Inspection on 28/06/07 for Holly House (Barberry)

This inspection was carried out on 28th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Holly House (Barberry) 18/01/06

Holly House (Barberry) 01/11/05

Holly House (Barberry) 27/10/04

Holly House (Barberry) 06/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Holly House (Barberry) Holly House (Barberry) 12 Ullet Road Liverpool Merseyside L17 3BL Lead Inspector Elizabeth Holt Key Unannounced Inspection 28th June 2007 10:00 Holly House (Barberry) DS0000047970.V344481.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 Holly House (Barberry) DS0000047970.V344481.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. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holly House (Barberry) Address Holly House (Barberry) 12 Ullet Road Liverpool Merseyside L17 3BL 0151 727 5823 0151 283 3340 barberry@schealthcare.co.uk Not available Active Care Partnerships Ltd 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 Jane Dottie Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: Barberry is a large home located near the city centre of Liverpool, close to the Aigburth area. The home is owned by a large private company, Southern Cross, that have similar home both locally and in other areas of the country. The home is registered to provide 24-hour nursing care to 15 young adults who have learning disabilities. The residents referred to Barberry present extreme and challenging behaviours. The home is located in a large Victorian building and is on three levels and has 15 single bedrooms and a variety of communal space. The home has designated smoking areas for residents. The home has a large rear garden which residents have access to. The weekly charge for accommodation and services range from £900.00. Any additional hours are charged at £15.00. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection, which means that all the key standards in each outcome area were looked at. The inspection took place over one day on Thursday 28th June 2007 for seven and a half hours. The time was spent talking to the staff, looking around the home, watching what was happening in the home, talking to residents and reviewing records. The home manager was not available on the day of this visit so the deputy manager assisted with this inspection process. Information was gathered as part of the inspection process, which included a Self Assessment Quality Assurance questionnaire, which was well completed by the manager. The questionnaire gave information about the residents, the staff and the building. Three of the residents (the name the individuals who use the service were happy to be known as) allowed the inspector to look at their bedrooms and some of the residents talked about the support they received from the staff. Service User surveys were provided for all the residents. Fifteen completed surveys were returned to the Commission. The manager did comment that the staff had supported the residents to complete these forms. Where appropriate relevant comments have been included within the body of the report. What the service does well: Barberry provides a good standard of support to people who have a learning disability and require nursing care due to either physical or mental ill health. Many of the people receiving support behave in way that is challenging to those providing the support. The assessments for prospective residents showed they are treated as individuals and are consulted about the admission process. Before moving into the home residents are supported to have visits and overnight stays as appropriate for the individual. Records showed the residents are supported to lead as independent lives as possible and are encouraged to make choices and decisions in their daily lives. The communication skills of the staff support the residents to meet their individual needs. The residents have a say in how the home is run and they meet with the staff on a regular basis to discuss any matters within the home. The staff are seen to act on changes requested as appropriate. The residents have a choice of menu and said the food was good. Staff are skilled and trained to protect themselves and the residents. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 6 The residents are protected from abuse by a staff team who have been trained in adult protection. A friendly and supportive staff team runs the home in an open manner where communication is encouraged. The staff team hold a variety of qualifications to meet in full the needs of the residents at Barberry. The residents feel they are well supported and cared for. One resident said, “The staff are very kind, they are my family”. The residents feel the staff team members will listen to them and act on any problems they may have. Health and safety systems are in place to ensure that Barberry is a safe place to live for the residents. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Holly House (Barberry) DS0000047970.V344481.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 Holly House (Barberry) DS0000047970.V344481.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective people can be confident their needs will be properly assessed as part of the admissions procedure. EVIDENCE: Prospective residents are encouraged to visit the home to look at the accommodation provided and meet with other people who use the service before making any decisions about their future. The whole admission process is planned with the needs of the individual in mind and takes as long as the prospective resident wishes. Visits and overnight stays are flexible and are organised with support in case the resident needed to return home. The pre admission information for two residents showed they had been talked to about their needs and wishes and they had spent time at Barberry. Details of the resident’s physical and emotional support needed as well as mental health needs were recorded. Some of the assessment areas on the forms were not appropriate for the needs of the adults accommodated at Barberry. A discussion with the deputy manager highlighted that the pre-admission document was currently in the process of being reviewed by the company to make sure it is appropriate for their needs Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 9 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents are involved in the decisions about their lives and contribute to planning the care and the support they receive to promote independence. EVIDENCE: Three care plans were reviewed. The care plans, which involve three models of care, contained detailed relevant information on the individual residents. Information was person centred, specific to the residents assessed needs and detailed. Information recorded included social activities, clinical observations (for example, weight, pulse and blood pressure). The care plans contained information that showed the behaviour monitoring, where necessary of residents and areas of risk for staff to be aware of in order for them to safely support and care for residents. Care plans were updated and evaluated on a regular basis. Separate “Independent Living Skills” files were available for each resident, which included their personal wishes and support package. This document included a diary of what the individual had done for the day. Some of the care plans Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 10 showed the cooking evaluation form where the staff were supporting the residents to develop cooking skills in house. The staff had started developing a “Health Action Plan” for each resident. Two of the three plans viewed were nearly complete and contained information to assist any healthcare professionals involved in the residents care to assist them to meet the residents needs in line with their wishes. From the service user survey responses all fifteen showed that they were involved in making decisions about their home. The residents are encouraged by the staff to make choices about their daily lives and their future by supporting them and encouraging residents to ask any questions. One resident said, “my bedroom is how I love to keep it, I like to spend time in here”. The resident went on to say that, “the staff help me choose my meals but I have what I like to eat”. Information was not always in formats suitable for their needs, however the deputy manager said that as a new development, the minutes of the residents meetings were being made in picture format. The residents are supported and enabled to live as independently as possible and with this they take everyday risks. The risks involved were discussed with the resident and their representatives where appropriate, and detailed risk assessments and management plans were in place. There was evidence of involvement recorded from other professionals where serious risk to the individual was involved. Other risks involved an assessment of the environment to ensure the health and safety needs of the residents were met. Reinforced glass was provided in windows and individual assessments were in place for any residents who smoked cigarettes. The residents were aware that information was recorded and held about them and the staff were seen to respect the confidential nature of this information. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 11 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, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents make choices about their preferred leisure activities and lifestyle and are supported to develop and maintain their life skills. EVIDENCE: There was evidence throughout the day of the residents making choices about their daily lives and being supported as necessary to carry out their daily routines. One resident was seen being supported to write a letter of which he said, “it felt great to do”, whilst another resident is supported to go to work on a regular basis. Staff at the home spend time outside of the home supporting residents in accessing their local community and the facilities available joining in everyday activities. One resident was supported to attend church on a regular basis and another resident had recently been accompanied to a dance class. The residents do meet together with the staff to discuss life in the home and areas they wish to influence and change. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 12 Documentation was available to show evidence of participation in activities. A discussion highlighted the need to make sure a record was made if a resident had been encouraged to attend an activity and then decided not to join in so that the resident’s wishes are recorded. The residents have the opportunity to have visits from family members and friends and there was records in the care plans of where family members had been involved. The home organises in house activities such as snooker, table tennis, basketball and skittles and has a large garden area. One resident is supported to care for a budgie and a fish. Staff were seen to have good positive interactions with residents. Staff were observed knocking on bedroom doors before entering resident’s bedrooms and were seen talking to residents in a kind way. Lunch was observed to be a social and unhurried occasion. Meals are based on a monthly menu and are developed with input from the residents. As well as the menu plan there is a rota where staff support the residents to cook their own meals. One resident said, “The food is tasty and good here.” Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 13 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care support is provided in a way the residents preferred and required to promote independence and choice. EVIDENCE: The staff team at Barberry consists of experienced registered nurses who have a variety of qualifications in specialist areas, which assists them to deliver the care and support to the residents who present with complex needs and exhibit extreme behaviours. One resident had fears of attending a dentist and the records showed the support that had been put in place to assist the resident to receive appropriate treatment. The manager and staff at Barberry have clearly established strong links with a number of healthcare professionals to assist the residents to receive the necessary healthcare. The health action plans and the care plans showed the detail of how the residents physical and emotional healthcare needs are assessed and monitored in the way they preferred and required with the support of the staff team. Residents are allocated a named nurse and a key worker when they move into Barberry. Key workers spoken to said they acted as a contact for the residents Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 14 to discuss care or personal issues with. One resident said, “Its great and you get well looked after”. The home’s registered nurses are responsible for the safe administration of medication for all the residents accommodated at the time of this inspection. A sample of medication administration records showed these were clearly recorded by the staff. Suitable storage was available for Controlled Drugs however there were none in use at the time of this inspection. In house audits of medication are carried out and the pharmacy supplier also carries out checks on a regular basis. Recent audits found the supply, administration, storage and disposal of medication to be satisfactory. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are encouraged and are able to express their concerns and are protected from abuse. EVIDENCE: The home has a clear and accessible complaints procedure. Consideration should be given to providing this in an alternative format in order to assist residents who need support to raise any concerns or to make a complaint. The staff knew the residents well and were skilled at understanding the facial expressions or gestures of residents who could not express themselves verbally. There have been no complaints made to the Commission and no complaints or concerns made to the home since the last inspection. Results from the service user survey showed that 13 of the residents knew who to speak to if they were unhappy, and 1 resident felt only sometimes they knew who they would speak to. The manager and the staff encourage an open atmosphere to encourage honest dialogue between residents, staff, relatives and multi professional team members. Residents spoken to during the visit felt they were listened to and staff were seen to be attentive to the resident’s needs. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 16 The home has Adult Protection policy and procedures. Staff spoken to were aware of the action to take in the event of an allegation of abuse and were aware of what is considered to be abuse. The staff team have training programmes in place, which includes safeguarding adults training. The home has a policy on restraint is this must not be used unless it has been risk assessed and recorded in the individual’s care plan. Staff have received training and ongoing support in the use of “non violent crises intervention” where they support residents through talking and explaining the situation. One care plan showed in detail where a resident was encouraged to take some quiet, time out in their bedroom for their own well being and the safety of the other residents. At the time of this visit two residents were in receipt of additional support by the provision of staff on a one to one or two to one basis. Staff spoken to felt supported within the environment in this role. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is monitored to ensure it remains safe and well maintained for the residents living there and is clean and hygienic. EVIDENCE: A partial tour of the premises was carried out and a sample of bedrooms were looked at with the permission of the residents. The bedrooms were pleasantly decorated and were personalised. One resident talked with pride about her bedroom and said, “It feels like my own flat and I love being in this room”. Due to the behaviour of the residents at times there can be occasions when a high level of damage occurs internally. It was pleasing to see that a swift maintenance programme is carried out to keep the home safe and homely, for example, a widow was replaced on the day of the inspection. There is a programme of redecoration and a maintenance programme for the premises. Since the last inspection the independent living skills kitchen had been upgraded, new furniture has been acquired for the lounge and garden areas. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 18 Internal lighting has been replaced throughout the home and the bathrooms had been refurbished. The dining room and the lounge areas were clean, bright and pleasantly decorated. A team of domestic staff are employed to maintain the cleanliness and the laundry for the residents. Policies and procedures are available in relation to infection control and COSHH (control of substances hazardous to health). One resident said that her washing was well looked after and her clothes were brought back to her quite speedily. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent in their roles and receive appropriate training to carry out their responsibilities appropriately. EVIDENCE: The duty rota showed that sufficient staff are on duty to support the needs of the residents accommodated. The home has a registered nurse on duty 24 hours a day at Barberry. The nurses registered qualifications vary from registered general nurses, registered mental nurses or registered nurses learning difficulties. The care staff who do not have NVQ 2 or 3 are part time regular bank staff who possess other qualifications. The majority being student nurses, medical staff, psychology students or graduates and therefore the attitude towards the residents and the their behaviour and interactions towards the resident group is excellent. A student nurse on a placement was very positive about the staffs’ attitude towards her and she found the staff team very supportive and keen to support her. Robust recruitment and selection procedures are in place. A sample of staff files were checked and showed the required documentation, including written references and Criminal Records Bureau (police checks) were present. The Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 20 manager must ensure these checks are redone in line with the guidance from the Department of Health and the company policy to make sure these are not left too long before they are redone. The staff team receive regular individual supervision and records were available to record this. The staff follow a training programme to meet their mandatory and individual training needs. There was evidence to show that the staff team kept themselves up to date with best practice and continuous professional development both of which was monitored by the senior staff team. Staff at the home were happy with their daily work and found supporting the residents a rewarding way to spend their day.. One staff member said, “ we are a great staff team and work well together. I like caring for the residents that live here”. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ benefit from the efficient management and leadership of the home and the residents’ health, safety and welfare are promoted and protected. EVIDENCE: The manager of the home is a registered nurse first level nurse who has completed NVQ training at level 4 and the Registered Managers Award. It was clear from discussions with staff members and residents and from observations made that the management team encourage an open and friendly atmosphere in the home. The manager was on leave on the day of this inspection however it was clear the deputy manager had a very good knowledge of the individual residents and their individual personalities. This enabled her to be able to guide the staff in their approach with sensitivity towards the residents’ Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 22 individual preferences and needs. Relationships based on trust were evident by the residents and members of the staff team. Residents spoken to who expressed a view were positive in their comments about the senior management, “they are so kind and helpful to me”. The views of the residents are sought with resident meetings where staff members support the residents to discuss issues about daily life in the home. Currently there is not a formal quality assurance monitoring questionnaire, however the views of multi professional team members and commissioners are sought. Information received contributes towards the annual development plan for the home. The residents are involved in the review process of their care packages and records seen supported this. Accident records were recorded clearly and the care plans and risk assessments showed any changes put in place following the monitoring of these. Health and safety systems were in place and a review of a sample of these records showed these are up to date. Regular checks in line with the guidance are made to ensure the safety of the residents and the staff. Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 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 3 26 3 27 X 28 3 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 4 X 4 4 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 x 3 x x 3 x Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 24 No 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. 1. 2. Refer to Standard YA2 YA6 Good Practice Recommendations So that prospective residents are appropriately assessed the pre admission assessment tool should be appropriate to the needs of the residents. To make sure the residents best interests are acted upon the staff should provide health action plans for each resident. l Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Holly House (Barberry) DS0000047970.V344481.R01.S.doc Version 5.2 Page 26 - 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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