Inspection on 15/05/07 for Heatherstones

This inspection was carried out on 15th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Heatherstones 08/10/09

Heatherstones 22/12/05

Heatherstones 18/07/05

Heatherstones 05/10/04

Heatherstones 20/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Heatherstones 1a/1b Heatherstones Queensgate Halifax West Yorkshire HX3 0DH Lead Inspector Lynda Jones Unannounced Inspection 15th May 2007 10:30 Heatherstones DS0000001056.V333402.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 Heatherstones DS0000001056.V333402.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. Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heatherstones Address 1a/1b Heatherstones Queensgate Halifax West Yorkshire HX3 0DH 01422 369724 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) www.st-annes.org.uk St Anne`s Community Services Mrs Julie Elizabeth Banks Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd December 2005 Brief Description of the Service: Heatherstones is registered to provide nursing care and accommodation for eight adults with a learning disability. All of the people who live there have complex health care needs. St Anne’s Community Services, a charitable organisation manages the home. Heatherstones is a purpose built bungalow in a residential area near Savile Park in central Halifax. The church and local shops are within walking distance and it takes approximately 5 minutes when travelling by car to the town of Halifax, and 10 to 15 minutes on foot. The home is also on a bus route. The interior of the building comprises; 8 single bedrooms, 2 bathrooms/toilets. 2 separate toilets, 1 shower and toilet, 2 kitchen/dining rooms, 2 lounges, one with adjoining conservatory and a laundry. The weekly fee is £437. The fee does not cover the cost of hairdressing and personal toiletries. Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection of the home took place on 22 December 2005. We have not made any visits to the home since then. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection took place over approximately 4.5 hours. The methods used in this inspection included talking to the manager and staff, observation of care practice, examination of records and a tour of the home. A pre-inspection questionnaire was sent to the home prior to the visit, the information provided by the manager has been used in this report. Surveys were sent to the relatives of people who use the service, to Calderdale social workers who work with people who live there and to the pharmacist who supplies medication to the home; these provide an opportunity for people to share their views of the service with us. Comments received in this way are shared with the St Anne’s without revealing the identity of those completing them. Information from the surveys has also been used in this report. What the service does well: The home is staffed by a friendly, caring and professional team. The work they do is valued by the relatives of the people who live there. These are some of the comments that people made about Heatherstones in the surveys they returned to us “They put the care of the people who live there first” “It is an excellent service, I can highly recommend it” “They provide a happy homely environment” “They are welcoming to visiting relatives” “ I am more than happy with the care and consideration my relative receives” “I am grateful to Julie Banks and all the staff for all they do” “The home is always clean and tidy, it doesn’t matter what time I visit there are no unpleasant smells. The food they cook is healthy, it always smells good and they enjoy it” Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 6 “I have nothing to say, only praise. They are dedicated to their job, they have patience love and understanding, it’s what keeps them all happy” 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. Heatherstones DS0000001056.V333402.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 Heatherstones DS0000001056.V333402.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): 1,2,4,5. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are appropriately assessed before they move into the home; this is to make sure that their needs can be met at Heatherstones. EVIDENCE: Many of the people at Heatherstones have lived there for some time. Two people moved in when the home first opened in 1993, other people have moved in over the past five years. There is a statement of purpose, which is specific to Heatherstones, it gives information about the specialist services the home can provide and who they can care for. There is also a service user guide, which is available on request from Heatherstones that gives information about the facilities and the service that can be provided. This information helps families to make an informed choice about the home The manager said everyone who is thinking of moving to Heatherstones would always be fully assessed first. This is to make sure that their needs can be met at the home. There would also always be opportunities for people to visit the home as many times as the wished, so that they could get an idea of what life at Heatherstones is like, meet the people who live there and see if it suits them. There is no time limit on getting to know the home; it depends entirely on each person. In the past people have visited on a few occasions, stayed for Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 9 a meal and tried an overnight stay. Relatives are very welcome to visit so that they can see how the home is run, meet people who live there and get to know the staff. A set of records was looked at relating to an individual who had recently moved in to Heatherstones. The records show that he had been consulted about the sort of things he needed the staff to support him with; his family had also been consulted. A detailed assessment, had taken place to find out what his needs were and to make sure that these could be met at Heatherstones. Additional information had been gathered from a range of health care providers and from the community learning disabilities team. One of the social workers said communication with the manager in preparation for this recent move had been very good. She said this person had settled in very well due to the excellent support that he received. Everyone has a written contract/ terms and conditions of residence document which gives information about the fees. This information is important because it tells people who use the service what the fee covers and about their rights, and it tells people what will happen if the contract is breached. Heatherstones DS0000001056.V333402.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): 6,7,8,9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The personal plans are very good; they give clear guidance to staff about what they must do to make sure individual needs are met. This information should ensure that care and support is delivered with consistency, in a way that suits each person. EVIDENCE: Everyone living at Heatherstones has an individual personal plan. The plan sets out the personal, social and healthcare needs of each person and describes what action the staff must take to make sure these needs are met. The plans are of very good quality, they are clear and easy to understand. They show that as far as possible, the people living at Heatherstones have been consulted about what is in their plan. Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 11 The staff are good at enabling people to make decisions about their own lives. They know people very well and have established good lines of non-verbal communication with the people they care for and support. In one of the surveys we were told “they treat every individual differently, there are no two alike. Even though they can’t talk their expression says it all, whether they are happy or sad”. One person uses a Bliss Board to communicate with staff; he indicates what he wants to say by pointing to symbols on the board. This is a relatively new method of communication for the staff but the person who uses the board is being very patient with them as they are learning. Relatives feel that they are involved in decisions about care and support. The records demonstrate that they are consulted and that they attend review meetings that take place regularly. In the surveys, we asked whether friends and relatives felt that the home was meeting the needs of the people that live there. Everyone responded by saying that in their opinion, their relative’s needs are always fully met. Heatherstones DS0000001056.V333402.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): 11,12,13,14,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Everyone goes out regularly and takes part in a range of leisure activities. Staff are good at supporting people to stay in touch with their families. EVIDENCE: People who use the service are involved in a range of activities of their choice throughout the week. Everyone has time set aside when they receive one to one support from staff, to go out and do exactly what they want to do. The manager said that people are involved in sensory stimulation and sensory baking sessions; people go to college or attend the resource centre in Hebden Bridge. On the day of my visit to Heatherstones, one person went out on a shopping trip to Leeds with a member of staff and one person was planning to go out to visit her relative later in the day. Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 13 The staff are very good at supporting people to keep in touch and visit their families. Some people go to stay with their families regularly. Relatives told us they were always made to feel very welcome when they called at Heatherstones. One person had celebrated a very successful 60th birthday party at the home, which was attended by a large gathering of family and friends. One set of relatives chose to celebrate their wedding anniversary at Heatherstones, and plans are underway for a 21st birthday party to take place in July. Although everyone has time set aside for leisure activities during the course of the week, there is no set programme. Staff said they tend to get down to the business of what people want to do on the day. They said what takes place depends very much on how people are feeling, whether they are feeling physically well enough to go out or prefer to stay at home with one to one time with staff. According to the information provided before the inspection, visits have taken place to the theatre, cinema, museums, festivals and other special events. People also go out fairly frequently to cafes and pubs for a meal. In the surveys, we were told that staff take one person to church, which she really enjoys. At the time of the visit to the home, preparations were underway for a short break at a hotel in Blackpool. Two people were planning to go with three staff to a hotel that they have stayed at before, which is equipped to meet all of their needs. There are plans for others to go later on in the year. The home has transport available. At the moment they have one car that can be used to transport anyone who needs to use a wheelchair. The need for additional transport is currently under consideration. People also use taxis and the train service to get about. One person told us she was very distressed when her relative had to move into a care home. She said she wanted to make sure that her relative went out regularly just like she did when she was at home. Her experience of the home has been very positive, she said her relative goes for walks, she has been on holiday and has been to see several shows, she said “thanks to Heatherstones my relative is very well looked after and I have peace of mind because I know she is happy there”. Copies of the menus were provided before the visit to the home took place. These show that there is plenty of good, wholesome food available to suit all tastes. Each day everyone has breakfast whenever they are ready to eat. At lunchtime people have whatever they want. There is a varied menu for evening meal, which takes into account personal likes/dislikes, and dietary needs. Heatherstones DS0000001056.V333402.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): 18,19,20,21. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Health care issues are assessed and reviewed on a regular basis to make sure that individual needs are not overlooked. Medication is administered safely at the home to make sure that all people using the service are kept healthy and as well as possible. Everyone who uses the service is treated with respect and dignity. EVIDENCE: Details about personal care and support needs are clearly documented in the personal plans to make sure that support is provided sensitively and privately. We were told in the surveys that privacy and dignity were always respected by staff. One person said, “He is always given the respect and dignity that he should be shown, by all the care staff who support him. They are always concerned that his dignity is kept at all times, especially when he accesses the wider community”. Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 15 We asked relatives if the care home provided the support and care that had been agreed or expected. People told us that it was as expected, and that the changing needs of their relatives who live at Heatherstones was always discussed with them whenever the personal plan needed to be altered. Relatives told us they were always kept up to date with important issues such as GP visits, hospital appointments and hospital admissions. They said they would always be contacted by telephone if there was a change in health. This gives them peace of mind. The personal plans show that the staff involve and consult with a wide range of healthcare providers, this is to make sure that they can provide the best possible health care to the people who live there. Staff said they enjoy good, supportive relationships with health care providers. In the surveys, we were told about one individual whose general health had positively improved since moving into Heatherstones, this was said to be due to the excellent support provided by staff. The home is involved in the Gold Standard Framework (GSF) programme. This is a programme aimed at improving end of life care for people in the community. GSF in Care Homes is about supporting care home staff to improve end of life care, and improve collaboration with primary care and specialist teams so that more people are enabled to live and die where they choose, and un-needed hospital admissions are avoided. St Anne’s have recently awarded a Recognition of Achievement Award to the staff at Heatherstones for their exceptional work leading to their acceptance on the National Gold Standard Framework for Palliative Care. The team have previously been highly commended for their care, commitment and compassion for the way they cared for someone who passed away at the home. No one manages their own medication; it is administered by qualified nurses who work at the home. The pharmacist who supplies the home with medication said that in his opinion the staff manage medication usage and administration very efficiently. Heatherstones DS0000001056.V333402.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. People know about the complaints procedure and feel confident that their views would be listened to. Staff are aware of their responsibility to make sure that people who use the service are protected and safe. EVIDENCE: We have not received any complaints about Heatherstones and no complaints have been made directly to the home. We asked relatives if they knew how to make a complaint about the service provided if they needed to. The confirmed that they knew what to do and said if they had any issues they would speak to the manager straight away. One person said the staff welcome this approach. We were told that all staff have received training about adult protection issues. This is to make sure that people who live at the home are safe and protected from abuse. Heatherstones DS0000001056.V333402.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): 24,25,26,27,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable and homely and is suitable and meets the needs of the people who live there. EVIDENCE: The home is well maintained, clean and hygienic throughout. Since the last visit to the home an additional bedroom has been made available and the home is now registered to accommodate eight people. A new conservatory has been added to the home giving people more space to move around and more choice of comfortable sitting areas to relax in. All of the bedrooms are single. Each one is pleasantly decorated and furnished to reflect the tastes of each individual. In some cases, relatives have been involved in helping to decide on the colour schemes and this involvement is welcomed by staff. In every room there is evidence that people are Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 18 surrounded by their own personal possessions, many people have their own music systems, TVs and DVDs in their bedrooms. People who use the service have the specialist equipment they require to maximise their independence. Overhead tracking is fitted in a number of bedrooms and in communal areas to meet the movement and handling needs of each person. The toilet and bathroom facilities meet the needs of the people who live at Heatherstones and provide personal privacy. There are well-kept gardens to the front and rear of the building. Furniture that is appropriate for wheelchair users and other outdoor equipment is available for people to make use of in the good weather. Heatherstones DS0000001056.V333402.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): 31,32,33,34,35,36.Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live at Heatherstones benefit from a well-supported and trained staff team who are competent and who understand their needs. The staff work in the best interests of each individual. EVIDENCE: The home is appropriately staffed to meet the needs of people who use the service. The manager is at the home each weekday between 8am and 3.30pm. There is always a qualified nurse on duty throughout the day and night. During the day there are also four support workers (three in the evenings) on duty. The manager said that two new support workers had recently been recruited (one full time, one 21 hours) and there are plans to recruit a domestic for 10 hours per week. The home will then be fully staffed. When new staff start work at the home they are always supernumerary, this means that they are additional to required numbers on the rota and usually “shadow” more experienced members of the team. Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 20 The Human Resources section of St Anne’s holds detailed staff records, however a pro forma was available for examination at Heatherstones showing that all of the required checks had been carried out by the organisation before new staff start work at the home. This is to make sure that staff are suitable and that people who live at Heathersones are safeguarded. Staff communication is good, handovers take place when there is a shift change, this means that the staff are up to date with everything that is taking place within the home. Staff meetings take place regularly throughout the year, minutes are recorded so that anyone unable to attend can keep in touch with what has been discussed. The manager said that staff supervision is taking place approximately every two months. Individual staff training needs are discussed in supervision. All staff have a basic training profile, which shows what training they have undertaken and when any course updates are needed. The staff have a good range of training opportunities available to them. All new staff receive LDAF training (Learning Disability Awards Framework) and then they move on to NVQ (National Vocational Training) level 3. At the moment, staff are involved in training courses on Dementia Awareness, Infection Control and Nutrition and Well Being. Moving and handling assessments have indicated that all of the people who use the service need two staff to assist them at all times, this means that all staff must be suitably trained before they can move people. One of the relatives said, “ Staff receive ongoing in house and external training to meet the high standards required to care for their clients”. Heatherstones DS0000001056.V333402.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): 37,38,39,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed; the interests of the people who use the service are at the forefront of decision-making. People who use the service and their relatives are consulted and have a say in the way the home is run. EVIDENCE: Heatherstones is extremely well managed by a qualified nurse who also has an NVQ 4 in management. The manager attends regular training in order to keep her knowledge and practice skills up to date. There is a great sense of teamwork at the home. All of the staff operate at a high standard and genuinely care about the quality of service that they offer. The interests of people who use the service are safeguarded by the staff. Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 22 People are consulted about the way the home is run and their opinions are valued. Meetings with relatives take place every month. We were provided with details of maintenance contracts before the visit took place. These show that all the equipment used in the home is regularly serviced to make sure it is safe for use. Health and safety issues are given high priority and all parts of the home are checked regularly to make sure they are free from obstruction so that people can move about safely. All of the required policies and procedures are in place and have set dates for review. This means that staff have access to information to allow them to carry out their work in accordance with St Anne’s procedures. Heatherstones DS0000001056.V333402.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 4 3 X 4 4 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 X 29 3 30 3 STAFFING Standard No Score 31 3 32 4 33 4 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 4 X LIFESTYLES Standard No Score 11 4 12 3 13 4 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 4 4 4 3 X X 3 X Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Heatherstones DS0000001056.V333402.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Heatherstones DS0000001056.V333402.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!