Inspection on 06/09/05 for Halcyon Court Nursing Home

This inspection was carried out on 6th September 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Halcyon Court Nursing Home 28/08/08

Halcyon Court Nursing Home 20/09/07

Halcyon Court Nursing Home 03/10/06

Halcyon Court Nursing Home 07/12/05

Halcyon Court Nursing Home 12/11/04

Halcyon Court Nursing Home 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Halcyon Court 55 Cliff Road Leeds Yorkshire LS6 2EZ Lead Inspector Karen Westhead Unannounced 6 September 2005 th 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 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 Older People. 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. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Halcyon Court Address 55 Cliff Road Leeds LS6 2EZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0113 2743006 0113 2307326 Anchor Trust Ms Marie Hennigan Care Home with Nursing 71 Category(ies) of Old Age (71 Physical Disability (5)) registration, with number of places Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The 5 places for PD are for the use of specific named service users only Date of last inspection 12 November 2004 Brief Description of the Service: Halcyon Court is owned by Anchor Trust, a registered charity. Marie Hennigan manages the home on their behalf. Halcyon Court is situated in a residential area of Leeds. The home has a large parking area. It is within easy reach of the city centre. Public transport is readily available a short walk from the home. There is a wide range of local amenities. The gardens to the rear of the home are accessible to service users and provide a seating area. To the front there is a small garden with planted raised beds and pathway. Accommodation is situated on four floors and is split into different named zones. A passenger lift is provided, in addition to the stairwells, which allow access to all floors. There are a number of double bedrooms. However, these are used for single occupancy on the whole. There are a number of communal bathroom and toilet facilities and some bedrooms have en-suite facilities. There are three lounges, two large dining rooms and a smaller dining area available for service users and their visitors. The home is registered to accommodate up to seventy-one older people. There is a temprary contract to provide care for three people who have been discharged from hospital and are awaiting for alternative accommodation in the community. (Referred to as intermediate beds). On the day of the visit there were fifty service users in residence. Service users and staff prefer the term residents, therefore this term has been used throughout the report. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection year runs from April to March and within that twelve-month period, the CSCI is required to undertake a minimum of two inspections of all regulated care homes. This was the first inspection of this home for the 2005/2006 inspection year. The inspection, which was unannounced, was undertaken by one inspector. The visit started at 9.15am and finished at 3.45pm The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents and in accordance with requirements. The last inspection of this service was in November 2004. At that time four requirements and one recommendation were made. All but one requirement has now been addressed. Radiator guards are still to be fitted to thirteen radiators. The work is in hand and it is envisaged that this will be completed by the end of the month. During the course of the visit, the inspector spent a large proportion of time speaking with residents, visitors, staff members, the manager, deputy manager and administrator. A number of documents were inspected, including resident’s care plans; building records; medication sheets; policy documents; staff off duty and activity sheets. A number of CSCI comment cards were left to be distributed to residents and their relatives. In addition, information leaflets were given to residents with a brief description of the CSCI function and details of how to contact the lead inspector. Feedback about the findings from the inspection were given to the manager at the close of the visit. What the service does well: An activity organiser, with the support of the manager and staff ensure that regular and meaningful activities are available for residents. There is level access to outdoor seating areas. There were being used on the day of the visit. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 6 Staff and visitors said that it was a good home with warm relationships between residents and staff. This was evident during the visit. The home is busy, however, staff have time to spend with residents and visitors. Staff were described as ‘kind and friendly’. Several of the staff on duty displayed their understanding and skills whilst working with those with visual and mental impairments. Residents and visitors commented on the cleanliness and good odour control in the home. They also shared their experience of living in the home. One said ‘you are free to do as you please, there are no strict house rules’. Another resident said they had lived elsewhere but ‘liked living at Halcyon Court because you are treated with respect and kindness’. They went on to say that the carers were ‘polite and nothing was too much trouble’. This view was echoed by visitors and also confirmed by the number of thank you letters and cards seen on the notice board. Halcyon Court has a relaxed and homely atmosphere. The privacy and dignity of residents is respected. Residents are given the opportunity to exercise choice and are encouraged to express their views of the service in small group meetings, care reviews and satisfaction surveys. Residents are offered a choice of meals and overall comments about the food were favourable with residents expressing the view that their dietary needs and preferences are catered for. What has improved since the last inspection? What they could do better: The safety of the environment is given a high priority by the staff; it is unfortunate that the maintenance worker left before all the radiator guards had been fitted within the timescale set at the last visit. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 7 The residents, staff and visitors safety is compromised because fire safety equipment is not routinely checked on a regular basis. The fire alarm system must be manually checked on a weekly basis and a record kept of the date, time and outcome. 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. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4 and 6. Since the last inspection, all residents have a signed and current statement of terms and conditions. The admissions procedure is clear and caters for a range of different scenarios. Assessments are carried out before admission and sufficient information is gathered together to ensure the home can meet each individual needs. Residents admitted for rehabilitation into intermediate beds are helped to regain their independence and wherever possible return to the community. The standards inspected were met. EVIDENCE: The pre-admission policy allows for the prospective resident to visit the home prior to admission. Four recently admitted residents had records on file to indicate they had been assessed prior to admission and had had at least one introductory visit to the home before making up their mind to stay. (This does not include clients who are admitted into intermediate beds.) Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 10 During discussions with residents, some were able to share their experiences when moving into the home. Their comments suggested this had been done in an organised manner and that they knew what to expect when they came. Some recalled visiting the home prior to admission, others had given their relatives the task of visiting on their behalf. The inspector spoke to one resident, who confirmed that they had been admitted for a temporary period whilst adaptations were being made to their home. The resident had transferred from hospital, for intermediate care, without visiting the home first. The length of their stay is dependent on other agencies. However, they confirmed they were kept informed of progress. The terms of their stay had been highlighted on their contract. All residents now have a statement of terms and conditions on file. Those with limited understanding had been supported in this by a family member, a social worker or in some cases an advocate from Age Concern. Intermediate care is provided in one wing of the home. The staff team work with the resident to improve their daily living skills and other professionals, from outside agencies, give assistance and advice. The multi disciplinary approach appears to flourish at the home and staff can be proud of the way they deliver the care. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Care plans are comprehensive and give clear information about the needs of a resident and how the needs are to be met. Care plans are evaluated monthly to ensure care needs have not changed and to assess the progress being made. Medication records are being kept appropriately. Storage and ordering is in accordance with regulation. Service users are treated with respect and their privacy is upheld. Those standards inspected were met. EVIDENCE: The care plans seen gave precise and detailed information about how and when care is to be delivered. This included day and night routines. The information gave specific information about the individual’s likes and dislikes, a personal history, medical background and a detailed programme of care. Where possible residents have signed their plan of care. All aspects of care needs are evaluated. Where there is a change in need or treatment this is clearly documented and the person making the entry signs and dates the record. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 12 Some of the resident group are totally reliant on staff maintaining their selfimage. This appears to be handled sensitively. All residents seen on the day of the visit appeared well dressed with attention to hair and grooming. Residents said staff were ‘very nice’ and that they were always asked if they wanted a bath. A hairdresser visits the home once or twice a week and those wishing to have their hair done can do so. Some residents maintain their independence and still prefer to visit their ‘old’ hairdresser. There was written evidence to confirm any treatment given by the doctor or district nurses. Records are kept of any pressure area care required. The inspector also noted that where residents needed attention to their diet or fluid intake, appropriate records were being kept. The manager has introduced a system where all care plans and associated documentation is kept in the resident’s own room in a designated drawer. This had enabled carers to access the information readily and was said to have improved communication. Issues of privacy had been explored and procedures adjusted to overcome this. Risk assessments are in place to account for all aspects of care. Medication was seen to be stored securely and staff described how the administration complies with the Royal Pharmaceutical Society. Staff were seen to knock on doors before entering and residents confirmed this was standard practice. Staff were heard to call residents by shortened names or ‘pet names’. The people addressed later confirmed they had given staff permission to use their preferred name when asked what they liked to be called. This is covered on admission and recorded on the person’s fact sheet. Discussions with staff demonstrated they have a good understanding of respecting the dignity and privacy of residents. The induction programme for staff includes instructions about respect. Some residents have their own telephones in their bedrooms, otherwise there is a pay phone in the hallway or residents can use the office telephone. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Residents can come and go as they wish. They are encouraged to keep in touch with the local community. Regular group activities are provided, however, one to one time is also seen as crucial and is also set aside. Residents are satisfied with the meals and food provision is good. Visitors spoken to said they are pleased with the care in the home. Residents feel supported in maintaining contact with family and friends. EVIDENCE: The home employs a full time activity organiser and one of the carers is available two days a week to provide additional support. The organised events are planned well in advance and advertised on all the notice boards and in the monthly newsletter. Residents talked about the activities programme. The activity organiser is keen to introduce new ideas and uses her skills in imaginative ways to encourage residents to participate. Some enjoy the group activities whereas others preferred the one to one time given. There is a varied range of activities on offered and the organiser appears to understand that not everyone enjoys large group activities. Individual records are kept for each resident indicating their likes and dislikes and a running record it kept of how their needs are being met. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 14 Organised trips are a regular event and some residents recently enjoyed a hotel break at the coast. Many residents prefer quiet time in their rooms and this is facilitated and resources are provided to enhance this, such as talking books, music, reading and art materials. Residents said the meals were flavoursome and helpings were good. A variety of drinks and snacks are also provided between meals. Menus are varied and the main meal of the day is served in the evening. There are published choices at each sitting and residents said they could also choose from a range of alternatives if they did not fancy the meal on the day. The inspector did not sample the food on this visit; however, the serving of the meal was observed. Residents were invited to the dining room and seated in a calm manner. The meal was served and residents were given a choice. They were given time to finish each course. Where residents need assistance this was offered and provided discretely. Some residents eat in their rooms. For these residents trays were set up and food was served promptly to ensure food was still hot and well presented. Those needing a liquidised or special diet were catered for. Visitors confirmed they were kept well informed of residents’ progress and felt welcome at the home. Residents confirmed they were able to receive visitors in private and at times that are convenient to them and their visitors. Some residents have their own telephone in their rooms. Mail is delivered to residents unopened. Staff are however sensitive to the needs of those who may require help with post and were seen to deal with one resident in a professional and caring manner, without taking over. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The level of staff understanding around the homes complaints procedure and adult protection gives assurance that complaints will be taken seriously and residents will be protected from abuse. Visitors displayed confidence in the manager that any concerns would be investigated and acted upon. EVIDENCE: The inspector spoke to at least twenty residents in private, in addition to those in communal areas. Residents said they would have no hesitation in making a complaint if the need arose. Staff were able to explain how they would deal with a complaint and what their role would be. There is a clearly defined complaints procedure. The manager discussed two recent incidents in the home, which had been investigated by Anchor. These were handled at local level and had resulted in appropriate action being taken, including contact with POVA. The issues related to care practice and had involved staff members. From discussions with staff it was clear that they have a good understanding of the different forms that abuse may take. There is an on-call arrangement if an incident should arise out of hours. All staff have attended a course on adult protection and the home has an information pack, which relates to the ‘No Secrets’ publications. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 16 Visitors said they felt the manager was approachable and they would have no problems bringing any concerns to her attention. They went on to say that she was responsive and took appropriate action where necessary. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 24, 25 and 26 The home is clean and provides a comfortable and homely environment for residents. However, residents are still at risk of burns because of the absence of radiator guards. The residents, staff and visitors safety is compromised because fire safety equipment is not routinely checked on a regular basis. EVIDENCE: The inspector looked around the home and went in to a number of bedrooms at random, bathrooms and all communal areas. Bedrooms are highly personalised, however some bathrooms, which have not yet been refurbished are somewhat uninviting and institutional in appearance and are not designed to make bathing a pleasing experience. It was evident that residents are encouraged to bring cherished items of furniture and personal belongings with them to the home. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 18 The two new shower rooms had been well received by residents. The dining rooms and lounges are spacious and due to there being a reduction in residents, there is more space available for staff to utilise. The registered provider had arranged to have radiator guards fitted to all areas. However, the maintenance worker had not completed the necessary work before he left the employment of Anchor. The manager confirmed the work was rescheduled and would be completed before the end of the month. Appropriate measures are in place to ensure there is no risk to residents in the meantime. The fire safety register was examined. The fire alarms had not been tested regularly since the beginning of August 2005. There was evidence of an ongoing programme of maintenance, redecoration and refurbishment. Adjustable height beds are provided for all residents receiving nursing care and are equipped with pressure relieving equipment and other safety equipment as necessary. The areas of the home inspected were found to be clean and odour free. All laundry is dealt with in house and appears to be handled appropriately. There are designated staff to deal with this task. Linen stores were found to be well stocked. Staff should remain sensitive to the labelling of individual clothing and ensure the method used does not result in unsightly marking. It is suggested that the home give this due consideration and perhaps source a supplier who can provide woven labels. The gardens to the rear of the home are used for seating and have level access. There was a skip in the car park for refuse and was due for removal. Staff had responded promptly to the reporting of a wasp’s nest by a resident. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The numbers and skill mix of staff were sufficient to meet the needs of residents. Staff on duty were able to demonstrate a good knowledge of the resident group and there is good teamwork. EVIDENCE: The home has a total occupancy of 71, however this number includes the use of double bedrooms, which are currently being used as singles on the whole. There is a staff team which includes nurses and carers and a team of ancillary staff. The team is managed by the manager and deputy. There is also a receptionist and administrator. The number of staff on each shift, both during the day and night is adequate for the number of residents currently being cared for. Since the last inspection the manager has been able to recruit a group of permanent workers and a deputy manager to good effect. Staff files will be examined at the next inspection. The manager was pleased to report that agency/bank staff were rarely used now thus ensuring a continuity of care for residents. Staff training is on going and a number of one-day courses were advertised on the staff notice board. Several staff had signed up for attendance. Those staff who have not yet completed their NVQ have enrolled. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 20 Staff on duty said the team works well together and they feel the communication between them both written and verbal has improved over recent months with the support and guidance of the management team. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 and 38. The manager and deputy continue to make positive changes to improve the quality of care and provide the leadership needed for the home to run in the best interests of the residents. The management approach encourages residents to be involved in the day-today running of the home. EVIDENCE: During discussions with residents and staff it is felt that the managers are very approachable and particularly supportive to staff. Staff said they enjoyed their work and felt Halcyon Court was a nice place to work. The home has clearly benefited from the stability provided by the manager over the last few years. The newly appointed deputy should provide additional support. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 22 There are systems in place to enable residents to express their views about the home. The manager was in the process of ensuring all staff had received appropriate supervision and this involved checking supervision timetables and staff attention to this. Visitors and residents spoke of the kindness shown by staff and gave examples of good practice. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION 2 3 x x x 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 x x 3 Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 25 Regulation 13 Timescale for action All radiators were said to have The low surface temperatures, previous however on the day of the visit timescale some radiators were found to be of 30 hot to touch. The registered January person must have the radiators 2005 was checked to ensure the health and not met. safety of residents is not By the 30 compromised. September 2005 All fire safety equipment must be By the 30 tested regularly to ensure the September 2005 health and safety of residents is not compromised. Requirement 2. 19 17(2) Schedule 4 3. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 26 Good Practice Recommendations The registered provider should look at alternative ways to mark personal clothing to avoid unsightly methods. Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Halcyon Court J52 J03 S55003 Halcyon Court V230122 060905 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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