Inspection on 05/09/06 for Glasson House

This inspection was carried out on 5th September 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glasson House 30/01/06

Glasson House 16/05/05

Glasson House 08/12/04

Glasson House 13/05/04

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

CARE HOME ADULTS 18-65 Glasson House 93 Belmont Avenue Cockfosters Barnet Hertfordshire EN4 9JS Lead Inspector Wendy Heal Key Unannounced Inspection 5th September 2006 10:00 Glasson House DS0000010444.V307749.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 Glasson House DS0000010444.V307749.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. Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glasson House Address 93 Belmont Avenue Cockfosters Barnet Hertfordshire EN4 9JS 020 8449 7808 020 8364 9257 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) De Bohun Care Limited Ms Patricia Shanahan Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specified service user who is over 65 years of age may remain accommodated in the home. The home must advise the regulating authority at such times as the specified service user vacates the home. 30th January 2006 Date of last inspection Brief Description of the Service: Glasson House is a care home providing personal care and accommodation for five adults with mental disorders, excluding learning disabilities or dementia. De Bohun Care Ltd run the home. The home is set in a quiet residential road and benefits from good shopping and transport facilities, which are only about seven to ten minutes, walk away. Each service user has a single bedroom, which meets the required minimum standard of bedroom size. The home provides three bathrooms with toilets and a separate toilet on the first floor. The kitchen and the dining room are on the ground floor. The staff support the service users with their medication, personal care, social and recreational activities, and with cooking. The service has a copy of the last inspection report and the homes purpose and function document in the manager’s office for prospective service users to view. The services fees range from £102 - £484. Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 5th of September 2006 and took seven hours to complete. The inspector had an independent discussion with service users. An inspection of the premises took place. A wide range of records kept at Glasson House was examined including service user care plans, assessments and staff files. The inspector was assisted throughout the inspection by staff at Glasson House who completed fully with the process of inspection and provided all of the information that was requested. The inspector received a number of comment cards from service users, relatives and professionals. What the service does well: Service users live in a comfortable spacious living environment, which provides service users with a pleasant place to live. Service users living at Glasson house benefit from detailed needs assessments which, ensures that staff understand their needs and ensure they are supported in a way they prefer. Comprehensive individual care plans which acknowledge service users aspirations and ensure consistent support is provided by staff to allow service users to achieve their goals. The service has an established team of welltrained and committed staff. Service users are supported to take risks as part of promoting and developing an independent lifestyle. Service users have the opportunity to access a range of activities, which promotes their personal development. Service users benefit from being supported by a competent well-organised professional manager who understands service users needs and provides an empowering environment that facilitates development personally and within the service provided. Glasson House DS0000010444.V307749.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. Glasson House DS0000010444.V307749.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 Glasson House DS0000010444.V307749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. The judgement has been made from evidence gathered both during and before the visit to this service. Prospective service users benefit from a range of information to enable them to make an informed choice in relation to where they want to live. Service users are given the opportunity to test drive the home prior to deciding if they wish to move in which means service users can be confident they will make the right decision in relation to whether they wish to move into the home. Service users can feel confident that their needs are understood and can be met by well – informed staff that know how to support them which means their individual needs can be met. EVIDENCE: There have been no new admissions to the home since the last inspection. The home has a service user guide which contains the Purpose and Function document both of which the manager is in the process of updating. The areas covered in the service user guide include the arrangements for service users to continue or to undertake their chosen activities, the arrangements and times during which service users relatives can visit. The financial arrangements in relation to fees which specify what is included within the agreed fees and those services that are not covered for example, visiting the hairdresser. The document also provides information in relation to meals, medication, leaving or temporary vacating the premises, and clear information in relation to the complaints procedure. These documents ensure that service users are provided Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 9 with adequate information in relation to the service, which enables them to make an informed decision as to whether the service can meet their individual needs. Four service user files were inspected. The assessment process was very detailed and for one identified service user this took a number of months to complete over a period of six visits, which included visits to the service users previous address and overnight stays. The manager and staff team had acuminated detailed information about the individuals past history, current needs including the views of the service user in relation to what they regarded to be their strengths and weaknesses, this information included opinions of relatives and relevant professionals. Service users can feel confident that staff will have a good understanding of their individual needs, which will ensure that individual service users needs can be met as a holistic approach in relation to service users needs is provided. Four service user files were inspected and one did not contain the required service user contract, which sets out the terms and conditions on which the accommodation is provided which means that this particular service user does not have clear expectations in relation to the service they can expect and what their fees cover which means their individual rights are not fully protected. A requirement has been made in relation to this. A minor variation to the conditions of registration has been applied for via the commission and been agreed which means the home is now operating within its conditions of registration in the case of the particular service user who is over sixty-five years of age. The inspector asked one service user if they had enough information when they moved into the home. The service user said, “it was good and they felt very supported by the staff” Glasson House DS0000010444.V307749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is excellent. The judgement has been made from evidence gathered both during and before the visit to this service. Service users have good care plans in place, which reflect their changing needs and individual goals which ensures their individual needs can be met. Service users make decisions about their lives with assistance as needed which supports their personal development. Service users are supported to take calculated risks to increase their independence. The professionals who support them take Service user confidentiality seriously and service users can be confident their confidentiality is respected. EVIDENCE: Four service user care plans were examined. All of the care plans inspected were comprehensive and had been developed from the initial assessments of need. The individual care plans included excellent information in relation to the service users health needs and individual support they required to ensure their individual needs were fully met. The information included early signs of relapse and action to be taken in the event of a service user becoming unwell which ensures that staff are provided with adequate information to support service users in a professional way. The care plans set out clear goals for each Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 11 individual service user, the plan identified how staff would best support service user to achieve their agreed goals and also noted when they are and were not achieved. Service users spoken with confirmed they had been involved with their plans and the development of them and each plan had been signed by the individual concerned, which ensures that service users and staff know what is expected of them and vice versa. All service users files had photographs attached, which ensures the individual’s information is very personal and individualised as much as possible. Service user information is stored appropriately in locked files within the office. Service user information is protected on the IT system, as there are measures in place to restrict access in relation to service user information. The manager and staff interviewed had a good understanding of service user confidentiality, which, ensures that service users confidentiality is protected and taken seriously by the professionals working with them. The inspector observed the level of confidentiality in the home and is satisfied that the staff working at Glasson House keep all information regarding service users secure. Service users had detailed risk assessments, which assist service users to undertake as independent a lifestyle as was possible with regard to their particular needs. The inspector saw evidence to show that risk assessments are regularly updated and service users are involved in regular CPA reviews. The service users views were requested in relation to their risk assessments and were included within the document. One service user had stated” what do I need this for” this was recorded on the document with the response provided by the manager which highlights that service user involvement is an important aspect for the staff in relation to the running of the home. The inspector saw evidence of the service users minuted monthly meetings were service users had discussed issues, which were important to them such as when a new BBQ was going to be obtained. One service user had stated, “I am pleased with their new slippers which had been requested” at a previous meeting by this service user. A number of service users spoken with confirmed that they take part in the running of the home they are involved with the shopping for their food, they undertake the cooking of the meals. Glasson House DS0000010444.V307749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16,17 Quality in this outcome area is good. The judgement has been made from evidence gathered both during and before the visit to this service. Service users continue to be actively encouraged and supported to take part in appropriate activities both within and outside the home, which promotes personal development. Service user contact with their individual family and friends is promoted and staff support service users to ensure this need is met which assists service users emotional wellbeing to be maintained. Service users rights are respected which means they feel valued by the staff that supports them. Service users are supported to cook healthy nutritious meals which assists service users maintain a healthy lifestyle and promote good health. EVIDENCE: The inspector saw documented evidence in relation to activities that service users continue to access the community both independently and in small groups and through attendance at a day centre. One service user attends the day centre two days per week, which demonstrates that service users are encouraged to interact with other people than those that live in the home. Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 13 Service users had undertaken a range of activities, which included going out shopping, eating out, going to the pub, and undertaking indoor activities such as Bingo art, music, which allows the opportunity for personal development in relation to individual skills and increasing individual self-esteem. Service users have a freedom pass and some use dial a ride, which increases their independence. Service users contact with their family varies ranging from personal visits to telephone calls. The inspector discussed this with individual service users and one service user said, “I can see my family when I want to it is not a problem.” Service users individual needs in relation to sexuality and culture are addressed in detail by the manager on an individual basis as part of their initial assessment. Service users have their own missing persons procedure specific to them on their file to ensure that staff know what action to take and when if a service user goes missing which ensures that service users safety is safeguarded. On the day of the inspection the kitchen was clean and tidy, which benefits the health and safety of service users and staff. The menu of food available was wholesome and nutritious which ensures that service users dietary needs are being met. The fridge and fridge freezer were inspected and all food was identified as being within its use by date and properly labelled, which ensures that service users health is safeguarded. Restrictive practices are being carried out with regard to locking the kitchen and fridge/freezer at night. This is practiced for the well being of service users and to prevent the risk of fire at night. There is a risk assessment in place to address these risks and demonstrates the risks and need for the restrictions. The manager and service users confirmed they do have access to drinks when required by service users. Service users benefit from a mixed staff team who bring a range of different ideas to the home in terms of food preparation, which benefits service users as they have access to different types of food than they may otherwise experience. Service users spoken with said” the food was alright.” Service users privacy is respected service users have keys to their rooms and their permission is sought before their rooms are entered. Glasson House DS0000010444.V307749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20, Quality in this outcome area is good. The judgement has been made from evidence gathered both during and before the visit to this service. Service users do receive personal support in a way they prefer and require. Service users receive good health care support, which ensures all their health care and emotional health care needs are met which safeguards their wellbeing. The process for the storage and administration of medication is effective and promotes the good health of service users. EVIDENCE: Service users all have access to primary and specialist healthcare appointments, which safeguard their health and wellbeing. Service users records indicated that service users have access to General Practioners, dentists, psychiatrists, and other relevant care professionals which ensures their individual healthcare needs are being monitored. The healthcare records were good and contained detailed information about the outcomes of appointments and any follow up action that has been taken or is required to support the service user. All service users have a keyworker who is allocated to support them specifically in relation to their individual needs. The service has a Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 15 clear medication policy and the records for the administration and recording of medication was good. Glasson House DS0000010444.V307749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. The judgement has been made from evidence gathered both during and before the visit to this service. Service users can be confident that their views are listened to and acted upon, since the recording of complaints and actions is adequate. Service users are protected by trained staff who have a good understanding of how to protect service users from neglect and self-harm. EVIDENCE: No complaints have been made or recorded since the last inspection. The organisation has a sufficient complaints procedure, which was reviewed in April 2006, which, means that service users have adequate information to enable them to make a complaint and have clear knowledge in relation to the process, which has to be followed. The company policy on whistle blowing was satisfactory and staff were familiar with how to use it which ensures that staff are provided with a procedure for acting if they believe poor practice is taking place within the home which further protects service users. Glasson house has adequate protection procedures, which were reviewed in August 2006. This document covers areas such as the definition of abuse, categories of abuse, who may be an abuser, patterns of abuse, and prevention of abuse, which assists the personal development of staff by increasing their knowledge in this area. Staff had undertaken adult protection awareness Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 17 training to develop their confidence in relation to the reporting of any allegations of abuse. The inspector noted that during individual discussions with staff it was evident that staff were knowledgeable with regard to the reporting procedures. Staff are also undertaking their NVQ Level 2 in care and have gained further information with regard to an awareness of the different types of abuse that vulnerable adults could be potentially at risk from. The agency has a copy of the local authority adult protection procedures. Service users financial records were not inspected on this occasion. Glasson House DS0000010444.V307749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28,29,30, Quality in this outcome area is good. The judgement has been made by evidence gathered both during and before the visit to this service. Glasson House is comfortable, clean and a safe environment for service users to live in which benefit their wellbeing. There is adequate communal space for service users. Service users do not require specialist equipment to maximise their independence. EVIDENCE: Glasson House is located in a quiet residential road and benefits from good shopping and transport facilities, which are only about seven to ten minutes, walk away which assists service users to be actively involved in the community. During a tour of the building the inspector was able to look at the service users bedrooms having sought their permission. The service users bedrooms were furnished to suit their needs, which means they feel valued and respected. The manager informed the inspector that the home is currently in the process of redecorating a number of service users bedrooms, which ensures the service users live in a homely environment. All of the rooms are large and spacious and meet the required minimum standards, which means that service users Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 19 have adequate space. The home was comfortable and safe which reassures. Glasson House has a non-smoking policy, and bedrooms, the kitchen and the dining room are currently non-smoking areas which, means that the home is free from offensive odours. The premises were bright and airy, clean and free from offensive odours on the day of the inspection, which, ensures the health safety, and wellbeing of service users are met. Service users living in the home do not currently require specialist equipment to maximise their independence. Glasson House DS0000010444.V307749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. The judgement has been made by evidence gathered both before and during the visit to this service. The service users at Glasson House are supported by well - trained and competent staff. The service users are protected from abuse by the homes recruitment procedures. Staff are well supported and regular supervision is provided to staff. Staff morale is high which is reflected in the professional service provided to service users who benefit by living in a pleasant supportive environment. EVIDENCE: The service users at Glasson House are protected by the homes recruitment policies and procedures. Staff records were inspected and were found to contain all the necessary documentation e.g. criminal records bureau checks, staff references and the required staff identification records. Staff at Glasson House have either completed their NVQ 2 or NVQ 3 in care or are undertaking training. Staff have also completed First aid training, leadership and organisational skills, Developing appropriate behaviour amongst staff, managing aggressive behaviour and diagnostic management training which ensures the developmental needs of staff are being acknowledged and staff are then able to meet the individual needs of service users. Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 21 The staff supervision records that were seen were very detailed and had documented evidence in relation to the follow up action required ensuring the needs of individual service users are met. The records also contained information in relation to the monitoring and support provided to staff which, took place frequently which allows staff to improve practices in the home and allows staff to develop and meet the needs of service users in a consistent manner The inspector interviewed, staff that said they felt supported Staff said, and “the management support is excellent.” Staff morale was stated to be high and the staff team appeared to be very supportive to each other and service users. Glasson House DS0000010444.V307749.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. The judgement has been made from evidence gathered both before and during the visit to this service. Service users benefit from living in a well run home and a professional management approach. The health safety and welfare of service users and staff are protected by the homes approach in relation to health and safety. EVIDENCE: A very experienced manager manages the home. The management approach is professional open and organised. Very positive feedback was received from the staff team in relation to the support they receive from the registered manager. The inspector was impressed with the priority that is given to service users well being and their empowerment which appears to be of the up most importance. The inspector observed the interaction between staff and service users and whist the team are professional in their approach the home retains a warm friendly atmosphere. Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 23 During a discussion with the manager the manager greed to draw up a questionnaire which will explore service users views in relation to how the staff at Glasson House promote diversity and social inclusion for service users,which highlights how service users views underpin all self monitoring within the home. All relevant health and safety checks had been carried out to protect the health safety and welfare of service users and staff. The fire alarm system was due to be inspected on the 26/09/06. The gas certificate was seen and was dated 22/07/06, the electrical certificate was valid until 12/09/07, the emergency smoke detector are being checked every three months, The fire safety equipment was tested on the 09/06/06 the legionella certificate was seen dated 22/06/06. Glasson House DS0000010444.V307749.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 4 3 3 4 4 5 2 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 X 28 3 29 3 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 3 3 3 LIFESTYLES Standard No Score 11 3 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 3 X X X 3 X Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 25 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 YA5 Regulation 5 1 (b) Timescale for action The registered manager must 10/11/06 ensure that the identified service user has their own individual contract of terms and conditions. Requirement 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 Glasson House DS0000010444.V307749.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Glasson House DS0000010444.V307749.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. 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