Inspection on 11/09/07 for Healy Drive ,3

This inspection was carried out on 11th 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

Healy Drive ,3 09/10/08

Healy Drive ,3 16/10/06

Healy Drive ,3 27/02/06

Healy Drive ,3 22/06/05

Healy Drive ,3 15/03/05

Healy Drive ,3 23/09/04

Similar services:

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Healy Drive ,3 Orpington Kent BR6 9LB Lead Inspector Ann Wiseman Unannounced Inspection 11th September 2007 09:30 Healy Drive ,3 DS0000006946.V345055.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 Healy Drive ,3 DS0000006946.V345055.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. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Healy Drive ,3 Address Orpington Kent BR6 9LB 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) 0168 9891401 0168 9891401 cabrini@cathchild.org info@cathchild.org The Catholic Children’s Society Kathleen Coles Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th October 2006 Brief Description of the Service: 3 Healy Drive is part of the Catholic Childrens Society and provides care and accommodation for eight adults with a learning disability. The home is a detached house situated in a cul-de-sac as part of a complex with another home and a day centre. The number of beds has recently been increased from six to eight. Each of the people living in this home has their own spacious bedroom. The communal areas are of a good size and include a lounge, a large kitchen with dining area, a games room with a snooker table and laundry facilities. The home has a link worker system and members of staff are available to assist and support people in the home at all times when required. The home encourages and enables people to develop and maintain their social and domestic skills, to develop their independence to their own ability and to take advantage of a range of recreational activities in the wider community. The fees in this home range from 727.00 and 850.00 a week. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection and we arrived while the people living in the house were still at home and were getting ready to leave for their various daytime activities so we were able to talk to them and ask them what they thought about living in Healy Drive. They were happy to talk and all wanted a chat. No one had a complaint to make and said they were happy living in the home and that they liked the staff. They said things such as “its great living here” and “This is my home and they look after me well.” The home was clean and tidy and the atmosphere of the house was calm and well ordered despite being a busy time of day. The Registered Manager was not on duty the day of the Inspection but two staff members facilitated it, one was quite new to Healy Drive but has other care working experience and the other was an established staff member and both appeared knowledgeable and displayed an understanding of the needs of the people living in the home. They were also well versed in the running of the home and it’s policies and procedures. The Management Officer for this service had previously sent us the completed Annual Quality Assurance Assessment (AQAA) for this service and it was one of the tools used in making this assessment. The AQAA was adequately completed on this occasion as evidence was also gathered during a site visit, but it would have benefited from the answers being more detailed, more pertinent to each area and from examples being given to illustrate the answers. We also receive regular regulation 26 visit reports that are sent to our office. As well as talking to people living in the home I spoke to two of their family members, both were happy with the way the home supported their relatives. One said that she “Was very happy” and “…..my daughter has settled well and gets on well with the people she lives with.” and went on to say that her daughter always said good things about the staff whenever she visited her. Another, whose relative has lived in the home eleven years, said he was “Eminently happy and would be devastated if he had to move on.” What the service does well: Everyone has a busy daily life; some attend collage, work locally or attend a day centre, they attend clubs, take part in the local community and have friends around to visit. People who live in the home assist in the daily activities such as preparing the meals and housework. Care plans are well written, are reviewed and kept up to date. The building is contemporarily decorated and reflects the personalities of the people living in it. The garden is an attractive extension of the house with a fishpond and seating area for outside living and eating. Healy Drive ,3 DS0000006946.V345055.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. Healy Drive ,3 DS0000006946.V345055.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 Healy Drive ,3 DS0000006946.V345055.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): All of these standards were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Everyone thinking of moving in to this home is given enough information to enable them to make an informed decision about the home. People have their care needs assessed before moving into the home, and they are able to test drive the home before deciding to move in permanently and will be given an individually written contract and statement of terms and conditions. EVIDENCE: The home’s statement of purpose was seen to be available in a clear and comprehensive format and everyone’s files contained a contract that sets out the terms and conditions of the placement. When considering new people to move into the house they will only offered a place if they seem likely to get on with the others already living there. Two files were looked at during this inspection. They contained community care assessments and written contracts. Any new person is given the opportunity to visit before they decide to move into the home. There have been no new arrivals at the house since the last Inspection but the files examined showed that the people had visited before they moved in and had reviews before the moves were made permanent. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 9 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): All of this area has been examined during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are detailed and informative, people living in the house are supported to make decisions about their lives and are consulted on all aspects of it. Risk assessments are in place that enables people to lead an independent life style. Staff are trained to respect confidences and to handle personal information in a way that will maintain confidentiality. EVIDENCE: The Care Plans examined were well set out in an attractive format and reflected the needs and aspirations of each individual and have been updated since the last Inspection. They are reviewed at regular intervals. There was evidence that the people living in the house make decisions about the home and the things they do. Relatives who were asked said that they were given an opportunity to contribute to the care plan and had been able to read it. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 10 Everyone takes a turn to prepare and cook the food assisted by the staff and decide in advance what they will cook that day. House meeting notes were seen, they show that meetings are held where everyone gets a chance to make suggestions for what they would like to do within the house, when they go out and where they would like to go on holiday. Files contain realistic risk assessments that are developed to minimise risk of harm in every day activities in and out of the home. Training records indicate that staff induction training includes keeping confidences and when not in use private information is stored in a locked cupboard in the office and is not left lying around in communal areas. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 11 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): All of the above standards have been judged during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People livening in the home have opportunities for personal development, take part in appropriate activities and are part of the local community. Family and friends are made welcome in the home and they are supported to take responsibilities in their daily lives. Residents chose the menus and are assisted in making healthy meals. EVIDENCE: People who live in this home are supported and encouraged to develop personally; one person works in a local charity shop, another works at the Bassett Centre and one has just got his NVQ in Catering and is looking for a job. Others attend collage and a day centre, either the one attached to the project or another of their choice. Daily record books show that trips are made to the amenities within the local community such as the cinema, restaurants and pubs. The people living in the Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 12 home also enjoy bowling, visiting museums and day trips out to the seaside or local attractions. They also access clubs and activities arranged for their peer groups including the Octopus Club. The home has acquired a snooker table that has been set up in the games room and one person said it was a “good idea” and that he liked playing on it. Family members say that they made are welcome at the home and in-house activities such as coffee mornings and BBQ’s are organised to which they are invited, the next occasion will be a Halloween party which will be held at the other house within this group two doors down. Some people visit their family’s home for day visits and overnight stays. While we were at the house one of the people living there had a visitor who he took to his room, this man will also travel independently and will meet up with his friend to take part in activities in the local community. People living in the home told us that they felt that their rights were respected and that they were able to make decisions for themselves. There is a work rota in the kitchen that sets out who is responsible for which job and everyone is expected to help out according to his or her ability. The house meeting notes recorded discussions about not entering others rooms uninvited and not touching peoples belongings without permission. Menus on displayed in the kitchen, people living in the home help plan the meals staff say they help them to make healthy choices. The menus were varied and well balanced. The dinning area is in the large kitchen. It is clean and pleasantly decorated and people are able to eat together or separate, as they desire. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 13 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): All of the standards in this area have been accessed during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All the care plans have been recently reviewed and were detailed enough to enable people to receive support in a way they prefer, everyone is registered with the local doctor and medication is managed appropriately. EVIDENCE: Care Plans have been reviewed recently and those examined held enough information to enable staff to offer support to the people receiving care in a way that they preferred. They hold an overview of the person and information about personal preferences, likes, dislikes and plans for the future. One person has recently become unstable on his feet causing him to fall, so has been moved into a downstairs room because of his changing needs. All of the people living in the house are registered with the local doctor and receive medical care as needed. There was evidence on file that indicated they have access to dentists, opticians and that they attended hospital appointments for specialist treatment. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 14 They also access the community nurse and other specialist services such as psychology and speech and language, the local central learning disability team based at the Bassett Centre. Two peoples medication files contained an assessment from the Doctor stating that they were able to manage their own medication and staff have assisted them to do so, we were able to examine the locked cupboards their bedrooms where the medication is stored and examined the records that are kept of the medication given to then to look after. The rest of the medication is stored in the office and is securely locked away, on examination it was found to well maintained. There was no medication that was out of date and all of it was labelled correctly using a pharmacist Labelle with all required information included. The recording sheets were completed without unexplained gaps. The home hopes to care for people as they age and during terminal illness, but if anyone’s care needs are outside the capabilities of the staff they will have to be reassessed and moved to a home that will be able to manage their care. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 15 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): Both of the above standards have been judges on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service can be confident that their concerns will be listened to and that action will be taken. They can also be confident that they will be protected from abuse. EVIDENCE: The home has not received any complaints since the last inspection and nor have we at the Commission. The homes complaints policy and procedures meet requirement and two of the people who spoke with us said they felt able to approach staff if they had any issues or worries and they believed they would be listened to. Both of the relatives asked also said that they knew how to complain if they wanted to but have had no occasion to do so. Staff files were not inspected on this occasion but have been in the past and were ordered and easy to read, they showed that the staff had been checked for any criminal offences that may make them a threat to this vulnerable group of people. Files also contained proof of identity and evidence that references are checked prior to employment. The two staff members who spoke to us confirmed that the checks were still being carried out. Training records show that protection of vulnerable adult training is given to all staff during induction and during their NVQ assessments and it is updated throughout their service. Staff receive training to help them to understand, avoid or diffuse situations around verbal and physical aggression. The staff that we spoke to also confirmed this. People’s monies are protected by the homes system of recording and checking transactions. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 16 Money kept in the home is stored in individual purses that is protected by a numbered tag, each time the purse is opened the tag will be changed and it’s number recorded. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All of this area was examined during this visit to the service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home is homely, comfortable, clean and safe to live in. It suits all aspects of the Service User’s life and promotes independence by the supply of specialist equipment if needed. EVIDENCE: This house has a homely atmosphere with domestic style furniture. There are pictures on the walls and ornaments around the house. Some re-decoration has been done since the last inspection and the home is well maintained, at lease two of the rooms seen had new carpets and we were assured by the staff that the people living in the home are encouraged to choose the style and colours when the house or their bedrooms are being decorated. The Sitting room overlooks the garden and has French windows that open onto it. The Garden has a pond and a sensory area. It is well maintained and an attractive extension to the homes living space. All of the bedrooms are individual to the occupant with personal items that reflect their personalities. They are nicely decorated and furnished to Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 18 requirement. The windows are large, so the rooms have a bright airy appearance. Bathrooms and toilets offer adequate privacy and are adapted to suit the needs of the people. There is a disabled access bathroom and toilet on the ground floor that has grab rails and other adaptations. The home is clean and hygienic, people living in the home help with the cleaning, especially their rooms and there is also cleaning staff who are shared with the sister house 1 Healy Drive. There is also a handyman who is responsible for maintaining the house, decorating and carrying out small repairs. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were examined on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in this home benefit from a staff team that is committed, well trained and supervised. EVIDENCE: The Annual Quality Assurance Assessments (AQAA) indicated that the proper recruitment policy and procedures are carried out and although the staff files were not examined on this occasion they have been in the past when we found them to contain all the required information and documents. Also included were copies of the job specification and description that clearly indicated the roles and responsibilities of each staff member. Two staff members that were interviewed confirmed that they had undergone the checks and safeguards that are required; they had references taken up and both had to wait for their Criminal Record Bureau (CRB) checks to be returned before they could start work. The home uses volunteer workers that are foreign students on a gap year. We are assured that each volunteer undergoes CRB checks in both their own country and this, they are supervised and receive training. The volunteers supplement and do not replace paid staff. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 20 The staff members appeared competent and knowledgeable about the needs of the people they support. When questioned they were aware of their roles and responsibilities and knew who they would talk to if the believed that any of the people living in the house had bee abused. According to the AQAA 75 of the staff have attained their NVQ 2 in care or it’s equivalent so the home has met the requirement of having a minimum of 50 of it’s staff being qualified. The training programme indicates that there is ongoing NVQ training proposed for new staff and for those who still have not taken it. Levels of staffing is adequate to offer the people receiving care individual uninterrupted time, continuity of care and to be able to manage emergency situations. The rota shows there are always three staff members on duty each shift, including one volunteer. Records show that there is a low staff turnover and sick leave, the home does not use agency workers. Examination of the training file shows the home offers a wide range of training, in the last year staff have received training in Managing Challenging Behaviour, Health and Safety, Midas Minibus Training, Manual handling, Protection of Vulnerable Adult, Basic Food hygiene, Risk Assessments and Communication and Signing. The AQAA indicates that the home offers induction training and a development programme that meets the National Minimum Standards for this service. Staff reported that they have undertaken the recorded training and receive supervision although the supervision notes were not seen by us on this occasion. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All of this area was assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in a well-ordered and organised way, the Manager is reported as being well liked and approachable. People living in the house and their families feel that they are listened to and the random health and safety record that were inspected were in order. EVIDENCE: The home appears well organised and managed. The new Manager has just successfully undertaken the Commission’s registration process and fit person interview. she is supported by cleaning staff and a handyman as well as the Care Staff, her line manager and admin support is on site, using offices attached to the house. Staff stated that the Manager is easy to approach, will listen to suggestions and is supportive. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 22 Staff meetings are held and records were examined. The home sends out annual quality assurance questionnaires to family members and other professionals that support the home, the last was sent out in June 2007 and on examination they showed that there was a high level of satisfaction amongst the families and the professionals were largely supportive of the home. When the surveys are returned to the home the Registered manager will meet with the Management Officer to discus the content in the replies and when necessary organise the implementation of any of the suggestions. It will be discussed at higher management meetings and if a specific area of concern is raised that needs clarification the Registered Manager will follow it up. It would be good practice if the people who contributed to the survey were sent a short report that collated the information received and mentioned any changes instigated by it. It would let people know that their opinions were valued and taken seriously. Please see recommendation 1 Organisational polices and procedures are comprehensive and the AQAA records that there is an ongoing reviews of them. Records examined were kept up to date and are stored appropriately; personal details are stored in a locked cupboard and are not left out and unattended. Staff are asked to read and sign the organisation policy on confidentiality when taking up post. A fire risk assessment has been carried out and the fire folder contains it and a floor plane showing where fire points, extinguishers and sensors are placed, the fridge and freezer temperatures were seen to have been taken and recorded daily. Fire extinguishers were seen to have been serviced recently and cleaning materials are kept in a locked cupboard. The AQAA says that required maintenance and service checks on the portable electrical equipment, heating system etc. have been carried out and are up to date. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 24 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. 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. 1 Refer to Standard YA39 Good Practice Recommendations Consideration should be given to letting the people who contribute to the Annual Quality Assurance survey know what the out come was and what changes have been implemented because of it. Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH 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 Healy Drive ,3 DS0000006946.V345055.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!