Inspection on 05/10/05 for Grove Court

This inspection was carried out on 5th October 2005.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grove Court 06/09/07

Grove Court 18/01/07

Grove Court 19/04/05

Grove Court 17/11/04

Grove Court 16/06/04

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

CARE HOME ADULTS 18-65 Grove Court 100 Lancaster Road Newcastle Staffordshire ST5 1DS Lead Inspector Peter Dawson Unannounced Inspection 5th October 2005 09:00 Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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 Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grove Court Address 100 Lancaster Road Newcastle Staffordshire ST5 1DS 01782 628983 01782 714982 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) Rethink Mr Karl Michael Bullock Care Home 14 Category(ies) of Learning disability (1), Mental disorder, registration, with number excluding learning disability or dementia (14), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (14) Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 14 MD - 30 years on admission. Date of last inspection 19th April 2005 Brief Description of the Service: Grove Court is a large Victorian building located in a desirable residential area close to Newcastle town. It was opened in 1991 and is run by the Rethink Organisation. Up to 14 people who have a severe mental illness are accommodated. The home provides care for up to 14 people with enduring mental health conditions. This is provided in a supportive environment with support from specialist primary care and hospital health professionals. The aim is to maximise independence and promote an increased quality of life. There are 6 single and 4 double bedrooms some have en-suite facilities. Accommodation is on 3 floors with shaft lift access to the first floor. One recently created bedroom is in the annex adjoining the home, has good facilities including en-suite shower and is for a less dependent resident. There is a large lounge area with dining facility and a separate dining area which is the designated smoking area (most residents smoke) and also doubles as a sitting area throughout the day. There is a large well equipped kitchen and bathroom/toilet areas. The laundry is located in the basement. Bedrooms are located on 3 floors. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this unannounced inspection there was full occupancy of the 14 beds in the home. One resident was in hospital for review and another staying for few days with her relatives. All resident present were seen and spoken to. All made positive comments about Grove Court when their views were sought. There were several positive noticeable changes in the presentation and quality of lives of residents indicating that the staff knowledge and commitment to this resident group is working very effectively. Activities have been extended both inside and outside the home and residents spoke about their daily lives with enthusiasm, allowing for the inability of some, due to their mental health needs, being able to objectively see and express some of the changes – they were nevertheless quite clear. The home continues a very positive relationship with local voluntary and fund raising groups, several thousand pounds having been raised and donated to the homes comfort fund. Residents also benefit from the actual involvement in those events apart from the financial assistance. Care is provided with sensitivity and the enormous amount of support some residents require is given constantly. Many required constant reassurance and support – this was seen to be given with patience and understanding. Building work is due to commence (subject to planning permission) in January next year and will provide single en-suite bedrooms with shower facility and will provide all residents with single accommodation. Residents are very enthusiastic about this. The recent admission of a younger resident now requires to be covered by change of category and this is in process. The new Registered Manager has made a positive change in the style of management in the home, the changes for residents and staff are clear. What the service does well: A very supportive staff group promote the independence and quality of life of residents. Contacts with the community are constantly reviewed and extended. All residents have individual daily activity programmes. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 6 Care planning information, including risk assessments are to a high standard and are regularly reviewed. There is excellent staff awareness of the complex mental health needs of residents which are closely monitored. All residents have annual holidays funded by the home. There are good relationships with primary health care staff and immediate arrangements for access to Consultant Psychiatrists and hospital beds if required. 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. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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 Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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): 1-5 A recent admission was arranged in accordance with pre-admission procedures allowing a conscious decision to be made by the person and the home. There had been detailed discussions involving service user, family and hospital and aftercare staff. The admission is not within the categories of registration in relation to age of residents but application is being forwarded to the Commission and approval given verbally on this inspection. EVIDENCE: The statement of purpose/service users guide is available in the home for residents and visitors. The statement of purpose should be amended to include the number and size of current bedrooms and those under 10sq. This will be checked on the next inspection. Assessments are carried out prior to admission by Care Management Social Workers on a multi-disciplinary basis. The home also carries out their own assessment prior to admission. Most people admitted are subject to CPA arrangements and the required notifications in place relating to their aftercare and nominated Consultant, Key Worker etc. A new person has just been admitted to the home, having spent time over 6- 7 weeks visiting the home – came for lunch initially and then overnight for 1 and then 2 nights over recent weeks. His permanent admission being confirmed at Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 9 multi-disciplinary case review on the day prior to inspection. This person is in fact 26 years of age and the home must send application to the Commission to change the category of registration (age) for this person. The introduction to the home has been in accordance with best practice allowing the person to “test drive” the home and make a conscious decision that Grove Court was the home suited to his needs. Written contracts are provided by the sponsoring Local Authority and there are terms and conditions in place Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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 - 10 Care plans were of good professional standards and contained all required information. Plans are regularly reviewed with resident participation. Standards relating to individual needs and choices were found to be met. EVIDENCE: Care Plans were sampled and provided good comprehensive information required to provide care. Information included all health care information past, present and required. Detailed assessments agreed with residents at regular reviews were in place. Most residents are subject to CPA arrangements following hospital discharge and reviewed regularly on a multi-disciplinary basis. Those not subject to CPA contained equally detailed information. There was activity relating to chosen lifestyles and most residents had detailed activity plans outlining their social, educational and recreational needs/programme over a 7 day period. Good risk assessments are in place relating to all resident activity and reviewed regularly. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 11 A recently admitted resident had been subject to assessment prior to admission both by the home and Care Management, discussion and agreed programme of care was recorded. The care plan will be based upon this information and complied swiftly. A risk assessment supplied by the discharging hospital was being reviewed also to include relevant assessment relating to matters such as going out unescorted, road safety etc. Residents are consulted on a daily basis about personal choices and several examples were observed during the inspection. There are regular residents meetings and minutes seen confirmed the broad spectrum of discussion and decisions made. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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- 17 There was evidence of good opportunity for personal development and social inclusion. Residents are consulted about chosen lifestyles and have opportunities to be involved in daily decisions concerning their lives. Standards relating to lifestyle are met. EVIDENCE: The main thrust of the homes philosophy is to develop social and independent living skills. All resident have an enduring mental illness which limits area of social and personal development. The home supports and extends the opportunities for resident to develop their skills in and outside the home. Resident make breakfast and prepare drinks/snacks throughout the day using the kitchen facilities which are risk assessed. This has been recently extended by involving a different resident each week in shopping, making choices of food and heightening awareness of costs etc. An example of progress with 2 residents was noted: One spent a week on holiday recently in Wales and enjoyed the experience, this has taken persistent Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 13 work to overcome the reluctance and anxieties of the person. Another resident showed exceptional progress in social skills demonstrated in discussions with the inspector. Two recently admitted residents in the younger age group attend gym, art classes and skill development courses outside the home and have a full and varied programme of educational and social activity. A range of activities are provided in the home but the accent is upon accessing non-disability social groups in the community. There is a regular social night when the male residents go out to play snooker at local pub and then enjoy a meal at Indian restaurant. Female residents have been offered an equivalent opportunity. The home has a mini-bus for sole use, although only a limited number of staff are able to drive. Five residents recently had 1 weeks holiday, supported by 2 staff, in Wales which all clearly enjoyed, the mini-bus was taken and there were trips to may places of interest. Rethink Organisation has its own caravan facility at Portmadoc and additional caravan hired. This is a regular annual event which residents all enjoy and go in smaller groups at different times. Holidays have also been taken in the recent past at Blackpool and Bournemouth. Family contacts are an important part of total care and promoted. Some relatives involved in the many fund-raising activities for the home. One resident spends 3 days at home and 4 at Grove Court. Other residents go out with relatives and some have overnight stays where this is possible. A resident with little family contact has recently extended her contact with relatives encouraged by staff and now goes regularly overnight to 2 different relatives. Daily routines in the home are centred around resident choice and the need to accommodate the preferred routines of residents. Bedrooms are accessed throughout the day with total flexibility, most use the keys to their rooms to ensure privacy and independence. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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 - 21 There was evidence of good personal support and attention to the health, physical and emotional needs of residents. Problems surrounding the accuracy of the MDS system of medication must be resolved involving the Pharmacy and GP to ensure a safe system of medication. EVIDENCE: Residents generally require little direct personal care from staff who mainly monitor and encourage standards of hygiene. All staff have received moving and handling training. An older resident requires some input in this area which is given sensitively and diplomatically. The continence needs of a resident acutely increased and this was dealt with involving specialist adviser/assessor behavioural issues are present and this is being appropriately dealt with and addressed in care plan. Nursing when required is from the District Nursing Service and accessed as needed. All residents have allocated Consultant Psychiatrist, CPN, and Key Worker under aftercare arrangements and these are named and documented and known to residents. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 15 The mental health needs of all residents are high. They are complex and varied, are well documented in care planning information and known to staff, who have had training in the specialist area of mental health needs. The importance and vigilance required to monitor the mental health status of residents and monitor any side effects of medication or deterioration is known to staff and there have been examples of early identification of these issues. Medication is supplied to the home by Boots Chemists in MDS form (blister packs). Two staff witness medication administration. Some medication requires close monitoring e.g. Clozapine with the required regular checks by hospital staff. Home staff monitor the required appointments. MAR sheets were inspected and were completed accurately and appropriately. The MDS packs which are to provide a simple and safe system of medication, were found not to do so. Monthly prescription/ordering of medication left shortages in MDS packs requiring some medication to be “borrowed” from the subsequent month. This is unsatisfactory, potentially confusing for staff administering medication and is therefore not a safe and satisfactory system. The problem basically surrounds inadequate prescription of tablets by GP’s based upon cost. This has been reported to the relevant GP practice but without success. The responsibility for providing a safe system of medication administration also lies with the provider (Boots) of the MDS system and it is important this is addressed swiftly by the home in conjunction with the Pharmacist. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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 Standards relating to Complaints and Protection were found to be met. EVIDENCE: There is a complaints procedure posted in the home for residents and visitors. The procedure is provided by the Rethink Organisation, is lengthy and difficult to understand. The home have additionally provided a simplified, concise procedures which has been given to all residents. There have been not complaints to the home or the Commission since the last report. There are regular residents meetings (minutes seen) when residents have the opportunity of expressing their views about the service and are also involved in daily decision making in the home. There is a good and comprehensive policy/procedure relating to abuse and a copy of the vulnerable adults procedure in the home. The procedures are known to all staff and re-enforced in staff supervision. Staff have clear instructions concerning the reporting of suspected or actual abuse. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 – 30 The environment is pleasant and furnished along domestic lines. There is an ongoing programme of redecoration. The proposed new building will provide improved facilities with single bedrooms for all which are necessary. The 2 existing bathrooms are spacious and bright but require some upgrading. The flooring in the first floor bathroom where new bath lift has been fitted should be repaired/replaced to ensure safety and improve presentation. EVIDENCE: Grove Court is an impressive Victorian 3 storey building with considerable character. The standard of furniture, fittings and décor are good. There is an excellent large characterful lounge used also for dining by some residents, there are doors opening out onto the garden area. There is a large kitchen equipped to catering standards. Most residents smoke and there is a designated smoking room which is also used as a dining area also. The office is located in a separate building adjoining the main home and there one bedroom (en-suite) located in that area. There are 6 single and 4 shared bedrooms, all have en-suite facilities. The majority of residents therefore share bedrooms. Plans have been drawn up to build an extension which will provide 4 additional en-suite bedrooms. This will then provide all single Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 18 bedroom accommodation, all en-suite but will not increase the total number of residents. Planning permission is currently being sought and it is hoped work will commence in January 2006. Plans must be submitted to the Commission prior to work commencing. A sample of bedrooms were inspected on this visit, shared rooms have facilities for privacy and were generally well personalised. Shared rooms are not suitable for this resident group and the building work planned will provide all single rooms, many of the present double rooms becoming large bed-sitting type areas. New bedrooms will all have showers e-suite. The garden area of the home provides a large, secluded and peaceful location where residents are able to spend time in the summer months. There is excellent seating/garden furniture with gazebo etc. Standards of hygiene in the home are good. Presently there is a vacancy for 20 domestic hours and staff and residents are involved in cleaning routines. The laundry is located in the basement (not inspected) and previously defective lock replaced. There was evidence of good infection control practice with gloves, handwashing/drying facilities in all bathroom/toilet areas. Since the last inspection 5 bedrooms have been redecorated and the staircase area. A new bath-lift has been purchased to replace the previous well used lift. The central heating system requires to be replaced but major work is needed and this will be carried out upon completion of the new build to reduce the pressure it would put upon residents in the present environment. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-33 and 35-37 All standards in relation to staffing inspected were found to be met. EVIDENCE: The previous manager left the home in June 2004 an acting manager was appointed who has recently been interviewed and approved by the Commission as the Registered Manager. The staffing at Grove Court is quite static with many staff working for several years in the home. All staff have either completed or are involved in NVQ study, the required 50 of NVQ trained staff by 2005 is exceeded at this time with 88 having completed that training. All staff have completed statutory training and there have been additional training opportunities with staff recently involved in cultural awareness, clinic risk assessment and suicide awareness training. Four staff have completed Early Intervention in Psychosis training, very relevant for this resident group. The current staff team work well together and their commitment to resident care is abundantly clear there is a very positive atmosphere in the home. Good engagement between staff and residents is evidenced. The number of staffing hours remain the same at 360 per week. Additionally there are catering hours of 22.5 per week – this is presently a vacant post and the duties covered by care staff, this and the vacant post of 20 hours per week Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 20 for domestic duties means that some of the activities recently extended have had to be suspended. This should be remedied in the near future. The number of care staffing hours is adequate for the perceived dependency level of residents. Staff supervision is in place with at least 6 sessions per year required by the Standards. Staff records were not inspected on this visit. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 - 43 The new Registered Manager has brought a positive influence into the management of the home, staff are relaxed and committed and all staff seen to work together as team players. There is now a very open and inclusive management style in the home. Record keeping is to a high standard. The only issue relating to health and safety and presentation is to replace the vinyl flooring in the first floor bathroom. EVIDENCE: The previous Manager left the home in June 2004 and the home has been managed effectively since that time by Karl Bullock the Deputy. He has now been interviewed and approved by The Commission as the Registered Manager at Grove Court. He has the required experience to run the home and is presently completing the NVQ4 in Management and Care (Registered Managers Award). Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 22 The new Manager has provided very positive continuity in the home over the past year and provides a very positive lead in the home. He is able to provide an open and inclusive atmosphere with his management style. He has drawn together and used positively the range of staff skills and experience in the home, together with the enthusiasm and commitment of staff to resident care. Staff morale was noticeably high. Policies/procedures were not inspected on this unannounced visit, although it was interesting to see that the home had prepared a comprehensive policy relating to residents holidays. This was excellent and is presently being considered for general adoption by Rethink. Records seen were concise and accurate and were to a good professional standard. Fire records were inspected and all tests and drills carried out as required. All staff have fire training virtually monthly. All staff have completed updated training in moving and handling. Previous requirement to notify the Commission of matters under regulation 37 has been carried out. There are good risk assessments in place in relation to all resident activity and the building. The home has a good record of accurate and reviewed risk assessments. Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grove Court Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 DS0000004950.V256129.R01.S.doc Version 5.0 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 2 3 Standard YA3 YA24 YA20 Regulation C/S Act 2000 13(4) 13(2) Requirement Application must be made to extend registration categories Floor covering in first floor bedroom to be repaired/replaced Urgent review required with Pharmacist/GP to ensure safety of MDS system of medication. Timescale for action 05/10/05 05/11/05 05/10/05 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 Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Grove Court DS0000004950.V256129.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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