Inspection on 23/03/07 for Fryers Walk

This inspection was carried out on 23rd March 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fryers Walk 20/02/09

Fryers Walk 08/12/05

Fryers Walk 28/06/05

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

CARE HOME ADULTS 18-65 Fryers Walk 53 Castle Street Thetford Norfolk IP24 2DL Lead Inspector Mr Jerry Crehan Unannounced Inspection 23rd March 2007 09:15 Fryers Walk DS0000063392.V334134.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 Fryers Walk DS0000063392.V334134.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. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fryers Walk Address 53 Castle Street Thetford Norfolk IP24 2DL 01842 821933 01842 821934 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.schealthcare.co.uk Active Care Partnerships (Fryers) Ltd Mrs Christine Anne Hamilton Care Home 34 Category(ies) of Learning disability (34), Learning disability over registration, with number 65 years of age (5) of places Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th December 2005 Brief Description of the Service: Fryers Walk is registered to provide residential care for a maximum of 34 adults with learning disabilities, in a range of self contained units. These include 3 bungalows, 2 cottages and 2 clusters of flats (registered as one establishment). This enables accommodation of people with a range of support needs, from those requiring full physical care and support, to those who are working to achieve independence but need some assistance. Some service users have physical disabilities in addition to learning disabilities. Nursing care is not provided. Some day care is also provided, making use of facilities on and off the premises. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection compromised two unannounced visits and one announced visit to the home that took place over 9.45 hours on 23rd March, 12th & 13th April 2007. Opportunity was taken to tour the premises, talk to service users, care staff, the manager, deputy and training managers, and to look at care records and policies. The inspection report reflects evidence from inspection of Key Standards and other National Minimum Standards. Ten comment cards were received from relatives/visitors before the inspection visit. These reflected positive views about the service and care for service users, which have also been reflected in the report. A comment card from a visiting GP also reflected positively about the home. Seven comment cards were received from service users. These also reflected positive views about the home and about care staff. The range of weekly fees for the home is £348 to £1,383. What the service does well: • • There is a highly competent manager to run the home and meet its stated aims and objectives. There is good communication between staff and service users, which is supported by a good training programme for staff that includes specialist training in communication. Service users are supported to make decisions and to develop skills about aspects of their lives with excellent support. Links with the community are supported and focused around the individual aspirations of the service user. The home is successful in meeting complex and wide-ranging needs of service users. There is a good environment that is safe, comfortable and suitable to the needs of service users. • • • • Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 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 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. Fryers Walk DS0000063392.V334134.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 Fryers Walk DS0000063392.V334134.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): Standard 2 Quality in this outcome area is good. The individual needs and aspirations of service users are thoroughly assessed and understood in order that both staff and service users can be sure their needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an assessment pro-forma used by the manager or other senior staff when collecting information. These documents are well designed and used to ascertain the level of support required by, and aspirations of prospective service users. There was evidence of good assessment of prospective service users. A wide range of information had been collected prior to admission of the most recently accommodated service user. It was clear that the manager had assessed them at their previous care setting, and that the prospective service user had had the opportunity to visit the service on several occasions before moving in. This service user, like other service users, was appropriately placed within the service. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9 Quality in this outcome area is good. Individual needs, aspirations and choices are promoted through clear care planning and assessment of risk. The service respects the rights of service users to take responsibility for their own lives where this is possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Several care files were looked at during the site visit. Each contained detailed assessments, care plans and risk assessments. There was evidence in care files of service user participation in their care planning and reviews. The care plan for one service user included their view of their personality, hobbies, interests, spiritual needs, family involvement and their aspirations. In their case this was to have a vegetable garden. The service users care plan indicated their aspiration, and action taken to achieve it through an allotment off the home’s site. Support requirements were clearly indicated along side assessed needs in individual care plans. Care staff spoken to were very aware of the individual support requirements of service users, appearing very familiar with care plans. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 10 The healthcare needs of service users are also clearly set out in care plans. Examples of care to ensure the healthcare of service users with diabetes were seen. An example of good healthcare was observed for a service user who was going out for a local trip in his wheelchair assisted by staff. He is in need of maintaining fluid intake for healthcare reasons and this can be challenging, it was noted that his drink was accompanying him where he went. Care staff stated that this is in order that fluids could be regularly introduced. A suspected scabies outbreak at the service delayed part of the inspection, however, the managers response to the suspected outbreak was proportionate in seeking relevant advice and ensuring the health and safety of service users first. A service user is being assisted to recover from a recent knee replacement. Staff were aware of how she needed assistance to promote her recovery, and good at offering reassurance to the service user. Risks are recognised and assessed appropriately with clear guidance provided to staff about how to manage the risks. A range of risk assessments were recorded in care files, covering issues relevant to the needs, independence and safety of the individual. In discussion with care staff they clearly see their role as facilitators to enable service users to achieve as much as they can and wish to for themselves. A carer described their role as ‘promoting independence through support’. The arrangements relating to the financial affairs of service users were looked at. The manager is able to explain the system in place and records are accurate, but there is a need to ensure that the records and procedures in place are clearer so that everyone is aware of their responsibilities. To achieve this, every service user should have a financial care plan, which clearly states the agreements in place for looking after service users monies (see Requirement 1). A letter sent to the Commission by the relatives of service users commends the home for the ‘care and support’ to support the mental health of a service user at a difficult time for them. Another letter describes ‘exceptional care’, supported by ‘careful planning and sympathetic understanding’ of service user care. The manager stated that external courses in ‘person centred planning’ would soon be undertaken by staff at the home, and it is hoped that this will further develop service user participation in decisions about their care delivery and their lives. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16, 17 Quality in this outcome area is excellent. The service caters very well for the lifestyle preferences of service users with widely differing needs and preferences. It promotes the right for service users to lead a meaningful and active life. Social, educational and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users participate in a range of activities both on and off the home’s site. Some service users are engaged in adult education classes in typing and computer skills. Other service users attend local advocacy groups, or groups associated with disability. There are various day care activities arranged from the home’s own day care centre, and from individual self contained unit’s on site. At the time of the inspection visit these included sailing, trips out with relatives or community professionals, and walks to local attractions. A service user with an autistic spectrum disorder had found day care routines difficult to manage. They had been provided with an information board, which Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 12 was a pictorial record of the day ahead to assist them in anticipating what was to come. At the time of the inspection visit they were undertaking the planned activity. Staff indicated that the technique had proved very successful. An allotment has recently been obtained for service users with an interest or wish to grow fruits or vegetables. The service has an established record of enabling service users with a wide range of abilities to achieve their goals. Fryer’s Walk has access to its own transport in the form of two ‘buses’, one being a people carrier and one a larger vehicle with a wheelchair tail lift. Public transport is also used and includes train trips to Norwich or further afield and the bus service to either Bury, Norwich. There were photographs around the individual units of the recent ‘Red Nose Day’ celebrations. Information about the event and celebrations were also included in the ‘Fryers Walk Talk’ newsletter. In addition to information about raising money through events for Red Nose Day, the newsletter includes information for service users and relatives about staff, what’s happening in the day care centre, the separate bungalows and other units on the site, and information about upcoming events. Daily notes within service user files referred to service user contact with relatives. The manager stated that the home uses the transport it has available to maintain contact between service users and their relatives who cannot travel to the home. Each of the ten comment cards from relatives/visitors to the home indicate that they are welcomed at the home at any time, that they can see their relative/friend at any time and that they are kept informed of important matters. Each of the seven comment cards from service users indicate that they have lots of things to do. Further evidence of this was supported in comments made by service users during the inspection visit. Many service users choose to hold their own key for their bedroom or flat. All staff observed throughout the inspection visit entered service users accommodation with the permission of the service user. Service users have unrestricted access to the home and grounds and to associate with people of their choice, unless there is a clearly identified risk indicating otherwise. Meals and mealtimes were different throughout the service, providing service users with choice and flexibility. Many service users participate in cooking meals and in menu planning. Some service users run their own healthy eating programmes. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20 Quality in this outcome area is good. The health and personal care needs of service users are well attended to. Principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans indicate service user individual support needs, and care staff are clear about the most appropriate ways to provide support, including personal and health care advice from a range of professionals. There is evidence of access to GP’s, dental services, optical services, the community nurse and diabetes care being supported. Staff spoken with during the inspection visit were knowledgeable and well informed about the health care needs of service users. They have access to training in health care matters including first aid, medication, epilepsy and diabetes. Where possible service users choose their own clothes and appearance. A service user had recently dyed their own hair making reference to this to their carer. There is evidence of a variety of technical aids including portable and bath hoists, and stand aids to support service users with a physical disability. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 14 The home uses a monitored dosage system for medication. Medication seen is stored securely and appropriate records are kept for the receipt of medication into the home, its administration and any medication returned to the pharmacy. There are clear instructions for staff in the administration of ‘PRN’ (when required) medications. On review of medication no discrepancies were identified, and records were good. Staff receive training with regard to medication and are familiar with the home’s policy and procedure. Senior staff audits the practice of care staff in medicine handling and administration periodically. Several service users retain responsibility for their own medication. These arrangements are the subject of a signed agreement between the service and the service user, and risk assessments that are regularly reviewed. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 &23 Quality in this outcome area is good. There are good systems for protecting and responding to the concerns and complaints of service users and their relatives. Service users rights are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a detailed complaints procedure and information on how to make complaints is detailed in the service users guide. The complaints procedure is also available in ‘Boardmaker’ symbol format. The procedure is available in both written and Boardmaker symbol format in the reception area of the home. Of the ten comment cards from relatives/visitors to the home, eight indicate that they are aware of the home’s complaints procedure. All seven comment cards received from service users indicate that they feel safe at the home. From information provided by the manager six complaints have been made to the home in the past 12 months, five of these were substantiated following investigation. The manager keeps a record of complaints and their investigation. The home has experience of making appropriate referral under the Norfolk Adult Protection Procedures. Each of the staff spoken with were clear about the action they would take if concerned about the possibility of abuse taking place and were confident that their Managers would deal with this appropriately. They were equally aware of the home’s ‘Whistle-blowing’ procedure and its function. Staff have received training in the protection of vulnerable adults. Evidence of this was seen in Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 16 training records, where staff understanding of training received is tested in the form of a questionnaire and then signed off by the trainer and staff member. The manager stated that additional POVA training via the Proprietor would be being provided on an annual basis, in addition to training that is already being provided. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 & 30 Quality in this outcome area is good. The environment at the home is safe, well maintained and designed to support the needs of people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The premises are suitable for the homes stated purpose, and in keeping with the local community. The interior accommodation is in a very good state of repair, with good quality furnishings and fittings. There was evidence of new furniture of a good quality throughout the home. Specialist furnishings and fittings are provided where needed. An example of this was seen in the bedroom of service user who has shutters, that are more robust than curtains, at their bedroom window. The manager indicated that some service user bedrooms are due to be redecorated. There was evidence of good practice in the inclusion of service users with very high levels of need having been included in the decoration of their home. Their bungalow has been recently redecorated and an area kept for these service users to decorate using foot and hand prints. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 18 Each service user has their own bedroom. These are clearly personalised and decorated in a way which reflects the their choice and interests. The manager was aware that the bath in bungalow 3 needs replacing. She indicated that a new bath is on order. Premises were safe, clean and hygienic throughout. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34, 35, 36 Quality in this outcome area is good. Staff at the home are trained, skilled and in sufficient numbers to meet the needs of service users. Staff recruitment practices protect service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were thirty-four service users accommodated at the home at the time of the inspection visit. They were cared for by ten care staff. There is one (or sometimes two) team leaders who are in charge of the shift. The manager and deputy manager are on site and supernumerary. There are four care staff on duty at night, with another team leader in charge. All six team leaders are over 21 years of age. There was evidence throughout the inspection visits that service users needs were being met by this deployment and compliment of staff. There is a care staff compliment of 45. From information provided by the manager there are currently thirty with a qualification at NVQ level 2 or above. A further ten carers are currently undertaking NVQ 2, and a further seven taking NVQ 3. This is a high proportion of staff with a relevant care qualification, and a significant proportion of staff supported to go on to achieve higher qualification. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 20 Care staff are enthusiastic about the work they do and demonstrated good interaction with service users throughout the inspection visits. Care staff evidently appreciate the training opportunities that they are provided and have a positive approach to training. From observation it was evident that service users have confidence in their carers. From discussion with care staff and a review of sample personnel files, it was evident that service users are protected by good recruitment practices. The home has a dedicated training manager who (among other tasks) oversees the initial parts of induction training for new care staff, before team leaders oversee further induction training. Records seen provide evidence that staff receive good induction and training, and care staff spoken with confirmed that their training is relevant and appropriate to their roles. Training schedules for the home shows that staff are booked to attend a range of mandatory training courses, with refresher training available periodically. Training schedules also show a range of specialist training including epilepsy, visual awareness, total communication, diabetes and autism. There is training in supervision skills for more senior staff. The manager stated that training in ‘person centred planning’ will be on offer to all staff in time as the service hope to more fundamentally introduce this approach to the care they offer. There is a stable staff group with training and experience, including the manager and deputy. There is a good interaction between staff and service users. There is a programme of formal supervision for all staff. Staff indicate that they have periodic formal supervision with a team leader or manager, this is supported by records. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 & 42 Quality in this outcome area is good. The home is very well managed in a clear and robust way, which puts the needs of service users first. There are good systems to ensure service users and others can comment on, and influence the running of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has many years management experience and holds the ‘Registered Managers Award’. Comment cards from service users and their relatives/visitors are positive about the way the home is managed. This is supported by comments made by staff at the inspection visit, who say that the manager is knowledgeable, approachable and fair. There were examples of the appreciation from relatives of good advocacy and support by the manager for service users in letters received by the Commission. There was further evidence of the manager using her experience Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 22 and pro-active style, to correctly advocate on behalf of a service user who was experiencing difficulty with their own (placing) authority. The views of service users are actively sought on every day issues associated with the running of the home. There are regular residents meetings, staff meetings, monthly audits and validation audits undertaken by the proprietor. Survey forms are sent to service users on a six monthly basis and evaluated by the manager. Relatives/visitors, professionals and other ‘stakeholders’ are also sent satisfaction surveys; these are now returned to the home rather than the proprietor, as was the case. Copies of reports from reviews that measure the quality of care provided at the home should be supplied to the Commission (see requirement 2). The home demonstrates good practices ensuring service users health, safety and welfare. Relevant health and safety training for staff, including moving and handling, first aid, fire and food hygiene training, support practices. Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 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 3 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 4 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 2 X X 3 X Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA7 Regulation 15(1) Requirement The registered person must ensure that each service user has a financial care plan. Timescale for action 30/06/07 2. YA39 24(2) The registered person must 31/08/07 supply to the Commission a report in respect of any review of the quality of care provided at the home. 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 Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Fryers Walk DS0000063392.V334134.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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