Inspection on 08/05/07 for Holt Mill House

This inspection was carried out on 8th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Holt Mill House 16/01/06

Holt Mill House 04/07/05

Holt Mill House 24/09/04

Holt Mill House 05/07/04

Holt Mill House 09/02/04

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 Holt Mill House Lloyd Street Whitworth Rochdale Lancashire OL12 8AA Lead Inspector Mrs Christine Mulcahy Unannounced Inspection 8th May 2007 10:30 Holt Mill House DS0000039980.V332307.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 Holt Mill House DS0000039980.V332307.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. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holt Mill House Address Lloyd Street Whitworth Rochdale Lancashire OL12 8AA 0161 7648530 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) woodleighhouse@btconnect.com Mrs Anna Geraldine Ellis Miss Marie-Louise Bennion Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified manager who is registered by CSCI Date of last inspection Brief Description of the Service: Holt Mill House is registered with the Commission for Social care Inspection to provide personal care and accommodation to two younger adults who have a learning disability. Holt Mill House is an end-terraced property that provides facilities and care in a homely environment. It is situated close to the town centre of Whitworth near Rochdale and is within walking distance of local amenities including shops, post office, bus stop and community health services. The ground floor of the home consists of a dining kitchen, utility room, two spacious lounge areas and a W.C. In addition, there is an office that is also used to store medication and records safely. The first floor can be reached by a staircase and provides two double sized en suite bedrooms. There is a third bedroom that is used for respite care and is adjacent to a separate bathroom. Furnishings and decoration is good quality and domestic in character. There is a small-enclosed garden to the rear of the property. Prospective residents can have a copy of the statement of purpose and a service user guide. Fees at the home start from £1000 per week but are subject to change depending on service user need. Additional charges are made for clothing, hairdressing, toiletries, holiday spending, and meals out, admission to places of interest and gifts for families. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, including a visit to the home, was carried out on 8th May 2007 2007. Information was obtained from care plans, records, management systems, relative questionnaires and care observations. The inspector spoke to residents, 2 support workers and the registered manager. What the service does well: What has improved since the last inspection? Since the last inspection the home has continued with the schedule of planned work. To ensure the protection of the people who use the service and the efficient running of the service emergency employee contact details are now stored securely at Holt Mill House. External and internal repair to the building has been completed to a very high standard. The kitchen has been completely refurbished with a new kitchen, work surfaces, breakfast bar and cooker. There is also a new en-suite shower room on the first floor of the building that meets the deadlines in the service record of planned maintenance. A separate copy of the duty rota is now kept for Holt Mill House this means that it can be shown which staff are working in the home and whether the rota is actually worked. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 6 The majority of policies and procedures have been reviewed and updated. This means that safe working practices ensure the safety and welfare of the staff and people who use the service. 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. Holt Mill House DS0000039980.V332307.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 Holt Mill House DS0000039980.V332307.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): YA 1 & 2 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. People who might want to use this service and their relatives have the information needed to choose a home that will meet their needs. EVIDENCE: There is a well developed a comprehensive statement of purpose and service user guide. Both documents are specific to the resident’s that live there and sets out the objectives and philosophy of the service. The service user guide shows what people who use the service can expect and clearly explains the specialist services provided, quality of the accommodation, qualifications and experience of the staff, how to make a complaint and CSCI inspection findings. People who already use the service have been involved in the process and gave their comments and experiences of living at the home. The manager said that she recently made a video recording of herself showing the layout of the building and describing what service was offered at the home for a resident so that the resident would have as much information as possible to help him make a choice about living at the home. She said, “We are always looking at different formats for residents and one format won’t suit all”. Case tracking confirmed that a new resident received a comprehensive needs assessment before moving into the home. The manager ensured all relevant Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 9 information was obtained before the resident’s admission. The assessment focussed on achieving positive outcomes by including specialist services to meet the resident’s individual needs. This person had received respite care in the past and was familiar with the service before moving in. There was a contract agreed by the resident’s relatives. The contract gave clear information about fees and charges and the registered manager said this would be reviewed periodically and kept up to date. Holt Mill House DS0000039980.V332307.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): YA 6, 7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The needs of the people who use the service were clearly set out in a plan of care to help them maximise autonomy and choice. Health and safety procedures ensured they were involved in decisions about their lives and wellbeing. EVIDENCE: Case tracking of one of the people using the service confirmed that he had a plan of care that included sufficient details for staff to meet his identified needs The care plan examined showed that he had undergone a thorough review and staff were fully committed in supporting him to lead a purposeful and fulfilling life as independently as possible. The plan included photos and was written in plain language. It is a comprehensive up to date working tool used by the staff team, relatives, professionals and the resident where appropriate. It can be used easily and quickly by new staff that might not be familiar with the resident so there is continuity in delivering a personalised quality service. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 11 The good practice of addressing the resident’s diverse needs in a care plan was noted. There was an excellent example of how the home met the specific communication needs of the resident. The plan of care was person centred and had been drawn up by the person using the service, their relatives and the professional worker and support workers from the home. The plan was specific to the resident’s communication and had been developed to create clear lines of communication between the resident and the support workers. The care plan describes what is happening in the immediate environment and the behaviour displayed by the resident in response to this. The plan then describes what the resident’s behaviour might mean and how the support workers should respond to meet the resident’s needs. Strategies in place to meet these needs are written clearly and in plain language so that all support workers will understand and get it right. An example from the care plan states that the resident will point to his head if he has a headache. Support workers will refer to the care plan descriptive list of behaviours and recognise that the resident might have a headache and therefore treat this following precise instructions set out in the care plan. The resident’s daily living plan of care clearly identifies what the resident’s needs are and describes what the support workers should do to meet these needs with step-by-step instructions. There is also an epilepsy plan of care that clearly highlights the triggers that are known to induce an epileptic seizure with this person. The plan clearly describes the stages of epilepsy, signs to look out for and how to ensure the resident has a safe recovery following a seizure. A care plan examined for oral hygiene included details of the frequency of visits to the dentist and treatment given. Risk assessments were clearly highlighted on orange paper and showed where there were risks for this resident. There was a risk assessment for choking, behaviour in vehicles while travelling, using the kitchen, bath water temperatures and behaviour in busy crowded places. The plan of care was due to be reviewed in August and records of previous reviews were kept. Incident forms were completed and kept and depending on severity could be linked to the risk assessments that were in place. Daily records were comprehensive and described the day’s outcomes for the resident’s. Daily records that were examined showed that staff had the specialised training and skills to support, engage and encourage the individual to be fully involved in the decisions and choices about their life. This means that staff could put into practice the strategies and skills needed to ensure that the needs of the resident were fully met. People who use the service are continually consulted about the running of the service and are able to influence key decisions in the home. There are regular resident meetings held as a forum for decision making about the day-to-day Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 12 life of the home. Notes are taken and these were examined showing that the where possible there is action as a result of the meetings with the people who use the service. Holt Mill House DS0000039980.V332307.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): YA 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Leisure and recreational activities available met the social needs and interests of the people who live at the home. Visiting from relatives and friends is flexible. Meals and snacks ensured variety and nutrition. EVIDENCE: The philosophy of the home strongly promotes the resident’s right to live an ordinary and meaningful life both in the home and in the community. A tour of the bedrooms in the home showed resident’s personal belongings and property like a musical keyboard, trophies and personal photographs. This indicated that resident’s were encouraged to continue in activities they were involved in before moving into the home. Care plans showed that on some days both people who use the service attended a day service which caters for adults with a learning disability. The inspector met both residents at the day centre and it was apparent they were Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 14 both comfortable in their surrtoundings. Through case tracking one resident’s care plan showed that attending the day centre was part of his weekly routine and a place where he made friends and mixed with other people. The day centre building is attached to Holt Mill House and provides a wrap around care service for both resident’s. The day care and residential support workers are mainly the same people who support the resident’s in this facility and their own home. There is a continuation of care provided by familiar faces and people who know each resident and the content of their plan of care. The registered manager described how she felt it was important to enable younger adults to achieve their goals through a risk managed person centred approach. She said, “We’re here to make sure the resident’s interests are promoted and to give them opportunities to intergrate into community life”. She said that wherever possible residents were able to make choices about aspects of their lives like waking and going to bed times and handling their own finances and using facilities that develop their skills through work experience, art classes, swimming, bowling and visiting other people who use a sister service. Some of these activities were included in resident’s care plans and achieved through a person centred approach. One resident was observed working on a frieze that described the activities in his social life. The resident had collected photographs of members of his family, past activities, and pictures of other things that represented him. These were put together on a wall painting that would be displayed on a wall at the day centre. It was apparent that the resident enjoyed this part of the day and had been fully involved in planning activities according to his individual interests and capabilities. The registered manager said, “ Where it is appropriate we encourage education opportunities and will use facilities like the library to help people improve on their independence. The people who use the service are actively supported to be independent and where possible involved in all day-to-day living activities in and around the home”. Resident’s daily records confirmed that visiting was flexible and both resident’s had regular contact with their relatives. One resident had his own vehicle to promote his independence. The vehicle was registered to be driven by his relatives and support workers and provided him with opportunities to access other community facilities. Routines were flexile to help residents make informed choices in areas of their lives and daily living. Resident’s religious and cultural needs had been assessed and identified on moving into the home as part of the admission process. Where these had changed the registered manager said staff would be sensitive to these changing needs and support the resident’s in their decisions. The menu and times and times at which meals are served is varied to suit the requirements of the people who use the service. The menu seen well balanced Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 15 and nutritional with a number of choices that caters for the cultural and dietary needs of the people who use the service. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health care needs were set out in a plan of care. Residents were protected by the homes medicine policies and procedures. Care practices observed showed resident’s privacy and dignity was respected. EVIDENCE: Case tracking confirmed that both resident’s had a plan of care that included sufficient health care details for staff to meet the identified needs. Resident’s health needs were identified and reviewed regularly and access to health professionals was given. Evidence of contact with other services like GP and Optician were clearly recorded and kept in the service user care plan. There is an effective medication policy supported by procedures and practices that staff understand and follow. Examination of the medicines cabinet and MAR sheets showed that medication was stored and managed appropriately. Medicine records were fully completed and signed by the appropriate staff. The registered manager is vigilant in this area and regularly checks to monitor compliance. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 17 There is a good record of compliance with the receipt, administration and safekeeping of medicines and over half of the staff team have completed and passed an appropriate medication course. An assessment has been carried out to ensure each member of staff is competent to handle, record and administer medication properly. This was confirmed through discussion with a staff who was able to give a clear account of her role when administering medication. Some support workers had also received specialist training to administer medication to resident’s who had severe epilepsy. The registered manager was reminded to retain a signed receipt from the supplying pharmacist as proof of medication returned. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints made by residents and relatives were acted on and recorded. Residents are protected from abuse and have their rights protected. EVIDENCE: There is an open culture at the home allowing residents to express their views and concerns in a safe and understanding environment. There is a complaints procedure that is clearly written, easy to understand and is available in different formats like large print. People who use the service are given a copy of the complaints procedure along with a service user guide and copies of the complaints procedure can be made available on request. The registered manager said that residents know that problems will be dealt with immediately and this is clearly defined in the resident’s care plan. The registered manager confirmed that no complaints had been made since the last inspection. The complaints book was examined and there were no entries made. There is a robust policy and procedure for Safeguarding Adults and gives clear guidance to those using them. More than half of the staff team are trained in Safeguarding Adults and the registered manager said that the remaining staff would be trained in this area within the coming months. Other training around dealing with physical and verbal aggression is also made available to staff when needed. Staff knew where to find this policy and procedure and how it should be used. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 19 Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 20 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): YA 22 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of decoration and furnishings in the home ensured a comfortable and homely environment. The home was clean, pleasant and hygienic. EVIDENCE: The registered provider and manager have ensured that the physical environment of the home provides for the individual requirements of the people who live there. Residents are encouraged to personalise their bedrooms and to see the home as their own. It is very well maintained, decorated and furnished to a high standard. The current environment is fully able to meet the changing needs of residents and is designed to provide independent small group living where residents can enjoy maximum freedom in a non-institutional setting. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 21 Some areas of the home like the kitchen, upstairs en-suite bedroom have been re decorated and refurbished to a very high standard. The manager said that residents were involved in choosing some of the furnishings themselves. Both residents have a large single room each and these are well designed and in close proximity to bathrooms and toilets. Fixtures and fittings are of high quality, well maintained and adapted to meet the needs of current occupants. The home was well lit, very clean and tidy and smelled fresh. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 22 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): YA 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and in sufficient numbers to support the residents and the smooth running of the service. EVIDENCE: The staff rota showed the home was staffed sufficiently. Particular attention was given to busy times of the day and specific needs of residents like medical appointments, educational or leisure interests and at peak times of activity. A copy of the training matrix was examined and showed staff training was ongoing. The registered manager encourages staff to undertake external qualifications beyond the basic requirements and this is focused on delivering improved outcomes for people using the service. All staff hold a current first aid certificate and 54 of support workers have NVQ level 2 or above. There is a good recruitment procedure that clearly defines the process to be followed and ensures the protection of the people who use the service. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 23 There is a wide diversity within the staff team that reflects the culture and gender of people using the service. Support workers were observed communicating effectively with residents at the day centre and demonstrated a wide variety of skills used to ensure resident’s needs are met properly. Staff case tracking and discussion with a staff member confirmed pre employment checks required to ensure the protection of residents were done. Staff meetings take place regularly as do supervision sessions and, when asked, a member of staff said she found them helpful. The staff file was examined and relevant records were kept. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 24 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): YA 37, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. The systems in place ensure the home is comfortable with flexible routines that safeguard the people who live there. EVIDENCE: The registered manager has the required qualifications and experience and is competent to run the home. She has a clear understanding of the key principles and focus of the service. She is person centred in her approach and is aware of current developments and can plan the service accordingly. The home has the necessary insurance cover in place to fulfil any loss or legal liabilities. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 25 There were details and records kept of resident’s charges and payments. A record of the finances of one resident was examined and staff signatures verified the transaction. Many of the homes policies and procedures including the health and safety policy have been reviewed to ensure safe working practices. Records and documents showed appliance, equipment and safety checks were done regularly. Staff are trained and know how to follow these. Good practices, monitoring and record keeping ensure there is a very low number of preventable accidents and the manager complies with statutory reporting requirements and other relevant legislation. Record keeping was of a consistently high standard and records are kept securely. An internal audit is carried out to determine service user and their relative’s satisfaction. The manager and staff have a good understanding of the risk assessment process and this is taken into account in all aspects of the running of the home. The manager ensures that all staff are trained in health and safety matters. Training records examined reflect this and regular updates are planned. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 26 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 Standard No 1 2 3 4 5 Score 4 4 X X X Standard No 22 23 Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 X 4 X ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 2 X 4 X 3 X X 3 X Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 27 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 Refer to Standard YA20 Good Practice Recommendations It would be considered good practice for the registered manager to ensure there is a receipt signed by the pharmacist to verify the return of medicines. Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Holt Mill House DS0000039980.V332307.R01.S.doc Version 5.2 Page 29 - 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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