Inspection on 21/08/07 for Heyberry House

This inspection was carried out on 21st August 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

Heyberry House 06/03/07

Heyberry House 18/03/06

Heyberry House 05/08/05

Heyberry House 09/02/05

Heyberry House 29/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Heyberry House 3 Ashville Road Birkenhead Wirral CH41 8AU Lead Inspector Beate Field Unannounced Inspection 21st August 2007 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heyberry House Address 3 Ashville Road Birkenhead Wirral CH41 8AU 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) 0151 653 3225 0151 653 3225 stella.dow@anchor.org.uk sharon.blackwell@anchor.org Anchor Trust Mrs Stella Dow Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP The maximum number of people who can be accommodated is: 41. Date of last inspection 06/03/07 Brief Description of the Service: Heyberry House is a purpose built three storey residential home that is registered to provide personal care for 41 older people. All bedrooms are single with en-suite facilities. There is one large lounge/dining room and a conservatory on the ground floor. In addition, there is a seating area off the corridors on each floor of the home. Specialist bathing facilities are provided in the home and a passenger lift services all floors. There is a garden/patio area at the rear of the home, which overlooks Birkenhead Park. Parking is available at the front of the building. The home is situated in the Birkenhead Park area of Wirral close to Claughton village and Birkenhead town centre, it is within reach of rail and bus services. At the time of this inspection, the weekly fees for the home were £413.86. Additional charges are made private telephone bills, private chiropody, hairdressing, holistic therapy, personal transport to medical services and staff escort to private events. A service user guide and a statement of purpose, which describe the services offered at Heyberry House is made available to new residents, their relatives and professionals before a resident comes to live at the home. A copy of the most recent inspection report can be obtained from the manager. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection is based on a site visit to the home over a 5-hour period and is also informed by information received about the service since the last inspection and by questionnaires completed by the manager, residents, relatives and health care professionals who visit the home. During the site visit to the home time was spent in the office looking at a sample of records and policies and procedures and talking to the deputy manager and senior carer. A tour of the home was undertaken. The inspector spoke with residents, relatives and staff and made observations of the care given by staff. What the service does well: Prospective residents have their needs appropriately assessed before moving to the home, which, ensures that a service is only offered to people whose needs can be met. Prospective residents’ benefit from being given detailed information about the services available and being able to make trial visits. This assists residents to make a decision about whether the home is right for them. Residents have their health and care needs well met. Staff are aware of the needs of residents and how to meet them. Residents spoken with were very positive about the care they receive. They said they are “happy at the home,” “staff are helpful and kind” and the “staff are there when you need them.” Observations indicated that residents are treated with respect. Residents said staff are “very nice,” “polite” and that staff make it feel “ homely.” The wellbeing of residents is promoted by the flexibility of the daily routines, visitors being made welcome to the home and the provision of well balanced, appealing meals. A good range of activities are available for residents to take part in should they so wish. The home has a complaints system which residents know how to access. The procedures at the home and training provided to staff around adult protection safeguard residents. The home is clean and well presented and provides a comfortable and pleasant atmosphere. Staff are well supported to meet the needs of residents. Staff spoken with made positive comments about working at the home, comments included “there is a good staff team and staff are friendly” and “we get good training.” Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 6 The management arrangements support the wellbeing of residents. The home has good systems for monitoring the quality of the service it offers to residents. 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. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can make an informed choice about whether the home is right for them and they can be confident that the home can meet their needs. EVIDENCE: A Statement of Purpose and a Service User Guide were seen. These documents provide clear and detailed information about the services provided for prospective residents and/or their relatives to refer to. The documents give a good overview of the home, the accommodation, the staff and qualifications, the meals, social activities, a copy of the contract (terms and conditions) and Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 9 what to do if there are any concerns/complaints about the service. The brochure is given to all new enquirers. 5 of the 6 residents who returned questionnaires and 4 residents spoken with said that they were given enough information about the home before they moved in so they could decide if it was the right place for them. Potential residents can make several visits to the home before deciding to move in. During these visits they can meet staff and current residents and view the home. Two new residents’ files were examined. There was evidence of appropriate assessments being carried out by appropriately trained staff before new residents move to the home. There was also evidence that information is gathered from social workers and health professionals to inform the assessment. The pre-admission information is used to form a care plan, which is developed shortly after the resident moves to the home. A sample of residents’ files seen contained a contract between the home and the resident. The contract covers the care home’s charges to residents, including any extra amounts payable for additional services, the rights of the resident, services provided and terms and conditions of residence. 5 of the 6 residents who returned questionnaires had received a contract. Residents can live at the home on an initial 6-week trial basis. The home does not offer intermediate care. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of the residents are well met and they are happy with the service they receive. EVIDENCE: A sample of residents’ records were looked at and indicated that residents have a care plan in place that provides clear guidance for staff around how their needs are to be met. Care plans are produced on admission, and are reviewed after six weeks. At six weeks a more detailed plan is produced with the input and cooperation of the resident. Care plans provide for information to be recorded around residents’ specific needs that would promote equality such as their racial, religious and language needs. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 11 Risk factors are identified and when required management plans are put in place. A sample of risk management plans were seen and provided sufficient information for staff to refer to. Since the last inspection there has been an improvement to risk assessments around falls, which now contain more detailed information. A daily record is made around the wellbeing of a resident and the care given. Residents spoken with were very positive about the care they receive. They said they are “happy at the home,” “staff are helpful and kind” and the “staff are there when you need them.” The 6 Residents who returned questionnaires were also happy about the service they receive. The 6 relatives who returned questionnaires and 2 spoken with were happy about the standard of care provided at the home. They said, “Staff are kind and caring and do a good job.” “My mother is very happy living at Heyberry House she feels safe and secure living in such a pleasant environment.” “Residents are treated with care and respect.” “My mother is extremely happy and has complete confidence in the staff” The records at the home indicated that referrals are made to health professionals in accordance with the needs of residents. A record is made of visits by health professionals and the outcome is documented. 4 residents spoken with said that their health needs are well met. 6 residents who returned questionnaires said they “always receive the care and support they need”. 2 health professionals who returned questionnaires said, “ Staff seek advice and acts upon it.” An appropriate record of accidents is maintained. The home provides secure medicine storage facilities. Staff who administer medication have received appropriate training. A sample of medications and the corresponding records were examined and were in general found to be in order. A clear audit had not been maintained of the amount of three types of medication. Following the inspection the deputy manager informed CSCI that this matter had been addressed and action taken to prevent this situation occurring again. Staff receive training and guidance around how to meet a residents needs in a dignified manner and how to respect their privacy. The staff were observed to address residents in a respectful and polite manner. The 4 residents spoken with and those who returned questionnaires said that their privacy and dignity is observed by the staff. Residents said staff are “very nice,” “polite” and that staff make it feel “homely.” Staff spoken with said that a good service is given to residents. The comments staff made included “I would recommend the home to a relative,” “people are well looked after.” Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 12 Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The wellbeing of residents is promoted by the flexibility of the daily routines, residents being able to make choices, a range of activities being available, visitors being made welcome to the home and the provision of well balanced, appealing meals. EVIDENCE: Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 14 An activity co-ordinator is employed for 20 hours per week and organises two activities within the home a day such as bingo, board games, cards, knitting, crafts, quizzes and musical exercises. Residents are kept informed about the activities available by care staff and through written information in the reception area. Records indicate the interests of residents, which inform the activities offered. 4 Residents spoken with and those who returned questionnaires in general made positive comments about the activities available. A gardening club has been introduced recently following feedback from residents as to what activities they would like to do. A garden party was held in August 2007 for residents and their families. The effort and commitment put into the range of activities provided is to be commended. The care plan details the key relationships residents wish to maintain and the community based activities they were involved in prior to living in the home. The home operates an open door policy to visitors. This visiting policy was displayed in the entrance hall and is in the service users guide. The 4 residents who were spoken with said they felt their visitors were made to feel welcome. 2 visitors spoken with confirmed this. A number of visitors were observed visiting the home during the inspection and were greeted warmly by the staff. Observations of the dining area indicated that a pleasant environment is provided for residents to have their meals. The records of menus indicated that a variety of meals that would provide a balanced diet are available. The food prepared looked appetising. The food was sampled and was of a good quality. Menus are displayed in the main reception for residents and their visitors to view. Visitors may eat with the person they are visiting as long as sufficient notice is provided. Any special dietary needs are written in to a residents care plan. A dietician is consulted where necessary. When asked about the food provided, residents were complimentary. Relatives who completed questionnaires also praised the food provided at the home. A sweet trolley with a range of deserts is available following the lunchtime meal. Residents said they particularly liked this. Discussion with residents and staff indicated that the home encourages residents to make decisions about their day-to-day lives at the home, such as when they will get up and go to bed and what they will do each day. There is a record of residents’ lifestyle choices for staff to refer to which helps further promote the wishes of residents as to how they live their lives at the home. Some comments made by relatives who returned questionnaires included “I feel the home allows the residents to live as independently as possible and gives them freedom of choice.” There are lots of activities, which residents can join in if they want to. Meals are always nice. Staff respect choices made.” “Meals are excellent Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 15 Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The rights of residents and their wellbeing are safeguarded by the procedures and practices for responding to complaints and adult protection matters. EVIDENCE: The home has a detailed complaints’ procedure. On admission to the home, each resident is given a copy. A record is made of any complaints received. An examination of this record indicated that there had been no complaints since the last inspection. No complaints have been made about the home to CSCI in the last 12 months. During the inspection, the residents who were spoken with confirmed that they would be confident to approach the manager or other senior members of the management team, if they had a complaint or concern about the service. The 6 residents who returned questionnaires knew how to make a complaint. The 6 relatives who returned questionnaires knew who to speak to if they were not happy about the service. All staff a part from one has attended adult protection training. The senior carer reported that this training has been organised for this member of staff. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 17 Staff spoken with were aware of the procedure to follow in order to protect older people from abuse. A copy of Wirral Borough Council’s adult protection procedure is available at the home. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and there is a good standard of cleanliness and hygiene, providing residents with a pleasant environment to live in. EVIDENCE: A tour of the home was undertaken. This included an inspection of the communal areas and a sample of the bedrooms. This indicated that the home is well maintained and decorated to a high standard. There is a rolling programme of re-decoration and refurbishment. The bedrooms seen were Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 19 suitably furnished. All bedrooms are single with en-suite sink and toilet. Residents have personalised their bedrooms. The home is safe. Regular checks of the safety of the home are undertaken. Water accessible to residents is maintained at a safe temperature. Covers have been fitted to electric storage heaters in bathrooms, bedrooms and communal areas. All areas of the home seen were clean and fresh smelling at the time of the inspection. It was evident that the domestic staff are working hard to maintain good standards. Appropriate laundry facilities are provided by the home. Preferred laundry routines are discussed with residents and documented. Procedures relating to COSHH and protective clothing are available for domestic staff. Residents and relatives spoken with and residents and relatives who returned questionnaires said that the home is always clean and well presented. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The welfare of residents is safeguarded and promoted by the number of staff available and the training they have received. EVIDENCE: The rota, observations and a discussion with the staff and residents indicated that there are sufficient numbers of staff to meet the needs of the residents living at the home. There is a clear staff structure at the home that includes the manager, deputy manager, senior care staff, care staff and ancillary staff. The 4 residents spoken with said staff are always available when needed. The 6 residents who returned questionnaires said staff are “always” and “usually” available when they are needed. The records of 2 new members of staff who have been employed since the last inspection were seen. These records were very well maintained and contained all the required information. Care needs to be taken to ensure that gaps in Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 21 employment history are recorded. The deputy manager said that this information is sought from applicants but has not been consistently written down. Residents are involved in the recruitment of new staff and form part of the interview panel. The home has an equal opportunities monitoring policy in operation. All staff have access to the General Social Care Council’s Code of Practice and staff have been made aware of the standards expected of them. Staff spoken with made positive comments about working at the home, comments included “the staff are friendly to each other, there is a good staff team,” “we get good training” and “the residents are well looked after.” Staff spoken with were aware of the rights of older people and how to promote them. Staff are actively encouraged to undertake an NVQ in Care of the Elderly. At present the majority of care staff have achieved this qualification and additional staff are currently undertaking this training. Records showed that staff have received training around health and safety, protection of vulnerable adults and dementia care since the last inspection. An induction and foundation training programme are provided to all new staff. This training meets the National Training Organisation specification. Records of this induction were seen and covered information essential to prepare a member of staff to work at the home. The induction covers health and safety matters, protection of older people from abuse, good care practice, promoting equality and diversity and the general operation of the home. New staff work alongside existing staff until they have been assessed as competent. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements at the home promote the wellbeing of residents. The quality of the service is well monitored. The safety of residents is well promoted. EVIDENCE: Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 23 The manager is registered with CSCI, has relevant qualifications in care and management and has attended training to keep her skills and knowledge up to date. The staff interviewed were clear about the lines of accountability at the home. Staff meetings and residents meetings are held on a regular basis. Staff and residents spoken to said that their views about the day-to-day operation of the home are sought. Records of residents meetings showed that issues that are important to the residents are discussed such as food and activities. It was clear that the views of residents have an impact on the service provided. A mobile shop and a greenhouse have been made available as a result of listening to the residents’ views. Residents are part of the staff recruitment process. There are comprehensive quality assurance and monitoring systems in place at the home. The home has received Investors in People Award. The views of relatives and other stakeholders are sought regarding the operation of the service. A coffee morning for relatives and residents has taken place since the last inspection and another is planned. This provides an opportunity to discuss how the home is operating. The regional manager undertakes monthly visits to the home, which includes discussions with the staff and residents. A copy of these reports are sent to CSCI. The records and the home environment are regularly inspected by the manager and senior managers. Staff reported that the manager, deputy and senior staff gives them a clear sense of direction and asks them their views on the operation of the home. Staff reported that they have regular supervision and are well supported. The manager ensures that CSCI are informed of any relevant issues affecting the home. The home holds personal allowances on behalf of some residents. The records of this were seen and were accurately maintained. There was evidence of auditing by a senior manager from Anchor Trust and the home’s manager in respect of money held on behalf of residents. The home’s administrator was spoken with and was very aware of the processes to be followed in order to safeguard resident’s finances. Residents are able to bring personal possessions to the home The records of the safety checks of the fire alarm and emergency lighting were in order. Fire drills are held on a regular basis. A gas safety certificate was available. Evidence that the electrical wiring at the home is safe was available. Training records showed that staff are given appropriate training in safe working practices, including fire safety training. Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 24 Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 X X 3 X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 X 3 X X 3 Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Heyberry House DS0000018894.V343551.R01.S.doc Version 5.2 Page 28 - 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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