Inspection on 28/04/05 for Elizabeth House

This inspection was carried out on 28th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Elizabeth House 22/05/07

Elizabeth House 31/08/05

Elizabeth House 02/11/04

Elizabeth House 21/06/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Elizabeth House MacCallum Road Enham Alamein Andover, Hampshire SP11 6JS Lead Inspector Laurie Stride Announced 28/04/05 10.15am 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 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 Stationary 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. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Elizabeth House Address MacCallum Road, Enham Alamein, Andover, Hampshire, SP11 6JS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01264 345800 Enabling Partnership - Enham Mrs Lynne Hewitt CRH 20 Category(ies) of LD, PD, PD(E) registration, with number of places Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: No additional service users may be admitted in the LD category Date of last inspection 02/11/04 Brief Description of the Service: Elizabeth House is part of the Enham organisation, which is situated at Enham Alamein, Andover. The home is registered to accommodate and provide care and support for 20 physically disabled younger adults. The home was registered in January 2003 and is a purpose-built building which is bright, cheerful, homely and well-designed to cater for the needs of all the service users. Whilst the building is provided with modern equipment, which enables both staff and service users with personal care, the décor is tasteful and welcoming. The establishment is the newest of four residential settings on the large site. Cedar Park remains as the original establishment, which is being replaced by more modern accommodation in individual units. The main building continues to house the medical consulting area, dining facilities as required for some service users and houses the large social area used by service users throughout the site. Elizabeth House provides physical and emotional support to individuals who have a physical disability, sensory impairment or learning disability. Additionally, service users participate in structured programmes at the work development resource centre, which is also on the site and which operates in tandem with the care programme. The purpose is to enable people with disabilities to realize their full potential, both by listening to their expectations, providing a structured work setting, assessing their needs and by providing advice and guidance from health care sources. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which lasted seven and a half hours and during which the inspector spoke with residents, staff, the registered manager and members of the management team. A tour of the premises was undertaken including a visit to the resource centre and workshop. Samples of care plans, staff records, policies and procedures were also viewed. There were no requirements made as a result of this visit. Overall the home was well organised with a friendly and well trained staff team. Service users comments about the service were favourable. What the service does well: The home has good systems for care planning, personal support and healthcare. People who live at the home are able to take part in planning what they need and want to do and discussion takes place about accepting responsibility. The service has excellent facilities and arrangements for residents to further their development and employment opportunities. Residents know how and who to complain to if they are unhappy with the care they receive. The home provides a safe, clean and pleasant purpose built environment that promotes residents’ independence. A resident said that what was good about living at the home was that it was part of the village and there were other people around. The staff are well trained and the home carries out checks on everyone who comes to work at the home to make sure they are the right people to be helping residents. Residents said that the staff at the home were good at their jobs. The home asks what residents and their relatives think about the service and ensures that staff work in a safe way to protect everyone. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 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 standard(s) These standards were not assessed on this occasion. EVIDENCE: Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 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 standard(s) 6, 7 and 9 There are clear and consistent care planning and risk assessment systems in place to provide staff with the information they need to meet residents’ needs. The home provides residents with opportunities and assistance to make decisions about their lives. EVIDENCE: A sample of two resident’s care plans was inspected in detail. These contained details of professional, family and social contacts, physical and mental health information, personal support needs, behaviour management guidelines and risk assessments. A pen picture gives a brief profile of the individual and this is followed by a prioritised needs list including, for example, medication, promoting personal hygiene, communication, social skills, safety awareness, money management, healthy diet, relationships, mobility and community access. Daily routines are recorded with support guidelines for staff and any revisions made to these. In-house reviews are held every six months and there is an annual review attended by social service care managers and families. Residents or their representatives sign to say they agree with the outcomes of each review. A separate file contains support guidelines in brief for each resident and this is useful for new staff who need quick access to Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 10 current and concise information. These guidelines include a section that states how each resident wishes the care and support to be carried out. In conversation two residents confirmed that staff respected and assisted their right to make decisions. Out of eight residents who returned comment cards, three stated they would like to be more involved in decision making within the home; two said they would not; two others indicated they would sometimes like more involvement; and one did not reply to the question. In discussion about a particular resident, the registered manager demonstrated an awareness of the need to balance the resident’s right to make decisions with safety issues and the home’s duty of care. This standard will be further assessed at the next inspection. Thorough and comprehensive risk assessments were on file for each resident. These indicated the level of risk identified for each activity, for example accessing the community or self-administering medication, and included risk management plans and guidelines for staff. There were records of monitoring and reviewing risks and assessments were agreed and signed by residents or their representatives. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 11 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 standard(s) 11, 12, 15 and 17 The arrangements and facilities for residents’ personal development and acquiring employment skills are of a high standard. The home promotes the maintenance of residents’ relationships. The meals have improved and now offer greater choice and variety. EVIDENCE: All of the accommodation is in flats and bed-sits and residents are supported to develop independent domestic skills. Care plans contain individual development programmes and support guidelines. One resident talked about doing his own cooking using the microwave oven, learning about computers and taking part in horticultural work. There are opportunities for residents to participate in structured programmes at the development resource centre and workshop, situated in close proximity to all the homes on the site. These programmes and facilities enable people with disabilities to take part in developmental and valued activities including work development. The resource centre includes a library and computer room and the workshop was visited assisted by a resident. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 12 Staff at the workshop explained how fixed-term contracts are agreed with participating companies who then provide the components for work. As contracts change so the work is varied and provides residents with opportunities for developing different skills. This includes not only manual dexterity, concentration and hand / eye coordination, but also employment skills such as commitment and working to deadlines. The atmosphere was supportive and friendly and one service user remarked that he enjoyed coming there because it was a lively place to work. A resident reported that there were good links with the community and that Enham were working with Test Valley authorities to further improve the village. The village provides nearby shops, bus and taxi services. Information is available to residents and staff about the Disability Discrimination Act. Staff undertake disability awareness training and this is updated periodically. Newsletters and notices provide details of local services and activities. During the visit an informal discussion group attended by residents from all the homes was being facilitated. Staff rotas were organised to provide flexible cover according to resident’s needs and activities. Residents are supported to maintain family links and friendships inside and outside the home and relevant policies were in place. Significant relationships are recorded in individual care plans and, as mentioned, relatives and representatives are involved in the review process. One resident said that her relative was able to stay overnight when visiting because of the distance involved. Another visited relatives with his girlfriend on a regular basis. Residents confirmed that they see visitors in private if they wish. A sample of the home’s food menus was seen and this indicated that meals were balanced and varied and that fresh fruit was available. There have been changes in the catering arrangements since the last inspection. The acting manager reported that the home was now in to the fourth week of being in control of its own food budget. This means that while trying out different catering companies, staff and residents also undertake a weekly shop in order to further promote variety and choice and improve on the previous provision of fresh vegetables. A resident remarked on the changes stating he was generally happy with the meals and confirmed that he could ask for alternative meals. Out of eight residents who returned comment cards, half said they liked the food, two said they did not and another two liked the food sometimes. At lunchtime staff were observed giving appropriate assistance to residents in the dining room. Residents were sat together or on their own according to their preference and the atmosphere was relaxed and unhurried. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 13 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 standard(s) 18, 19 and 20 The health and personal support needs of residents are well met with evidence of relevant professional consultation on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure residents’ medication needs are met. EVIDENCE: As mentioned previously, individual care plans include a section that states how each resident wishes their care and support to be carried out. A keyworker system is in place that helps to promote relationships of trust between residents and staff and provides a point of contact with the home for relatives and external agencies. Staff are trained in the principles of care and moving and handling techniques. The rota ensures that there are always at least two female members of staff on duty to assist female residents with personal care if needed. Staff written communications demonstrated that residents had choice regarding their routines, such as when to take baths for example. A resident confirmed that he was happy with the assistance he received from staff, and that staff talk to and treat residents with respect. The vast majority of residents who provided comment indicated that they were satisfied with the standard of treatment, care and privacy they received. Residents have the technical aids and equipment they need for maximum independence, determined by professional assessment. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 14 The sample of care plans seen contained personal and general healthcare information, for example details of GP and other contacts, health action plans, allergies, and pressure sore risk assessments. Health appointments and visits are recorded in a daily diary and staff handover sheets. Files contained evidence of appropriate referral to healthcare specialists. Records showed that one resident had been admitted to Accident and Emergency since the last inspection, following a fall whilst transferring him/her self. The home had taken appropriate action and implemented a risk assessment and staffing guidelines. The home has policies and procedures for dealing with medication and residents are enabled to retain, administer and control their own medication where appropriate. Each resident has their own locked medication cabinet in their accommodation and individual risk assessments for those who manage their own medication. Staff were observed giving medication to a resident in the privacy of his/her room and providing appropriate support. The two members of staff administering the medication sign the records. Staff are trained in the safe handling of medications. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 15 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 standard(s) 22 and 23 The home has a suitable complaints procedure with evidence that service users views are listened to and acted upon. Training, policies and procedures are in place to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a complaints policy and procedure that includes response timescales, details of who to complain to and the appeals procedure. A record is kept of any complaint received by the home, action taken and final outcome. This record contained a letter from a resident’s relative expressing their satisfaction with the way the home had handled their concerns. There had been one complaint from a resident since the last inspection and this had subsequently been withdrawn, demonstrating however that the resident felt confident to inform staff and management of concerns. In conversation one resident confirmed he/she was aware of the procedure, would complain to staff if necessary and knew that this would be passed to the manager or Commission for Social Care Inspection. All residents who returned comment cards stated that they knew who to speak to if they were unhappy with their care. Policies and procedures for the protection of vulnerable adults were available and included an in-house procedure which staff sign to say they have read. Staff induction and training programmes included abuse awareness. Any allegations or incidents of possible abuse, and action taken, are recorded. The home had referred to the learning disability team with regard to assessing a resident’s behaviour patterns and relatives had also been involved. A resident discussed having regular meetings with staff to talk about behaviour issues and was aware of the home’s relevant policy. The majority of residents who Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 16 gave comment indicated that they felt safe in the home. The registered manager reported in the pre-inspection questionnaire that the majority of current residents manage their own personal allowance and relevant records are kept. Residents invest in the bank of their choice or post office savings account. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 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 standard(s) 24, 26, 27 and 30. The provision of modern, purpose built accommodation ensures that service users live in a homely, safe and comfortable environment, with suitable washing facilities and private space to suit their needs and promote independence. EVIDENCE: The home does not offer respite/emergency or short-term placements. The building is modern and purpose-built and able to accommodate wheelchair users with ease. Elizabeth House is comfortable, bright, cheerful, airy, clean and free from offensive odours. All windows are restricted and radiators covered. Local amenities and transport are available. All furnishings and fittings are of good quality and the décor is tasteful. The conservatory area has been fitted with attractive blinds and the roof treated to reflect some of the heat in the warmer months and is an attractive area for additional dining and Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 18 communal events. There is a continual planned maintenance programme, which holds an annual budget. A maintenance team is employed by the Enabling Partnership on a regular basis and are sited in the village. Plastic protectors have been fitted at the base of walls throughout which act as a buffer for wheelchair footplates and protect the walls. Security lighting consists of pillar lighting throughout the complex and security lighting surrounding the property. The fire safety officer and environmental health officer visited the premises on 14/06/04 and 07/07/04 respectively. There are 8 flats and 12 bed-sits at Elizabeth House and these are furnished to provide the occupants with private accommodation that suits their needs and lifestyles and promotes their independence. A resident permitted a viewing of his flat which he had a key for and said he liked his accommodation and had personally picked the colours for decorating it. A low level kitchen had been fitted. There is a Parker bath and an aqua bath (spa bath) for residents use. Appropriate overhead hoists have been fitted in bathrooms, with a porta-hoist available. All accommodation is en suite and includes shower/toilet facilities or in one instance, a bath had been installed. Stair rails are available throughout the establishment and there is a passenger lift, which is regularly maintained. All hoists are regularly serviced, and the relevant paperwork kept on file. Fire safety-training alarms, aid call and pager systems are all utilised within the establishment and maintained as required. Several residents have installed their own telephones, others have mobile telephones or can use the public telephone in Cedar Park. The office cordless telephone is also available. All relevant information with regard to health and safety, hygiene and control of infection is available within the establishment. Protective clothing and laundry bags are available to reduce cross infection. The laundry is modern and appropriately designed with all required facilities. Residents are encouraged to undertake their own laundry wherever possible, following a risk assessment. All COSHH materials are locked away and a pump-fed detergent system is in place. There is a contract for the collection of clinical waste. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36 Residents are supported and protected by suitable numbers of trained staff and the home’s recruitment and supervision policies and practices. EVIDENCE: Staff records were viewed in relation to four members of staff and recruitment procedures had been appropriately undertaken and recorded. These records included proof of Criminal Records Bureau (CRB) and POVA (Protection of Vulnerable Adults) checks, two written references for each employee, completed application forms with employment histories, rehabilitation of offenders and health declarations. All staff received written terms and conditions of employment and job descriptions. New workers undergo a structured induction programme in line with the Training Organisation for the Personal Social Services (TOPSS) standards. Staff who apply for senior posts also undertake a written exercise in order to demonstrate their suitability. The home provides staff with a rolling programme of statutory and other relevant training including, for example, health and safety, care planning, disability awareness, professional boundaries, risk assessment, challenging behaviour and protection of vulnerable adults. The programme runs every 3 Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 20 months, allowing for new staff and refresher training. Certificates of attendance are kept in staff member’s personal files and there is a training record with dates of when each staff member attended, including NVQ training. Staff confirmed that they had monthly supervisions that are recorded. The manager supervises the senior staff who supervise the support workers. An annual appraisal also takes place. Supervision includes discussion of resident and key-worker issues, care planning and routines. Staff communicate through verbal handovers, the daily diary and each has a notebook in their personal tray so that written messages can be recorded. Staff reported that the managers were approachable and supportive and that they thought the training was good and there was a good co-operative team. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The home has well organised systems in place to obtain service users views and promote safe working practices. EVIDENCE: The home undertakes a quality assurance survey through resident and other stakeholder surveys that can be completed anonymously. The results of a satisfaction survey for 2005 were available. Comment slips had been left in the entrance hall for visitors to fill in and residents had been notified about the inspection. Five out of eight residents who returned comment slips said they liked living at the home, while the other three said they sometimes did. The home’s policy file contains a quality management policy, annual performance and quality audit reports, a business programme for 2004 – 09 and a departmental training and development evaluation exercise to be completed over the next year. Regular management meetings were reported to take place. Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 22 The home was able to demonstrate that safe working practices were promoted and maintained. All staff undertook training in fire safety, moving and handling, first aid, food hygiene and infection control. The fire safety records were up-to-date and complete, including the time it took residents to respond to practice evacuations. Night staff have fire safety instruction every three months. Test and service certification was available for hoists, specialist baths, aid-call system, passenger lift, fire safety equipment including emergency lighting, electrical installation and household appliances. A health and safety review is held every six months and there is a maintenance team and manager for the site. The automatic fire doors are checked every month. Staff sign to say they have read the health and safety policy. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 24 25 26 Score 3 x 3 Version 1.20 Page 23 Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score 27 28 29 30 STAFFING 3 x x 3 Standard No 11 12 13 14 15 16 17 4 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 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. 1. 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. Refer to Standard Good Practice Recommendations Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 Page 25 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hants, SO15 1GW 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 Elizabeth House H54 s37083 Elizabeth House v215432 280405.doc Version 1.20 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. 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!