Inspection on 10/08/06 for High Street (80) - Resource Centre - NYCC

This inspection was carried out on 10th August 2006.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

High Street (80) - Resource... 01/08/07

High Street (80) - Resource... 21/03/06

High Street (80) - Resource... 29/11/05

High Street (80) - Resource... 13/01/05

High Street (80) - Resource... 13/07/04

High Street (80) - Resource... 22/03/04

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

CARE HOME ADULTS 18-65 High Street (80) - Resource Centre - NYCC Resource Centre 80 High Street Starbeck Harrogate North Yorkshire HG2 7LW Lead Inspector Caroline Long Key Unannounced Inspection 10th August 2006 09:30 High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Street (80) - Resource Centre - NYCC Address 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) Resource Centre 80 High Street Starbeck Harrogate North Yorkshire HG2 7LW 01423 883301 01423 881498 Julia.Glenny@northyorks.gov.uk North Yorkshire County Council Mrs Julia Heather Glenny Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users up to 8 (LD) and up to 8 (LD(E)) up to a maximum of 8 Service Users 21st March 2006 Date of last inspection Brief Description of the Service: The Resource Centre, 80 High Street is registered to provide residential care for up to 8 adults aged between 18 and 65 years with a learning disability and up to 8 adults aged 65 years and above with a learning disability. The maximum number of places available at any given time is 8. The registered provider is North Yorkshire County Council. The home offers placements exclusively to service users and their families who require respite care. The accommodation is set on the ground floor and is located in a building that also houses the Community Resource Team offices and rooms accessed by other community groups. The home is situated approximately 2 miles from Harrogate town centre. There are good local amenities within 20 minutes walk in Starbeck. On the 10th July 2006 the cost of one night at the home is £106.47, this can be reduced following a financial assessment. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • A review of the information held on the homes file held at the Commission for Social Care Inspection. An unannounced site visit, lasting over seven hours, by a Regulation Inspector, which included a tour of the premises, talking service users, relatives, staff and the Registered Manager. Observing staff working with service users and the examination of records. Four-service user care was looked at in detail. Letter surveys were sent to sixteen service users who stay at the home and sixteen relatives. Four service users and two relatives responded. Four relatives were also asked their views of the home. What the service does well: What has improved since the last inspection? The home has familiarised the staff with North Yorkshire adult protection procedures and has provided them with training on the protection of vulnerable adults. This ensures the safety and protection of service users. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 6 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. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 5 The outcome for this area is good. Service users and their representatives have the information needed to choose a temporary home, which will meet their needs. This judgement has been made using available evidence including a visit to the service, discussion with service users, staff and relatives. EVIDENCE: Following referral from the Care Managers for respite care and receipt of an outcome based care plan. Staff generally visit service users at home prior to admission and complete an extensive assessment. Subsequently the home then attempts to keep in contact with service users and relatives until they are admitted for respite care using the telephone and a newsletter. Two relatives spoken to, the staff and the Registered Manager confirmed this. Four-service user records were looked at all contained an assessment of service users. Service user files also contained letters from relatives before they were admitted for respite informing staff of any changes to the needs and choices of the service user. A service user attending daily activities at the resource centre said to the Registered Manger they were looking forward to coming to the home and had packed their bags in readiness. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 9 A relative explained staff try to ensure service users who know each other well and have stayed at the home together earlier are admitted at the same time. On the day of the site visit notes showed how one service user was encouraged to come in early to the home so they could go out to lunch, with another service user who was a friend. A member of staff explained they have been trained to communicate through different methods, such as symbols, makaton, and pictures. The home also uses a communication book, which the service user keeps with them, where the staff and service user write together about their stay in the home, and the relatives respond writing about the service user whilst at home. A relative, staff and the Registered Manager confirmed this. Three relatives discussed how they were fully informed and felt the home met the needs of the service users. Another described how the home had made special efforts to accommodate the service user when their had been a emergency at home. A copy of the contract was examined, the contract is available in written word and picture format, and fully informs the service user of his rights during their stay at the home. A relative and the Registered Manager explained service users receive a booking form every six months so they can book a stay in the home at their and their relative’s connivance. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, & 9 The outcome for this area is adequate. Although service users are involved in making decisions about their lives and play an active role in specifying the care they receive, this is compromised by the homes written records. This judgement has been made using available evidence including a visit to the service, discussion with service users, staff and relatives. EVIDENCE: Four service user files were examined, each contained an outcome based care plan completed by the Care Manager prior to admission, all had a assessment, completed prior to admission with the service user and their representative, which included all aspects of the service users personal, health, welfare and social needs. Discussion with staff and the Registered Manager established the assessment document is used as the service user plan, which is supplemented on each admission by information from the relatives either verbally or by letter and by the service users communication book. This service plan/assessment is reviewed using this information when the service user comes to for each stay. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 11 Inspection of four-service user files evidence an inconsistency in the amount of detail recorded. Two were quite detailed and enable staff to be fully aware to the service users personal needs and choices two did not contain enough detail. The home also had an outcome based independent care plan and risk assessment both were either not completed or partially completed in all four files examined. The Registered Manager and a member of staff agreed some of these documents needed further detail to enable staff provide for the service user. The home also needs to review, taking into consideration the home provides care short term, how it can best adapt its paper work to enable all the staff to have the information required to meet the needs and choices of the service user. Where the plans were detailed they gave examples of many choices made by service user in regards to leisure time and going to bed. During the site visit a service user made the choice not to go out with other service users, staff were observed allowing the service user to make their own decision, and enabling them to carry it out. The home does keep some money for service users when requested; two-service users money was checked both were correct. Four relatives spoken to all said the home met the needs of the families and one described the home as ‘wonderful’. Only one of the attached risk assessments was completed in the service user files examined. Although in one file where the assessment was completed in detail about the mobility needs of the service user areas of risk were considered and actions noted. Another file contained a detailed risk assessment in regards to a service users challenging behaviour. Discussion with the Registered Manager and staff evidenced although service users were allowed to take risks and staff were aware of possible risks, the home did not document this very well High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, & 17. The outcome for this area is good. People who use this service are able to make choices about their lifestyle and are supported by staff to carrying it out. This judgement has been made using available evidence including a visit to the service, discussion with service users, staff and relatives and service user surveys. EVIDENCE: All of the four service user files examined contained details of the service users preferred daily routines and leisure interests; details included groups, and colleges. The Registered Manager explained some service users carry a communication book which details the activities the service user has been involved in at their own home and whilst in 80 High Street, this enables the staff to provide the service user with a consistent lifestyle. The service users generally only stay at the home for short periods of time, therefore the home will try to ensure activities carried out at home are continued when they stay at the 80 High Street. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 13 This was evidence by a relative describing how he had seen his son attending a regular leisure activity with staff, and daily contact sheets showed service users attending youth clubs. Staff also explained service users are often out during the weekday at work or college or on social activities and return at teatime, this was observed during the site visit. A relative explained the staff try to plan their relatives’ stay in the home so it coincides with other service users whom he knows well from other community activities and college. A contact sheet evidenced staff inviting a service user to come into the home early to enable one service user to go out to lunch with another service user before they left the home. Staff explained when the service users had high dependency needs and were wheel chair users more staff was needed to enable service users to go out. From the four-service user surveys returned three said they usually, and one always enough time activities arranged by the home. A relative said ‘when there were enough staff on duty staff were quick to take service users different places’. There was a planned trip to the seaside for the following Sunday. Staff were observed cooking for service users during the site visit, service users were given a choice of menu and the food was well presented and nourishing, all service users during the visit said the food was very good. During the site visit a service user was making biscuits in the kitchen supported by a member of staff. From the four service user surveys returned three said they always liked the food, one said they usually did. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, & 20 The outcome for this area is good. Service users receive personal support based on their individual needs, and staff follow the principles of respect, dignity and privacy when carrying out personal support for service users. This judgement has been made using available evidence including a visit to the service, discussion with service users, staff and relatives. EVIDENCE: The home operates a key worker system, and staff confirmed they attempt to maintain contact with the service user whilst they are at their own homes. Where the assessments had been completed by the key worker in detail, there was evidence of service users preferences in how they liked to receive personal support were documented. Examples were; times for arising and retiring were recorded and included whether they liked to watch the television in bed, or listen to the radio. Bathing and showering rituals were described in detail and one included how hair should be styled. Dietary needs and likes and dislikes were also recorded. Due to the length of stay most of the service users access specialist services and general practitioner whilst at home. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 15 A case file evidenced the staff had received specialist support where a service user had specialist healthcare needs. Another case file had details of how to work with a service user with challenging behaviour. During the site visit staff were observed treating service users with respect. Examples were; the Registered Manager knocked on a bedroom door and asked before entering, where a service user had chosen not to go out with a group, the incident was treated with empathy and discretion by staff. Staff also discussed how they ensure the privacy and dignity of service users whilst providing personal care. All relatives spoken to all confirmed service users are treated with dignity and respect. The Registered manager explained of those service users who are able to selfmedicate a locked box is provided in their own room. However for those service users who are unable to self-medicate the unit has a medication system in place and procedures are followed accordingly. Medication was stored securely and medication records were accurately maintained. There are currently no service users that require controlled drugs. Staff explained they had carried out Safe Handling of Medication training. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in the outcome is good. Residents have access to an effective complaints procedure and are protected from abuse. This judgement has been made using available evidence including a visit to the service, discussion with service users, staff and relatives and service user surveys. EVIDENCE: Four of the service users surveys stated they knew who to speak to if they were not happy and they were aware of the complaints procedure. All relatives spoken to also state they were aware of the procedure and felt able to complain. The Registered Manager explained copies of the complaints procedure are normally kept in the entrance to the home. The operations manager investigates any major complaints made about the home; the Registered Manager stated none had been received for nearly two years. Any other smaller complaints were dealt with by the Registered Manager, and logged in a book at the home, although the Registered Manager could remember some concerns, investigation of the log showed no complaints or concern logged since August 2002. The Registered Manager and Operations manager also review any complaints on a monthly basis. At the previous inspection a requirement was made for staff to be familiar with North Yorkshire County Council procedures regarding Adult Abuse and be provided with further training in this area of practice. Staff during the site visit said they had recently attended training on the protection of vulnerable adults and were aware of the procedure. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in the outcome is good. The staff at the home ensure the service users stay in a safe, clean environment. This judgement has been made using available evidence including a visit to the service and tour of the premises, discussion with service users, staff and relatives and service user surveys. EVIDENCE: All areas inspected were very clean and free from odours; specialist equipment was available to assist staff and service users. The home has a large communal lounge and dining room with a television and DVD, the patio is wheel chair accessible from the lounge, and a smaller lounge is available if the service user wants quiet time. The bedrooms are decorated in different colours so the service users can easily identify them; all have a television and CD player. One of the bedrooms has a revolving projector, which reflects colours of light onto the walls, and ceiling, the registered manager explained service users could find this relaxing. One service user said she liked the colour blue and this was why she was in the blue room. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 18 A relative explained how the staff had bought a sidelight for a service users room and put them in a room near a well-lit corridor to help them visually, which they thought was very thoughtful. At the previous inspection requirements were made for repairs to the doors and to the paint work in the purple room, also for a ramp to be installed to the upper grassed area of the garden, these all remain outstanding. The home needs to continue with schedule of repairs and maintenance to ensure the environment remains both comfortable and homely for service users. As the home was built before the introduction of the Disability Discrimination Act, there are many enhancements that could be made to improve how well the building meets the needs of service users. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in the outcome is good. Although staff in the home are trained and skilled to support meet the needs of the people who use the service, increased dependency levels and low staffing resources can deter form this. This judgement has been made using available evidence including a visit to the service and tour of the premises, discussion with service users, staff and relatives and service user surveys. EVIDENCE: Observation of staff and service users and confirmation by relatives established a competent staff team supports service users. Comments made during conversation and in letters to the home from relatives were ‘good team’ ‘friendly and supportive’, ‘friendly but respectful, very professional’, ‘very thoughtful’, ‘service user likes every one of you’, ‘you have been kind considerate and helpful’. Staff were observed during the site visit being both approachable and accessible to service users, and communicating well. Staff discussed how they could use picture, makaton and symbols to communicate with service users. The records and talking with staff confirmed they have mandatory training is carried out and they have access to other specialist training. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 20 The Registered Manager has stated 75 of service users have a NVQ in care at level two or above. One staff member who had been recently transferred to the home confirmed the home operate an induction procedure. The previous report recommended the Registered Provider should review the absence of a cook and domestic staff, in light of staff comments that the current arrangements have a negative impact on their ability to supervise service users at critical times of the day. Staff said the number of staff when dependency levels were high was not enough to meet the needs of the service users; this particularly affected the amount of time service users could be escorted out of the home. Recruitment is carried out by human resources county hall. The Registered Manager explained Human Resources in Harrogate had held all of the records centrally and the home had attempted to create a second copy for the home. Three files were examined in detail all had the necessary information to protect the service user. Staff and records confirmed supervisions and staff meetings occur regularly and notes are taken. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in the outcome is good. The home benefit from competent management and an effective quality assurance system. This judgement has been made using available evidence including a visit to the service and tour of the premises, discussion with service users, staff and relatives EVIDENCE: The statement of purpose states the Registered Manager has her NVQ level four diploma in Management of care services and has been a manager at the home since July 2000. The Registered Manager provided evidence of receiving regular supervision by the Operational Manager. Staff said they felt supported by the management of the home. The Registered Manager, records, and relatives confirmed the home operates a quality review system, where service users and their relatives are asked about their views about the home annually. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 22 The Registered Manager also explained she had recently attend training on quality performance and discussed how she was going to collate the figures and identify gender preferences. The home also followed North Yorkshire County Council self-assessment of qualitative performance where the home had an average of 90 . Information provided by the Registered Manager and a sample of health and safety records checked evidenced the home protects the health and safety of service users. The registered manager and staff confirmed regular fire training is carried out. The inspection of all records evidenced in record keeping in general could be improved. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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 X 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 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 X 3 X 3 X 2 3 X High Street (80) - Resource Centre - NYCC DS0000034427.V308250.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. 1 Standard YA6 Regulation 15 Requirement Service user plan needs to contain enough detail to enable all staff to provide for the personal, health, welfare and social needs and choices of the service user. The Registered Person must ensure that the following is attended to: Damage to the walls in the Purple room Damage to the doors from wheelchairs (Previous timescale of 28/02/06 & 01/06/06 not met) The Registered Person must ensure that a ramp is installed to permit access to the grassed area of the gardens. (Previous timescale of 30/07/04 & 01/06/06 not met) The home must ensure the number of staff in the home is enough to enable service users to go out into the community. Timescale for action 01/10/06 2. YA24 23 01/10/06 3. YA24 23 01/10/06 4 YA33 18 1(a) 01/10/06 High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 25 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 YA24 Good Practice Recommendations The Registered Provider should consider under part 3 of the Disability Discrimination Act (1995) how well the building meets the needs of the service users for which it is intended and develop an action plan accordingly. High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 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 High Street (80) - Resource Centre - NYCC DS0000034427.V308250.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!