Inspection on 15/10/07 for Homewood

This inspection was carried out on 15th October 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

Homewood 30/08/06

Homewood 22/09/05

Homewood 14/12/04

Homewood 06/07/04

Homewood 11/02/04

Homewood 12/08/03

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Homewood Enham Lane Charlton Andover Hampshire SP10 4AN Lead Inspector Peter J McNeillie Key Unannounced Inspection 15th October 2007 09:00 Homewood DS0000037194.V347372.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 Homewood DS0000037194.V347372.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. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homewood Address Enham Lane Charlton Andover Hampshire SP10 4AN 01264 324200 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) Hampshire County Council Mr John Coleman Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2006 Brief Description of the Service: Homewood is a two storey registered care home owned and managed by Hampshire County Council providing care, support and accommodation for up to fourteen residents who have a learning disability. All residents are accommodated in their own single room two of which have been allocated for use as respite/ short stay or emergency placements for persons who normally live in the community. The home is situated in a quiet residential area approximately one mile from the centre of the North Hampshire town of Andover close to local shops, amenities and public transport. On site car parking is available to the rear of the property. Residents contribution to fees £49.48 per week Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report was written after taking into consideration a number of sources of information/evidence including a site visit to the premises, previous reports, examining residents assessments, care plans, staff training records, talking with residents and staff, visiting health care professionals, management and responses by the manager to a pre inspection Annual Quality Assurance Assessment (AQAA) sent out by the Commision. During this inspection, which took place on 15/10/07 between the hours of 09.00am and 1.30pm and was the first inspection for the year 2007/08, all of the designated key standards for younger adults were inspected. As a result of this visit no requirements or recommendations have been made and all previous requirements had been complied with. The results and findings contained in this report will determine the frequency and type of future inspections. What the service does well: What has improved since the last inspection? Since the last inspection the involvement by care staff in implementing plans that have arisen as a result of external inspections, resident’s satisfaction surveys through staff meetings and individual supervision. The development of stronger links with the local learning disability teams and occupational therapists. The development of a more flexible approach to the deployment of staff to meet the individual daily programmes of individual residents. Homewood DS0000037194.V347372.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. Homewood DS0000037194.V347372.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 Homewood DS0000037194.V347372.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. The home has a system of assessing and identifying residents needs which ensures residents safety and that their assessed needs can be met. EVIDENCE: No resident is admitted to the home without a full detailed assessment of his or her needs and risk being undertaken. The exception to this strict rule is those occasions when residents are admitted as an emergency. All recent admissions have been either for respite or emergency care; there have been no permanent admissions since the last inspection. When an emergency admission takes place, the Social Services department usually has prior knowledge; this allows details to be obtained from existing care management electronic records. The Manager or another member of the homes management team are responsible for undertaking an initial pre admission assessments of all prospective residents following a referral through Hampshire County Councils Adult Services and receipt of a Care Management assessment. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 9 The initial assessment would normally be undertaken at the potential residents usual place of abode or during as pre admission visit to the home. Assessments include consultation with the resident and their full time carer to establish, care needs, communication methods, goals and plans during their stay. Homewood DS0000037194.V347372.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a well-developed system of planning and reviewing care which reflects residents wishes, aspirations and ensures residents needs are met within a risk management policy and involves residents there representatives or relatives in decisions that affect them. EVIDENCE: A selection of three residents care plans were viewed all had been produced in a written and alternative format such as pictures and symbols to assist residents understanding. All plans are reviewed at least monthly and were based on an initial assessment of needs and risk and took into consideration, resident’s wishes, choices and aspirations. The home believes the right of residents to take risks is seen as fundamental, however it was clear from records, observations and talking to some residents they would have difficulty in totally understanding the concept of risk and risk taking. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 11 Consequently should restrictions be indicated to keep the resident safe by a risk assessment these are reflected in the care plan. Staff spoken with had a good understanding of the contents of the care plans and risk assessments and were able to explain how the care plan was put into day-to-day practice. We observed staff supporting/helping residents in a positive, friendly and non-patronising manner. In discussion with residents, they indicated verbally or by signs that they were very happy living in the home and liked the staff who treated them with respect and observed their right to privacy e.g. by always knocking on bedroom doors and waiting to be invited in. All were very keen to show us that they also had the key to their own room. Homewood DS0000037194.V347372.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): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social activities family contacts and the provision of varied and nutritious meals were well managed and reflected residents interests and choices. EVIDENCE: Records seen confirmed personalised individual programmes of activities and opportunities have been arranged to develop residents skills via a number of external day services, additional one to one personal external support and activities provided by the home. All activities and programmes are detailed in the resident’s personal plan following consultation/agreement with the resident. The resident keeps a copy of the day-to-day activities diary in their room in a format they can understand. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 13 Within individual activity programmes a great deal of emphasis is placed on going out into the community and accessing community based facilities such as sports, holidays in the UK or abroad, swimming, pubs cafes, restaurants, clubs, cinema, shopping, art, hydro therapy, church, and college. Facilities for participating in activities /pastimes within the home are excellent. All residents have access to a well-equipped games room, which includes, pool/snooker, air hockey, table football, and table skittles. Also available is a large selection of board games. Other activities undertaken include T.V, music, cookery and gardening. The home is currently developing with professional help from community based occupational therapists individual programmes for residents to ensure maximum benefit when using a sensory room. We were shown in depth professional assessments/ satisfaction surveys undertaken with residents, which included the resident’s views on which sensory room activities they preferred. These documents are produced using a variety of techniques to ensure maximum understanding. The results of these surveys will also be used when purchasing equipment for the sensory room. Comments by residents and responses to the satisfaction survey indicated that all experienced a great deal of pleasure when using the sensory room. Throughout the home framed and mounted copies of art produced by the residents were displayed. Staff informed us that residents gain a lot of satisfaction and pride when there work is displayed. All residents have regular contact with family and friends who are encouraged to participate in the residents review if agreed by the resident. We were informed to ensure family contact is maintained if required, the home would assist with transportation to go for overnight stays with their family. The home has a menu that takes into account the likes and dislikes of residents. To ensure that residents who have difficulty in verbal communication can choose what meals to eat, we were shown a photographic dictionary of meals that is being developed. When complete this will also be used to display daily menus. Staff and residents confirmed mealtimes are flexible to fit in with the plethora of appointments and activities. Residents indicated they liked the food and always had a choice. Tea coffee, soft drinks and water from a cooler were available at all times. For some time now the home has been without a regular cook, this has resulted in either outside agency or regular care staff being responsible for cooking meals. From talking with staff it was agreed that this situation has Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 14 compromised the quality and choice of meals served. This matter is commented on further in the staffing section of this report. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. EVIDENCE: Details of all residents support needs are recorded in individual care plans, which indicated that a number of external health care professionals are consulted, these included doctors, district nurses, physiotherapists, occupational therapists, psychiatrists and the local community learning disability who frequently advise the home.. We were informed other professionals would be consulted as required. Residents are free to choose the all sources of personal care, such as opticians, dentists and doctors. Up to twenty G.Ps from three local practices could visit the home, allowing residents to consult a doctor of the same gender if they wished. Residents confirmed that any personal care was received in private. During the visit the inspector spoke with a visiting health care professional who confirmed good communication between herself/ her colleagues, a wellHomewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 16 organised and knowledgeable staff/management existed. All were described as being well briefed on individual residents needs. Records were kept of appointments with GPs, dentist, optician, chiropodist and any other external health/social care professional and included details of an advice/treatment given by them. Medication records seen confirmed that all prescribed drugs and medicines, which are securely stored, are dispensed by a pharmacist and administered by trained staff. The record of drugs and medicines administered to residents and unwanted drugs disposed of were complete and accurate in compliance with a requirement made at the last inspection and with the homes own medication policy which also ensures that residents can maintain responsibility for their own medication following a risk assessment. At the time of this visit no residents are able to administer their own medication. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear policies and procedures in place which ensures residents are able to complain and are protected from abuse . EVIDENCE: A Hampshire County Council whistle blowing and Adult Protection Policy and Procedure had been implemented. All management and staff spoken to demonstrated they were aware of the procedure to follow should they witness or suspect the abuse of a resident. We were informed the Hampshire County local area lead officer responsible for safeguarding adults was due to address the next staff meeting on their responsibilities as part of normal refresher training. The complaints procedure, which is also included in the service users guide and was displayed in a written and pictorial format within the home included information on how to contact The Commission for Social Care Inspection (C.S.C.I), was seen, as was the record of complaints, which indicated no complaints, had been received since the last inspection. Residents confirmed they knew who to speak to should they have a complaint, this was either the manager or a member of staff all of whom stated they felt confident in discussing any concerns, complaints with management either in house or external on behalf of any resident. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 18 Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A safe, spacious, well maintained, clean and suitably furnished home and accessible garden is provided for residents which meets their needs. EVIDENCE: The Home was well furnished, fully decorated, clean, homely and free from adverse odours. It was evident from discussions with staff and our observations of the residents that the environment meets their needs. The Home has a number of lounges, a dining room, a large games room, and a sensory room, numerous toilets and bathroom/shower rooms and a large kitchen that was refurbished just prior to the last inspection. A separate laundry with a washing machine fitted with a high temperature programme and sluicing mode had also been installed. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 20 Professional assessment to ensure that any equipment and personal aids required by residents was available has been carried out. Aids currently in use within the home include hoists, special\baths, walk in shower, bedsides, ramps, special beds, handrails and low tops in the kitchen. The Initial assessments of prospective service users would determine consider what aids are required. A regular maintenance programme is in place overseen by the property services department of Hampshire County Council who undertakes all of the routine maintenance for the Home. All areas of the home and large wellmaintained garden are accessible by residents. The home has its own car park to the rear of the property. The only way to access the main/front door of the home from the car park is by walking across a grass verge outside the boundary fences/walls of the garden or in the road. At present visitors and residents using the car park enter the home by using a back door clearly not designed for that purpose. There is vehicular access to the front of the property but if this is used it could place residents using the garden at risk. This problem could be overcome if a path suitable for pedestrians and those using a wheelchair was built across the wide external verge. This would improve access and allow residents to enter their own home by the front door. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all residents. EVIDENCE: At the time of the inspection the four care staff on duty were supported by a number of other personnel including, the registered manager an external support worker, a cleaner, and an agency carer who had been designated as the cook for the day, this position having been vacant for some time. Whilst the position of cook had been filled by an agency carer on this occasion and by the homes own care staff on other occasions (all of whom are additional to the care staff rota). The current arrangements give rise to concerns regarding the consistent quality of the food available and the potential to compromise resident’s choice. Staff informed us that the daily menu is subject to change not as a result of resident choice but due to the lack of cooking skills of the stand in cook. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 22 The manager has informed us this matter has been raised with the homes external management but the situation remains unresolved. Holmwood is a busy unit with residents and staff coming in and out of the home at all times. We were informed a flexible approach to the manner in which staff are deployed ensured all residents daily programmes are adhered to. Through good planning, the flexible manner of working and communication between themselves we were able to observe that care staff ensured all residents needs /appointments were met and they still had had time to deal with individual residents in an unhurried and caring manner. The usual staffing levels at night is two sleeping in staff but at the time of the inspection due to the particular needs of one particular resident one member of staff is awake during the night hours The deployment of staff and staffing levels are frequently reviewed and adjusted to ensure the needs of residents are met at all times. We viewed three staff files, all of which included evidence that all staff are employed in accordance with a robust recruitment and selection procedure designed to protect residents. This involves the completion of an application form, the signing of a rehabilitation of offenders declaration, an interview, satisfactory Criminal Record Bureau, Protection of Vulnerable Adults and reference checks followed by the satisfactory completion of an in house induction training and probationary period of employment. On appointment all staff are subject to an in house and Hampshire County Council induction training, which involves courses in first aid, moving and handling, P.O.V.A., Food Hygiene, Fire Safety (including evacuation) and handling medication. Following their induction staff are then expected to undertake a Learning Disability Qualification foundation course followed by a National Vocational Qualification (N.V.Q.) course. Records viewed indicated 25.0 of staff have been trained to N.V.Q. level 3 and 41.4 to N.V.Q. level 2. A total of 69.4 trained staff. Comprehensive up to date training records and copies of certificated gained were available for all staff Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home seeks the views and opinions of residents/ residents representatives and safeguards the health and safety of staff and residents through the implementation of safe working practices. EVIDENCE: The registered manager is qualified to N.V.Q. level 4, has been in post for a number of years, is very experienced in managing staff and a residential home for persons with a learning disability. The manager indicated that he receives regular support and supervision from external senior management who are described as available and approachable. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 24 In talking with staff we confirmed that the manager has established a well defined management structure and had agreed aims and objectives for the home in consultation with the staff who have a clear understanding of what needs to be done and how to do it. Staff said that they felt well supported by the manager, who organised regular team meetings and ensured they had regular supervision. A quality monitoring system that seeks the views of residents; resident’s relatives/representatives was viewed. This document, which is produced in both a written and pictorial format in our view, requires to be expanded to ensure the responses fully reflect the views of the person completing it and provide information that can be used to improve the service provided. The current quality monitoring system would also be improved if it were extended to include the views of visiting health and social care professionals. The manager gave a verbal undertaking the current system would be reviewed taking into consideration the above comments. Senior managers from the Local Authority Adults Services visit the home each month to review the service quality. Reports of these visits contain actions that are required to improve the service and are discussed with all staff at the regular staff meetings. Residents are responsible for handling their own money. We were informed that any money held on behalf of residents is kept in securely stored individual cash boxes (which we viewed) to which only the resident has the key. A corporate health and safety policy that is designed to protect both residents and staff has been implemented this includes the practice of strict infection control procedures such as using protective aprons, gloves and washing hands in antiseptic soap. Records seen confirmed that health and safety checks were undertaken and that all staff had received training in the techniques of moving and handling, first aid, health and safety, the procedures to follow in the event of fire (including evacuation) and accidents. All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade. All radiators and hot pipes were covered. Records were also available to confirm checks/servicing to all equipment used in the home had been carried out. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 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 4 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 26 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 YA35 Good Practice Recommendations A professional cook should be employed. Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Homewood DS0000037194.V347372.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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