Inspection on 04/05/07 for Houghton Regis Community Care Scheme

This inspection was carried out on 4th May 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

Houghton Regis Community Care... 19/12/05

Houghton Regis Community Care... 06/09/05

Houghton Regis Community Care... 21/01/05

Houghton Regis Community Care... 13/07/04

Houghton Regis Community Care... 16/03/04

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Coopers Mill Ltd

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Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Houghton Regis Community Care Scheme Roman Court Houghton Regis Bedfordshire LU5 5UB Lead Inspector Mrs Louise Trainor Unannounced Inspection 4th May 2007 08:00 Houghton Regis Community Care Scheme DS0000017675.V334099.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 Houghton Regis Community Care Scheme DS0000017675.V334099.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. Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Houghton Regis Community Care Scheme Address Roman Court Houghton Regis Bedfordshire LU5 5UB 01582 861186 01582 861444 brian.walsh@scope.org.uk www.scope.org.uk SCOPE 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 Christine Why Care Home 16 Category(ies) of Learning disability (16), Physical disability (16) registration, with number of places Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Severe Learning and physical disabilities Date of last inspection 19th December 2005 Brief Description of the Service: Houghton Regis SCOPE project was established in 1992 to accommodate 16 service users under the age of 65 years with physical and learning disabilities. At the time of the inspection the service users ranged between 30 and 59 years of age. The home is made up of four ground floor flats that are part of a small housing association development in the centre of Houghton Regis. Each of the flats has four bedrooms, a lounge, a dining room, a kitchen and fully equipped bathing facilities. The flats have access to two small outdoor areas. The two mini-buses belonging to the home have parking spaces but parking for staff and visitors is very restricted. Fees for this service are calculated at approximately £70,000 per annum. Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first Key Inspection for this service. It was an unannounced visit and was carried out on the 4th of May 2007 by Lead Inspector Louise Trainor between the hours of 08:00 hours and 15:30 hours. The manager of the home was present to assist throughout the inspection and guided the inspector on a full tour of the premises. There are presently sixteen service users living in the four flats at Roman Court. The inspector met all the service users, though some rather briefly, and spent more time with two particular service users that were picked at random by the inspector for tracking. This involved viewing all the documentation relating to their care, visiting them in their personal living areas and communicating with them informally. Documentation relating to medication administration, service users’ finances, staff personal files (including supervision and training records) and quality assurance were also made available for inspection. This home has a small and committed workforce most of which has worked in the home for many years, including the manager. The inspector had the opportunity of interviewing seven during this visit. The inspector would like to thank everyone involved for their assistance and support during this inspection. What the service does well: This service provides a safe and comfortable environment for its service users. Their individual bedrooms promote independence, and are decorated and furnished to reflect individuality and to suit their individuals’ needs and lifestyles. New referrals to this service are thoroughly assessed to ensure their needs can be fully met and that they are compatible with the other service users. Individual care plans identify changing needs and personal goals, and all activities are clearly risk assessed so that service users independence is promoted to its full potential. This service promotes the service users personal development. Interaction in the local community is encouraged through participation in age and peer appropriate leisure activities of the individuals’ choice. Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 6 Documentation and observations of care practices indicate that service users receive personal support, appropriate to the individual to ensure that their physical and emotional health needs are fully met. There is a complaints policy in place, and service users are made aware of its’ content through discussion and videos, and families and friends are given leaflets. Service users are encouraged to make their opinions known to staff regarding all aspects of their lives. There is an effective recruitment policy in place so that service users are protected. The staff are well trained, supported and supervised in their roles within this home. It was explained to the inspector, that the service users participate in the recruitment of staff. Prospective employees are invited to spend time in the flats with the service users as part of their interview. A questionnaire is then completed by the staff team and the service users from the flats, and is considered when making decisions around appointments. This is a well run home with strong leadership from the manager and team leaders, providing both support and guidance for the team. The service users best interests are safeguarded and protected by the policies and procedures that are in place. 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. Houghton Regis Community Care Scheme DS0000017675.V334099.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 Houghton Regis Community Care Scheme DS0000017675.V334099.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): 1, 2, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New referrals to this service are thoroughly assessed to ensure their needs can be fully met and that they are compatible with the other service users. EVIDENCE: Discussions with the manager revealed that this home has not had a new service user for more than three years. However she was able to discuss in depth the protocols that are in place. Prior to any admissions being considered they are first fully assessed to ensure that all the individuals’ needs and goals will be successfully addressed and met within this environment. Prospective service users are then invited to visit the home, and overnight/weekend stays are arranged. This enables the team to assess how compatible an individual would be with the rest of the service users. Only then is a permanent placement considered, involving input from: the service user, the family and representatives of the service user, social workers and other specific professionals as appropriate. All placements are then reviewed on a regular basis to ensure the placement is successful. Houghton Regis Community Care Scheme DS0000017675.V334099.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, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans identify changing needs and personal goals, and all activities are clearly risk assessed so that service users independence is promoted to its full potential. EVIDENCE: All service users have a very detailed file that contains in depth information relating to their needs, their personal goals, and the level of the support they require achieving them. The overall care plans have annual reviews, and these are clearly signed, by the service user or a representative and dated. In addition to this, each month individual goals and personal aspirations are set out in a monthly summary. This is done by the key workers in consultation with the service users. They are then updated, achievements recorded, and new goals planned for the following month. For one service users the specified goals and wishes for one month were: to go to the circus, watch the rock band Meatloaf on a particular date and to go for a pub lunch on the bank holiday. Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 10 For another month goals included: having Sky TV installed in his room, to go for a haircut and have various trips out. These had all been achieved, and the service user was happy to show off the results. Other documentation in this particular file identified many individual aspects of his life from a ‘life history’ document, and medical and physical conditions such as level / range of movement and a kidney problem, were all being closely monitored and recorded. Likes and dislikes had been clearly identified to include social needs; this ensured service users were involved in activities of their choice. Clear guidance was in place for staff to follow so that continuity of care was maintained, and daily records were very clear and reflected the care plans well. Houghton Regis Community Care Scheme DS0000017675.V334099.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): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This service promotes the service users personal development. Interaction in the local community is encouraged through participation in age and peer appropriate leisure activities of the individuals’ choice. EVIDENCE: All the service users at this home appeared, happy and at ease in the company of the staff and fellow residents, and well cared for. From observations during this visit, the staff appeared to know every little detail of each service user. Although verbal communication is limited for all of the people who live here, the staff know what different mannerisms and behaviours are indicators for each service user, and are able to intervene when necessary to prevent incidents occurring. When the inspector arrived in one flat, staff identified the behaviour of one service user as being indicative that she was not feeling very well and that it may be precipitating a seizure. Another service user had Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 12 presented with behaviour indicating he was upset and agitated. He was accompanied to the shops and came back quite refreshed and calm. Interactions between staff and the people who live in this home were excellent. Many different methods of communication were observed. One service user communicates with her thumbs, and others through facial expressions and gestures as well as sounds. But whatever methods of communication were being used, staff were respectful and patient and appeared able to interpret them accurately resulting in good outcomes for these service users. The inspector spent some time with two particular service users. They both clearly expressed how happy they were. One enjoyed his pub visits and the other her church visits. Both knew who their Key workers were. This home has a Community Development Worker in post. She has spent the last six months working with individual service users developing individual activity programmes. At present the activities available include; Aromatherapy sessions, Drama therapy, Hydrotherapy, Physiotherapy, Osteopathy, Music and an array of trips out. Most of these activities are done on a one to one programme, except for the music sessions that are held in group sessions. Involvement from families and home visits are encouraged by the home. On the day of the inspection two of the flats had ‘Snoozlem’ sessions in progress. On entering these flats there was a relaxing aroma of lavender throughout, and service users were clearly enjoying the lights and sounds that filled the room. Each of the four flats in this home has its’ own kitchen and food stores. Meals are prepared in the flats with involvement from the service users, and are served at a time that suits them. There was evidence of well- stocked cupboards in all the flats. The residents are responsible for choosing what meals is served. The weekly menus identify who has chosen which meals. Despite the profound disabilities of some of the people who live here, they are all encouraged to participate in kitchen duties. One service user went with a carer to make afternoon drinks for everyone while the inspector was present. Houghton Regis Community Care Scheme DS0000017675.V334099.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, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Documentation and observations of care practices indicate that service users receive personal support, appropriate to the individual to ensure that their physical and emotional health needs are fully met. EVIDENCE: The service users in this home are all physically very dependent on the staff and varying type of support is given according to the care plans. Social and emotional needs are also clearly addressed within the individual care plans, and additional visits, appointments and treatments with GP’s, Consultant, Psychologists and any other involved disciplines, are recorded on a separate document. The medication for the people who live here is stored in a locked cabinet in the individual flats, and is administered by the team leader on each shift, who are all qualified nurses. The Medication Administration Record (MAR) sheets were examined in one of the flats during this inspection. There was a photograph of each service user Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 14 with their name and date of birth, with the MAR sheets. Overall these were well completed, with signatures and omission codes. Of those checked there was one minor discrepancy, where reconciliation was not possible. Discussion with the nurse revealed that there was no particular coding if a tablet had to be destroyed, and this was likely to have accounted for the discrepancy. This matter was discussed further with the manager who is presently looking at an alternative MAR sheet whereby receipts, disposals and administration are all clearly recorded on one sheet. There were no Controlled drugs in use at present. Houghton Regis Community Care Scheme DS0000017675.V334099.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, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives are encouraged to offer their views and opinions on all aspects of their life, and are protected from abuse, neglect and self harm by the policies and procedures that are in place. EVIDENCE: There is a complaints policy in place, and service users are made aware of its’ content through discussion and a video presentation. Families and friends are given leaflets. Service users are encouraged to make their opinions known to staff regarding all aspects of their lives. One to one sessions with the drama therapist are used to encourage service users to express their feelings and concerns, and this has been very effective. Two service users indicated to the inspector that they would communicate any concerns to their key workers, the manager, the team leader, the drama therapist or the advocacy representative who visits the home. The inspector is confident that these service users would have any concerns addressed immediately they were brought to the attention of any of these individuals. Staff also spoke about how changes in the service users behaviour may alert them if an individual was worried about anything. Staff are all trained in Adult Protection and are aware of procedures they should follow. Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 16 There have been two formal complaints over the past year, one of which had generated several letters anonymously. This matter has been addressed appropriately and has been referred as an Adult Protection issue. It is ongoing and therefore cannot be discussed in further detail, however documentation including letters and minutes from meetings were viewed by the inspector, and appeared to be in order. Houghton Regis Community Care Scheme DS0000017675.V334099.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, 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This service provides a safe and comfortable environment for its service users, Their individual bedrooms promote independence, and are decorated and furnished to reflect individuality and to suit their individuals’ needs and lifestyles. EVIDENCE: This home is divided into four flats. Each accommodates four service users. Each flat is self- contained with a lounge area, dining area, a kitchen, a wet room / shower room, an adapted bathroom and four bedrooms. One of the flats has a newly fitted kitchen in place, and the refurbishment of one of the shower rooms was in progress. The flats were all clean and well maintained and had a homely feel to them. Individual service users were keen to show the inspector their personal rooms. These were all tastefully decorated and furnished with service users hobbies, interests and choices clearly evident. Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 18 One service user had a fish tank in his room, and model aeroplanes hanging from the ceiling, there was evidence around the room of other models and puzzles waiting to be made. Another service user had all her own furniture. Photographs were displayed around her walls and she had a light and sound sensory picture over her bed. All rooms had ceiling hoists and had enough room for safe manoeuvres. Houghton Regis Community Care Scheme DS0000017675.V334099.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): 31, 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an effective recruitment policy in place so that service users are protected. Staff are well trained, supported and supervised in their roles within this home. EVIDENCE: There is a recruitment procedure in place for this home. Four staff files were picked at random by the inspector to examine. All four contained the appropriate documentation which included; fully completed application forms with employment history, appropriate references, health screening, various forms of identification, birth and marriage certificates, passports, Enhanced Criminal Record Bureau checks, job descriptions and job offers all signed and dated, and Home Office paperwork where necessary. All except for one contained a colour photograph. The manager informed the inspector that recently, Scope’s Head of Transformation Department had done a full audit of all overseas staff documentation. This was following an anonymous letter alleging illegal workers were present in the home. This was completely unfounded. Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 20 Notes from the interview process were present in individuals’ files. It was explained to the inspector, that the service users participate in the recruitment of staff. Prospective employees are invited to spend time in the flats with the service users as part of their interview. A questionnaire is then completed by the staff team and the service users from the flats, and is considered when making decisions around appointments. This really did evidence how well service users are involved in the running of this service. The inspector observed staff interactions with service users, and had the opportunity of briefly interviewing seven members of staff during this visit. All appeared very confident and competent in their roles, and all stated that they felt well supported both by their peers and their managers. Supervision documents were seen and identified that it is taking place on a regular basis, and all staff were aware of who their supervisor was. One said. “I love my job”. Another said. “We have a brilliant team”. Both staff interviews and staff files indicated that staff are all attending their mandatory training and up dates as required, and some are attending more specialist sessions such as Cerebral Palsy, Epilepsy and Bereavement. Houghton Regis Community Care Scheme DS0000017675.V334099.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, 38, 39, 40, 41, 42, 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This is a well run home with strong leadership from the manager and team leaders, providing both support and guidance for the team. The service users best interests are safeguarded and protected by the policies and procedures that are in place. EVIDENCE: The manager of this home has been in this post for five years, and has a further ten years working at different levels in this home. She is service user focused, ensuring that service users health, safety and welfare are a priority. She monitors the quality of care through; staff/ service user meetings, internal audits and questionnaires to service users and their representatives. She is Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 22 visible and accessible to all service users and visitors, and whilst touring the premises with her it was evident that she knows all the service users very well. The Manager keeps both staff and service users, fully informed of any changes, and involved in the running of the home. This is done through Team Leader meetings every other month, and these are followed up by ‘flat meetings’ where information is cascaded to everyone. Policies and procedures are closely adhered to ensuring that service users rights are safeguarded at all times. The manager of this home is the appointee for thirteen of the service users, all who have their own bank accounts with National Westminster Bank. There are three staff that are appointed signatories for any transactions. Individuals’ cash is not held on the premises at this home. Any spending is done out of the homes float, and recorded on an electronic system. The administrator then reconciles each individual’s account each month, and statements printed out as required. Three accounts were inspected on the system with the guidance of the administrator and all appeared to be in order. Houghton Regis Community Care Scheme DS0000017675.V334099.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 3 2 3 3 3 4 3 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 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 3 3 3 3 Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Consideration should be given to an alternative Medication Administration Record sheet. Houghton Regis Community Care Scheme DS0000017675.V334099.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Houghton Regis Community Care Scheme DS0000017675.V334099.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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