Inspection on 10/07/06 for Holdcroft Road Nursing Home

This inspection was carried out on 10th July 2006.

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

Holdcroft Road Nursing Home 27/01/06

Holdcroft Road Nursing Home 17/08/05

Holdcroft Road Nursing Home 30/03/05

Holdcroft Road Nursing Home 22/09/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Holdcroft Road Nursing Home 60 Holdcroft Road Bucknall Stoke-on-Trent Staffordshire ST2 8JL Lead Inspector Mr Berwyn Babb Unannounced Inspection 10 July 2006 09:00 Holdcroft Road Nursing Home DS0000026950.V303799.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 Holdcroft Road Nursing Home DS0000026950.V303799.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. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holdcroft Road Nursing Home Address 60 Holdcroft Road Bucknall Stoke-on-Trent Staffordshire ST2 8JL 01782 570323 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) info@choicesha.co.uk Choices Housing Association Limited Ms Elizabeth Ann Brown Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Of whom 6 may have a physical disability Of whom 4 may be over the age of 65 years Date of last inspection Brief Description of the Service: 60 Holdcroft Road is a six-bedded purpose-built bungalow situated in the Bucknall area of Stoke-on-Trent. The property is owned by a housing association and care provided by Choices. The home offers accommodation for six people with a Learning Disability, in single rooms, none of which have en-suite facilities. There is an assisted bathroom that has been sympathetically decorated to make the experience of bathing an enjoyable one, enhanced by the Parker Jacuzzi bath. There is a toilet in this room, and in the separate walk-in shower room. There is a large comfortably furnished lounge, and a separate dining room, which is adjacent to the kitchen. The home also has a separate utility area. All doorways and passages are wide enough to permit comfortable passage for wheelchairs, and the environment is well decorated and maintained both internally and externally. There is a separate secure garden to the rear of the property, and there is parking for three or more vehicles to the front of the property, with a surround of lawns and shrubs. Local service buses pass the end of the property, giving regular access to Hanley with its shopping areas and other facilities. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key Inspection took place on the afternoon of Monday 10th July 2006. The Registered Care Manager was present throughout the inspection, with two students and five other members of staff [1 from an agency] variously on duty at other times during the afternoon. One resident engaged in lengthy discussion with the inspector, and her comments, together with his observations made whilst in the home, and the comments of the manager and staff, and details taken from care plans and other documents reviewed, have been used in the compilation of this report. All six residents were in the home for some part of the inspection. The environment and atmosphere of the home was warm and welcoming, and everyone concerned went out of their way to make this a very positive inspection. Time was dedicated to discussing with the care manager, progress in complying with the requirements made by the Fire Officer, and concern was expressed that no reply has yet been received from Choices, to Ms. Wendy Jones’ letter of 4th April 2006 asking for a schedule of the action being proposed to resolve the issues identified. The inspector was further concerned that some of the terms used in the report had been misunderstood by an employee who had undertaken the initial response. [A subsequent phone call with the Fire Officer identified that he expected homes to use the services of someone technically qualified, to progress the shortfalls detailed in his report]. The fees for this home are given currently as being £1100 per week. What the service does well: What has improved since the last inspection? The Care Manager has now returned from sick leave. Holdcroft Road Nursing Home DS0000026950.V303799.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. The summary of this inspection report can be made available in other formats on request. Holdcroft Road Nursing Home DS0000026950.V303799.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 Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. The judgement on the outcome for this group of residents was good. This judgement was made using available evidence including a visit to this service, and is based upon residents or their supporters having received adequate at standard 2. EVIDENCE: The Inspector obtained evidence for verifying this judgement by examining the documentation relating to the latest person to be admitted to the home. This showed her Social Worker and staff of the home had visited her in her previous place of residence, and that a series of visits to this home had been set up, starting with short introductory visit, and expanding over a period of time until she was staying overnight. The review of placement, which normally takes place after six weeks, had been delayed in order to get further social work involvement, and a final review of this placement will be held in October. The involvement of the residents already in the home was recorded, and the major outcome of this was the desire to have further female company in the home, so that the existing female resident would no longer be the single female in an otherwise male environment. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 9 There had been a full multi-agency assessment covering all this lady’s needs, and there were details of how these had been met in the ensuing Service User Plan that had been generated using this assessment as a basis. The resident concerned was out with her Key Worker at the commencement of the Inspection, but came and sat with the Inspector when she arrived back at the home, and spent much of the afternoon making comments in a positive manner to the extent of her verbal ability. The scope of her interests were demonstrated to be limited through this interaction, and therefore no direct quotations from her will be found in this report, though her positive or negative responses will be referred to under different headings where there was appropriate acknowledgement from her of the Inspectors questions. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. The judgement on the outcome for this group of residents was good. This judgement was made using available evidence including a visit to this service, And reflects that the personal profiles were comprehensive, and demonstrated that residents had been assisted to make both decisions, and appropriate risks. EVIDENCE: During the afternoon the Inspector did a review of two sample care plans of separate residents as detailed below: Resident JJ. This was a very detailed personal care programme. The health module contained a matrix that included a record of seizures experienced, how they had been dealt with and the outcome, a report on a nutritional screening exercise that been undertaken for this resident, numerous risk assessments, a detailed staff plan for how to support the needs of the resident, including indication of where this was monitoring, or where it was actual assistance. There was continuous reviewing of her water-low assessment, together with a good moving and handling assessment. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 11 It indicated the supervision that she needed in order to be able to make a cup of tea for herself, and a risk assessment that indicated it had been more appropriate for medication to be administered by staff. When asked later when asked if she was in agreement with this, she responded: “Yes”. When examining the care plan for “N”, the Inspector found that it contained detailed input as for JJ, together with details of the risk assessment for the use of bed rails as a safety measure resulting from an aspect of his identified form of Learning Disability. Additionally there were protocols for the use of “X” escorts whilst taxis were being used to transport him, and for the use of a wheelchair when he was outside of the home. There was also a detailed communications plan, to enable the decisions and choices of this resident to be obtained and acted upon wherever this was possible. The wording in all the documents reviewed was appropriate, and constituted an informative record of what had happened, and what needed to be done. The references to the use of specialists to inform about such things as special diet, and there were regular appointments with clinics, hospital consultants, as well as more responsive appointments that had been made with local GPs or members of the community nursing service. Continence advise, and tissue viability was demonstrated within the records, and there was a very excellent programme for the care of the dying, together with the arrangement that were required following death. In the plan of one of residents being case-tracked, whilst this person would not have been able to have made those decisions herself, close members of her family had done so, with reference to the likes and habits that she had displayed throughout there knowledge of her. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The judgement on the outcome of this group of residents was good. This judgement was made using available evidence including a visit to the home, and is based upon findings that the lifestyle of the residents was enhanced to provide them with the maximum opportunities for activities, community presence, contact with family, friends and other people that were close to them, and that they were given a healthy and acceptable diet, and that there rights were being both recognised and respected on a daily basis. EVIDENCE: The evidence for this, the Inspector was able to undertake a prolonged interview with service user “D”, who had told him: “I want to go shopping, I want to buy some glue”. It transpired that “D” likes to cut out pictures and stick them into a scrapbook, as well as needing glue to make things out of paper-mache. “D” was able to identify that her favourite subjects were food, cats and dogs, and babies. “D” had made a life-size paper-mache of a cat, which she took great pride in showing to the Inspector. And talking about relationships “D” Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 13 said: “Mummy comes to see me, and I go to see Mummy on a Sunday. My favourite meal is pasta, chips and mushy peas and I like it when we have them”. The record showed she had been on holiday to Blackpool, and had gone swimming. When asked about this she told the Inspector: “Yes I had a new swimming costume. I also got a new dress to go on holiday. We went with (name of Key worker) to Tesco’s to buy these clothes”. Her room demonstrated that she was able to have around her the things that she liked and related to, and the Inspector discovered in conversation with the care manager that members of staff download pictures for her of animals off the Internet. Also they collect old cards, which she cuts up and makes into new cards covering them with glitter. This resident likes to be thought of as being useful in the day-to-day running of the home, and identifies as laying the table as being her task, and apparently also sometimes likes to peel the potatoes for the evening meal. Further evidence of her choice is that she has a regular rest on the bed in the afternoon, and enjoys her cup of coffee there, rather than in the communal areas of the home. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 The judgement for the outcome for this group of residents was good. This judgement was made using available evidence including a visit to the service and this showed that their healthcare was of primary importance to the providers, and training and advice was noted to be taken from the British Institute of Learning Disability. EVIDENCE: The Inspector was able to observe, both in care plans and from the direct work of the staff in the home throughout the afternoon, the sensitivity applied to ensure that the residents dignity did not suffer due to their lack of capacity to appreciate the implications of some of their assessed needs and personal behaviour. Staff on duty had a very natural, homely way of offering guidance and support, and this promoted an extremely positive response from the residents in the house, even where there was no indication that they had any understanding of the process of the tasks they were assisted to undertake. All of the residents had a profound degree of Learning Disability, and for most of them this was allied with some severe mobility difficulties. Two of the Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 15 residents used wheelchairs at all times, and others used them for longer perambulations, and at all times when outside the home. The home was fortunate in being able to attract both male and female carers, and in having access to such technical aids and equipment as were necessary to maximise the independence of the people living in the home. Some equipment had been supplied after the appropriate assessment with outside healthcare professionals for the individual use of one or another resident, and others such as special bathing facilities and mobility aids by toilets and in corridors, provided out of the capital budget of the service providers. The Inspector observed a medication round, and verified that dates had been put on all creams and eye drops and similar preparations at the point when they were opened so they could be properly disposed of within one month of becoming subject to contact with the atmosphere. The method of administration being used in this home was bottle or box per person and a sample of medication administration records checked tallied with the stores being held. All storage took place in appropriate containers, with a separate cover for any controlled drugs. In the documentation being held there was again evidence of input of ‘best practice’ from the British Institute of Learning Disability for residents who have a sensory impairment allied to their condition. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The judgement on the outcome for this group of residents was good. This judgement was made using available evidence including a visit to this service. It was based on the robustness of the training given to staff, enabling them to recognise when residents had a grievance, and then to initiate the proper procedures, including setting in process the appropriate Vulnerable Adults protocol. EVIDENCE: The Inspector undertook a formal interview with a member of staff in the afternoon, at which the subjects of complaints, and the protection of vulnerable adults/abuse, were discussed. The answers he received from him confirmed that the staff at this home were aware of those things, both acts of commission, and acts of omission, that constitute acts of abuse, and what to do if these were identified. He verified that he had received appropriate training, and this included regular upgrades to enable him to put into practice those things which were written in the formal policy of the home. He correctly identified that anybody could abuse a resident of 60 Holdcroft Road, be it staff, other resident, family, healthcare professional, or any other person who had access to him or her, or to anything, which was theirs. Part of the discussion centred for the need for all members of staff to have a subsidiary role as advocate for the residents of this home, none of whom would be assessed as have the capacity to communicate any of the more subtle forms of abuse that may have been practiced against them. Given the sensory impairment and limited communication of some of the residents, the carer stressed the importance of being able to correctly observe changes of the body language of Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 17 some residents and then take the initiate in finding why there were changes in their behaviour. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 18 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 and 30. The judgement on the outcome for this group of residents was poor. This judgement was made using available evidence including a visit to the home. The outcome would have been good, had it not have been for items identified by the Fire Officer in his report of the 29 March 2006, and the lack of an appropriate response to these. EVIDENCE: To approach the negatives first of all a detailed report had been prepared by the Fire Officer, and a copy deposited to CSCI, and the Inspector still awaits formal notification from the from the providers that they have completed the work necessary to obtain fire officer approval. At this inspection it became clear that clarification was required certainly in the areas that referred to the environment, and the Manager was told to obtain these without delay. During the tour of inspection of the home the Inspector was particularly impressed with the steps that had been taken to make the bathroom a very pleasant place. The easy access Jacuzzi fitted by the bath was surrounded by Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 19 warm coloured walls and ceiling that had been decorated with items associated with the sea, such as fishing nets that had imitation lobsters in them, sea horses on the walls, and pieces of driftwood – all of which went towards making it a far less sterile environment in which to enjoy a leisurely soak. Elsewhere, the home was clean, odour free, comfortable, and extremely well maintained, and residents were moving around where they were able to do so, with the freedom of a place which was their own home. The construction of the home was in keeping with other buildings around, and in no way stigmatised it as being a nursing home. There were no large signs either at the entrance to the road, or on the building itself. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 20 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): 34 and 35. The judgement on the outcome for this group of residents was good. This judgement was made using available evidence including a visit to the home. Evidence shows that staff were employed in sufficient numbers, and with sufficient training and experience to meet the assessed needs and choices of residents of the home. Furthermore the employer’s policies regarding recruitment of staff were found to be sound. EVIDENCE: The Inspector undertook a formal interview with a member of staff on duty, and he confirmed that all mandatory training had been booked in medication, abuse, lone working, personal safety, and food and hygiene. He confirmed that when first employed he had experienced equal opportunities to the job, and had been offered a six months probationary position following one weeks induction training after he had provided a clear CRB check and two written references. For the first few days in the home he was engaged in tandem working with a more experienced member of staff, and was required to sign off all policies and procedures after he had read and understood them. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 21 He confirmed that there was adequate refresher training in such things as first aid, and the other mandatory subjects, and also access to much in-house training on the aspects of Learning Disability, all of which was grounded in the work and protocols for the British Institute of Learning Disability. The staff rota showed that there were always an adequate number of staff on duty during the day, and CSCI awaits confirmation from the providers of what measures they are going to take to ensure adequate night-time staffing to enable an evacuation of these residents should there be a fire. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 22 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, and 42. The judgement is that the outcome for this group of residents is poor. This judgement was made using available evidence including a visit to the home. It is based on the health and safety of the residents not being properly catered for until those matters identified by the Fire Officer in his report of 29 March have been attended to a satisfactory standard. EVIDENCE: It has been mentioned under Standard 24 that much needs to be done to come to terms with the report issued by the Fire Officer at the end of March this year, and from this inspection it would appear that includes obtaining the services of someone professionally qualified to advise of the implications of this report. Individually tailored evacuation procedures must be formulated for all residents, and the ability to undertake these in conjunction with the fire safety of the environment, is to be regularly practised with all member of staff. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 23 In other areas looked at under this heading, there were good indications of commitment to quality assurance, with regular regulation 26 reports being sent to the Commission for Social Care Inspection, and an annual plan in place, which was seen by the Inspector. There was a family satisfaction survey and the statement of purpose and service users guide had been recently updated, and an excellent future training schedule had been sent to the Commission amongst the provider date-set returned before the inspection. Regular meetings of different grades of staff was well evidenced, as was the servicing necessary equipment, including water treatment servicing and risk assessment for Legion Ella, last undertaken on the 13 April 2005. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 24 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 2 25 X 26 X 27 X 28 X 29 X 30 4 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 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 4 3 X 3 X X 2 X Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 25 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 YA42 Regulation 13 Requirement The registered person shall comply with Health and Safety requirements in relation to ensuring that all appropriate steps are taken to complete work identified by the fire officer to maximise the safety of residents from fire. Timescale for action 13/10/06 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 YA42 Good Practice Recommendations The registered person is recommended to obtain the services of a person or organisation that is qualified to advise on completion of the necessary fire work, to an appropriate standard. Holdcroft Road Nursing Home DS0000026950.V303799.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Holdcroft Road Nursing Home DS0000026950.V303799.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. 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