Inspection on 29/03/07 for Larches, The

This inspection was carried out on 29th March 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Larches, The 17/03/06

Larches, The 14/12/05

Larches, The 04/01/05

Larches, The 20/07/04

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 Larches, The 59 Larches Road Kidderminster Worcestershire DY11 7AA Lead Inspector Dianne Thompson Unannounced Inspection 29 March 2007 10:00 th Larches, The DS0000018488.V329431.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 Larches, The DS0000018488.V329431.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. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Larches, The Address 59 Larches Road Kidderminster Worcestershire DY11 7AA 01562 829000 01562 829001 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) The Larches Homes Limited Care Home 6 Category(ies) of Past or present alcohol dependence (6), registration, with number Learning disability (6), Mental disorder, of places excluding learning disability or dementia (6), Physical disability (6) Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home to accommodate one named individual who has cerebral palsy with associated physical disability, learning disability and challenging behaviour 17th March 2006 Date of last inspection Brief Description of the Service: The Larches offers accommodation and personal care for up to six adults. The home is registered to provide a service for the following categories of service users: • • • • Past or present alcohol dependence Learning disability Mental disorder excluding learning disability or dementia Physical disability These conditions are most likely to be associated with an acquired brain injury. The home is situated in a residential area of Kidderminster on a public transport route. The town centre is approximately ½ a mile from the home. Accommodation is provided in single rooms, one of which is adapted for wheelchair use and is ensuite. Sunnycroft Limited operates the home, and the registered provider is Ian Currie. Ms Christine Reeves has made an application for registered manager with the Commission for Social Care Inspection (CSCI) The current fee for the service ranges from £800 to £2300 per week. Charges which are additional to the fee include: • • • • • • Personal toiletries, clothing and electrical items Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing Beauty therapy Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included an unannounced visit to The Larches. The main purpose of this inspection was to see what the service at The Larches was like for the people who lived there. Service user records were examined, and accumulated information including notifications to the Commission for Social Care Inspection (CSCI) was used to inform this report. Surveys and Relatives comment cards were sent out. Time was spent talking with service users, staff, and the director of care for Sunnycroft Homes Ltd. What the service does well: The home gives clear information to service users about their service. Before anyone is offered a service, the manager will check that The Larches can give the care that is needed. The home looks after people well and writes down what help everyone needs. Service users are given help and support to do the activities they choose, and are supported to stay in touch with their families and friends. The home provides healthy meals with a choice of menu. Service users are supported with their medical appointments and their health care. Staff are trained to give medication safely. Service users can talk to staff about any problems they may have. Staff are trained to know what to do if there are any problems. The home checks staff before they start working in the home. The staff are well supported and work together to provide service users with consistent and good quality care. Staff are trained to help them support service users. The staff team understand their jobs and are committed to their role. Sunnycroft Homes Ltd checks to make sure that everything is being done properly. They check to make sure the service is safe for both service users and staff. The Larches is a safe and comfortable home. The home is managed in a way that is open and positive. Larches, The DS0000018488.V329431.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. Larches, The DS0000018488.V329431.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 Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Detailed information is provided about the services offered at the home to help service users make an informed choice about whether they would like to live at the Larches and whether the home will meet their needs. EVIDENCE: The home’s statement of purpose and service user guide provides information about the home to help prospective service users decide if they wish to live at The Larches. The Statement of Purpose has recently been updated to reflect the qualifications and changes within the staff team and provides detailed information about the service available, including the rooms and sizes of bedrooms. Copies of the information are available to all, including visitors to the home. Surveys from families confirmed that information about the home is shared, and that they are kept up to date with important issues. Service user surveys confirmed that everyone had been asked if they wanted to move to the home, and they had received enough information about the home before moving in. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are supported to make decisions about their care and how they like their support to be provided. Information about their assessed needs is included in care plans to advise staff. Care plans include risk assessments detailing how risks are to be reduced and independence promoted. Service users make choices and decisions in their daily lives and routines. EVIDENCE: Service user care plans are detailed and informative. Information is available for staff to make sure that all care is provided in a preferred and consistent way that encourages independence. The care-planning format shows service users are appropriately involved in planning and reviewing their own care and are supported to express their wishes and goals. Care plans are regularly reviewed. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 10 Files for two service users were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where support needs vary and an individual may require greater input and support from all staff within the home. Relevant information and monitoring is provided in service user files to make sure all staff have the necessary information to provide quality care. Staff spoken to are fully aware of the plans and use them to guide their practice. Service users are supported to make choices in all aspects of their life at The Larches. Risk assessments are used to help and support people in their independence, and relate to all aspects of behaviour, health and activities such as going to the pub. Risk assessments include details of manual handling support where it is needed. Service users confirmed that they are able to choose what they want to do and make decisions about what they do. Family surveys confirmed that care given is what they expected or agreed with the home. The home is able to respond to individual needs and recognises the changing needs for individuals. Surveys from health professionals noted that ‘The Larches is proactive in seeking improvements’ for service users, and that the home is ‘good at providing an individualised service’. Other comments from health professionals include ‘very impressed with how our clients needs are met’, and ‘we have been impressed with the service provided by this organisation’. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Service users receive help and encouragement to lead active and interesting lives and are supported to access facilities within the wider community. They are also supported to maintain links with their families and to develop friendships. The home offers a well-balanced menu and promotes healthy eating for the welfare of all service users. EVIDENCE: The home provides a range of activities for service users, both in-house and within the local community. All activities are organised to take into account the individual needs and preferences, making sure that everyone has the opportunity to take part. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 12 One service user attends Kidderminster College for a ‘skills for life’ course. Other external activities include visits to the local cinema, the shops, pubs, leisure centre and a local church. Activities within the home include a variety of games, TV, video, books, magazines, and music. The service users say they choose what they want to do each day. Service users are supported to maintain family contact and regular visits to family are encouraged. Evidence of recorded visits was seen in service users files. Relatives’ surveys confirm that regular contact is maintained. The home offers a varied and healthy menu with alternative choices available as required. There is a rolling menu for all meals, with supper available for those who want it. Fresh food is purchased regularly and service users are encouraged to be involved in the food shopping. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are clearly identified in care plans. The plans provide information to make sure that care and support is provided in a way that service users prefer. The home has a clear medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of service users and staff. EVIDENCE: Service users’ care records and plans provide detailed information about their physical and mental health and the support needed from staff to maintain their good hygiene and health. The care plans sampled contained information about service users preferred personal care routines. Information is regularly updated and clearly communicated. Records of all physical checks are completed where a service user may have particular health related issues such as weight or behaviour monitoring. In Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 14 this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. Service users and the home are well supported by medical services, which includes GP’s, psychologist, physiotherapist, occupational therapist, dentist, and the community learning disability team. All service users have given consent to their medical treatment and a record of this is kept on their files. Arrangements are in place for preventative health services, such as dental checks and annual health screening. A senior support worker explained that personal care is given in private to make sure privacy and dignity is maintained for all service users. The practice of ensuring privacy for service users was observed during the inspection visit. The home has a medication policy and procedure in place. The home operates the dosette system for the administration and storage of medication. All medication is stored in individually marked containers. A separate fridge is available in the office for the storage of medication as required, and daily fridge temperatures are recorded. A list of all staff that have been trained and assessed to administer medication was provided. An allergy has recently been identified for one service user. It is good practice to highlight any allergies on medication record sheets and in individual care plans. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s complaints procedure that is available in easy to understand information about how to complain, with appropriate information for staff provided. Staff support service users to express their views and any concerns they may have. EVIDENCE: There are suitable policies and procedures in place to support staff in keeping service users safe. The home’s complaints procedure is accessible for service users. Time was spent with service users who said staff support them when they need it and they know who to talk to if they are unhappy. During the inspection visit staff were observed engaging with service users in a supportive and respectful way. Service user surveys confirmed that staff treat them well, and that carers usually or always listen and act on what they say. All service users said they are aware of how to make a complaint. The larches has an established Service Users Council which meets regularly and provides service users with the opportunity to make their views known and to be fully involved in the running of the home. Relatives confirmed that they are aware of the complaints procedure. No complaints have been made to the home since the previous inspection. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 16 Surveys completed by health professionals indicated that they had not raised any concerns or complaints. Staff complete training in relation to abuse and service users’ protection during their induction and through specific training courses. Discussion also takes place in supervision and staff meetings. The home has relevant financial policies and procedures in place to make sure service users money is kept safe. Larches, The DS0000018488.V329431.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 Larches provides accommodation for service users that meets their needs and offers a safe and comfortable home. The home is kept clean to make sure that good hygiene and infection control is maintained for the benefit of service users, although hand driers or paper towel dispensers should be provided in communal toilets and bathrooms. EVIDENCE: The Larches is located in a residential area of Kidderminster close to local amenities with access to the bus route into town. The Larches has two lounges, and a small separate kitchen. The large lounge has a dining area. There are six single bedrooms, one of which has an ensuite facility. There are two bathrooms, five toilets and a separate laundry. There is an enclosed garden to the rear of the house. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 18 Service users have single bedrooms that are individually furnished and decorated. The premises are clean and tidy. The service user surveys confirmed that the home is ‘usually’ or ‘always fresh and clean’. One Service user said that ‘I like this home’. The home is currently being redecorated and new furniture has been purchased. Plans for the replacement of kitchen units is scheduled, however, the kitchen must be cleaned to remove trapped grease and dust that has accumulated particularly around the cooker, the ceiling and the extractor fan. This was discussed with the Director of Care for Sunnycroft Homes Ltd, and included the plans being implemented by the home to address an odour problem that was evident during the inspection. The home is confident that this difficulty will be resolved. Policies and procedures for infection control are in place. Liquid soap is available in the communal bathrooms, although there are no hand driers or paper towels. This was discussed with the senior support worker and the provider. Although it is acknowledged that The Larches is kept as homely as possible, appropriate hand drying facilities to maintain infection control must be addressed. Larches, The DS0000018488.V329431.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. Suitable staffing levels are being maintained and staff receive relevant training to help them meet service users needs. The staff team understand their responsibilities and are committed to their role. They are well supported and work together to provide service users with consistent and good quality care. The home’s recruitment policy and practices make sure that suitable staff are employed and that all necessary checks are made to ensure the safety of all service users. EVIDENCE: The home has a committed staff team who work to provide quality care for the people living at The Larches. The home shows a commitment to staff training and is working to make sure that all staff complete NVQ training. Four members of staff are currently completing NVQ Level II. Staff undertake mandatory training in health and safety, fire safety, first aid, food hygiene, moving and handling and infection control. Other training Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 20 courses include record keeping, Rights, Dignity and Choice, care planning, cause and effect of head injury, classification of mental illness and report writing. A copy of the training programme for the forthcoming year has been supplied to CSCI. The Scils for Care induction programme for people working in care services is used for new staff. Induction also includes new staff being supported by senior staff to familiarise themselves with the home, service users and safety matters. Surveys from health professionals indicate the view that staff are ‘exceptionally well trained’, and that ‘every effort is made to provide appropriate training and education’. Families commented that ‘staff appear to be kind and caring people who take their work seriously’. The director of care confirmed that all prospective staff complete an application form and that appropriate references are obtained including one from their most recent employer. Evidence was seen to support this. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. Applicants are formally interviewed and invited to visit the home and meet service users. All staff have a copy of the terms and conditions of their employment. All staff are required to work a probationary period at the home. A senior support worker confirmed that staff receive regular structured supervision and annual appraisals from the managers. Staff meetings are held regularly and minutes are kept. Larches, The DS0000018488.V329431.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. Experienced and committed managers manage the home in an open and positive way. Through their quality assurance system, the provider and manager monitor the home to make sure that the service continues to develop as service users want and that the home remains a safe place to live and work in. EVIDENCE: The home has an effective management team to make sure the home is well run. The manager Mrs Christine Reeves has made an application for registration with CSCI. Both Christine and the provider Mr Ian Currie have undertaken a range of training relevant to service users needs. Christine has experience and a qualification in care management; she is qualified to NVQ level IV and as an assessor. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 22 Management responsibilities in the home are shared with and assistant manager and two senior support workers. The assistant manager is qualified to NVQ level IV in care, and the senior support workers are qualified to NVQ level 3. The manager, the assistant manager and senior support workers are involved in organising day-to-day activities, health and safety promotion, staff supervision and induction. Sunnycroft Homes Ltd Home operates a staff loyalty bonus scheme. This demonstrates the way in which the organisation values members of staff. Staff spoken to confirmed this. Statutory visits to the home included a visit from the Environmental Health Officer in February 06. There were no requirements from this visit. Regular checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff complete all mandatory health and safety training topics. Maintenance requests are dealt with promptly. At the previous inspection the home was required to improve their fire safety checks according to the frequency advised by the Hereford and Worcester Fire Authority. There has been a significant improvement in the home’s approach to fire safety and in the recording of all checks that are carried out. Fire drills are being completed regularly with the most recent fire drill completed in March 07. Records show that fire training is being completed regularly. The home’s fire risk assessment has been reviewed and updated appropriately. There is now a clear and effective recording system of completed checks and compliance. Weekly fire alarm tests are being completed. Records show that during the most recent check the laundry call point was identified as faulty, and reported to maintenance for repair. The home’s annual development plan was completed in January 07. All policies and procedures were reviewed in July 06. Regular regulation 26 reports are sent to CSCI. Through their quality assurance system, the providers and the managers monitor the homes to make sure that the services continue to develop as service users want and that staff work in a safe environment. The providers and managers are aware of the Annual Quality Assurance Assessment (AQAA) that relates to all registered adult care service providers. Providers will have to complete an annual quality assurance assessment during this year when requested by CSCI. Larches, The DS0000018488.V329431.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 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 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 3 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 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 3 X 4 X X 4 X Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA30 Regulation 13 (3) Timescale for action The registered person shall make 27/06/07 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. Specifically, this refers to hand driers or hand towel dispensers to communal bathrooms and toilets. The kitchen must be cleaned to 30/05/07 remove trapped grease and dust that have accumulated particularly around the cooker and the extractor fan. Requirement 2. YA30 13 (3) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations It is good practice to highlight this on medication record sheets and in the individual’s care plan. Larches, The DS0000018488.V329431.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Larches, The DS0000018488.V329431.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. 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