Inspection on 16/05/06 for Keswick House

This inspection was carried out on 16th May 2006.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Keswick House 15/05/08

Keswick House 22/02/06

Keswick House 29/09/05

Keswick House 05/03/05

Keswick House 22/06/04

Keswick House 10/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Keswick House 212 Lightwood Road Longton Stoke-on-Trent Staffordshire ST3 4JZ Lead Inspector Mrs Mandy Brassington Key Unannounced Inspection 16 May 2006 09:40 Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Keswick House Address 212 Lightwood Road Longton Stoke-on-Trent Staffordshire ST3 4JZ 01782 336656 F/P 01782 336656 Keswiick.house@btconnect.com 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) Mr Alan John Bradshaw Mrs Joy Bradshaw Mrs Joy Bradshaw Care Home 12 Category(ies) of Learning disability (12), Physical disability (2) registration, with number of places Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: Keswick House is a care home for adults accommodating twelve people with learning disabilities, two of who may have a physical disability. The home is in a residential area of Stoke and accommodation is over three floors. The home is currently completing building work as part of a major variation to provide all service users with a single room, where this has been requested, and additional rooms with en-suite facilities. A new kitchen is to be provided and there will be additional communal areas. At present, there is one communal lounge, dining room and kitchen for all individuals to use. Bedrooms are on three floors, and there are toilet and bathing facilities on all floors. There is a garden area to the side and rear of the property, and parking for visitors and staff is available at the front of the home. The home has three vehicles for use by service users, which are shared with the two other homes within the company. The level of need amongst the service users varies but generally, individuals are relatively independent and access local services and facilities independently where appropriate, or with minimal support, and social inclusion is promoted. The home is privately run by the registered providers Mr and Mrs Bradshaw; Joy Bradshaw is also the Registered manager. Mr and Mrs Bradshaw operate two further homes, Derwent next door, and Rydal in nearby Dresden. Mr Bradshaw informed the Commission for Social Care Inspection on 16 May 2006 that the fee level for Keswick House is between £325 and £337 per week. There were no vacancies at the time of inspection. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was an unannounced key inspection and therefore covered all of the core standards. The inspection took place over 7.5 hours by one inspector who used the National Minimum Standards for Younger Adults as the basis for the inspection. Prior to the inspection visit, survey information has been obtained from service users and their relatives. Nine comment cards were received back from service users; six comment cards were received from relatives, one from a Care manager and one from a General Practitioner. Feedback from these cards has been included within this report. A tour of the home was undertaken, including developments with work being carried out for the major variation. The inspection included an examination of records, indirect observation, discussions with seven service users, the manager, and the staff on duty. Case tracking of four care plans was undertaken. Three staff records were examined and observation of daily activities took place. The inspector ate lunch with the service users. As a result of this visit, four requirements and two recommendations were made. This was considered to be a good inspection. What the service does well: The home provides individuals the opportunity to live a socially inclusive lifestyle within a supportive environment. Individuals are able to access a wide variety of work and leisure pursuits of their choosing, and are able to develop relationships with other residents and people from the local community. Risk assessments are in place to enable individuals to be independent in the community and to take responsible risks and make informed choices. The manager demonstrated a commitment to improving the service and to involve service users in the development of their home. There is a commitment to National Vocational Qualification (NVQ) training for staff; presently 82 of care workers achieved an NVQ award. The service users spoke highly of the staff team and the manager and respectful attitudes were observed. Staff at the home are friendly and Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 6 professional and staff ensure privacy and dignity is upheld; direct observation, service users comments, information from a professional confirmed this to be an accurate account. Feedback received from service users included: ‘I like it here, I can go out and make friends’ ‘You can have a bit of fun with the staff’ ‘I like the independence, extending my horizons. I have a bus pass and travel independently’ ‘We’re never bored’ ‘We like living here and we still get to stay at our family home’ ‘The staff are very kind people’ What has improved since the last inspection? What they could do better: The manager must ensure appropriate fire risk assessments are completed and reviewed on a regular basis. The Fire risk assessment is to cover the safe and complete evacuation of all service users. The recruitment procedure needs to be reviewed to ensure the interview process is in line with equality of opportunities, and a record maintained. Please contact the provider for advice of actions taken in response to this Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. Service users have a copy of the Service Users Guide and are aware of their terms and conditions of occupancy. EVIDENCE: The home has reviewed the Statement of Purpose and Service Users Guide to incorporate all areas as required in the National Minimum Standards and Regulations. Discussion with two service users revealed they had received a copy of the Guide and retained a copy. There have been no new admissions to the home since the last inspection and inspection of care records demonstrated individuals had received an initial assessment and documentation was in line standard practice at the time of the admission. All individual’s files inspected had a copy of a recent Care Management review. Four plans of care were inspected and each person had an up to date contract that detailed Terms and Conditions of occupancy. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. The quality in this outcome area is ‘excellent’. This judgement has been made using available evidence including a visit to this service. Plans of care record up to date information regarding daily activities and areas of risk, to ensure individuals are able to take responsible risks in the home and the community, and develop their independence. EVIDENCE: A sample of four plans of care were inspected. The manager reported that the plans had been reviewed since the last inspection to incorporate detailed records of daily activities and areas of risk, health, personal, and social care needs. There was evidence to show service users were involved with the plan and had signed the documents and records of discussion. Plans of care recorded specific objectives, support required with independence and detailed assessment of risk for community participation. Service users confirmed they were aware of the procedure when going out alone and if they were to return home late and how to be safe in the community, and to communicate with the home. It is pleasing to the Commission that service Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 11 users are able to safely access the community independently, and the home has ensured appropriate care planning and support has been given to ensure service users are not placed in vulnerable situations. The manager spoke strongly around the need for individuals to take responsible risks in life. Service users meetings take place on a regular basis, sometimes as frequently as weekly. Service users reported that all individuals have an opportunity to discuss their ideas or concerns. The last meeting where to go on holiday was considered. Three destinations had been chosen, two in England and one in France. Individuals stated they had chosen the destinations and who to go with. The home conducts six monthly Satisfaction Surveys. Individuals are able to comment a variety of issues and stated that if areas of concern are identified changes have been made in the home. One service user spoke about his need to have a single room. The proprietors had arranged for necessary changes to be made to accommodate this. Discussion with the proprietors demonstrated a commitment to ensuring individual’s needs and wishes could be met. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 The quality in this outcome area is ‘excellent’. This judgement has been made using available evidence including a visit to this service. Service users lead a socially inclusive lifestyle and are able to have access to a wide variety of leisure activities and work placements, and following appropriate assessments of risk, access community facilities and services independently. EVIDENCE: The home is managed to support individuals to enjoy a socially inclusive lifestyle and where possible to take the lead role in their own care. Individuals have the opportunity to engage in a wide variety of activities, college and work placements, to meet their goals and achieve an independent lifestyle. Five service users discussed in detail their usual daily events and two individuals stated they were able to attend college four days a week. Courses attended included computer skills, biology, Life skills, writing and signing, and aromatherapy. Two service users reported that they do voluntary work at a local Day Care Provision for Elderly People. One service user spoke Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 13 enthusiastically about his voluntary work at a local Youth Service, where he helps to plan events and organise activities. Discussion with staff and service users revealed an awareness of local services and facilities, and individuals used local shops and leisure venues. Service users were able to choose their own leisure activities and discussion with individuals revealed recent activities have included visits to local pubs, out for meals, bowling and swimming. Service users are able to access the community independently. Plans of care recorded assessments of risk had been completed, and service users reported that they take their mobile phone with them and if returning late will notify the home. The individuals also demonstrated a good knowledge of road safety awareness, how to keep safe and use of public transport. Two service users spoke in depth regarding how to keep safe and not place oneself in a vulnerable situation. Comments from service user regarding their lifestyle and the home included; ‘I like it here, I can go out and make friends’ ‘You can have a bit of fun with the staff’ ‘I like the independence, extending my horizons. I have a bus pass and travel independently’ ‘We’re never bored’ ‘We like living here and we still get to stay at our family home’ ‘The staff are very kind people’ ‘We open our own mail, and if there’s anything different we speak to the staff’. Service users were observed participating in the preparation of the lunch time meal and preparing puddings for dinner. Service users stated all individuals are able to help cook the meals and a choice of menu is offered. On the day of the inspection, service users were able to choose from sweet and sour pork or Spaghetti Bolognese. Service users stated they are able to receive visitors on a flexible basis. There are no restrictions on visiting. Many individuals visit the family home and spend weekends with family members. Personal relationships are supported within the home. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. Plans of care record how the home is meeting personal and health care needs. The systems for the health monitoring were good and arrangements were in place to ensure all identified needs were being met. EVIDENCE: Staff were observed supporting service users within the home to enable individuals complete tasks. Many individuals are independent in relation to personal care but require prompts to ensure care and daily tasks are carried out. Staff used appropriate forms of communication and through discussion demonstrated a positive attitude, and a good knowledge of plans of care and individual’s needs. The plans of care recorded individual’s health needs, details of appointments and outcomes. Two service users reported they had identified concerns to staff and had an appointment with their Doctor the following day and commented that their concerns were always dealt with promptly. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 15 Inspection of storage systems and records demonstrated medication is stored appropriately in a locked cabinet in the office, and the NOMAD System is used. A pharmacist reviews this system. Each service user had a Homely remedies sheet signed by the G.P. recording what may be administered. The manager reported that staff had received training to safely administer. This training has been planned for new staff. Staff confirmed that only staff that had received the training were responsible for medication administration. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. Service users have access to a complaints procedure and are aware of how to make a complaint and confident concerns will be addressed. EVIDENCE: Service users reported that they keep a small amount of personal money and other monies and valuables are kept securely in the home. Individuals have a personal bank account. One plan of care sampled recorded an assessment of risk for one individual to access money from the bank independently using a Debit Card. Discussion with the service users confirmed she was aware of the procedure and how to keep herself and finances safe. Service users were aware of how to make a complaint and had a copy of the procedure. Two service users reported that if they had any concerns the manager would address these promptly. Staff have access to the Vulnerable Adults Procedure and Whistle Blowing Procedure and measures are in place to protect service users from abuse including good recruitment procedures in relation to appropriate preemployment checks. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 30 The quality in this outcome area is ‘adequate’. This judgement has been made using available evidence including a visit to this service. The home is in need of some redecoration and re-modernisation; there is currently major works being completed to provide individuals with a better standard of living accommodation and bedroom facilities. EVIDENCE: The home has submitted an application for a major variation to enable individuals to have their own rooms, increase the number of en-suite rooms and bathing facilities, improve the kitchen and dinning facilities and to provide additional shared space. The proprietors confirmed they are aware that many areas of the home require attention in relation to redecoration, but that this work had been planned as part of the refurbishment of the property. The exterior paintwork of the home also requires attention. The manager has submitted a plan of works, and all areas of the home’s environment will be inspected after the completion of works. The home is two three-storey houses that are joined by an interconnecting door on all three levels. Part of one of the homes was previously private Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 18 accommodation; this is now undergoing works to improve the homes facilities. There were bathing and toilet facilities on all floors to meet the needs of the individuals. Communal areas have been personalised by service users. The laundry facilities are located in the cellar. Two service users stated that their bedroom had been recently redecorated and they were responsible for choosing the new colour scheme and accessories. One service user reported that he has been involved with the plans to move out of a shared room into a single room and will be able to choose the decoration and fittings for the new room. All rooms inspected contained a good amount of personal furniture, personal electrical equipment and were individually decorated to reflect the personal preferences of the individuals. Plans of Care recorded whether service users had requested a key to their room. Where one had been chosen, appropriate locks had been fitted to bedroom doors. Discussions regarding individuals having a front door key had been raised at a recent Residents Meeting. The bedroom window does not close properly in Room 8 and requires attention. On the third floor, the stairs handrail is to be risk assessed to ensure the health and safety of service users. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. Staff are supported by the manager and have received training to develop appropriate skills and competencies to meet the needs of the service users. EVIDENCE: The home’s shifts are flexible to suit the needs of the service users, though are generally across three day shifts, with a minimum of two staff on duty. At night, there is one waking night staff and a sleep in person within the adjacent building. The home has a relatively stable staff team and there has been one new staff employed since the last inspection. The home has a good recruitment procedure that ensures that staff are suitable to work with vulnerable people. A sample of three staff files were examined and demonstrated that thorough pre employment checks are carried out. Criminal Records checks had been undertaken in all instances, and there was proof of identity, two references and a completed application form on file. A review of the recruitment practice in relation to interviewing is recommended to ensure it meet standards for equality of opportunities. Staff received formal supervision monthly with the manager. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 20 The manager reported that the home is committed to developing the skills of the staff, and 88 of the staff have an NVQ Qualification. During the past year, staff have received training in First Aid, Infection Control, Epilepsy, Advocacy, Medication Training and work with the Learning Disability Award Framework (LDAF). The Manager has made arrangements for the staff to receive training for Person Centred Planning. Comments received from one professional person involved with the home reported ‘the staff are professional and friendly, well skilled and trained.’ Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. The manager continues to update her skills to ensure she can provide support to the staff, and is committed to provide a quality service for all the service users. EVIDENCE: The Manager is also the proprietor and until recently lived within private accommodation in the home. It was evident through discussion that the manager has developed strong relationships and links to the home and service users, and is committed to improving the facilities and the service provided. The manager was enthusiastic to consider and discuss alternatives available for service users, and to enable individuals to become more independent. The manager attends training sessions to update her skills and knowledge and is currently completing the NVQ 4 in Management. Staff commented they feel Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 22 valued and part of a supportive team. Staff stated they would have no hesitation approaching the manager who is supportive and addresses any concerns. The health, safety and welfare of staff and service users were protected. The registered manager had ensured that all maintenance work, repairs, annual checks, testing of equipment and regular fire drills are undertaken. The manager has completed a Fire Risk Assessment Checklist; A Fire risk assessment is to be completed and is to consider the needs of the service users, staff on duty and procedure to be carried out to achieve a full evacuation of the property. It is also recommended that the recording of staff involved with fire drills is reviewed to ensure all staff are involved with the drills and training. Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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 X 4 X 5 3 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 2 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X X 2 Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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. 1 2 3 4 Standard YA24 YA24 YA24 YA42 Regulation 23. (2)(b) 23. (2)(b)(p) 13. (4)(a)(c) 23. (4) Requirement To redecorate the exterior of the property To repair the window in Bedroom 8 To carry out a risk assessment on the second floor hand rail To carry out a comprehensive fire risk assessment Timescale for action 16/08/06 24/08/06 16/06/06 16/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA34 YA42 Good Practice Recommendations To review recruitment procedures in line with equality of opportunities To review the Fire Drill recording system Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Keswick House DS0000008241.V294694.R01.S.doc Version 5.1 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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