Inspection on 05/09/07 for Harpers Villas Care Centre

This inspection was carried out on 5th September 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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

CARE HOMES FOR OLDER PEOPLE Harpers Villas Care Centre 1-3 Bilston Lane Willenhall Wolverhampton West Midlands WV13 2QF Lead Inspector Rebecca Harrison Unannounced Inspection 5th September 2007 10:00 X10015.doc Version 1.40 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 Harpers Villas Care Centre DS0000068398.V349463.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 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. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harpers Villas Care Centre Address 1-3 Bilston Lane Willenhall Wolverhampton West Midlands WV13 2QF 01902 608078 01902 636571 karen-cartwright@hotmail.co.uk 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) Obsan Limited Vacant position Care Home 26 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (16) of places Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: No Conditions apply Date of last inspection Not applicable – New registration Brief Description of the Service: Harpers Villas Care Centre is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care for a maximum of twenty-six people with dementia. At the time of the inspection seven people were accommodated. The home is a new purpose built detached property situated in Willenhall, on the outskirts of Wolverhampton, close to local amenities and accessible by public transport. Accommodation is provided over three floors and consists of a lounge, dining room, conservatory and 26 single occupancy rooms on the ground and first floors with en-suite facilities. The second floor provides a staff rest area, hairdressing salon and quiet lounge area. A passenger lift is available to aid accessibility. Recreational space is provided to the rear of the property and car-parking facilities are also available. The registered provider is Obsan Limited. Mrs Marlene Obhrai is the responsible individual. The position of registered manager is currently vacant; therefore the deputy manager of the home is acting up until a new manager is appointed. Information about this service is available from the Statement of Purpose and Service User Guide, which can be made available in other formats such as large print, brail and in other languages. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk Fees charged per person range from £355.70 to £390.00 per week. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 5th September 2007 by two inspectors over four and half hours. A range of evidence was used to make judgements about this service to include a self-assessment completed by the provider and sent to CSCI, discussions with service users, staff and the acting manager and a tour of the home. Inspectors also looked at a number of records and observed aspects of care provided for two people using the service. The purpose of the inspection was to assess all 22 ‘Key’ National Minimum Standards for Older People. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. As this is the first key inspection following registration and the home has only been operating for some months, an overall rating of “excellent” cannot be given as it is considered that the service needs to demonstrate a sustained level of performance over a period of time. What the service does well: Staff spoken with demonstrated a sound knowledge of the needs of older people and specialist needs of people with dementia. Discussions held and observations made evidenced that staff are developing positive working relationships with the people they support. People are provided with a designated key worker for consistency and continuity of support. The organisation appears committed to providing a qualified workforce. All support workers are NVQ qualified exceeding National Minimum Standards. Staff receive mandatory and service specific training to include Health and Safety and Positive Dementia Care. Results of a recent survey were mostly positive indicating that the service is well managed and meets the needs of the people accommodated. Comments include “Clean home, friendly staff and very welcoming”, “Staff are very friendly and helpful”. A relative spoken with during the inspection stated “The staff are very kind, courteous and helpful here. My mom has settled into the home very well, her needs are well met and she is provided with nice meals”. All records examined were well presented, with evidence of regular review. The office is well organised and records easily accessible. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,5 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who need a service and their representatives are provided with the information needed to decide whether this service will meet their needs. They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: A Statement of Purpose and Service User Guide have been developed and both documents can be made available in a variety of formats. A relative spoken with during the inspection confirmed that she received information about the service and visited the home to meet with staff and look round prior to her mother being admitted to the home. The criteria for admission is detailed in the Statement of Purpose and the procedure was discussed with the acting manager. Comprehensive needs assessments are undertaken prior to admission and these were available on Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 9 the two care files examined with evidence of service user and family involvement. It was reported that two people have recently been assessed and that staff have the necessary skills to accommodate their needs and will be admitted to the home shortly. A further two people have been assessed for respite care. Contracts between the home and service user were available on the files examined and made reference to issues identified during registration in relation to floor coverings in bedrooms and a mirror in en-suite bathrooms. It stated that ‘Should a service user wish to have carpet in their bedroom or a mirror in their en-suite this can be discussed with the manager/owner’. Intermediate care is not provided therefore it was not possible to assess Key Standard 6. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care-planning systems are in place to adequately provide staff with the information they need to satisfactorily meet service users assessed needs. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: On admission to the home individuals are allocated a key worker to spend time with and to help them adjust to living in their new home and understand how the home is managed and the services available. Two staff spoken with had a good understanding of their role and responsibilities and of the needs of the people they support. They considered that care plans contain sufficient information for care delivery and have responsibility for completing monthly key worker reports, which are overseen by managers. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 11 A self assessment was completed by the provider stating ‘We have clear documentation as to our aims and objectives, philosophy of care and charter of rights and training is provided to ensure that all staff understand that service users need to feel they are treated with respect and that their right to privacy is upheld’. Two care files were examined and both contained detailed information on how care is to be delivered by staff and are reviewed and updated monthly as required. Records seen evidence that daily routines are flexible in accordance with individual’s preferences such as rising and retiring to bed and detail all contact with significant others and outcomes recorded. On the afternoon of the inspection a relative and social worker visited the home to review an individuals care placement. Various risk assessments were available on the two files examined for all identified areas of risk to individuals including medication, mobility, aggression, personal care and the environment. The health needs of those individuals whose care was examined in detail were clearly identified in the care documentation. Service users are weighed monthly and action taken if significant changes occur. There was evidence of good communication regarding change in the healthcare needs of individuals accommodated. It was reported that one person has recently been admitted to hospital for a professional assessment. Medication procedures appeared satisfactory at the time of the inspection. Staff were observed while administrating medicines and appeared confident with the procedure. None of the current service users are prescribed controlled drugs however appropriate storage facilities are available. Medication is regularly audited by the managers. It was reported that all but four staff have attended accredited training in the safe handling of medicines and training is scheduled shortly for the remainder of the team to attend. It was reported only staff over the age of 21 are authorised to administer medication. All service users appeared well presented and individuals were seen having a manicure during the afternoon of the inspection. A hairdressing salon is also available and it was reported that a hairdresser visits fortnightly. Staff spoke about promoting choice and independence regarding service users choosing their own clothes and was seen to promote dignity and respect throughout the inspection in relation to personal care and appearance. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are supported to make choices about their life style. Rights and responsibilities are promoted and people provided with a varied diet in accordance with their personal preferences. EVIDENCE: The self-assessment completed by the provider states ‘We try to maintain a lifestyle that matches peoples expectations and preferences and satisfies their social, cultural, religious and recreational needs as far as possible’. Preferences in relation to social interests, activities, religion and meals are obtained during the assessment process and discussed with allocated key workers on admission to the service. A weekly list of activities was seen displayed in the home and service users were engaged in a sing-a-long session in the morning followed by a manicure in the afternoon. It was reported that one service user had grown the sunflowers and sweet peas in the garden and very much enjoyed the activity. Surveys have been distributed by the manager as part of the homes quality assurance process. One person stated Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 13 ‘More simple activities are needed for stimulation’. It was reported that an activity officer is being recruited to work across the organisations three homes. The visitor’s book evidenced that the home receives many visitors and during the inspection a relative visited the home to attend her mothers review with the staff and social worker. It was evident through discussion held with the relative that she was very happy with her mothers care. Posters displayed on the office door indicate that the home operates an ‘open door’ policy where service users, visitors and staff are encourages to raise any concerns with the management team at any time. A four week menu is in place which appears balanced, providing a choice of two meals. Alternative options are available. A record of food intake is maintained on service user care records in addition to nutritional screening. Service users were appropriately supported over lunch and observations indicated that they enjoyed their meals. One service user spoken with said she likes the food. Although the dining room provides a pleasing environment to eat the room is rather sparse in furniture and furnishings. More could be done to make mealtimes more enjoyable for example by providing table cloths, placemats and making condiments readily available. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service and their representatives are able to express their concerns and have access to an effective complaints procedure. Appropriate procedures are in place to safeguard service users from potential abuse. EVIDENCE: The home has a complaints procedure in place and a copy of this is displayed in the reception area of the home. No complaints have been received since the home opened as confirmed by the acting manager and evidenced in the complaints log held in the home. No concerns or complaints have been raised with CSCI concerning this service since registration. A relative spoken with during the inspection had a clear understanding of what to do if she was unhappy with the service provided. The home has a adult protection policy and procedure in place in addition to the local policy. Staff receive training in adult protection as part of their induction. A fact sheet on Abuse of Older people produced by CSCI was also available. No referrals under safeguarding adults have been made since the service was registered in December 2006. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: Harpers Villas Care Centre is a purpose built property with accommodation over three floors providing a lounge, dining room, conservatory and 26 single occupancy rooms on the ground and first floors with en-suite facilities. The second floor provides a staff rest area, hairdressing salon and quiet lounge area. The premises have been completed to a good standard however a number of environmental issues were identified during the two site visits undertaken by CSCI prior to registration. The provider has worked towards meeting the majority of these, however further work should be undertaken to Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 16 provide people with a more homely place to live. For example additional furniture in communal areas, pictures, plants and ornaments. Bathrooms although practicable are rather clinical in appearance. Of the 26 bedrooms only seven are currently occupied with some of these rooms being more personalised than others. Vinyl flooring has been fitted in all of the bedrooms however the contract between the home and service user states that ‘should a service user wish to have carpet in their bedroom and an additional chair or a mirror in their en-suite this can be discussed with the manager/owner’. This was also identified in a survey completed by a visitor which asks what didn’t you like about the home? The visitor stated ‘No carpets in the bedrooms’. Another survey stated ‘Clean home, friendly staff and felt welcoming’. The self-assessment completed by the provider acknowledges further improvements required to include developing the garden area more and purchasing additional outdoor furniture. The home was found very clean and tidy throughout during this unannounced inspection. It was reported that ancillary staff are currently undertaking NVQ awards in Catering and Hospitality. Clinical waste bins have yet to be screened from view as identified at the registration site visit. Products hazardous to health are appropriately stored and the necessary assessments and data sheets readily available. Staff are provided with distance learning training in infection control procedures. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 17 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who use the service are supported by a well-trained and committed staff team who have a good understanding of their needs. EVIDENCE: Staff were seen to interact with service users in a positive manner throughout the inspection and considered they are provided with adequate information to support the needs of the people accommodated. A service user spoken with stated ‘The staff are very nice’. It was reported that all support workers employed hold an NVQ qualification, which was confirmed by staff on duty. The team consists of a deputy manager, who is currently acting up into the managers post, one senior and eight support workers. The acting manager stated that the current staffing ratio is a minimum of two staff to support seven service users, which was an accurate reflection of the staff rota seen. It was reported that a new cook has been employed and due to commence very shortly which will enable the support staff to concentrate on care responsibilities. Four staff files were randomly selected and examined and contained the relevant documentation as required by Schedule 2, of The Care Homes Regulations 2001, as amended. The acting manager was unable to locate CRB Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 18 disclosures however disclosure numbers were clearly documented on all personnel files seen and following the inspection the area manager confirmed that CRB’s had been obtained for all staff. Managers were advised to ensure that all gaps in an applicant’s employment history are evidenced and that at least one written reference is obtained direct from the previous employer. The self-assessment completed by the provider states that ‘Staff here are very training orientated and this shows in our training records…. we ensure peoples needs are met by the numbers and skill mix of the staff’. All staff spoken with reported that they receive good training opportunities, which is organised by the area manager. It was reported that staff receive both mandatory and service specific training and that four staff have undertaken training in ‘Positive Dementia Care’ via the distance learning route provided by the local college. Training records were found well presented. The home has a detailed training programme in place, which includes a comprehensive twelve- week staff induction. All members of staff are provided with an individual staff training profile and records seen evidence that their training needs are identified during supervision with the manager. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 19 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35, 36, 37 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The ethos of the home is based on openness and respect with aspects of performance regularly reviewed to achieve good outcomes for the people who use the service. The home is managed and maintained in a safe manner, which ensures the safety of service users and staff. EVIDENCE: The registered manager formally resigned from her post the day prior to the inspection and is no longer working at the home. The deputy manager is currently acting up in the interim until the position is filled. Discussions held Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 20 with her evidence that she is happy with this arrangement and is well supported by the team and senior managers. Discussions held with the acting manger indicate that she had attended numerous training courses as evidenced in training certificates seen. The acting manager had a good understanding of the philosophy of care, the services strengths and areas for improvement and fully cooperated with the inspection process. An annual development plan is available and surveys to ascertain the views of people have been distributed. Two surveys have been returned from visitors and three from relatives and overall the comments were very positive indicating that the service is well managed and meets the needs of the people accommodated. Comments include “Clean home, friendly staff and very welcoming”, “Staff are very friendly and helpful”. The area manager undertakes visits as required by Regulation 26. These reports were not readily available at the time of the inspection however the area manager agreed to forward copies of reports for visits undertaken to CSCI and ensure future reports are retained in the home and available for inspection. The Annual Quality Assurance Assessment (AQAA) forwarded to CSCI was detailed and reflects both the strengths and areas of improvement for the service. The self assessment completed by the provider states ‘We have systems and policies and procedures in place to cover all the standards for management and staff to follow to ensure that the service users rights and best interests are safe guarded at all times’. The findings of this inspection evidenced that the home has systems for safeguarding and the management of individual’s money including records keeping. However the acting manager was strongly advised to ensure that any agreement is clearly documented in care plans based on a risk assessment and kept under regular review. Staff on duty confirmed that they are in receipt of formal supervision as evidenced with records seen on four staff files. Minutes of staff meetings were available and indicate that meetings are used for consultation, training and the involvement of staff in the development of the service. Records seen throughout the inspection were presented to a high standard, comprehensive, readily accessible with evidence of regular review. The self assessment completed by the provider states ‘Health and safety is paramount…. Our Area Manager keeps us up to date on all health and safety issues and we have all systems in place to ensure that the health safety and welfare of our service users and staff are promoted’. Health and Safety procedures were found satisfactory with the exception of the bedrails found on one bed, which required attention. This was referred to the organisations maintenance person during the inspection as a priority. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 21 Service certificates were readily available in addition to a full range of policies and procedures to promote and protect service users’ health and safety. Safety checks are undertaken at the required frequency and the home is fully compliant with both the Fire and Environmental Health departments. All staff spoken with confirmed that they had attended mandatory training and further training events were seen displayed. Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-56 Stephenson Street Birmingham West Midlands B2 4UZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.birmingham@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 Harpers Villas Care Centre DS0000068398.V349463.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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