Inspection on 10/11/06 for Dorrien Walk, 25

This inspection was carried out on 10th 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Dorrien Walk, 25 26/01/06

Dorrien Walk, 25 01/09/05

Dorrien Walk, 25 12/01/05

Dorrien Walk, 25 12/05/04

Dorrien Walk, 25 16/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Dorrien Walk, 25 25 Dorrien Walk Drewstead Road London SW16 1AR Lead Inspector Lynne Field Unannounced Inspection 10th November 2006 10:00 Dorrien Walk, 25 DS0000022793.V318950.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 Dorrien Walk, 25 DS0000022793.V318950.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. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dorrien Walk, 25 Address 25 Dorrien Walk Drewstead Road London SW16 1AR 020 8677 0414 0208 299 8598 choicesupport@choicesupport.org.uk www.choicesupport.org.uk Choice Support 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) John Evans Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Dorrien Walk is a small, two bedroom, one-storey home on an estate off Drewstead Road. The home is managed by Choice Support Southwark, a large provider of services for people with learning disabilities. The home is registered for 2 adults who have profound multiple disabilities with learning disabilities. This service was especially set up in 1997 for the two service users who live there. Dorrien Walk has a small back garden. The home is a ten-minute walk from the high street. However, access into some of the shops of interest has proved difficult for people with disabilities. The registered manager said the current fees payable by each service user is £29-20 for food and £32-95 towards the rent per week. Additional charges are made for things such as hairdressing and clothing. These fees are topped up by the placing authority. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out over one day on the 10th November 2006. The registered manager was present throughout the inspection. The inspector interviewed one member of staff and met both service users. The inspection included a tour of the home and examination of records of the care plans, staff records and building maintenance records. The inspector found that the home continues to offer a very high level of care and support to the service users. Staff were observed by the inspector to be competent and caring. During the inspection staff interaction with service users was observed to be knowledgeable and conducted in a respectful manner. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 6 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. Dorrien Walk, 25 DS0000022793.V318950.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 Dorrien Walk, 25 DS0000022793.V318950.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users’ needs and aspirations are assessed in such a way that a service tailored to their needs is provided. EVIDENCE: The statement of purpose, and a service users’ guide, which includes the complaints procedure has remained unchanged since the last inspection. The home’s admissions procedure states: “care management assessments are required for all prospective service users including personal and medical histories before service users are considered”. The registered manager told the inspector that this service was set specifically for the two service users who live at the home and there have been no recent admissions to the home. The inspector has been told that if a vacancy arose, the home would follow their procedures outlined in the statement of purpose and service users’ guide and prospective service users would be invited to visit the home with family members or friends to help them decide if the home could meet their needs. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 9 This would then be followed up by completing an assessment based on personal history, care management assessment and a full needs assessment. Service users are provided with individual contacts and a statement of terms and conditions that is signed by their care manager and family member. Dorrien Walk, 25 DS0000022793.V318950.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): 6,7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are thorough and reflect service users’ needs and goals. Service users participation in the running of the home has been encouraged where feasible, with the support of the care staff. Risk assessment reviews take place and are recorded. Staff have easy access to this information, which is kept, in the homes office. The home lacks lockable space in which to keep confidential information. EVIDENCE: The inspector met both service users during the course of the inspection and was shown both of the service user’s person centred plans and inspected both service user files. The care plans are very individualised. Both the service users Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 11 at the home are visually impaired and care plans give a thorough description of service users’ behaviours, reactions and preferences and how the service user was to be treated. Care plans are reviewed six monthly. The inspector was told that the home had recently held a best interest meeting for one service user to make a decision about how dental treatment should be carried out. This included the service user, their relative, who was consulted, staff from the home and other professionals involved. Records of the meeting and outcomes were kept on the service users file. Each service user has a daily activities book that is part of the person centred plan. This includes the abilities of each service user and how service users are able to do small household tasks with the support of the care staff, such as make a cup of tea. Service users abilities are also listed such as “is able to select their own clothes”. The staff with the help of the service users have developed communication passports. These give information about each service user and are part of the person centred plan. The inspector was told these have been written in the style the staff think the service users would write if they could do it themselves. The home has put a lot of effort into gathering information about service users previous lives as well as up to date information. The file is in collage form. Lots of pictures, textures and information of how and what the service users like in their lives. The communication passports are covered in different textured material, so the service user is able to identify their own file through touch. One member of staff had come up with the idea of putting scent on the material, so it could be identified by smell as well as touch. Staff that work in the home know the service users well and are able to interpret what the service users need and want through the service users’ body language, gestures and sounds. The staff told the inspector they have developed their own communication skills and emphasis key words such as “crisps” and phrases, such as “slippers on?” This was evident on the day of the inspection when the registered manager asked a service user if he wanted to play the “keyboard”. The registered manager assisted the service user to where the keyboard was and switched on the sound. The service user pushed himself away, indicating he did not want to play it but was happy to listen. The registered manager told the inspector that the service user’s daily activities include ordinary daily living tasks. Service users are supported by the staff team to make tea or help with vacuuming the floor. Service users are encouraged because of their attention span is limited, to do a little and often. The inspector viewed individual risk assessments, which had been carried out, monitored and reviewed by the staff with service users every six months or when the need arises. Details of any changes to the risks are recorded in the service users care plans, with details of how to manage the risk. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 12 The registered manager said he was unable to keep confidential documents in the home because there was only one lockable filing cabinet. Staff needed to access this because it is where confidential information about service users and their money tins are kept. The home must sufficient lockable space to in which to store confidential documents. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 13 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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled to lead varied lives including taking part in age, peer and culturally appropriate activities, leisure activities in the local community. Staff are sensitive to service users needs and wishes and they are actively encouraged to develop daily living and social skills. EVIDENCE: The inspector saw the service users activities timetable, which includes developing independent living skills within the range of the service users Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 14 abilities. The timetable includes a full list of the service users interests and activities they participate in during the course of the week. The service users have their own car that is adapted to take both service users and their two carers. The inspector was told one service user particularly enjoys going to Vauxhall City Farm and the staff take him there in his car. Both service users enjoy going to church and go every Sunday. As part of developing their daily living skills the service users are supported by staff to make drinks for themselves. One service user particularly enjoys using the blender to make “Smoothies”. One service user and member of staff was going out when the inspector arrived on the day of the inspection. They told the inspector they were “doing the weekly shop for cleaning materials for the house” as well as some personal shopping for the service user. They planned to “make a day of it and have lunch out”. Each service user has a cultural needs assessment on file and there is a record and history of their life and background. This includes information about each service user’s cultural and ethnic background and information from their early childhood through to the present day. At the previous inspection in January 2006, staff had told the inspector there had been conflict of the service users interests, when both service users have been offered activities by the day services at the same time on the same day in places along way from each other. The registered manager told the inspector this had been sorted out and service users were going to their day services on different days. The registered manager said both service users had recently been involved in the training of the managers of the organisation at Orchard Hill, which they enjoyed. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 15 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): 18,19.20, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are detailed and cover all aspects of a service user’s life including physical and emotional well being. Service users receive personal support, in the way they prefer. Medication is managed and administered safely by the staff following the home’s medication policies and procedures. EVIDENCE: Care files contain information for staff on service users who need personal support with their preferred personal care routines. A key worker system is in operation, with each service user having two members of staff from within the team to co-ordinate their support and care planning. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 16 The record of health appointments attended indicated that each service user is supported by staff if this is what the service user requires, to attend an appropriate range of healthcare appointments in line with their individual healthcare needs. One service user has a dietary plan which the hospital dietician has given them to follow to help him reduce his weight. The registered manager said the service user had recently seen the dietician again and the hospital now had scales the service could sit on which confirmed the service user had lost weight. This was positive because there had been concerns that if the service user continued to gain weight, this would affect their weight bearing ability, which would limit their transferring skills. The registered manager had asked for another “best interest meeting to be held about a service user needing dental treatment. This involved the service users key worker, the registered manager, social worker, the dentist and input from the service users’ family member. The registered manager said he had voiced concerns about the outcome because he felt without treatment the service user could end up having emergency treatment, which could be avoided if he had regular treatment. Service user medication is stored securely in a locked medication cabinet in the staff office. Both service users had medication reviews and routine blood tests. Copies of the results were recorded in their personal file. Homely remedies are signed as being able to be given by the GP. The inspector was shown the report by the local pharmacist who comes into the home every six months to check the medication. This indicated there were no issues that needed to be addressed by the home. The inspector was told staff has medication training and medication administration records as part of their induction and the organisation have medication training in their refresher program. The registered manager said if staff made a medication error, this would be discussed in supervision and they would be sent on medication refresher training immediately. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 17 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user’s are protected by the home’s policies and procedures as well as the safeguards that are in place to protect them from abuse, neglect and selfharm. EVIDENCE: The inspector checked the complaints book and noted there were no complaints. The home has a complaints policy, a copy of which is in the service users’ guide. A member of staff told the inspector they are aware of abuse and protection policies and how to deal with cases of suspected abuse. Any suspicions are reported to the registered manager to deal with, who will deal with it in an appropriate way following the homes adult protection policies and procedures. The registered manager told the inspector that should there be a vulnerable adult protection issue, the home would follow the homes’ Adult Protection policy and the policy of the placing authority. The registered manager told the inspector he had recently been on Adult Protection training for managers. In this training they discussed how what was called “Low Level Abuse” such as speaking to another colleague over the service user, or speaking in a language or using mobile phones, could lead to Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 18 more serious forms of abuse. The registered manager said he had found the course very informative and had used the knowledge he had gained to help staff become more aware of issues relating to adult protection. The home safeguards service user finances with appropriate recording systems. The inspector was told each service user has a finance book in which all financial transactions are recorded and signed by two members of staff. One service user has their allowance paid directly into their bank. The other service user collects their money, which is then paid into their account. All this is checked and recorded by two staff. Both service users accounts and records were inspected and were found to be in order. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 19 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): 24,25,27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained environment with access to safe and comfortable indoor and outdoor communal facilities. The home is bright, clean, comfortable and safe. Service users rooms are comfortable and are decorated to reflect their personalities. The home has specialist equipment to facilitate access to the building for service users and maximise their independence. EVIDENCE: Dorrien Walk is a one-storey home with a ramp up to the front door. All the rooms are easily accessible with wide doors to accommodate wheelchairs. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 20 The home was set up over ten years ago to house the present service users and is suitable for the service users with their physical disabilities as it is all on one level. The home is comfortable and homely in style. Both service users are visually impaired but they are familiar with the layout and they are able to find their way around the home and to their rooms. The main living area is large and the garden can be accessed from the patio doors via a ramp. At the previous inspection in January 2006, the inspector was told that although the garden had been very attractively landscaped and flagstones had been laid, the service user, who in particular enjoys the garden and the tactile feel of the different textures and the scent of the plants, has been unable to access the garden. This was because of the design and layout of the garden. Following the recommendation in the report the organisation adapted the layout to allow the service users to move around the garden independently. The kitchen has been adapted to meet the present service users’ needs. Worktops are at a level to enable the service users to sit at them and prepare meals with the support of staff, which allows for greater independence. The bedrooms are individual in style and reflect the culture of the service user. One service user has a small toilet off the bedroom, which they are able to use independently. The main bathroom has a hoist that the service users use to help them get into the bath with minimum support from staff. This has helped promote their independence. During the tour of the home the inspector was pleased to note that in the service users bedroom, the possessions that had been lying on the floor in front of the door to the garden, had been tidied away. This was a requirement from the previous inspection that has been met. The office has been redecorated but not refurbished. The registered manager told the inspector that the office chair had been replaced but it had fallen apart after a short time and needed to be replaced again and the fax machine was not working. All equipment in the home needs to be kept in good working order. These items must to be repaired or replaced. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 21 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 good. 32,33,34,35,36 This judgement has been made using available evidence including a visit to this service. The Choice Support recruitment records show that the procedures followed are safe, thorough and comply with the legal requirements. The home is supported by an effective staff team that know the service users well. Having regular staff meetings and formal supervision supports the staff. EVIDENCE: All staff files are kept at the organisations head office. These have been inspected by arrangement with the organisation at their head office. The inspector was told that recruitment includes formal interview, taking up two references, CRB checks and POVA checks prior to appointment and all staff have an employment contract which include details of their terms and conditions of employment. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 22 The inspector spoke to the member of staff on duty, which confirmed they had staff supervision every six weeks. They said they had training in person centred planning, medication refresher training, working with families and the protection of vulnerable adult training was in the training programme. The registered manager told the inspector there was an emphasis on POVA training and all staff would be attending to refresh their knowledge and this was discussed in supervision and in staff meetings. The registered manager said they the home had permanent staff of long standing and did not need to use agency staff. If there were staff shortages they were able to use bank staff that knew the service users. The registered manager told the inspector “bank staff have proper induction training and are assigned to a manager for supervision purposes, to help with their professional development and any problems they may encounter during the course of their work”. Four staff have gained NVQ level 3 and the registered manager said he was finishing the last unit of the registered managers award. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 23 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): 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well managed by a manager of good character, long standing experience in care, who is open and supportive in his management approach. Working practices and associated records ensure that the health and safety of service users is promoted. Regulation 26 visits have not been happening and must be reinstated. EVIDENCE: Staff said the registered manager is approachable and well respected by staff. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 24 The health, safety and welfare records were checked and were in order, fire drills had recommenced and were recorded. The registered manager told the inspector he was raising the staff awareness of adult protection issues during staff meetings and supervision because of the course he had recently attended. Regulation 26 visits are not being carried out regularly by the organisation. These must be reinstated and copies of the reports sent to CSCI office. The registered manager told the inspector the home had developed its own business plan apart from the organisation having one. This was about the local development of the home and staff as well as how improvements would help service user receive a better service. Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 25 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 3 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 3 26 X 27 3 28 3 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 2 X X 3 x Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 26 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 YA10 Regulation 12(4)(a) Requirement Timescale for action 30/11/06 2 YA29 3 YA39 The registered person must ensure the home has adequate lockable storage space to safeguard confidential information. 16(2)(a)(ii) The registered person must 23(2)(c) ensure all equipment in the home is kept in good working order and has a working fax. 26 (5)(a) The registered person must ensure the monthly visits to the home are carried out and copies of reports are submitted to CSCI, in accordance with Regulation 26 of The Care Homes Regulations 2001. 30/11/06 30/11/06 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 Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Dorrien Walk, 25 DS0000022793.V318950.R01.S.doc Version 5.2 Page 28 - 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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