Inspection on 24/05/07 for Hudson Road

This inspection was carried out on 24th May 2007.

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

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

Other inspections for this house

Hudson Road 09/11/07

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Whitewalls

Home Farm

Griffin Lodge

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

CARE HOME ADULTS 18-65 Hudson Road 2 Hudson Road Maghull Liverpool Merseyside L31 5PA Lead Inspector Miss Diane Sharrock Key Unannounced Inspection 24th May 2007 10:00 Hudson Road DS0000069967.V341476.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 Hudson Road DS0000069967.V341476.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. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hudson Road Address 2 Hudson Road Maghull Liverpool Merseyside L31 5PA 0151 531 9595 0151 285 5433 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) Sefton New Directions Limited Mrs Janet Anne Wilson Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only - Code PC to people of either gender whose primary care needs on admission to the home are within the following categories: Learning disability- Code LD The maximum number of people who can be accommodated is 5. This is the first inspection of the service since it Date of last inspection registered with Commission for Social Care Inspection as a new company. Brief Description of the Service: Hudson Road is registered to provide care and accommodation to five people with a learning disability. Sefton New Directions Limited manages the home. The home is located in a residential area in Maghull and is well established within the local community. The ground floor of the premises is fully adapted to meet the needs of people who are physically disabled and there are numerous aids and adaptations in place. The bedrooms upstairs are accessibly by stairs and are only accessible to some people. The Residents are supported by a small Staff team, many of whom have worked at the home for a number of years. The Registered Manager is Jan Wilson who has worked at the home for many years. The fees for the home are £270.18 per month. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. This included reading records and looking at the building. ‘Case tracking’ was used as part of the visit to the home. This involves looking at the support a person gets from the home including their care plans, medication, money and bedroom, time is also spent meeting Residents and Staff. One of the people living in the home was case tracked as part of this inspection. The majority of Residents were met and spoken with also a number of care Staff. Inspections involve measuring a number of standards considered as important by the Commission. A selection of Comment cards were also left in the home to offer people further opportunity to give their opinions. In total 2 comment cards have been submitted to the Commission both being very positive about the home and the care and support provided. There has been no cause for any visits to the home since its last routine inspection. Any information the Commission for Social Care Inspection has received since the last inspection about the home is also taken into account. The home are requested to contribute information to the inspection by completing a preinspection questionnaire. What the service does well: The findings of this inspection were very positive. Hudson Road is a small home, which works on the principles of ordinary community living. The home offers a small and homely environment, which presents as being welcoming and friendly. The home continues to employ long-standing members of Staff who offer great stability to the home. Members of the Staff team appear to know the Residents well and have formed good relationships. The home is well managed by a long standing Manager and consistently meets a lot of the standards and offers a very good standard of care. The Residents have detailed care plans these include information on the Residents likes, dislikes and its clear that they have been written by people who know the Residents well and respect their individual needs, routines and choices. Staff have a good understanding of Residents needs including their personal and health care and social needs and provide support to meet these. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 6 The Residents are supported to remain healthy and Staff are supporting the Residents to attend health appointments on a regular basis. Residents receive a variety of meals and the support they require at mealtimes. Various positive comments were included in the comment cards submitted to the Commission such as, “I visit Hudson Road on a regular basis, I was also given every possible bit of information that was important to my move to Hudson Road, The information I was given was excellent.” “If I’m not happy I can let Staff know then whoever is in charge would be able to understand my needs if I am unhappy.” “I am very happy at Hudson Road the Staff are great.” “My room is cleaned every day.” “ I have all the literature for the complaints procedures from the Head of Home.” “The Staff are very pleasant and nothing is any bother to them big or small.” For those Residents who require support with the handling of their finances, money is held for individuals. There is a clear recording system that is used by senior Staff to track expenditure and ensure that Residents finances are safely managed. Hudson Road provide a very good service to the people who stay there. As it has been taken over by a new company it is CSCI practice to carry out another key inspection after six months to ensure standards are maintained. What has improved since the last inspection? What they could do better: Full feedback was given to senior Staff and the Manager during and following this site visit. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 7 The home is meeting the vast majority of the national minimum standards and has met all of those assessed on this occasion. In a number of respects these standards are being exceeded. The Manager continues to look at ways in which the service can develop further. The company should continue to develop the environment and to provide dates for everyone to be informed of the plans to install a fully adapted kitchen and develop and extend the dining room. To review access to the first floor and look at the long-term developments to ensure Residents have safe access to their home at all times. This will help provide facilities tailored to the Residents needs, safety and choices. Maintenance checks on all facilities at the home must be kept up to date to ensure the home is safely managed at all times. 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. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 8 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 Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 9 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): 2/4 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Policies are in place for the assessment of needs of a new Resident. EVIDENCE: As identified at the homes previous inspections, Standard 2 is a key standard to be assessed in the home, however there have been no new Residents to the home for at least 2 years and it therefore could not be practically assessed. The Company do have assessment policies and procedures and these show that an assessment of any new Resident is carried out to the home before they move in. The Manager has developed a Residents guide which will be available to provide to any prospective new Resident. The guide includes a good level of information on the purpose of the home and facilities available. The guide is written in plain language and includes the use of pictures and reassures people that they can visit the home socially before they decide to stay at the home. The Manager explained that there is no facility for emergency admissions and all admissions are planned as stated in the homes Statement of purpose. This was not seen during the inspection however the Manager stated it is always available by the ground floor bathroom in the book case and will make sure everyone is aware of were its kept. Hudson Road DS0000069967.V341476.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): 6/7/9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. There are clear care plans and risk assessments in place for Residents covering all aspects of their daily life. Staff in the home are aware of Residents choices and support them in daily decision making. EVIDENCE: Each of the Residents have an essential lifestyle plan (ELP) which includes detailed information on what is essential to them. The Residents care, support plan is clear, informative and easy to follow. The plan includes information on the person’s needs, daily routines, likes and dislikes, health, activities, and communication skills. A number of plans have been produced on audiotape alongside a written copy. Staff maintain a record of when they have consulted with the Residents on their plans. The Team Leaders and link workers have 3 monthly Essential lifestyle plan reviews with Residents, these are less formal (although Recorded formally) and Residents to feel confident enough to Contribute (in a way that they may find difficult in a formalised Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 11 review). The opportunity for Residents to make decisions and their needs known, relies to some extent on the Staff team understanding and responding to their nonverbal communications. This was observed during this visit and care plans reflected the Staffs understanding and knowledge and rapport with the Residents. Residents were seen to be supported in their own individual routine for the day by each of the Staff. Staff described the needs of one person and how they acknowledge that they need to look at long term plans to make sure the building will meet the persons physical needs. Currently the top floor is only accessible by the stairs and Staff feel that the building needs to have either more bedrooms on the ground floor or access to the first floor by a safe operating lift. Staff explained that they felt they should be in a position to look at plans to develop the building but felt they had no planning at the moment to share with Residents or their Relatives. Hudson Road DS0000069967.V341476.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): 12/13/15/16/17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home supports Residents to access the local community and leisure facilities in accordance with their choices, to maintain relationships and to eat a balanced diet with support at mealtimes when needed. EVIDENCE: Staff were observed to have a good rapport with Residents and were observed to assist Residents in various choices. Resident’s rights, likes, dislikes and choices are respected. The Residents have a care plan / support plan and this includes a good level of information on how to support the person. Residents and Staff have regular ‘house meetings’ to discuss the running of the home. Minutes of these meetings were seen and showed good discussions on everything at the home keeping everyone informed and included in the developments. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 13 Records in the home showed that Residents Relatives are able to visit at any time. The home are sending regular updates to the relatives to make sure they are involved and updated regarding the Residents lifestyle. The home holds a budget for food shopping and uses local shops and supermarkets. The Residents choose their own food and meals and Staff were seen supporting Residents in choosing what they wanted and in when they wanted their meal. The home has a domestic dining room, which is comfortable and homely in design. Staff explained that the space is difficult to accommodate all 5 Residents and all the Staff while supporting Residents, which can be anything up to 9 people. Staff hope to have permission to develop the current dining room so that it can be extended but as yet they have not had any definite plans that they can share with Residents.. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18/19/20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Staff have a good understanding of Residents support needs and personal care is provided in keeping with their needs and choices. The home supports Residents’ to access regular and specialist health care checks and appointments. Medication is well managed within the home. EVIDENCE: Care plans contain clear information about the support the person needs with their health and personal care and Staff were able to explain the diverse support they provide to Residents. Members of the Staff team have supported the Residents for a considerable length of time and therefore have a good understanding of their personal support needs. Each of the Residents has an action plan relating to their health care needs and this includes target and actual dates for health checks and these were up to date. This system for recording health checks also makes sure that each Resident is offered regular health checks. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 15 Records showed that the home provides a good level of support to Residents in accessing healthcare. This includes regular healthcare and visits to the doctor and district nurses and more specialist appointments. Staff have already acknowledged the future health needs of one Resident and have included the adaptions needed for this Resident in the homes development plan. Medication is stored in a locked cabinet which was seen to be well organised with clear systems in place and records kept of stock checks and medication given. Medication records and storage were checked. These were found to be appropriate and safely managed Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22/23 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and which aim to protect Residents against abuse or neglect. EVIDENCE: The home has a complaints procedure, which is time scaled appropriately and includes contact details for the Commission. There is a book in the home for recording complaints received about the service, although none had been received. Information about how to make a complaint is made available in the Resident guide. The Manager explained that she distributes a fresh copy of the complaints procedure to the families each July and keeps contact with families via the 3 monthly meetings. She explained that she also tries to encourage them to ring her if they need to chat or are concerned about anything. Team leaders make themselves available to families when they visit so if they need to speak to them about anything they have the opportunity to do so. Staff say they had received Abuse awareness training. and are trained and experienced to support and protect Residents. One Staff file seen showed good evidenced that the home carries out suitable checks prior to appointing members of Staff and at regular intervals. Hudson Road DS0000069967.V341476.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): 24/30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment is generally well managed and provides a pleasant environment for Residents to live in. EVIDENCE: Hudson Road is well placed for accessing local amenities. The home is based in a Residential area of Maghull. Accommodation is in a 5 bedroom house, which fits in well with other domestic homes in the area. The home was warm, clean and nicely decorated with a homely atmosphere. Shared space within the home consists of a lounge, conservatory, dining room and kitchen, office’s, laundry and enclosed back garden. These rooms are comfortably furnished and decorated Staff explained that they hope the current kitchen facilities will be eventually adapted into accessible units so that all of the Residents can access this area. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 18 The refurbishment of this area will benefit the Residents living at the home, especially if the new kitchen units are fully adapted so they can access the units from their wheelchair. At this time the home have not had any definite dates for any developments of the environment. The Manager explained the processes followed in identifying the need to develop the environment for the benefit of the Residents. eg the development of the kitchen area has been put forward by the Manager to her line Manager (for funding) as a result of there being a lack of dining space within the establishment. The idea to develop the kitchen space is to offer an alternative area in which to take meals. The idea for this (and any other developments) are written into the Team plan whereby the suggestions are then formalised and carried forward to the next year if funding isnt made available at this time. The discussions around providing a ground floor room for example have come as a result of one Residents needs who in the future will be unable to get up and down stairs, The Manager explained that in terms of the decisions, the service Manager along with technical services meet to prioritise the budget. The Development plan for the home should still continue to include all areas that have not yet been developed and permission for funding be secured from the Company. This will be able to be shared with Residents and Staff and help keep them fully informed and up to date with any plans for their home. Each of the Residents living at the home has their own room and these were found to be personalised with the person’s own belongings. The home has health and safety practices and procedures, which are aimed at ensuring the home is safe and clean and free from hazards to the health and safety of Residents and Staff. Following this inspection the Manager has confirmed a Company has been booked to call out the week of the 29th June 07 to update the gas safety certificate. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32/34/35 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Staff appear to have a good understanding of the needs of the Residents. The Residents are supported by a well-established Staff team who have been provided with training. Staff are supported through regular supervision and team meetings. EVIDENCE: Observation of Staff and discussions with them indicate that the Staff know the needs of the Residents well and know their likes and dislikes. It was evident they had a good understanding of how to support Residents and how to ensure their needs are met and their individuality respected and catered for. The Staff rota showed that the home provides appropriate numbers of Staff during the day and at night.. Many of the Staff working in the home have been there for several years or more and provide a stable team for Residents. The Staff felt that since they had an increase in 24 hour support they had been able to provide more support for Residents to access the community on an individual basis. Most Residents were out during the day during this visit,, supported by various Staff and one Resident chose to stay at the home and Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 20 was supported with what they wanted to do at the home. One Resident had been bowling and another had been to a local centre and later Staff were seen supporting a Resident who decided they wanted to go out for a drive before they had their evening meal. The Manager has supplied various information regarding previous and current training for Staff in obtaining Care qualifications, which helps the home exceed the basic guideline for at least 50 of Staff to have a care qualification. Staff had also recently attended a variety of training including “equality and Diversity”. One member of Staff reported that they have regular and recorded supervision with the Manager and daily open discussions. Staff also reported that they attend regular team meetings. This was confirmed, as the minutes of some of these meetings were available. The Manager explained that she has support from her Line Manager and has support and supervision with her on a monthly basis. There is also a formalised support and supervision procedure within the establishment whereby Staff all get 1-1 time with their supervisor every 6-8 weeks. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37/39/42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home is well organised and the health, welfare and safety of Residents and Staff is promoted and protected. EVIDENCE: The Manager has been at the homefor many years offering a great stability and rapport to all the Residents. The management structure in the home is very good. The registered Manager and senior members of the Staff team have clear responsibilities. The home is managed effectively and any service development is in the best interests of the Resident in ensuring a good quality of service is provided. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 22 Staff know the Residents communication well and will react to any feedback from the Residents which might indicate that the Resident is not happy or something needs to be changed. The focus of the service is very much on providing the best to the Resident and responding to their needs. The Manager meets with representatives of the Residents on a regular basis and also sends out quality surveys. The feedback from these is used to inform the home’s annual development plan. A sample of these surveys seen were noted to be very positive and the minutes of meetings showed good communication keeping everyone up to date with the developments at the home. The homes development plan was very detailed for 06/07 and covered lots of areas including person centred plans, recruitment, enhancing the environment, promoting diversity, equal opportunity training and developing individual services to all Residents. The home is visited on a regular basis by a representative of the organisation. In line with quality assurance processes the home is visited at least once per month and a report is produced with the findings of the visit. These visits form part of the quality assurance process and form an opinion on the standard of care provided. The Manager explained that here have been discussions about other Managers completing Quality assessments on a formalised basis at each others establishments. This system is not up and running at the present time but in the process of being developed. The Company have various procedures in place to show how the home is being managed e.g. the Inspector looked at a sample of maintenance certificates, fire safety checks, which showed what actions were taken to ensure the safety of everyone at the home. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 4 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 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 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 3 x Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 24 N/A 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 YA24 Good Practice Recommendations Environmental Developments in the home identified by Staff that are necessary for the Residents must be considered and consulted with both the Company, Residents and Relatives. All facilities must be maintained and kept up to date to ensure the health and safety of everyone at the home and provide a safe environment at all times. Hudson Road DS0000069967.V341476.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hudson Road DS0000069967.V341476.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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