Inspection on 12/12/07 for Giles Shirley Hall

This inspection was carried out on 12th 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 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

Giles Shirley Hall 13/07/09

Giles Shirley Hall 13/11/06

Giles Shirley Hall 11/03/06

Giles Shirley Hall 20/09/05

Giles Shirley Hall 29/04/04

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

CARE HOME ADULTS 18-65 Giles Shirley Hall York Street Bromborough Pool Wirral CH62 4TZ Lead Inspector Beate Field Key Unannounced Inspection 12th December 2007 1:00 Giles Shirley Hall DS0000028492.V356788.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 Giles Shirley Hall DS0000028492.V356788.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. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Giles Shirley Hall Address York Street Bromborough Pool Wirral CH62 4TZ 0151 643 5563 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) Wirral Autistic Society Mrs Siobhan Anne Wise Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th November 2006 Brief Description of the Service: Giles Shirley Hall provides personal care for eleven adults with autism. The home consists of four flats, which are accessible to one another and share the same main entrances. All bedrooms are single and have en-suite facilities. Each flat has a communal area comprising of a domestic style kitchen and dining/lounge area. There are gardens to the front and side of the home. The home is reasonably close to local shops and to public transport services. Parking is available on the main road. The home is run by Wirral Autistic Society who have several care homes for adults with autism in the area. Wirral Autistic Society provides a range of day services and facilities. Fees are negotiated at the time of placement and are dependent upon a number of factors including the amount of staff cover required. At the time of the inspection, the weekly cost for the service ranged from £906.00 to £1450.00. A copy of the statement of purpose, which describes the services offered at Giles Shirley Hall, is made available to relatives and social workers. The statement of purpose and the service users guide to the home is made available before a potential resident comes to live at the home and the content is discussed with them to ensure their understanding. The home is contained within a converted village hall. Wirral Autistic Society has a conference hall and technology suite also housed within the building. These facilities are open to the general public. There is a separate point of access to the building for the general public. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection is based on a visit to the home, information received about the service since the last inspection, a pre-inspection questionnaire completed by the manager that gave essential information about the day-to-day running of the home and questionnaires completed by residents, relatives and staff. During the visit to the home time was spent looking at a sample of records and policies and procedures and talking to the manager. A tour of the home was undertaken. The inspector spoke with staff and observed the care and support provided to residents. What the service does well: The assessment process is thorough and ensures that the service is only offered to individuals whose needs can be met at the home. Prospective residents are able to make several visits to the home to make sure it is right for them before moving in. Care plans are detailed and regularly reviewed which means that staff have access to up to date information on the changing needs of the residents. Residents take part in activities that provide opportunities for their educational, social and personal development. Links with the local community are promoted. The daily routines and arrangements for promoting relationships with family and friends support the needs and wishes of residents. The personal care and health needs of residents are well met. Staff training and policies and procedures are in place to ensure that resident’s views are heard and appropriate action taken. Residents live in a safe and comfortable home environment. Staff are provided with training and support to enable them to carry out their work effectively. The home is well managed. The welfare of residents is supported by the quality assurance systems in operation and by the systems in place to promote health and safety Giles Shirley Hall DS0000028492.V356788.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. Giles Shirley Hall DS0000028492.V356788.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 Giles Shirley Hall DS0000028492.V356788.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. The assessment process is comprehensive and ensures that the service is only offered to individuals whose needs can be met at the home. EVIDENCE: The home has an up to date statement of purpose and service user guide that provides information about the services offered at Giles Shirley Hall. The documents are made available to prospective residents, their relatives and placing authorities. Since the last visit the service user guide has been updated to make it easier to understand. No new residents have come to live at the home since the last inspection. Records from previous visits to the home show that the assessment process is thorough and ensures that a service is only offered to an individual whose needs can be met at the home. Staff who undertake assessments are appropriately trained to do so. The initial assessments indicate the communication, religious and cultural needs of a prospective resident. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 9 The staff at the home have received the training they need to appropriately support the people who use the service. The services of health and social care professionals are accessed as they are needed. Prospective residents can make a number of visits to the home to get to know the service, meet the staff and residents. Residents who returned questionnaires said they had visited the home before deciding to move in and that in general they had been given enough information about the services offered. Parents/carers and representatives from placing authorities are also able to make visits to the service. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal goals and individual needs of residents are well documented, providing staff with the information they need to support the residents. EVIDENCE: Care plans were examined and contained clear information to enable staff to provide appropriate support around day-to-day living and personal goals. Evidence contained on the files shows that annual reviews of care plans are carried out. The resident, their relatives, social worker and other relevant individuals are invited to contribute to reviews. A six monthly review is carried out with the resident and staff at the home. Records showed that the needs of residents are closely monitored in order to ensure that their needs continue to be met within the service. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 11 From the examination of care plans and from other records in the home it is evident that residents are consulted about their everyday lives and are supported to take identified risks. The risk assessments seen provided clear guidance for staff. Care plans that detail specific behaviour management strategies are in place. All staff have been trained in non-violent crisis intervention training. An accredited trainer is providing this instruction to staff. Residents spoken with said that they are asked their opinion about life at the home. They said that they make choices about their daily lives and are generally happy living at the home. Questionnaires returned by residents also confirmed this. One resident said “I enjoy living here.” Communication aids are available to enable staff to appropriately support the residents. Work is taking place to improve the communication aids at the home so that residents can be better assisted to make choices. Residents are encouraged to contribute towards the running of the household. Residents tidy and clean their bedrooms, go shopping and help with meal preparation in accordance with their abilities. Residents’ views are obtained through their individual key and link workers. Observations indicated that residents are relaxed with staff and approach staff with any support issues they may have. Staff are trained in meeting the needs of adults with autism during their induction and follow on training. The induction also covers health and safety issues and promoting equality and diversity within the service. Relatives who completed questionnaires made very positive comments about the care provided. Relatives reported that they are consulted about their relatives care and kept informed of important matters. Some comments made were “My relative is contented, this shows in their demeanour.” “My relative is supported very well.” Giles Shirley Hall DS0000028492.V356788.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. Residents are able to take part in appropriate activities that provide opportunities for their educational, social and personal development. EVIDENCE: Residents have a range of activities available to them throughout the week. These activities have been drawn up in consultation with the residents and meet their needs, skills and individual preferences. These activities include attendance at a day centre, work experience, college courses or activities with staff in the community or at the home to progress daily life skills. The weekly activities are reviewed to ensure that they continue to meet the needs of the residents. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 13 Records and a discussion with residents and staff indicate that there are opportunities for residents to become involved in the local community in accordance with their wishes. Residents visit the cinema, social clubs, local pubs and restaurants and places of interest in the area. Questionnaires returned by relatives and residents and staff said that family links and friendships are promoted. Discussions with the staff and observations confirmed that the home’s routines are flexible as much as possible and fit in with the needs and wishes of the residents. The records inspected indicate residents skills and the support they need in their daily lives in order to make decisions and encourage independence. Residents choose the meals at the home and are given guidance where needed around maintaining a balanced diet. A record of the meals provided is maintained and showed that they are varied and in general well balanced. Residents said that they go shopping and help with preparing meals. Care plans indicate the dietary requirements of residents. Advice is obtained from a dietician if this is required. Giles Shirley Hall DS0000028492.V356788.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 personal care and health needs of residents are well met. Residents are safeguarded by the home’s procedures and policies for the management of medication. EVIDENCE: Records detail the support residents’ need with their personal care. There are visual aids to help those who need support with personal care. Some residents have attended training courses with staff around personal care where it has been considered that the resident would benefit. Observations indicated that staff, promote the privacy and dignity of residents. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 15 Staff receive training on promoting privacy and dignity during their induction. Consistency and continuity of support for residents is provided through the key worker system. Each resident also has a link worker to ensure that there is always a point of contact for a relative and health and social care professionals. During the visit it was observed that residents can approach any member of staff for support. The sensory needs of the residents have recently been assessed to ensure that residents are receiving the right support. Records showed that residents have access to medical/health care professionals as needed. Residents are supported and facilitated to take control of and manage their own healthcare in accordance with their abilities. A medication procedure is available which provides clear guidance. Medication is stored securely. Staff receive training in the safe handling of medication from the pharmacist who supplies medication to the home. Training in the home’s medication procedure is provided in-house. Members of staff interviewed who administer medication reported that they have received this training. A selection of medication administration record sheets and corresponding medication were inspected and found to be in order. Giles Shirley Hall DS0000028492.V356788.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. Residents are well protected by the staff training and policies and procedures that are in place to ensure that residents’ views are heard and appropriate action taken. EVIDENCE: Wirral Autistic Society has a complaints policy and procedure. A copy of the procedure is held in the home and is also detailed in the Statement of Purpose. No complaints have been received by the CSCI since the last inspection of the service. 7 complaints made to the home by residents had been appropriately managed. Residents spoken with and 9 of the 10 who returned questionnaires knew how to make a complaint. Staff have access to appropriate adult protection procedures. The three staff spoken with were able to demonstrate a clear understanding of how to protect vulnerable adults from abuse. All staff that work at the home have received appropriate internal training on recognising abuse and of the action to be taken in the event of abuse being suspected. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 17 Some residents manage their own personal allowances with advice and guidance from staff. Some of the residents’ personal allowances are managed by the staff. An examination of the financial records held at the home and a discussion with staff indicated that the home’s policies and practices with regards to money safeguard the residents. Monies held on behalf of residents are checked daily by staff, audited by the manager on a monthly basis and by the representative of the registered provider at their monthly visits. Receipts are maintained and records are signed by staff. Giles Shirley Hall DS0000028492.V356788.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, 25, 27 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and comfortable home. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 19 EVIDENCE: The home is overall well maintained. Since the last inspection some of the paintwork has been refreshed. At the time of this visit decoration of further areas was taking place. Furnishings, fittings and equipment in the residents’ bedrooms and communal areas are of a good quality. A sample of bedrooms were seen. Residents have individualised their bedrooms. Each bedroom has en-suite facilities. Residents spoken with reported that they are pleased with the amenities and space provided. A tour of the home showed that the home was clean. Since the last visit to the home a carpet cleaner has been purchased and steps taken to ensure the carpets are regularly cleaned. A couple of carpets identified with the manager had stains that the manager reported do not come out following cleaning. The manager reported that these carpets have been identified for replacement. There are procedures for staff to refer to about hygiene and infection control. The home is contained within a converted village hall. Wirral Autistic Society has a conference hall and technology suite also housed within the building. These facilities are open to the general public. There is a separate point of access to the building for the general public, which the manager has reported at previous inspections, is only open when the community facilities are being used. A homely atmosphere is not promoted by public facilities being housed within the same building. The manager is keeping under review the risk assessment of public access to the building and service users accessing the public areas of the building. Giles Shirley Hall DS0000028492.V356788.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 number of staff available, the training they have received and the manner in which they are recruited support residents. Residents would benefit from further staff completing an NVQ in care or equivalent. EVIDENCE: An examination of the rota and a discussion with staff indicated that staff are appropriately deployed to meet the needs of the current residents. At the last inspection, staff reported that the behaviour that can be displayed by a resident was having an impact on the staffing arrangements. At this inspection additional staffing has been put in place to support two residents at the home. The staff interviewed considered that there are sufficient staff to meet the needs of the residents. The staff who returned questionnaires said that in general there are sufficient staff available. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 21 There is a core staff team employed at the home. There are currently no staff vacancies. Bank staff are used to cover absences. Bank staff have been recruited to work for Wirral Autistic Society to cover absences in the homes if needed or to provide support within the day care service. A comprehensive induction training programme is provided to staff. This includes training around meeting the needs of individuals who have autism. Staff are encouraged to undertake an NVQ in caring for adults with a learning disability. At present 5 out of 16 staff hold a relevant NVQ. 3 staff are undertaking this training. Only 9 of the 16 staff work full time at the home, which is contributing to difficulties in 50 of the staff achieving the qualification, which is what is recommended in the National Minimum Standards for Care Homes for Younger Adults. Specialist training is provided to staff to assist them to support the residents as appropriate. Staff spoken with and those who returned questionnaires said that they are given the training they need to meet the needs of the residents and that they are supported by the management team in their work. Residents who returned questionnaires and those spoken with said that the staff usually or always treat them well and listen to what they say. Observations showed that there appeared to be good relationships between the residents and the staff team. Relatives who returned questionnaires made positive comments about staff. Comments included, “staff are imaginative and caring and help my relative cope with every day life and have enjoyment. “Staff are knowledgeable about autism and put strategies in place to help my relative live a more fulfilling life.” “The home provides the structure my relative needs.” The records of staff recruitment were examined and found to be well managed and contained all the required information. Giles Shirley Hall DS0000028492.V356788.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, 42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. The residents benefit from the quality assurance systems in place at the home and from the arrangements for staff support. EVIDENCE: The manager of the home has had several years experience of management in a care setting. The manager has appropriate qualifications in care and management and has undertaken periodic training to maintain and update her knowledge skills and competence. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 23 The three staff interviewed said that they are well supported by the manager and the two team leaders. They reported that they consider their views regarding the running of the home are sought and listened to. They said that they receive regular supervision and that team meetings are held on a regular basis. The staff who were spoken with and those who returned questionnaires said that they enjoy working at the home and consider that the residents get a good service. There are a range of quality assurance systems in place. Wirral Autistic Society is accredited by the National Autistic Society which carries out an inspection of services provided. Wirral Autistic Society conducts an internal audit of the society as a whole every 12 months and on the basis of this prepares an action plan for the next 12 months. The organisations accounts are audited on an annual basis. A copy of the annual accounts have been made available to the CSCI, together with the annual review of the operation of Wirral Autistic Society. Questionnaires are sent to relatives regarding how the home operates. Visits to the home by the representative of the registered provider are made. These reports are made available to CSCI. The manager carries out a monthly house check of all records and the premises. The manager reported that questionnaires for health and social care professionals are in the process of being devised. Records showed that the views of the residents are sought and that changes are made to the support provided as a result. For example, the staff rota is now displayed for the residents. More visual aids have been provided. Training around safe working practices such as manual handling, fire safety, infection control and first aid is made available to staff as part of their induction. There is a rolling programme of training opportunities provided and staff can access this when required. There are a range of policies and procedures available that promote safe working practices. The pre-inspection questionnaire returned by the manager showed that electrical wiring, gas safety and fire detection equipment checks were up to date. Monthly fire drills and regular checks of the fire alarm and emergency lighting were taking place. Giles Shirley Hall DS0000028492.V356788.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 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 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 3 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 3 Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. 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. 2. Refer to Standard YA24 YA32 Good Practice Recommendations The carpets in the communal areas of the home that are stained should be replaced. 50 of care staff are to hold an NVQ qualification or equivalent. Giles Shirley Hall DS0000028492.V356788.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, Unit 3 Tustin Court Port Way Preston PR2 2YQ 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 Giles Shirley Hall DS0000028492.V356788.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. 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