Inspection on 11/12/07 for Finland Street 63

This inspection was carried out on 11th December 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Finland Street 63 07/11/08

Finland Street 63 20/11/06

Finland Street 63 20/02/06

Finland Street 63 08/03/05

Finland Street 63 09/11/04

Finland Street 63 10/03/04

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 Finland Street, 63 London SE16 7UA Lead Inspector Sue Meaker Unannounced Inspection 11 December & 2 January 2008 11:00 th nd DS0000007066.V350419.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 DS0000007066.V350419.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. DS0000007066.V350419.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Finland Street, 63 Address London SE16 7UA 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) 0207 252 3875 0208 299 8598 choicesupport@choicesupport.org.uk www.choicesupport.org.uk Choice Support Care Home 4 Category(ies) of Learning disability (0) registration, with number of places DS0000007066.V350419.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following categories of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning Disability - Code LD The maximum number of service users who can be accommodated is: 4 20th November 2006 Date of last inspection Brief Description of the Service: 63, Choice Support, who also provides other care homes in the borough for people with learning difficulties, manages Finland Street. The home is a modern, purpose built, single storey building where each service user has their own bedroom. There is also a range of communal areas, a small patio and garden in the front of the house and ample on-street parking. The home is situated in the heart of Surrey Quays, a relatively new development that has transport links, a shopping complex and leisure facilities. The home has room for four service users who all have complex support needs and high dependency levels. At the time of inspection there were no vacancies; information was not available on weekly fees for the home. DS0000007066.V350419.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection comprised of a five hour site visit, including a tour of the house, speaking to staff, observing people who use the service, a discussion with the person in charge and a telephone conversation with the new home manager. All four service plans were seen; and all the bedrooms of the people who use the service were seen. The home manager had completed the AQAA and documentation relating to assessment, menu, activities programme, health and safety documentation and documentation relating to policies and procedures were requested and sent to the CSCI after the site visit. Two questionnaires were received from relatives of people who use the service, both of which made very positive comments about the service and the high standard of care provided by the service. What the service does well: What has improved since the last inspection? The service has introduced a care manual for staff. Key worker meetings are now more accessible. DS0000007066.V350419.R01.S.doc Version 5.2 Page 6 The service has found and attended some new external activities such as attending football matches, swimming and fishing. The statement of Purpose is more accessible and now has up to date information. Introduction of new activities such as swimming, fishing and trampolines. Organised tea parties and invited local residents. Advertised for volunteers to help with music classes for the people who use the service. The people who use the service have a health action plan created in conjunction with the GP surgery that is regularly reviewed. The organisation has adopted the REACH standards; and are now working with RESPOND to make sure that people who use the service feel safe and protected. Families have been given more information relating to the complaints procedure. There has been some redecoration and refurbishment. New team manager has been recruited and has been in post since September 2007. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000007066.V350419.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 DS0000007066.V350419.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, 2, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service, their family and advocates receive good quality information about what the service is able to provide in terms of personal, health and social care. People who use the service have their personal, health and social care needs assessed prior to moving into the home; the admission is managed to include day visits, weekend visits and family and friends are encouraged to visit and take part in social activities; this process enables them to make and informed choice about the suitability of the service provision. EVIDENCE: The home has a Statement of Purpose that sets out the aims and objectives of the service. The four people who use the service are given an individual guide that is clearly written using an accessible format and time is spent going through this with each individual to ensure that they understand the information contained in the guide and to ensure clarity. The organisations policies and procedures relating to prospective admissions ensure that all parties have enough relevant information to enable an informed DS0000007066.V350419.R01.S.doc Version 5.2 Page 9 decision can be made as to whether the home has the necessary facilities and skilled and competent staff to facilitate and manage the assessed health, personal and social care needs of the individual. A copy of the assessment documentation was inspected; it is a comprehensive document and gives in depth information on how to meet the specific care needs of the individual. The organisation is able to plan prospective admissions to the home by working with the previous placement to ensure that the move is completed effectively with the minimum amount of disruption to the individual; working with the multi-disciplinary team and social services thereby involving all relevant parties. The home currently provides care for four people; three of whom have been resident in the home for a period of ten years plus and one person who moved into the home in October 2007. Before moving in the staff from the home visited him to learn how to support him effectively and ascertain what his personal, health and social care needs were and how they could meet them. He also visited the home on a regular basis so that he was aware of his new surroundings and to meet the other three people who use the service. Health issues around eating were raised so staff from the home were able to support him so he could get used to this happening. A moving in checklist was completed prior to the placement becoming permanent; this checklist documented all visits made and the progress being made in completing a stress free move into the home. DS0000007066.V350419.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The person centred care plans are personalised and individualised; promoting independence and choice respecting the rights of the people who use the service thereby protecting their privacy and dignity. The people who use the service are supported and encouraged to take identified risks and are able, as far as possible, to make decisions on how they can achieve their personal goals and aspirations. EVIDENCE: The organisation has introduced person centred active support for all the people who use the service, this gives the individuals an opportunity to be involved in the day to day running of the home, for example key worker meetings that are a forum where the residents plan what they want to do in the next six weeks and what level of support and encouragement they need, DS0000007066.V350419.R01.S.doc Version 5.2 Page 11 from staff, to achieve their goals. At the end of the six weeks the temporary goals are reviewed in order to ascertain why they were not achieved and what can be done to make the goals more achievable. There are clear programme plans in place that specify how the people who use the service want their support given; each individual has a service user guide and detailed support plan that determines their individual requirements relating to their assessed personal, health and social care needs; all the personal files were seen at the inspection and it was clear that the staff were aware of how support was to be given always respecting the individuals wishes and preferences relating to privacy and dignity. The staff team supports the people who use the service to maintain family and friendship links by creating opportunities to access community facilities in accordance with the individual wishes. The home has recently implemented a cordless telephone whereby residents can make and take calls in privacy one of them is able to call a relative without having to go to the office. All the people who use the service has a key worker, meetings are held every six to eight weeks and the information is passed on to other staff via team meetings and supervision; this is done in a sensitive manner ensuring confidentiality but also consistency; service delivery plan meetings are held every six weeks these meeting coincide with the annual Care Management Reviews. People who use the service are supported to take risks as part of an independent lifestyle; risk assessments and strategies are in place and are reviewed on a regular basis. Risk assessments in place are specific to the individual and cover such areas as behaviours and activities within the home and in the wider community. It was evident that the management and staff of the home understand the need to take risks in order to grow and develop as individuals. However the home does need to find new and different, meaningful activities to introduce and contribute to a healthier lifestyle by looking a appropriate physical activities such as sailing, fitness training and swimming; also the home needs to explore more educational programmes at local colleges and university. The Statement of Purpose is now more accessible to people who use the service and to their relatives and friends and it contains up to date information evidencing that it has been reviewed. DS0000007066.V350419.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service are supported and encouraged to participate in appropriate activities thus enabling them to live fulfilling lives within the community as well as within their home environment. EVIDENCE: The home is able to offer the people who use the service a wide range of activities and outdoor pursuits. The aim of the service is to provide the individuals in their care, some with profound/severe disabilities, opportunities to learn to be involved and improve their basic skills and to empower them to be able to retain any skills they have learned. People who use the service are encouraged and supported to engage in a wide range of activities including attending courses ant a local college; swimming; DS0000007066.V350419.R01.S.doc Version 5.2 Page 13 cooking, gardening, shopping going on walks; attending local clubs, the cinema, attending football matches, ten pin bowling, fishing and tramp lining. One resident attends church on a weekly basis where he is well known and participates in church activities. Two other residents attend church less regularly. The service is able to meet the cultural needs of the people who use the service and they are supported to maintain contact with family and friends. Family and friends are encouraged to participate in the decision making process if the residents wishes. The service provides healthy, nutritious and tasty meals that reflect the cultural needs and individual preferences of the people who use the service. They are consulted and supported to create the menu for the following week; that reflects their personal likes and dislikes but they are encouraged to make sure that the foods chosen are good nutritionally and that the menu supports eating healthily. The service has organised tea parties where local residents have been invited to the home; and they are in the process of advertising for volunteers to help with music classes for one of the residents with a view to providing musical entertainment within the home. The staff tries to encourage and support residents to help with the preparation and cooking of food. DS0000007066.V350419.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and staff of the service have demonstrated that they have a good understanding of the people who use the service particularly relating to their personal and healthcare needs and provide the appropriate level of support and encouragement needed to promote their choices, privacy, dignity and independence. EVIDENCE: The service provides support and encouragement to people who have complex health needs and who have severe to profound learning disabilities. The staff are familiar with the assessed personal and healthcare needs of the residents and show sensitivity in their approach to meeting the individuals care needs. This was clearly apparent during the visit to the home and observing the interaction between the staff and the people who use the service. The service maintains a good working relationship with other healthcare professionals involved in the care of individual residents; that impacts DS0000007066.V350419.R01.S.doc Version 5.2 Page 15 favourably on the residents as the staff are familiar with their specific needs and therefore have the skills to provide the right level of care and support. All the people who use the service have mobility problems and all use wheelchairs to enable them to get around safely; they all require the assistance of staff and from the use of the standing and ceiling hoists; these are complex moving and handling issues that require specialist training and specific risk assessments to make sure the residents are able to move around the home safely. The district nurses visit the home regularly to assist the staff and people who use the service with bowel and pressure area prevention and care when appropriate. Two people who use the service require input from a speech therapist relating to swallowing and eating. All the people who use the service have a lack of capacity to consent and best interest meetings are held, family, friends and independent advocates are fully involved. All the people who use the service have six monthly medication reviews and health reviews that include dentistry, podiatry, psychiatrist, epilepsy, audiology and optometry. None of the people who use the service are able to self medicate the service has systems in place for the safe administration of medication; these systems are reviewed by the community pharmacist. Staff are required to update their medication training and have annual medication refresher courses and have their competency to administer medication tested annually. The people who use the service have a health action plan in place this plan is created in conjunction with the GP surgery and is reviewed on an annual basis. The service is to arrange appropriate training relating to the prevention and care of pressure areas; and to create a checklist relating to health appointments to ensure consistency of care and clarity of information. DS0000007066.V350419.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has systems in place to protect the people who use the service enabling them to feel safe and protected within their home environment. EVIDENCE: The organisation has sound arrangements and policies and procedures in place that deal with complaints and keep the people who use the service safe and protected. The organisations quality assurance and protection committees monitor complaints. All staff are kept updated and during the regulation 26 visits, carried out the quality assurance committee reviews complaints and compliments reviewed and staff are made aware of outcomes and resolutions. The complaints policy and procedure is to be found in the homes’ Statement of Purpose and in the Service User Guide. However the policies and procedures need to be in a format more accessible to the people who use the service; a DVD format is being look at to see if this is more appropriate. The organisation has a safeguarding vulnerable adults policy and procedure that has been developed in line with the governments “No Secrets” legislation and the local authority POVA guidance; all the staff are trained and have a copy of the policy and procedure in their handbook and a Code of Conduct which they need to follow. The staff spoken to during the inspection displayed knowledge of POVA, and DS0000007066.V350419.R01.S.doc Version 5.2 Page 17 knew the steps to take if an allegation was made; they also were aware of the organisation’s “Whistle-Blowing policy and procedure. Staff stated that they received POVA training and management stated that they have annual updates relating to POVA. The organisation has adopted the REACH standards and has delivered relevant training. He service is currently working with RESPOND who will re-interview the people who use the service to find out if they feel safe and if they know about the organisations policies and procedures following training delivered by VOICE UK. The team manager conducts a weekly finance checks, the finances are also audited every three months by the service manager and are monitored by the registered providers visits (Reg 26). Property lists, securities books for all residents are maintained and staff are clear about their responsibilities relating to the residents valuables. DS0000007066.V350419.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. 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 home enables the people who use the service to maintain their chosen lifestyle incorporating their wishes and preferences by the provision of appropriate accommodation suited to their individual personal, health and social care needs. EVIDENCE: The house is well maintained and cleaned to a good standard providing a homely environment for the people who use the service. There are regular meetings with the housing officer to determine a development plan for the house. The people who use the service have their own bedrooms that are individually decorated and furnished f to their preferences; all the residents rooms were seen, all were decorated, furnished and equipped to a good standard; there DS0000007066.V350419.R01.S.doc Version 5.2 Page 19 were personal items, televisions, music centres personal ornaments, pictures and photographs. The organisation has a good working relationship with the housing association who own the property and liaises with them about any structural and outside repairs that are needed. However the house does require some redecoration; there is a need to create more office space as it is quite cramped; also the pavement behind the home is cracked and needs to be repaired as a matter of urgency as this could compromise health and safety regulations. Arrangements are underway for the redecoration, the toilet and bathroom have been redecorated and a new bath has been installed. The hob in the kitchen has been replaced as have some of the curtains, the washing machine has been replaced and a fax machine installed. The organisation has robust health and safety policies and procedures in place that comply with current legislation. The infection control policy and procedure is in place and adhered to by the staff; particularly relating to soiled clothing and bedding and food safety. DS0000007066.V350419.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. 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): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and staff of the home are competent and have the appropriate skills necessary to meet the assessed personal, health and social care needs of the people who use the service by adhering to effective policies and procedures relating to recruitment, selection, training, supervision and appraisal. EVIDENCE: The service has an established and trained staff team. During the inspection it was evident that the staff were interested, motivated and committed to providing the best possible standard of care to the people who use the service. The staff also demonstrated that they have a good knowledge of the complex care needs of the people who use the service and have the skills to create positive working relationships with other healthcare professionals thereby reinforcing the network of support that the people who use the service need to maintain their lifestyle. DS0000007066.V350419.R01.S.doc Version 5.2 Page 21 The service has a training and development plan; each staff member has their own training and development plan that is complied and agreed at the annual appraisal. Staff members have supervision at six week intervals where are review of their personal objectives takes place. Team meetings are held regularly. A new home manager has been in post for a couple of months he is ably supported by an experienced assistant manager who had been acting as manager until the new appointment. The new manager does need to apply to the CSCI for registration and also needs to undertaken the RMA as a matter of urgency. Six staff members have achieved NVQ 2 and two others are working towards NVQ 2. The organisation has a recruitment and selection policy and procedure in place that meets the requirements of Standard 34-all checks specified in the standard are undertaken prior to a new member of staff is employed. DS0000007066.V350419.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service benefits from effective and efficient management enabling the people who use the service to fell safe and protected within their chosen environment. EVIDENCE: The service is run well by a dedicated team who are skilled and experienced with the people who use the service. The service benefits from monthly visits (Reg.26) from the service manager thereby maintaining by monitoring standard and quality of care. The organisation has adopted the REACH standards and also has regular health and safety checks. DS0000007066.V350419.R01.S.doc Version 5.2 Page 23 The organisation has a stringent health and safety policies and procedures in place to ensure that the practices of the home comply with health and safety legislation. There is a health and safety committee that meets quarterly and the appropriate risk assessments are in place ensuring that the people who use the service and staff and management of the home and visitors are safe at all times. The organisation runs a service user self-advocacy group called “Customer Watch” that represents the views of the people who use the service. The organisation has an external health and safety advisor and the registered manager implements systems and structures to meet Standard 42. The registered manager ensures that all staff receive mandatory training and relevant updates relating to fire, health and safety, moving and handling, food safety and first aid; training plans evidenced that there was compliance. The organisation has a business plan and this document is available at the service and the registered manager has made staff aware of the goals to be achieved relating to the service. The organisation has a mission statement and there is clear evidence of the organisations values. DS0000007066.V350419.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 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 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 3 x 3 X 3 X X 3 X DS0000007066.V350419.R01.S.doc Version 5.2 Page 25 YES 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 YA34 Regulation Sch 2 Requirement The registered person must ensure that recruitment documentation is available at the home. Timescale for action 31/07/08 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 YA6 Good Practice Recommendations It is recommended that the information available for service users’ support needs be collected into one clear format. DS0000007066.V350419.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH 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 DS0000007066.V350419.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!