Inspection on 19/06/07 for Harwood House

This inspection was carried out on 19th June 2007.

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

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

Other inspections for this house

Harwood House 10/01/06

Harwood House 02/08/05

Harwood House 30/11/04

Harwood House 02/09/04

Harwood House 09/12/03

Similar services:

22 Sandown Road

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Dilston College Of Further Education

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Craigmore House

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

CARE HOME ADULTS 18-65 Harwood House Birtley Lane Birtley Chester-le-street County Durham DH3 1AX Lead Inspector Mrs Elsie Allnutt Key Unannounced Inspection 19 and 25 June 2007 10:00 Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harwood House Address Birtley Lane Birtley Chester-le-street County Durham DH3 1AX 0191 492 3921 0191 492 3892 m.j.mcnestry@btinternet.com 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) Northumberland, Tyne & Wear NHS Trust Mrs Jean McNestry Care Home 5 Category(ies) of Dementia - over 65 years of age (2), Learning registration, with number disability (2), Learning disability over 65 years of places of age (4), Physical disability over 65 years of age (1), Sensory Impairment over 65 years of age (1) Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The two DE(E) places are for current service users only. Date of last inspection 10 January 2006 Brief Description of the Service: Harwood House is a spacious, purpose-build bungalow with five generously sized bedrooms of which one is with en-suite facilities. The home is situated in a residential area of Birtley and is within walking distance of local shops, pubs, churches and other community facilities. The area is well served by public transport, which include buses running to central Gateshead, Washington and Chester-le Street. The people living at the home also have the use of a privately owned adapted people carrier. This home cannot provide nursing care. The home currently provides accommodation for five people with a learning disability, one of whom also has physical disabilities and uses a wheelchair. Northumberland, Tyne & Wear NHS Trust owns the home and employs staff to work there. Staff are available 24 hours per day, seven days a week to support people in their daily lives and to provide waking night cover. Facilities, including bathrooms and toilets are adapted to meet the needs of service users who are physically frail or disabled. Access to the front of the bungalow is ramped and ample car parking for staff and visitors is available to the side. The pleasant well-kept, enclosed gardens surround all sides of the home and those at the back include raised flowerbeds, which service users may tend if they choose. The service has developed a Service User Guide to inform service users and other interested parties about the service. The fees charged by the home range between £1,227.62 and £1,543.00 per week. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This planned unannounced key inspection took 8.5 hours over two days in June 2007. The second day, which was a short visit, was pre-planned to meet the manager of the home who was not available on the unannounced visit. The views of four service users and three members of staff were sought. As some residents do not have effective verbal communication their satisfaction of the service was interpreted through observations of body language, interaction with staff, discussions with staff and the examination of records. This process demonstrated that all were satisfied with the service and the care and support given by staff. Questionnaires were sent out to the relatives of the residents prior to the inspection and two were returned. Both demonstrated their satisfaction with the service at Harwood House. What the service does well: The quality of the décor and furniture in this home is very good and the house is kept very clean. This means that the people who live here are provided with an attractive, clean and comfortable place to live. The friendly way service users and staff get on with each other gives a warm feeling that makes people living and visiting the home feel welcome. Service users are involved in a variety of different activities in the home and the local area around where they live. Staff accompany service users to local clubs and leisure facilities where they join other people who live in the area to take part in the activity that interests them. All of the service users enjoy holidays away from home. Staff support service users to choose where they want to go. Holidays experienced include trips to Disney Paris, Torquay and Berwick. Service users also enthusiastically discussed a recent day out to Bede’s World where one described how they had been given a tour of the church in Jarrow. Some of the staff have worked at the home for many years which means that the service users know them very well. One service user said, “ The staff are good I like them all.” The staff know how to do their jobs well. This is because they go on training courses to learn how to do their job properly and to learn new things about it. Every service user has a Care Plan that informs staff what individual service users need help with and how they want to live their lives. The Care Plans are Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 6 written well and in a clear way. This guides each member of staff to support each service user in the way they prefer. Service users know what to do if they are unhappy about something. One person said, “If I am unhappy about something I talk to a member of staff.” 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. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with good information about the service. This is in a format that is easy to understand. This will help service users to make an informed choice about where they would like to live. A newly developed contract that is also developed in an easy to understand format, informs service users of the home’s terms and conditions. Good multidisciplinary preadmission assessments demonstrate residents’ needs and aspirations and assist the home to make an informed judgement as to whether they can meet these. EVIDENCE: A well-illustrated Service User Guide that has recently been reviewed to ensure that the information in it is up to date is in place. However this does not include a copy of the home’s terms and conditions or the range of fees charged by the home. So that service users and other interested parties are fully informed about the service these should be included. Prior to service users moving into the home multidisciplinary assessments and a current care plan are received from the referring agencies. Service user’s Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 9 care files include these documents and it was clear that the care plans are developed based on the information provided. One care plan included a risk management plan that addressed the risk of self-harm identified in the assessment. On admission service users are given contracts relating to the home’s terms and conditions. These have recently been developed into picture format so that service users have more opportunity of understanding the content. This new document is also used with the original document that was signed by the service user or their representative. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed care plans and the staffs’ understanding regarding service users’ communication methods enables service users to be supported to make decisions about their own lives, which at times may include taking risks. This also enables service users to direct their care in a way that they prefer. EVIDENCE: All residents have a care plan that is monitored monthly and reviewed annually. The information recorded is current and clearly guides staff in relation to addressing the assessed need. Care plans are monitored monthly and reviewed annually and as a result reassessment of need is a regular process. The care plans are developed and adapted as an outcome of this process. One reassessment recently carried out reflects the changing needs of one service user in relation to the ageing process. The care plan includes up to date information to guide staff to support the service user appropriately. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 11 Staff attended further training to gain a better understanding of these changing needs. The care plans include excellent information regarding how individual service users communicate. This is particularly important for service users without speech. So that one service user without speech is equally empowered to direct their care, clear information in the care plan informs staff the meaning of different facial expressions and gestures used. In addition to this a pictorial library is used and as a result the strategies identified in the care plan’s short -term goal enables the service user to communicate their needs effectively. The Company has clear policies regarding risk taking and risk assessments. When a risk is identified a risk assessment is carried out and a risk management plan is put in place to manage the risk and reduce it to a manageable level. This enables service users to safely develop independence and to be socially included. A risk assessment has taken place and a risk management plan put into action in relation to self-harm and challenging behaviour to others. The guidelines in the risk management plan enable staff to support the service user in a way that minimises the risk, keeps the service user safe and maintains their independence. The care files are well organised and easily accessible. Care plans are developed with the direction of service users, therefore are written with a person centred approach. They are written in a way that promotes service users’ privacy and dignity and describe in detail how personal tasks are to be carried out. This ensures that staff support service users in a consistent and their preferred way. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in a variety of leisure and community based activities and as a result live a valued lifestyle. The service supports the rights of service users and successfully supports them in maintaining relationships with family and friends. Meals are healthy, nutritious and attractive, and are prepared to meet the individual dietary needs of each service user. EVIDENCE: All of the service users have individual weekly activity programmes that are evident in their care plans. These vary according to individual preferences but confirm well-organised and active lifestyles. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 13 A neatly presented communications board in the lounge informs service users of the day and date and the structure of the activities for the day. Although this board was originally set up by an occupational therapist for one particular service user who no longer lives at the home, the staff feel that it is a good focus for service users to use regarding the structure of their day. Shops, health facilities, bank and hairdressers are some of the facilities used by service users locally and as this is a small community service users are known to the small businesses and positive interaction takes place. One service user said “I go to have my hair done down the road, they know me.” Staff support service users to take responsibility of their environment and engage them in daily activities around the home. One staff member was observed patiently encouraging one service user to assist in changing their bed. Although the service user was reluctant to be involved, through gentle and encouraging conversation about the task, the member of staff was successful in getting some cooperation. This sort of approach to this particular service user was reflected in the care plan. Another service user stated, “I look after my own room, but staff also help me.” Staff support service users to maintain contact with families and friends. Bedrooms display photographs of family members and small furnishings and ornaments that they have bought as presents. Staff support service users to remember who it is in different photographs and who gave the different gifts. A varied nutritious menu is offered at the home that caters for individual preferences and needs. An eating plan is in place for one service user identifying what foods can be eaten independently and where assistance from staff is needed. There are lists of food likes and dislikes in each service users care plan. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users’ personal and healthcare needs are met in a flexible but consistent manner, reflecting a healthy lifestyle. Medication arrangements are appropriate to the needs of service users and they are managed safely and appropriately, ensuring that the welfare of the service users is safeguarded. EVIDENCE: Service users are supported to register and attend healthcare practices in the local community. Visits to the GP, dentist’s opticians and other healthcare professionals are recorded in individual care files with the outcome of the visit. Staff work closely with healthcare officials involved in the lives of individual service users. Healthcare needs are clearly recorded in the care files and developed as a care plan if needed. Any health or behaviour changes that are observed by staff are clearly recorded and if needed action is taken to gain specialist healthcare advice. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 15 Staff support service users with their personal tasks in a discreet and respectful manner. The diverse physical needs of the service users living at this home are met and the appliances needed to address these are in place. An overhead hoist in the lounge, bathroom and bedroom appropriately supports one service user with their mobility needs in a safe and comfortable way. Staff follow clear guidelines relating to how the equipment is to be used and the routines are the outcome of clear risk assessments. Risk assessments are in place in relation to the use of bedsides that are integral to the bed used. Records confirm that staff check these each time they are used and regular maintenance is carried out by a contracted firm. Medication is stored and administered appropriately. Staff and records confirmed that staff only administers medication after receiving specialised training. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate arrangements are in place to protect service users from abuse and to seriously address complaints and concerns about the service. EVIDENCE: The home has a comprehensive Complaints Procedure that is also in picture format. However it is not certain how much service users understand what is included in this. In consideration of this staff are very much aware of observing changes in service user’s behaviour and body language recognising that this could be an indication of when they may not be satisfied. Staff confirmed that service users are supported to address concerns on a daily basis. One service user said they are happy to talk to the staff about any worries they have about the service. They said or indicated that they are content and like living at the home and feel safe there. No complaints have been recorded since the last inspection. It was noted that the recent changes to the Commission for Social Care Inspection’s (CSCI) address and telephone number needs to be reflected in the Complaints Procedure. All staff have attended training in relation to the protection of vulnerable adults and the local authority’s POVA procedures. A copy of the procedures is available in the home for staff to access. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 17 Staff were able to discuss appropriately the steps they would take if an incident of abuse was reported to or observed by them. POVA training is now included in the mandatory training programme therefore is renewed annually. The records and practices in place regarding the handling of service users finances, follows the home’s comprehensive policies, that aim to protect the service users from financial abuse. To improve this process further individual risk assessments are currently being developed by the home. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is homely, comfortable, clean, safe and decorated and furnished to a high standard. It therefore provides service users with spacious, private and communal spaces in which to live. EVIDENCE: The bungalow is set in its own grounds and surrounded by other privately owned houses. The neighbours and service users living here interact positively and some exchange cards and presents at Christmas. This home is furnished and decorated to a high standard. There is a very high standard of cleanliness throughout that reflects effective cleaning routines. There is a separate utility room where service users’ laundry is individually washed. This room is particularly well organised and clean. Individual bedrooms reflect the different personalities of the service users living there. Service users were proud and enthusiastic to show their rooms. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 19 One said, “My room has just been done out and I chose the colour, it’s my favourite.” Service users move around the home independently demonstrating the “ownership” of their environment. Handrails are discreetly positioned around the home to support service users to do this. All who live here need some form of support with their mobility and the individual care plans reflect the use of the different appliances available. The wide passageways and doorways accommodate wheelchairs safely to move through. The kitchen-cum-dining area allows for service users and staff to use the activity of preparing and cooking meals as a time for communication. The large dining table that accommodates both service users and staff together provides a focus where a mixture of serious discussion and light “chatter”, takes place. Here service users are given appropriate time and support to take part in discussions about the service and any future plans. All areas of the bungalow overlook attractively presented gardens that are well maintained and easily accessed by service users through patio doors. The gardens are furnished with raised flowerbeds, a variety of plants and shrubs and pots of flowers that are well looked after. This attractive area is well used by all service users. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment & selection procedures and regular training opportunities ensure that residents are appropriately supported and protected by a competent and qualified staff team. EVIDENCE: This home employs good staffing ratios, the result being that service users’ personal and emotional needs and daily lives are appropriately supported and encouraged. The staff team is well qualified with all staff having achieved NVQ 2 or 3. They are all up to date with mandatory training and amongst other training have recently completed courses in dementia care. All staff were observed working enthusiastically and focussed in their role, supporting service users both sensitively and with interest. Regular staff meetings allow staff to discuss all areas of their work as a team and to address any current issues with the guidance of their manager. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 21 A recent review of the Trust’s homes has meant that staff vacancies generally are addressed by moving staff within their services. Although this has not affected this home directly it means that there is some feeling of uncertainty amongst staff. Taking this into consideration the staff in this home are dealing with this situation very professionally. There has been very little change in the staff team in this home for several years. Service users therefore benefit from a consistent staff team. Robust recruitment procedures are followed by the Trust although the files are stored at the central office not in the individual homes. The recruitment files of staff therefore were not available during the inspection. An agreement regarding the availability of staff files is currently being developed between the Trust and CSCI and it is planned that the necessary information will be available to be accessed by CSCI from the Trust’s local central office in the near future. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager, who is well supported by her staff team, provides good leadership and runs a service that has effective monitoring systems that are focussed on the best interests of the service users. EVIDENCE: The manager of this service is fully qualified as a registered manager, has a vast amount of experience in care and has achieved NVQ4 in Care and Management. In addition to this she has achieved the NVQ Assessors Award and is up to date with mandatory training. The manager attends training relevant to her role. Some recent courses attended include, training in conflict resolution, dementia care, person centred planning and quality and diversity. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 23 Although there are times when she works directly with staff and service users the manager feels that she has enough time allocated to carry out her managerial role effectively. The manager was observed interacting with service users and staff both positively and sensitively. Staff confirmed that they feel empowered and valued. Good systems are in place that enables this service to run effectively and safely. The main part of this inspection was carried out without the manager present and the senior person in charge was aware of all aspects of the service and where to find different records resulting in a smoothly accommodated inspection. Records, including those of service users, are up to date and staff are well trained and supervised. There is a good quality assurance system in place that ensures effective care practices. Different areas of this are monitored by the manager weekly and by the service manager during their monthly visits. Service users’ weekly meetings and the Trust’s annual surveys that go out to service users and their families collects views of the service provided. All staff are trained in safe moving and handling techniques and first aid. Health and safety records including the fire log and the accident book are up to date and recorded appropriately. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 X 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 3 X Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 5(1)(b) Requirement So that the service users and any other interested party are aware of the homes terms and conditions a copy of the home’s contract must be included in the Service User Guide. The range of fees charged must also be included. Timescale for action 30/09/07 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 YA22 Good Practice Recommendations The recent changes to the address of the CSCI should be reflected in the home’s Complaints Procedure. Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Harwood House DS0000007433.V334456.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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