents files were case tracked, which confirmed that good practice is being put into place. For instance, the combined use of information from additional sources such as the placing authority and members of the resident’s families. The aim is to prepare an assessment plan based on the information gathered from social workers or family. New care plans are now being rewritten, updated reviewed and documented to a satisfactory standard. The manager had included input from a number of professionals to ensure that care plans are individualised. For instance, care plans state when healthcare appointments are arranged with named support Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 10 provided. Additionally, input from Studio III combined with low arousal techniques and new methods, which assist in the management of challenging behaviour, have had positive outcomes for the residents. Previously, challenging behaviour was a regular occurrence within the home. Since the appointment of a new manager, the challenging behaviour from the residents has decreased 100 to a non-existent levels. This demonstrates excellent commitment from the manager and the staff team who had to work in unison to achieve this result. The outcome for the residents has been good, thus providing the residents with a calmer more inclusive approach to their place of residence. The staff team are to receive their certificates of achievements in using the low arousal approach, which is a positive step in staff development. The new care plans are now being implemented in the home. These consist of detailed guidance that has been individualised. Care plans were discussed with Studio III to ensure that suitable plans are personalised to each resident. In addition there was input from other professionals such as coordinators from a number of Adult Opportunity Centres and Day Centres. Discussions with residents who were case tracked said that they now go to college, which is based on their changing assessed needs. The residents started to go out more and socialise within their own community. Thus providing residents with a sense of independence and based on their needs. Care plans that were case tracked also showed signatures that demonstrate that residents entered into long discussions about their care and changing needs. Any incidents were additionally recorded and observations were noted. Daily records additionally include any night shift entries so that the manager can monitor any sudden changes with the residents. At the end of each care plan review dates were recorded. This can be seen as good practice as it provides planning time for each review with a set aim and objective. The care plan reviews additionally provide an outline of primary and secondary objectives for each resident with outcomes documented in the residents file. For example residents who have special dietary needs have the healthy eating option plan arranged together with the dietician. Another example is that residents are assessed on levels of support needed and how best to provide that support. The role of the advocate is significant and is beneficial for the residents especially when informed consent is necessary. The home encourages this contact thus further enhancing relationships external to the home. The care plans also takes into account other aspects of the resident’s needs. For example, detailed goals and self-development of the resident. The care plan takes the resident’s interests a stage further to increase independence Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 11 and is combined with risk assessments that enable residents to take risks safely. Risk assessments are arranged according to the resident’s goals and objectives. Residents are able to participate in their own individual activity with support. Key workers have a strong role to play in the provision of support for the residents and this was evident in the recording in the care plans. For instance, one of the objectives set out in the care plan is to assist in the further development of skills that will encourage individual autonomy. The home has a missing persons procedure in place, and a resident’s charter which details service users’ rights and facilitate choice. This can be seen as a good forward step for residents to assist in how their home is managed. On the whole, there have been positive steps made to improve the outcomes for the residents. This is evident based on the previous inspection report. The staff team maintain regular and daily communication on all aspects of the service users objectives in a supportive manner. Denmark House DS0000016423.V304535.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, 15, 16, and 17 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This reflects the lifestyle of each service user. Service users are active during the day and participate in stimulating interests. Contact with family, friends and advocates are promoted and regular which assist in the development of important relationships external to the home. The menus reflect healthy eating options and other a wide-ranging menu. EVIDENCE: Residents have their own individual activities programme. For instance one service user enjoys jewellery making. A new course at Gloscat has been arranged which commences this September 2006. The staff team assist residents to participate in activities of their choice and aid residents in continuing their education or training. This was organised via discussions with residents on a 1:1 or in a group setting. For instance another resident enjoys computers, cookery and communication skills. Regular attendances to local Adult Opportunity Centre encourage these activities to take place. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 13 The staff team additionally provide support to residents to become part of their local community. This was evident during the current inspection where one of the residents was preparing to go out to the local Gym; this activity provides the opportunity for integration into community life. The residents are supported with route planning, sharing knowledge about cultural events and using local shops and library. The home additionally has use of its own vehicle that provides support for residents. Residents also attend car boot sales, inhouse picnics; boat trips; attend the Dolphin Club, swimming at Prestbury, and a visit to the allotments on Fridays. Residents are encouraged to maintain and develop links with both family and friends. The manager and the service user said that friends come over to the home for an evening meal. This is a positive outcome for the residents as it encourages independence and assist in the establishments of friends other than their housemates. Furthermore there were pictures in the dining area of the residents who had recently returned from their holiday. Denmark House DS0000016423.V304535.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 and 20 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate support is provided with personal healthcare needs promoting resident’s dignity and wellbeing. Good systems are in place for handling medication in the home. EVIDENCE: Residents whose files were case tracked demonstrate that the staff team provide care and support to residents in the manner in which they prefer. The staff team are aware of residents needs. Key-worker’s monitoring report will alert the need for any change to care. Personal support is provided in a private manner of the same gender where possible. On observation during the current inspection the residents appear content and well dressed. Feedback from residents comment cards state “how happy… at Denmark house.” Care plans additionally show that residents have access to other health professionals. This was also evident during a discussion with a service user, and was documented in the new format of care plan. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 15 The medication records show clear and concise recording for the administration of medication. The home has had no medication errors this would indicate that the home is handling the medications in a safe manner that is beneficial for the residents. The manager has a competency checklist of staff that are able to administer medication in which 50 of the staff within the home are qualified and competent in this task. The senior members of staff are responsible for the checking in of all medication which include safe handling and disposing of unwanted medicines. Good practices exist within the home and the manager is keen to improve all standards. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear complaints procedures are in place and an open culture exists which helps residents to voice their opinions. EVIDENCE: The home‘s complaints procedures were seen. Residents are aware of what to do if they need to make a complaint. This was evident during a discussion with a resident. Discussion with members of staff regarding their understanding of the homes complaints procedure established that training has been provided. The homes complaints procedure is available to residents and this was evident in the files that were examined. The manager is in the process of making changes to the format of the complaints procedure to include pictorial and text thus making this document more accessible to non-verbal residents. The residents have meetings in which arrangements have been made for each resident to take turns in chairing the meetings. The aim is to support residents in the management of their home. During the current inspection a resident said that “ I am listened to and I will be chairing the next meeting.” The resident continued to say… “ I help new residents in the home.” The staff team was able to discuss that reinforcement training concerning protection of vulnerable adults has been provided. A member staff said “adult training was completed in June of this year.” The manager said that practices are ongoing and new dates for refresher courses were planned for the very near future. The aim is to improve the skills of the staff team in elements of adult protection that would safeguard residents. This can be seen as good practice. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 17 In a short space of time improvements have been made and the home has received a number of complements from the families. Relatives are happy with the service thus far. Evidence from the homes feedback questionnaires confirmed relatives’ responses. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is clean comfortable with homely features enhancing residents’ wellbeing and quality of life. EVIDENCE: Denmark house is a large detached Edwardian house that is located in Kingsholm within walking distance of Gloucester City Centre. All the rooms far exceed the national minimum standards. Each resident has their own key to their single rooms some with en-suite. There are spacious communal areas and large garden to the rear. There are plans to design a sensory garden in the near future, which would be useful for those residents who enjoy being outdoors. The communal areas provide sufficient space for the service users and were personalised with resident’s belongings. The home is comfortable and homely which enhance the resident’s wellbeing. There is a large dining area with a notice board that has a number of photographs of the residents thus making this very homely and personalised. The dining area is well used in that the residents were socialising, drinking tea and coffee. Some residents got up to make tea or coffee in the large kitchen. The kitchen is a large communal space Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 19 which is inclusive to service users who at the time of inspection were making a cup of tea and engaging in conversation. The home also has a sensory room that is used by the residents after a busy days activity. The room has sensory equipment such as lights hanging on the wall, soft floor cushions, and a large rubber ball. This room is very peaceful and comfortable and an important part of the home. The home has maintenance programme in which work is repaired rapidly. The maintenance man was available during the current inspection. The manager has plans to make the foyer into a quiet area where residents can receive phone calls. Residents additionally have the option to take their phone calls to their rooms with cordless phones. The manager must ensure that safety elements have been considered to avoid any trips and slips. The home was clean and tidy. No offensive smells were detected. On the whole the home is well used by the residents and very comfortable. The manager has further ideas to implement to make the home even more homely. Leather sofas are on order and the home is scheduled to be redecorated in the very near future. This will be monitored in the next inspection. During the current inspection hazardous chemicals were not locked away in a safe cupboard. The manager must ensure that all dangerous and hazardous solutions are locked away in a safe cupboard to minimise potential risk to residents’ safety within the home. Discussions took place on the storage of client files in a metal locked cupboard. It was mentioned that storage of such confidential files have the potential for security issues and that the metal cabinet would detract from making the home less homely. The manager said that she was in the process of revamping storage of all documents as she is aiming to reorganise the office and would store all client files there. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Competent and qualified staff supports Service users. An effective staff team supports Service users. Service users are supported and protected by the home’s recruitment policy and practices. Appropriately trained staff meets Service users’ individual and joint needs. 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): 32,34,and 35 The outcome for these criteria is good. This judgement has been made using available evidence including a visit to this service. The home’s recruitment practices which are in place support and protect the residents. The training programme is in place to maintain further and continued development of the staff team. EVIDENCE: The home has a number of competent and qualified staff that are qualified to NVQ level 3. Approximately 50 of the staff has qualifications such as LDAF; NVQs levels 2 and 3 with only two staff members remain to begin an NVQ. The manager is aiming to have 100 of the staff qualified. This will be monitored at the next inspection. The staff were found to be committed to selfdevelopment that was also encouraged by the manager. This was evident from the positive response from the staff and was later confirmed during a discussion with the service user. Comment from service users said, “they felt supported” it was observed that support was given in an appropriate manner. The verbal exchange between staff and service user was on of respect and mutual warmth. The manager said that she was happy with the values and manner of the current staff team. The manager must ensure that any upheaval within the staff team is kept to a minimum. The staff team are also in receipt of any relevant training. The manager was able to demonstrate that she is in the Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 21 process of reassessing any training for instance in food hygiene. Which would ensure that the staff team are kept up to date. On the whole the manager demonstrates a strong commitment to the staff team and residents. Although the standard for supervision was not assessed on this occasion, the manager said that she intended to implement this shortly with the view to supervise all team members. Some responsibilities with the home have been delegated to senior members of staff. This will be monitored at the next inspection. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42,and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from a service that is well-managed, promoting positive outcomes for the residents and resulting in an effective staff team. EVIDENCE: Resident’s benefit from a home that is well managed, where the care is provided from an effective staff team. The residents were consulted and the home supports their views taken into account in the running of the home. This was mentioned during a discussion with a service user who said, “ that I will be chairing the meetings and help new residents into the home”. The manager is aware of their role and responsibilities and ensures that the home functions at a good standard. The home has and makes good use of the communication book to ensure that communication is shared equally among the staff team. A Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 23 good system is in place to ensure that all members of staff have to read and sign the messages in the book. The manager has several years experience within the care field. The ethos and leadership is one of a positive nature that continues to grow. The manager has been in post a short while and it was evident that the residents were content and supported appropriately. The home has potential and scope for development. The manager was able to demonstrate the she had a number of plans what she would like to put into place which would further develop the home and create a well managed and safe environment for the residents. During the current inspection the manager was redesigning the residents and relatives feedback forms with the intention to distribute three to six monthly. The reason for this is to ensure any problems with the service are quickly dealt with and resolved. The manager is reviewing the homes policies and procedures with the view to rewriting these documents that reflect the function of the home. Various forms of quality assurance were discussed and are being dealt with aiming to renew and make them more relevant to the home. This will be monitored at the next inspection. Staff felt the home was safe and spoke highly of the manager. Staff said that the health and safety issues formed part of the induction process. Certificates for training were seen as evidence. There has been a change in the management culture and the manager has every intention to improve and establish positive grounds that will improve the conduct of the home. The residents appear content and looked well. The relatives are satisfied with the service and the manager is keen to continue with improvements. The manager has organised a “safer food better business” in which the home’s kitchen is assessed on how best food preparation and hygiene can be further improved. Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 X X 3 3 2 X X 3 3 Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Regulation Requirement Timescale for action 11/08/06 13 (4) (c ) The registered manager shall ensure that unnecessary risk to the health and safety of the residents are identified and so far as possible eliminated. The manager must ensure that all hazardous chemicals are locked away in a safe cupboard. 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 Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 26 Denmark House DS0000016423.V304535.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!