Inspection on 14/03/07 for Hillcrest House

This inspection was carried out on 14th March 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 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

Hillcrest House 13/11/07

Hillcrest House 15/03/06

Hillcrest House 25/05/05

Hillcrest House 04/03/05

Hillcrest House 02/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Hillcrest House Church Hill Stalbridge Sturminster Newton Dorset DT10 2LR Lead Inspector Marion Hurley Key Unannounced Inspection 14th March 2007 09:30 Hillcrest House DS0000026817.V332751.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 Hillcrest House DS0000026817.V332751.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. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillcrest House Address Church Hill Stalbridge Sturminster Newton Dorset DT10 2LR 01963 363861 01963 363496 H5032@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) Mrs Vanessa Elaine Leach Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th March 2006 Brief Description of the Service: Hillcrest House, formerly two cottages, has been carefully extended and converted to accommodate up to seven adults with learning disabilities and is currently home to six people with learning disabilities. Mencap operates the service and service users have licence agreements with the propertys landlord Western Challenge Housing Association. The home provides all single room accommodation and all service users rooms have been decorated and personalised for each individual. Hillcrest House is within easy walking distance of the village and all the local amenities shops, library, pubs and restaurants. The home is on a main bus route for accessing the larger towns of Gillingham and Yeovil where leisure centres, theatres and cinemas are available. The home supports people to access local transport such as taxis and buses. The aims and philosophy of the service seek to promote the independence of service users by providing the support necessary to achieve their chosen lifestyles and by providing opportunities for service users to develop and learn new skills that enhance their personal independence and confidence. The home is staffed 24 hours of the day. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on Wednesday 14th February commencing at 09:30. The visit lasted over five hours and consisted of discussions with service users, the manager and members of the staff team. Records and procedures were examined. The inspector would like to thank the service users, the staff and the registered manager for their hospitality and time throughout the inspection. Weekly fees commence from £480.87 however these may vary according to the persons assessed needs. What the service does well: Service users are at the centre of the service and the home is very good at involving service users and helping them to make decisions in their lives. Service users are consulted and actively involved in the day-to-day running of “their home”. Individual support plans are of a good standard. Person centred planning is being introduced and service users have regular meetings to share their views. Service users are currently deciding what format suits them best and this may be DVD, video, audio or a format that mixes written word and symbols and photographs. There are lots of activities available for people to do depending on what they enjoy and what they are interested in. Some people are supported to go to college and clearly enjoy the weekly classes they attend. Service users benefit from a qualified and experienced manager and staff team, which is motivated to meet the service users needs and to help them develop and manage their independence. Service users spoken with said they were “happy at the home.” Staff are well supported. The Registered Manager demonstrated a commendable honesty and awareness where improvements to the premises need to be made. There is good support for the home by the Provider organisation, with effective monitoring and quality assurance systems in place. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 6 The health and safety procedures are clear and care staff receive the relevant training to make certain safe working practices are maintained. All records for health and safety matters are accurate, up to date and well maintained. What has improved since the last inspection? What they could do better: The garden needs to be made safe for all the service users and it is recommended that the garden is made more welcoming and user friendly and offers a greater variety of spaces. The manager already has plans to develop more flowerbeds and a vegetable plot and to add some container planting. The rear lobby, back door and utility/laundry area need to be modernised and the shower room also located in this area should be made more accessible. The carpet on the first floor landing and on the stairs leading to the staff room has worn loose and needs to be replaced or re-laid. Please contact the provider for advice of actions taken in response to this Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 7 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. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 8 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 Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 9 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with the information they need about the home before they move in. They have their needs assessed and know that the home can meet these needs. EVIDENCE: The service user guide is presented in a user-friendly format. Further work is being done to develop the format and this will include more photographs. Service users are given a copy of this when they move into the home and staff will spend time reading it to them if they need to. Potential service users receive a thorough needs assessment undertaken by trained staff ensuring that the home can meet all the care needs of service users. The opportunity to visit the home prior to admission is an integral part of the admission process, which means the service users are orientated to the environment and have met and are familiar with staff and other service users beforehand. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 10 All the service users, living at Hillcrest have had an assessment of their needs. Assessments and plans are regularly reviewed and updated as needed generally every six weeks. All the service users have a “designated coordinator” who work with them to ensure their individual support plans reflects their changing needs. All changes are initially discussed with the service user in a one to one session any changes are provisionally agreed and the coordinator will then present the plan to other staff members at their meeting and if all agreed the co-ordinator will then finalise the changes with the service user who is then asked to sign their plan. All new service users are allocated a designated co-ordinator prior to their admission and this person will work with them to develop their Individual Support Plan. Service users are only offered a place at the home if the Manager is confident that the home can meet their individual needs and aspirations and the person will compliment the existing group of people in the home. The assessment and record of visits and individual support plan of a service user who has moved to Hillcrest within the last twelve moths were viewed and found to contain comprehensive information and records which supported the information and procedures described by the manager. The home does not accept emergency admissions. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have an individual plan that describes and meets their needs and are supported to achieve their aspirations. Service users are encouraged and supported to make decisions about their lives and to take reasonable risks to allow them to lead interesting lives. Service users are actively involved in the running of the home and in the dayto-day decisions. EVIDENCE: Service users have support/care plans that identify their needs and how these needs will be met. Service users said they could make lots of everyday choices for example the activities they want to do, what to eat, when to get up and what to wear. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 12 Service user meetings are held every month. At these meetings service users can raise any concerns, make suggestions and have a say on how the home is run. Minutes of the most recent meetings were available and viewed. The service users manage, with staff support, their own meetings with one person chairing and another taking the minutes. The staff have a good understanding of person centred planning and are looking forward to introducing it for all the residents. The manager described how choices are offered on a daily basis. Each person has a different way of making his or her choices and these are included in their care plan for example one person uses a picture board and likes to know in advance what their routine is for the day. Service users participation in events and their achievement to attain their goals and aspirations are recorded and monitored, for example “went to Shaftesbury shopping, birthday lunch” another “try longer walks”. It was evident throughout the visit that service users are involved in the running of the home and are encouraged to make decisions about all aspects of their lives. Staff demonstrated an understanding of the need to promote independence and respect peoples rights to make their own choices. Service users care plans include risk assessments for the various activities each participates in. The risk assessments provide clear guidance for staff and were being regularly reviewed. All service users keep their own care plans in their bedrooms and staff ask their permission before entering any information. Other records were seen to be stored securely when not in use. The inspector was very grateful to the service user who took the time to go through their own plan and confirm the information was accurate and that it described their needs and aspirations. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual support planning (care planning) demonstrates how service users have opportunities for personal development and independence. Service users have opportunities to participate in a range of activities in the home and in the local community, allowing individuals to pursue their own interests and hobbies. Service users are supported to maintain contact with family and friends and encouraged to build new relationships. Service users are aware of their responsibilities and know their rights will be respected. The daily routines of the home promote choice and provide services users with the ability to be as independent as their needs allow. Service users enjoy a healthy diet and are supported to develop their own menus and participate in cooking, which promotes independence and choice. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 14 EVIDENCE: Service users plan their activities on a weekly basis in one to one sessions. They also use the residents meetings to discuss things that they might like to do. Records are kept of the activities that take place and these may include swimming, going to the pub, shopping, and going to local social/ Gateway clubs. The service users said they enjoy their activities and feel they are kept busy; the records of activities supported this. Most activities are undertaken individually but some are done as a group, for example if service users want to go to visit the cinema to see the same film. Service users are supported to maintain contact with their relatives and friends. The home operates an open house policy and there are no restrictions on visiting. Service users can see their visitors in the privacy of their own rooms or in one of the two communal lounge/dining rooms. Service users have personal televisions, videos; DVDs and music systems and several have large selections of videos and music, another is very keen on reading and their bedroom reflects this interest. Service users are encouraged to take responsibility for cleaning their own room and doing their laundry either independently or with staff encouragement and support. Service users rights to privacy are respected and staff were seen to ask service users permission before entering their bedrooms. All service users are offered a key to their bedroom based on their ability to use one safely. All locks can be over ridden from outside by staff. Mail is delivered to the home and distributed to the service users. If they require help to read or understand their mail then the staff will support them. Staff were observed interacting with service users and this was done with respect and in a manner that was appropriate to the service users. Service users choose their own menus on a weekly basis. The service user will then shop and cook their meals with the level of support required to ensure the meal is cooked safely. This arrangement was agreed by the service users and is reviewed regularly to ensure all are still signed up to cooking and shopping for themselves. At the present time it appears very popular. The home provides a “store cupboard” for communal items i.e. milk, bread, tea & coffee. The record of meals eaten indicated a balanced and varied diet was followed. The manager said how the services users decided at their last meeting “the house should buy a smoothie machine”. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 15 Families and friends can visit the home at any reasonable time and some service users often stay with their families at weekends. Service users indicated they were quite happy with the arrangements and facilities for entertaining visitors. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health and personal needs are well met. Medication procedures within the home are robust and staff training good, which ensures that service users property and presented risks are protected. EVIDENCE: Service users personal support needs are outlined in their individual plan which encourages each person to be as independent as possible. Staff were seen to be very good at providing personal support to service users in a sensitive manner. The way in which this was done was obviously tailored to the circumstances of the moment. One service user was still in bed at the start of the inspection and had breakfast when they wished. This flexibility took account of planed activities for example one service user enjoyed a leisurely start to their day whilst another was ready to catch the bus to the day services. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 17 Staff keep up to date of any changes made to the plans through the daily handovers and written information in the communication book, which must be signed at the time of reading. The GP, dentist and other healthcare professionals meet service users health needs and plans indicated specialist support and advice was obtained where necessary for example one service user has recently been referred to a specialist consultant and this has been discussed with them in a way to ensure they will be able to understand. Service users medication is stored appropriately within a locked cabinet in the ground floor staff room. Two service users manage their own medication and have appropriate and secure places for storing their own medication in their bedrooms. Medication records were viewed and these were found to be accurate and up to date. All staff receive training in the safe handling and administration of medicines. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 18 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. Vulnerable adults are protected through a range of policies and procedures and well-informed and trained staff. Service users know how to make a complaint. EVIDENCE: There is a complaints procedure that is in a simple user-friendly format for service users. There have been no complaints received by the home. Service users said they could talk to any staff if they were worried about anything or have a complaint. They can also raise concerns in their meetings. All service users are supported to manage their own finances and to look after their own valuables. All staff have been trained in the Protection of Vulnerable Adults and there is a POVA policy in the home. The manager ensures all new staff receive the training they need. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 19 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, 28 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from a comfortable and homely environment. Service users have their own bedrooms, which meet their needs. There are sufficient bathroom and toilet facilities. Service users live in a clean home. EVIDENCE: The interior of the home is comfortable and homely for service users. They each have their own bedroom that they have personalised with their belongings. Bedrooms are of an adequate size. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 20 Both the lounge and separate dining room are suitable for use by the service users and have a variety of comfortable chairs, settees and dining room furniture. There are sufficient bathroom facilities available for service users’ use. However, the access to the ground floor shower room is not very practical as it is through the small corridor, which leads to the back door and utility room. This whole area would benefit from being re-designed and decorated. The carpet on the first floor is loose and slightly rucked which could present as a risk to any service user or member of staff. The carpet on the stairs leading to the staff office (generally accessed only by staff) has also worn loose and is a hazard for the safety of staff using these stairs. Whilst the rest of the home is clean and comfortable the garden does not present as very inviting for service users. However the manager already has plans on how to develop this area, which currently comprises a large paved area and steps down to a good size lawn. Ideas currently being discussed with the service users and staff include creating more flowerbeds, a vegetable patch and some container planting. The patio area is a good size and the slabs are adequate though it was noticed some are beginning to crack at the edges and will need attention in the near future. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 21 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): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Qualified, competent and appropriately trained staff support the service users. Recruitment procedures at the home are robust which in turn ensures staff are suitable to care for and support services users with a learning disability. There is a staff training and development programme, which ensures staff fulfil the aims of the home and meet the changing needs of service users. EVIDENCE: The staff on duty at the time of the visit demonstrated a positive approach to supporting service users. Observations showed that staff and service users get on well and that relationships are built upon respect. The manager and staff team demonstrated that they were aware of and support the aims and values of the home and organisation. The team are aware of the organisations policies and procedures and understand how their work promotes the main aims of the home and the organisation. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 22 Training needs are identified through staff meetings and individual supervision sessions. All staff receive a thorough induction programme. On going training and development is linked to service users’ needs and individual support plans in addition to the completion of all mandatory training. A random selection of staff files were viewed and these all contained the necessary documents as described in Schedule 2. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 23 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, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. The management approach of the home creates an open and positive atmosphere. Service users health and welfare is generally protected by the home, however the carpets need to be replaced on the first floor landing and on the stairs leading to the staff office. The back door should be replaced and the laundry/ utility room modernised and access to the ground floor shower improved. Various methods of measuring quality assurance are in place ensuring that the quality standards are maintained. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 24 EVIDENCE: The manager provides a clear sense of direction and leadership to the staff team. Service users and other stakeholders can voice their concerns via service users meetings, or in one to one sessions and / or by using the organisations complaints procedure “help us to get it right”. Feedback is also gained from these sessions. The staff team work closely with the manager and deputy and the manager feels there is a positive attitude from all the team. The manager described how the team place great importance on obtaining service users views about the running of the home in their daily contact and through the service user meetings. Regular audit visits are conducted as required by Regulation 26 and these visits always include the views of both service users and staff. The service users said they knew they could talk to the manager if they had problems. With the exception of the carpet and back porch the home provides a safe environment for the service users. Risks are assessed and regular safety checks are made of the appliances and equipment in the home. Fire drills have been recorded and alarm tests take place. The manager described how staff and service users worked together to maintain the standard of cleanliness in the kitchen. Refrigeration and freezer temperatures were being monitored. Hillcrest House DS0000026817.V332751.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 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 X 4 X 5 X 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 X 26 X 27 X 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 X 2 X Hillcrest House DS0000026817.V332751.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. 1 Standard YA28 Regulation YA23 (2)(o) Requirement Timescale for action 31/07/07 2 YA42 YA13 (4)(a) The registered person shall having regard to the number and needs of the service users ensure the external grounds are suitable and safe for use by service users and be appropriately maintained. The registered person shall 30/04/07 ensure that all parts of the home to which service users have access are as reasonably practicable free from hazards to their safety. The carpets on the fist floor landing and on the stairs leading to the staff office must be replaced or re-laid. 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 2 Refer to Standard YA24 YA27 Good Practice Recommendations It is recommended consideration be given to allocating more maintenance hours to the home. It is recommended that the back porch be refurbished and the access to the rear shower improved. Hillcrest House DS0000026817.V332751.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Hillcrest House DS0000026817.V332751.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. 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!