Inspection on 17/04/07 for Hillview Farm

This inspection was carried out on 17th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Hillview Farm 25/01/06

Hillview Farm 04/08/05

Hillview Farm 01/02/05

Hillview Farm 16/11/04

Similar services:

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

The Farmhouse

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

CARE HOME ADULTS 18-65 Hillview Farm Ashmore Green Road Ashmore Green Thatcham Berkshire RG18 9ER Lead Inspector Marie Carvell Unannounced Inspection 17th April 2007 10:30 DS0000011208.V331558.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 DS0000011208.V331558.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. DS0000011208.V331558.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillview Farm Address Ashmore Green Road Ashmore Green Thatcham Berkshire RG18 9ER 01635 861496 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) HILLVIEW.FARM@tiscali.co.uk Mr Kevin Roy Tarbox Mrs Helen Louise Parkin Care Home 7 Category(ies) of Learning disability (7) registration, with number of places DS0000011208.V331558.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Hillview Farm provides accommodation and care for up to seven adults with learning disabilities. The home is situated in a semi-rural area between the town centres of Newbury and Thatcham. The accommodation that is provided is all within the same building and all of the bedrooms are single occupancy. Four bedrooms have en-suite facilities. The home also provides day services if service users wish to take up this option. Activities include horticulture, animal husbandry, woodwork, art and crafts. The home also has its own vehicle to assist service users with transport. The home’s registration has recently increased from five to seven beds. The range of care needs within the home is diverse and complex. Several service users have needs, which can challenge the service. There are currently five service users living at Hillview Farm. The current scales of charges as at April 2007 are between £1250.00 and £2165.00 per week. There are additional charges for transport (60 of Disability Living Allowance), toiletries, hairdressing and activities. DS0000011208.V331558.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘key Inspection’. The inspector arrived at the service at 10.30am and was in the service until 3.15pm. It was a thorough look at how well the service was doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection. Five service users, the parents of three service users and a social care professional responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standards of the service. Time was spent with all the service users, the provider, the manager and staff on duty, a tour of the premises was carried out and a sample of records required to be kept in the home were examined, including the case tracking of two service user’s files. At the last inspection carried out in January 2006, two good practice recommendations were made, these were that consideration should be given to the refurbishment of the two identified bathroom floors and that all staff label foodstuffs once they are opened and refrigerated. Both recommendations have been acted upon. Feedback was given to the provider and manager at the end of the inspection. What the service does well: All service users are assessed prior to moving into the home and are given the opportunity to stay for short periods to be clear whether the home meets their individual needs. Each service user has a detailed contract of residency, which is available in appropriate formats. DS0000011208.V331558.R01.S.doc Version 5.2 Page 6 All service users have a detailed care plan; these are reviewed on a regular basis and updated as necessary. Service users are enabled to be involved as much as possible in preparing and reviewing their care plans. Service users are assisted and encouraged to exercise their right to make decisions and choices. Regular meetings are held to discuss all aspects of life in the home. Comments made by parents of service users on the relative questionnaire included “Our son/daughter is able to choose to live the life he/she wants with the support from the care home” and “The care home lets the residents have their say and choose the way that they want to live, they can be individuals”. Risk assessments are in place to support care plans with guidelines from healthcare professionals, as necessary. This care home is well integrated within the community it is situated in. The service users participate in full and varied lifestyles and regularly use the local community facilities. From the evidence seen and discussion with the manager, the inspector considers that the home is able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. The Commission has received no information concerning complaints about this service since the last inspection. The home promotes an open culture where service users feel safe and supported to share any concerns in relation to their protection and safety. Staffing levels reflect the needs of the service users and rosters are flexible to fit around the lifestyles of individuals. Key workers have specific allocated time to spend with service users. The home does not use agency staff, during periods of leave or sickness staff are prepared to work additional shifts. What has improved since the last inspection? DS0000011208.V331558.R01.S.doc Version 5.2 Page 7 The home has had extensive building work completed and the home fully redecorated. The home is maintained to an excellent standard, with three bedrooms having en-suite facilities, an additional utility/laundry room and lounge. The home is homely, comfortable and safe. Throughout the refurbishment service users were included in discussions about colour schemes and the purchasing of equipment. 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. DS0000011208.V331558.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 DS0000011208.V331558.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): Standard 2,4 and 5. Quality in this outcome area is excellent. All service users are assessed prior to moving into the home and are given the opportunity to stay for short periods to be clear whether the home meets their individual needs. Each service user has a detailed contract of residency, which is available in appropriate formats. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been one service user admitted to the home since the last inspection. Records seen indicated that a full needs assessment was obtained on the prospective service user prior to admission to the home for a trial period. Following a period of settling in supported by home staff, social care professionals and relatives a meeting took place to decide whether the home was able to meet the service user’s needs. Service user records of the admission and settling in period were comprehensive and well maintained. Previous inspection information indicated that all service users had a full needs assessment undertaken prior to moving into the home. There is a comprehensive referral and admission process in place. Parents of one service user stated on the relative questionnaire “ Our son/daughter was welcomed DS0000011208.V331558.R01.S.doc Version 5.2 Page 10 into the care home, by both staff and other residents, he/she settled very quickly and loves the variety of activities he/she does, his/her life skills are improving daily and his/her confidence has grown no end”. All service users have an individual contract and statement of terms and conditions of their residency in the home. DS0000011208.V331558.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): Standards 6,7,8 and 9. Quality in this outcome area is excellent. Service users have detailed care plans and are involved as much as possible, with decision making. Appropriate risk assessments are in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have a detailed care plan; these are reviewed on a regular basis and updated as necessary. Service users are enabled to be involved as much as possible in preparing and reviewing their care plans. Service users are assisted and encouraged to exercise their right to make decisions and choices. Regular meetings are held to discuss all aspects of life in the home. Comments made by parents of service users on the relative questionnaire included “Our son/daughter is able to choose to live the life he/she wants with the support from the care home” and “The care home lets DS0000011208.V331558.R01.S.doc Version 5.2 Page 12 the residents have their say and choose the way that they want to live, they can be individuals”. Risk assessments are in place to support care plans with guidelines from healthcare professionals, as necessary. From discussion with service users, staff on duty and observation by the inspector, all staff were able to demonstrate a clear knowledge of the service users needs and preferred lifestyle. Service users were observed to be treated with dignity and respect. It was evident that there is a good rapport between the service users and staff team. Staff on duty were observed promoting choice and decisions made by the service users using a variety of communication methods. All service user records were seen to be well maintained, detailed and up to date. DS0000011208.V331558.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): Standards 12,13,15,16 and 17. Quality in this outcome area is excellent. This care home is well integrated within the community it is situated in. The service users participate in full and varied lifestyles and regularly use the local community facilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are able to make use of the many opportunities to enhance their personal development. Care plans include individualised work placements and activities are encouraged and pursued, depending on the individual’s abilities and interests. All the service users have different activities or work placements that they participate in. During the inspection, the inspector spent time with all service users who described tasks undertaken on the farm, including caring for the horses and stables and the newly introduced piglets. One service user attended a pottery class at the local college during the day and two service DS0000011208.V331558.R01.S.doc Version 5.2 Page 14 users attended computer classes. Service users were positive about the range and variety of opportunities open to them and proud of their achievements. Service user’s rights and responsibilities are respected and this is evident in service user records. The right to be alone is respected by staff, who do not enter bedrooms without permission. There is an established key worker system in the home, which works well. Visitors to the home are made welcome. Most service users have friends and family that they are in regular contact with. Friends and family are always invited to celebrations and events held at Hillview Farm. Parents of one service user stated on the relative questionnaire “ Our son/daughter is regularly asked whether he/she has spoken to us. He/she has the use of a mobile and also house phone. He /she leads such a busy life he/she sometimes forgets.” Daily routines are relaxed and flexible to meet the service users preferences. From the evidence seen and discussion with the manager, the inspector considers that the home is able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Service users are involved in menu planning and food preparation. Fresh vegetables and fruit grown on the farm are used. Service users make jams and chutneys, which they use or sell. Menus seen and records of food provided evidenced that a varied, nutritious and well balanced diet is provided. Service users confirmed that the food served was “very good”. Food stocks were plentiful. DS0000011208.V331558.R01.S.doc Version 5.2 Page 15 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): Standards 18,19 and 20. Quality in this outcome area is excellent. Service user’s personal and healthcare needs are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users personal support needs are detailed in care plans. Most service users do not need staff assistance with personal care, two service users require prompting only. Service users confirmed that they are encouraged to be as independent as possible. Service user’s records evidence that regular healthcare checks take place and treatment provided is well documented. Guidelines are in place from healthcare professionals and reviewed and updated on a regular basis. Parents of one service user stated on the relative questionnaire “ We have always been informed if our son/daughter has visited the doctor and have been told what the outcome was”. Comments made by a social care professional stated, “ There are good links with the health service and community team. I believe DS0000011208.V331558.R01.S.doc Version 5.2 Page 16 they (the staff team) seek advice appropriately from specialists and work in partnership with community nurses, psychologists etc”. Medication is appropriately stored, records of medication given was seen to be up to date with no gaps. All staff have received training in the administration of medication, are familiar with possible side effects and the purpose of medication. None of the current service users are able to self medicate. Medication policies and procedures including regular auditing of medication are in place. DS0000011208.V331558.R01.S.doc Version 5.2 Page 17 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): Standards 22 and 23. Quality in this outcome area is excellent. The home has a complaints procedure in an appropriate format for service users. Procedures are in place to protect service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints procedure in place and is available in pictorial format for service users. All service users and relatives confirmed that they knew what to do if they had a concern or complaint. Comments made by service users included “ talk to XX (key worker),”, “ I would tell Helen (manager)” and “ I would speak to Helen or Kevin (provider). The manager and staff team take complaints seriously and this was evidenced in the five complaints received since the last inspection. Each complaint was clearly recorded, action taken and outcome. One complaint was partially substantiated and four were not substantiated. The Commission has received no information concerning complaints about this service since the last inspection. The home promotes an open culture where service users feel safe and supported to share any concerns in relation to their protection and safety. All staff have undertaken training in safeguarding adults from abuse. In discussion staff were familiar with the home’s policies and procedures and were able to name the individual with lead responsibility in West Berkshire DS0000011208.V331558.R01.S.doc Version 5.2 Page 18 Council for safeguarding adults procedures. Policies and procedures are in place and have recently been updated. Policies and procedures are in place, for dealing with service users money and bank accounts. The majority of service users depend on the manager and key worker to manage their personal allowance on their behalf. Clear, well maintained and up to date records are kept. These include two signatures to verify cash spent on behalf of a service user with receipts obtained. Financial records are audited on an annual basis. DS0000011208.V331558.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): Standards 24,25,27,28,and 30. Standard 30 was subject to a good practice recommendation at the last inspection. Quality in this outcome area is excellent. Service users live in a homely, comfortable, clean and safe environment, which is able to meet the needs of individual service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the home has had extensive building work completed and the home fully redecorated. The home is maintained to an excellent standard, with three bedrooms having en-suite facilities, an additional utility/laundry room and lounge. The home is homely, comfortable and safe. Throughout the refurbishment service users were included in discussions about colour schemes and the purchasing of equipment. Service users are encouraged to see the premises as their own home. DS0000011208.V331558.R01.S.doc Version 5.2 Page 20 Several bedrooms were seen at the invitation of the service user. Bedrooms were well decorated, appropriately furnished and personalised by the service user. Service users have keys to their bedrooms. There are sufficient toilets and bathrooms to meet the needs of the service users. Appropriate aids and adaptations would be fitted if required to meet the needs of individual service users. There is a selection of communal areas both inside and outside the home, this means that service users are able to sit quietly, watch television or spend time with friends and family. The kitchen and laundry are designed to enable and promote the involvement of service users in domestic tasks and as part of developing or maintaining independence. At the last inspection a good practice recommendation was made that consideration should be given to the refurbishment of the two identified bathroom floors. This has been addressed as part of the home refurbishment. The home was found to be clean, fresh smelling and hygienic. The laundry is well equipped. The washing machine has a sluicing facility. Policies and procedures are in place regarding infection control measures and all staff have received health and safety training. DS0000011208.V331558.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): Standards 32,34, 35 and 36. Quality in this outcome area is excellent. Service users benefit from an experienced staff team in sufficient numbers to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff on duty were clear about their roles and responsibilities. Since the last inspection two full care co-ordinators and a part time horticultural assistant have been recruited. Staff on duty said that the staff team work well together. In discussion with staff and from observation it was evident that within the staff team is a good balance of skills, knowledge and experience to meet the needs of the service users. Staff were able to demonstrate a thorough understanding of the needs of individual service users. There are robust recruitment procedures in place. In discussion with the provider and manager it was evident that recruitment of good quality staff is DS0000011208.V331558.R01.S.doc Version 5.2 Page 22 seen as integral to the delivery of an excellent service. The provider feels that the recruitment of the right person for the job is more important that filling a vacant post. There are no staff vacancies at present however; staffing levels will increase as the two vacant places in the home are filled. Service users are involved in the recruitment of new members of staff. Staff were observed carrying out their duties in a professional manner with patience and a sense of humour. There is a detailed staff training and development programme in place, all staff complete mandatory as well as specialist training. All newly appointed staff complete an induction training programme and mentoring by an experienced member of staff. This forms part of the probationary period and is seen as part of the recruitment process. There is a staff team of nine; six have complete NVQ level II training in care and one member of staff is hoping to commence NVQ training later on in the year. Staffing levels reflect the needs of the service users and rosters are flexible to fit around the lifestyles of individuals. Key workers have specific allocated time to spend with service users. The home does not use agency staff, during periods of leave or sickness staff are prepared to work additional shifts. Formal 1-1 supervision sessions take place monthly, a written record is completed and includes actions to be taken. Staff meetings are held regularly and minutes of these meetings are taken. Staff spoken to said that they enjoyed working at Hillview Farm, felt well supported by the manager and provider. Communication between the manager and staff team was described as very good and staff feel valued. DS0000011208.V331558.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): Standards 37, 39 and 42. Standard 42 was subject to a good practice recommendation at the last inspection. Quality in this outcome area is excellent. Service users benefit from a well managed service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An experienced and well qualified manager has been in post since 2001. She has completed NVQ level IV in care and management and the Registered Managers Award. The manager is very competent to manage the home and meet its stated aims and objectives. It is very clear that the manager is well respected by the service users, relatives, staff team and colleagues. Service users and staff expressed their satisfaction of the management of the home. DS0000011208.V331558.R01.S.doc Version 5.2 Page 24 Staff when asked said that the manager was calm, thoughtful and approachable. Staff also felt that the manager was able to be firm and would not tolerate poor practices in the home. The provider visits the home on a regular basis and has an office in the day services resource centre. Reports on the conduct of the home are completed either by the provider or the service manager for day services. Policies and procedures are in place and reviewed on a regular basis. Records seen during the inspection were well maintained and up to date. Regular service user meetings take place and service users feel that their views are valued. There are well maintained records of checks in relation to health, safety and fire. Appropriate risk assessments are in place and reviewed and updated on a regular basis. At the last inspection a good practice recommendation was made that all staff label foodstuffs once they are opened and refrigerated. This has been addressed. DS0000011208.V331558.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 4 3 x 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 x 27 4 28 4 29 x 30 4 STAFFING Standard No Score 31 x 32 4 33 x 34 4 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 x 4 x x 3 x DS0000011208.V331558.R01.S.doc Version 5.2 Page 26 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000011208.V331558.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 DS0000011208.V331558.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!