Inspection on 18/07/07 for Lakeside House

This inspection was carried out on 18th July 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

Lakeside House 22/09/06

Lakeside House 07/12/05

Lakeside House 22/08/05

Lakeside House 23/03/05

Lakeside House 09/06/04

Similar services:

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

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

CARE HOME ADULTS 18-65 Lakeside House Somerset Court Harp Road Brent Knoll Highbridge Somerset TA9 4HQ Lead Inspector Jane Poole Unannounced Inspection 18th July 2007 11.00 Lakeside House DS0000015975.V339401.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 Lakeside House DS0000015975.V339401.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. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lakeside House Address 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) Somerset Court Harp Road Brent Knoll Highbridge Somerset TA9 4HQ 01278 761909 01278 760747 Vanessahalfacre@nas.org.uk National Autistic Society Mr Julian Cyril Thomas Morse Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last key inspection 22/09/06 Brief Description of the Service: Lakeside House is a large detached bungalow situated in the extensive grounds of Somerset Court. As part of Somerset Courts Modernisation Programme each previous accommodation area that comprised of Somerset Court, has now become a separate registered service. The National Autistic Society remains as the Registered Providers. The registered manager of the home is Julian Morse. The home was registered with the CSCI on 16/06/06 and is registered to accommodate seven services users. The home has a large lounge/dining room, kitchen, seven single bedrooms with wash hand basins, two bathrooms with overhead shower facilities and a separate shower room. There are adequate toilet facilities. The home has some laundry facilities but the majority of the laundry is sent to the main on-site facility. The home has a ‘fenced off’ garden area. Fees at the home are dependant on individual need and staffing requirements at the present time they range from £714.41 to £1412.24 per week. This includes full time day care. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This inspection was carried out over a 5 hour period. The inspector was given unrestricted access to all areas of the home and able to meet with service users, talk with staff and view records. Prior to this inspection the manager completed an Annual Quality Assurance Audit setting out what the home feels it does well, how it has improved in the last 12 months and plans for the future. 5 relatives/carers and 1 health professional completed questionnaires prior to the inspection. Some of their comments have been included in this report. Two relatives were spoken to during the inspection. What the service does well: There is a calm and relaxed atmosphere in the home with service users being free to spend time in communal areas or in their private bedrooms. Staff demonstrated a good understanding of individual service users and their needs. Staff spoken to stated that there was always adequate numbers of staff on duty to meet the needs of service users and enable people to access community facilities. The registered manager is competent and manages the home in an open and transparent style. The views of service users and other interested parties are considered when planning improvements for the future. All staff receive regular supervision and there are staff and service user meetings where people can express views and keep up to date. All prospective service users are fully assessed and have opportunities to visit Lakeside House before deciding to make it their home. Care plans are personal to the individual and there is evidence that they are drawn up in consultation with service users and their representatives. Service users are assisted to keep in touch with family members. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 6 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. Lakeside House DS0000015975.V339401.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 Lakeside House DS0000015975.V339401.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 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users are seen and fully assessed prior to being offered a place at Lakeside House. Prospective service users have opportunities to visit the home and meet with staff and existing service users before deciding to make it their home. EVIDENCE: There is a statement of purpose and service user guide specific to Lakeside House. Both documents are well written and give a clear picture of the services offered by the home. The service user guide is again well written and uses photos and symbols to make it accessible to the service user group. Currently the service user guide is not routinely given out but is available in the home. No new service users have moved into the home since the last inspection however the home has begun assessing prospective service users for the vacancy that exists. The home assesses prospective service users prior to offering a place. The length of the assessment process is dependant on the individual. The manager Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 9 gave evidence that they had met with one prospective service user in a variety of settings and had already met with the key people in their lives to gather a full picture of their needs and expectations. The transition period again is dependant on the individual. The prospective service user is able to visit the home as many times as they need to and has opportunities to spend time with staff and existing service users. Trial visits include overnight stays. Lakeside House DS0000015975.V339401.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 good. This judgement has been made using available evidence including a visit to this service. Care plans are personal to the individual and give clear guidelines to enable staff to assist service users in their preferred manner. Staff work extremely hard to ensure that service users are able to make choices about their day to day lives. EVIDENCE: All service users have a care plan which is regularly reviewed and up dated. The inspector viewed the care plans of two service users. They were personal to the individual and made reference to specific cultural needs as well as physical and emotional abilities and needs. All service users living at Lakeside House have Autistic Spectrum Disorder and the care plans gave evidence that staff had a clear understanding of the needs and behaviours associated with this. Individual routines were recorded and risk Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 11 assessments had been completed to minimise the risks associated with various activities. Care plans seen were very personal to the individual and included known likes and dislikes. 2 Relatives/carers who completed questionnaires commented that they were included in the care planning process. On the day of the inspection there was a care review taking place which the service user and their family attended. Care staff write daily records and a monthly summary for all service users. Some service users living at the home do not have verbal communication and are unable to fully express their views and opinions. There was evidence that the staff work extremely hard to ensure that people are offered choices in a way that they are able to comprehend. One person had chosen a new colour scheme for their bedroom using charts supplied by the staff. No service users manage their own finances. The National Autistic Society acts as a corporate appointee for state benefits. Personal allowance is made available on a weekly basis and this is securely stored in respect of each person. Records are maintained and were viewed by the inspector. A sample of records were checked and all correlated to monies held at the home. Lakeside House DS0000015975.V339401.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): 11, 12, 13, 14, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users attend on-site day care facilities but also have opportunities to access community facilities. Staff assist service users to maintain contact with family members. EVIDENCE: All service users have access to on site day care facilities, which offer a wide range of activities. Some service users also access college courses and the home is looking to expand this in the coming term. Service users have a weekly ‘in house’ day where they are supported by staff to undertake household chores and learn and develop life skills. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 13 The home itself is part of Somerset Court which has 4 other registered homes in its grounds. There are no public transport links so service users rely on taxis and the homes transport to access community facilities. There are many facilities on site which service users are able to access. These include go-karts, a trampoline and extensive grounds for walking and cycling. Service users are able to access the local community for shopping, entertainment, meals out and attendance at church. It was apparent that the manager sees integration into the wider community as an important aspect of everyday life. During the inspection service users were observed to have unrestricted access to all communal areas of the home and their personal rooms. Staff were seen to knock on bedroom doors before entering and service users are able to lock their doors if they wish to. Relatives who completed questionnaires stated that staff assisted service users to keep in touch with family members. This is by letter, phone and assisting with visits. The home arranges holidays for service users which are part funded by the National Autistic Society. Many of the service users also have holidays with family members. During the week service users have lunch at the main dining room of Somerset Court. Breakfast and evening meals are cooked in the home. Since the last inspection the home has spent time discussing food with service users and finding out their preferences. The homes menu is now created in line with individual likes and dislikes and there is a wide range of food each day. The home has an adequate budget for food and service users assist with shopping which is another opportunity for people to make choices. The inspectors observed that the kitchen was well stocked with good quality food products. Lakeside House DS0000015975.V339401.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 good. This judgement has been made using available evidence including a visit to this service. Service users have access to healthcare professionals according to their individual needs. Care plans give details of the level of assistance required with personal care and privacy and dignity is promoted. EVIDENCE: Care plans give details of the level of support individuals require with personal care. Both male and female carers are employed and it was noted that any preference about the gender of the person who assisted with intimate care was recorded. Staff spoken to were aware of issues around privacy and dignity and obviously encouraged service users to be aware of such issues. All service users have wash hand basins in their rooms and there are two bathrooms and a shower room where personal care can be assisted with in private. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 15 The physical healthcare needs of service users is monitored by the home and outside professionals are accessed on an individual basis. Staff have received training in the care of someone who is diabetic and have made excellent links with appropriate professionals. A full care plan is in place which includes useful information about the condition. All appointments with outside healthcare professionals are recorded. Records seen showed that people are accessing doctors, dentists, chiropodists, psychiatrists and specialists according to individual need. Service users are regularly weighed but these records are not clearly maintained to ensure that significant losses or gains are easily noticed and appropriate action can be taken. The home uses a Monitored Dosage System (MDS) for medication. There is appropriate storage including storage for medication that requires refrigeration. The home has a policy for the administration of medication, which states that it can only be administered by staff who have been assessed as competent in this area. In addition to this all administrations are witnessed by a second member of staff. This results in there being two sets of Medication Administration Records (MARs) The inspector viewed the MARs and noted that all medication was signed into the home to ensure a clear audit trail. Entries on the charts for prescribed creams stated merely apply as directed. There was no correlating care plan or information sheet to explain to staff what ‘as directed’ meant in each instance. In one instance staff were signing to confirm that they had administered medication when infact it was being made available to the service user to self administer. Lakeside House DS0000015975.V339401.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 good. This judgement has been made using available evidence including a visit to this service. Policies and procedures in place minimise the risks of abuse to service users. EVIDENCE: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. They also have a copy of the up dated Somerset policy on ‘Safeguarding Vulnerable Adults.’ One relative/ carer who completed a questionnaire prior to the inspection stated that they had received an up dated copy of the complaints and feedback procedure. There is a copy of the complaints procedure in an accessible format in all service user bedrooms. The home has received no complaints since the last inspection and the pre inspection information identifies this as an area that the manager will be looking into in the next twelve months. He will be checking that everyone is aware of the procedure and ensuring that everyone is aware that making complaints can be a positive way for the home to learn and improve the service. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 17 All staff receive training on the protection of vulnerable adults during their induction period. Information about who to contact, if any concerns are raised, is on the office notice board. The inspector viewed the recruitment records of the three most recently appointed members of staff. These demonstrated a robust recruitment procedure and gave evidence that all staff had been checked against the Protection Of Vulnerable Adults (POVA) register and had undergone an enhanced Criminal Records Bureau (CRB) check before commencing work. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 18 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, 26, 27, 28 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Lakeside house provides a comfortable safe environment for service users. Due to the situation of the home community facilities are not easily accessible for service users. EVIDENCE: Lakeside House is a single storey building set in the grounds of Somerset Court but with its own private garden area. All areas are fitted with a fire detection system. As previously stated the home is not on a public transport route and there are no community facilities within easy walking distance. One relative/carer wrote on their questionnaire, under the heading - how could the home improve, “Tidy up the garden and external fence.” The inspector Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 19 viewed the garden area and agreed that this was an area that could be improved. Currently the home do not take responsibility for the garden, the grass is mown by the estates team as part of the day centre activities. This was discussed with the manager. There are 7 bedrooms, all for single occupancy. Each bedroom has a wash hand basin and there are communal bathing and showering facilities. Both bathrooms have a toilet in and there is a toilet with wash basin for the exclusive use of staff and visitors. The inspector viewed a selection of bedrooms and noted that they had been personalised in line with individual needs and tastes. There is a large lounge/diner that service users have unrestricted use of. There is also a domestic style kitchen. There is no alternative living space where service users can sit or spend time with visitors. Since the last inspection the shower room has been made into a wet room and the bathrooms have been retiled and decorated. Although there are showers over the baths there are no shower curtains so service users wishing to shower must use the small wet room. Hand washing facilities are available in communal bathrooms. There is no laundry at the home. There is a domestic washing machine in the kitchen which is not sufficient to meet the needs of the service user group. Some service users use the homes washing machine during their in house days but the majority of laundry is taken to a large industrial type laundry within the main Somerset Court site. One relative/carer commented on their questionnaire that clothes often shrunk and felt that the home should have a washing line rather than tumble drying everything. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 20 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, 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. Staff are confident and enthusiastic in their roles. There are adequate numbers of staff on duty at all times to meet the needs of the current service user group. EVIDENCE: The home employs 11 care staff, 6 of whom have a National Vocational Qualification (NVQ) at level 2 or above. (Figures taken from pre inspection information.) Two relative/carers who completed a questionnaire commented that there was a high staff turnover in the home which led to inconsistencies in practice and communication. This was discussed with the manager who acknowledges that there has been changes in staff over the past twelve months but he felt that there was now a more stable team. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 21 There is currently a vacancy for a full time carer on day duty and a part time person on nights. These hours are being covered by existing and bank staff. Staff asked stated that they felt that there were always sufficient staff on duty to meet the needs of service users including facilitating trips out. Staff spoken to on the day of the inspection showed a good knowledge of the needs of service users living at the home. It was observed that staff interacted well with service users using appropriate communication. Staff appeared well motivated and enthusiastic about their roles. Staff were happy with the level of training available in the home and felt that the induction programme was useful and well presented. All staff receive regular supervision and appraisals, either with the registered manager or the deputy. The inspector viewed the recruitment files of the three most recently appointed members of staff and found them to give evidence of a robust recruitment procedure. During the inspection the inspector attended a short team meeting where a range of issues were discussed. There is a team meeting every three weeks where household matters and individual service users are discussed. Staff felt that there was good communication in the home and that staff worked as a team. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 22 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 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed taking account of the views of service users and other interested parties. There is a commitment to ongoing improvement of the service. EVIDENCE: The registered manager of the home is Julian Morse. He has considerable experience in this field and has obtained the Registered Managers Award (NVQ level 4) Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 23 Staff spoken to stated that the manager gives a clear sense of direction to the home with service uses at the centre. The management approach was described as open and fair. All pre inspection information received by the inspector was clearly written and demonstrated a commitment to ongoing improvement and service user involvement. Formal quality assurance systems are initiated by the providers of the service, the National Autistic Society. In recent times there has been a massive consultation process involving service users, staff and other interested parties. The consultation process has formed part of the modernisation programme for Somerset Court. The manager of Lakeside House is keen to develop quality assurance systems on a smaller scale that are specific to the service users living at the home. There are regular staff and service user meetings, which are a forum for people to have a say in the running of the home and raise any concerns or ideas. Regular service user reviews are also an opportunity for individuals and their representatives to voice their opinions on the quality of care offered and highlight any areas that they feel could be improved upon. The home has taken reasonable steps to ensure the health and safety of staff and service users. Policies and procedures, which give guidelines on safe working practices, are available on the National Autistic Society’s intranet which all staff have access to. The home is fitted with a fire detection and emergency lighting system. The fire log viewed by the inspector demonstrated that these are regularly tested in house and serviced by outside contractors. All accidents and incidents are recorded and there was evidence that these records are regularly viewed by the manager. In addition the provider analyses all incidents to establish patterns of behaviour and action that needs to be taken. The inspector viewed the homes health and safety documentation. This was well organised and showed that regular safety checks are taking place. Staff receive training and regular up dates in health and safety issues. A certificate on registration is displayed in the home. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 24 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 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 2 25 x 26 3 27 3 28 2 29 x 30 2 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 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 x 3 Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 25 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 2 Refer to Standard YA19 YA20 Good Practice Recommendations Service users weights should be clearly recorded to ensure that any significant losses or gains are easily noticed. There should be clear directions for the application of prescribed creams and lotions. Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Lakeside House DS0000015975.V339401.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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