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Inspection on 30/06/05 for 509 Leeds and Bradford Road

Also see our care home review for 509 Leeds and Bradford Road for more information

This inspection was carried out on 30th June 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service is provided in a person centred way taking account of the residents likes, dislikes and preferences. Residents are enabled to undertake training and experience new environments and situation in order to encourage personal growth and development. A well-trained and experienced staff team supports residents. Residents undertake suitable and age appropriate activities, hobbies and go on holiday when able supported by staff. Residents personalities are well recognised. The following statement was made as part of a survey questionnaire and reflects what the service does well: "I consider this an extremely good service. Staff are enthusiastic, pleasant and committed. The service users quality of life was much enhanced following the encouragement, support and well constructed package of care she received." 85% of staff are qualified to NVQ level 2 or 3.

What has improved since the last inspection?

Leeds and Bradford RoadJ52 S62102 Leeds bradford Road V233893 300605 Stage 4.docVersion 1.40Page 6This is the first inspection for this service. Leeds and Bradford Road was previously registered, as part of another registration hence some of the service users have been residents for several years.

What the care home could do better:

The assessments must include details of any mobility needs, handling assessments and falls and skin viability assessments. The registered manager had identified this increasing need and was making arrangements to address the shortfall by providing risk assessments and further training to staff.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Leeds and Bradford Road 509 Leeds and Bradford Road Bramley Leeds LS13 2AG Lead Inspector Barbara Grell Unannounced 30 June 2005 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 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 Older People and 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. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Leeds and bradford Road Address 509 Leeds and Bradford Road Bramley LS13 2AG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0113 1040018 Sense (North) Miss Sarah Culshaw Care Home 5 Category(ies) of MD Mental Disorder (3) registration, with number Mental Disorder -over 65 (2) of places Learning disability (3) Learning dis - over 65 (2) Physical disability (1) Sensory Impairment (3) Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection NA Brief Description of the Service: Leeds and Bradford Road is a converted period property. It provides accommodation on three floors for up to five younger adults or older people with multiple disabilities including sensory impairments of both genders. the house provides level access to the rear and a passenger lift is fitted to the first floor. All service users are provided with single rooms. Additionally there is a large dining kitchen and lounge provided for. Public transport is situated close by and there is parking available on road. The house is owned and managed by SENSE North a voluntary, national organisation that aims to provide housing and services with sensory needs. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken unannounced by one inspector on 30 June 2005 between 13:30 and 15:30. Sarah Culshaw the registered manager was on duty alongside one carer. There were three residents present, two others had gone out in line with their weekly plan. The following methods were used. One case study was undertaken of a new admission to the home. The inspector had discussions with the manager and staff on duty about policy and practice. Residents were observed in their interaction with staff. Two personnel files were inspected. Two quality surveys were returned by professionals visiting the home and involved in the care of service users. What the service does well: What has improved since the last inspection? Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 6 This is the first inspection for this service. Leeds and Bradford Road was previously registered, as part of another registration hence some of the service users have been residents for several years. 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. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 (Adults), 3 & 6(Older People) Thorough pre-admission assessment processes and practices ensure that resident’s needs are met EVIDENCE: Prospective residents are assessed by SENSE staff prior to admission. The assessments include visits to the prospective residents current situation and to Leeds and Bradford Road. All contacts are recorded and any needs identified. The assessment process includes talking and discussing care needs with family, friends and previous carers enabling their interests, input and needs to be considered. The home does not provide intermediate care hence standard 6 Older People is not applicable. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 (Younger Adults), 7, 14 (Older People) The resident’s needs are well assessed, recorded and reviewed. The residents have input in the care planning process within their capacity. Manual handling assessments must be undertaken. EVIDENCE: The care plan is generated from the pre-admission assessment and ongoing assessments and reviews undertaken periodically. The care plan covers all aspects of the service users care, development, training, social and emotional needs. The care plan sets out how current and anticipated needs will be met. The areas of communication are well-covered giving details of personal signs, symbols and triggers. One to one communication and support is provided to enable appropriate support. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 10 An identified weakness is the lack of adequate manual handling risk assessments and care planning in this area. The increasing needs of residents must be more fully considered and addressed. The care plans include individual procedures for dealing for service users who are likely to be aggressive. There are clear procedures in place in respect of service users capacity to give consent. Areas were there are concerns in respect of residents capacity to give consent are detailed and procedures in place advising staff what to do. Service users are given opportunity to comment on their care and the services and their reactions are closely observed and monitored to look for any none verbal reactions. Most service users capacity is limited and other people including family and professionals are involved in the decision making process as the residents participation is limited. Review meetings are held periodically and after the trial period. Records are kept of the discussions and any decisions made. The care plan is amended. Service users are offered options of activities some of them may be new to the service user and include experiencing new environments and areas of personal development. Any risks including emotional are assessed. Any limitations are recorded. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 16 (Younger Adults), 10, 12 & 13 (Older People) The service users are enabled to lead a fulfilling lifestyle that includes age appropriate activities. Transport and appropriate staff assistance is provided for residents to undertake many activities outside the home and participate fully within the community. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 12 EVIDENCE: The residents have a weekly schedule that shows all planned activities including free time. These showed that residents are engaged in a variety of educational, training and developmental activities. Continuity is ensured in respect of activities in respect of those undertaken prior to admission. Training and educational facilities and special courses are accessed in line with the service users interests and skill level. The residents use community facilities including places of interest and education as well as shops and pubs. Appropriate transport is provided to ensure mobility. Staff and service users spend much time outside of the home and service users are involved in shopping for example. The daily routine is service user lead. The resident’s weekly plans show residents responsibilities and attendances at educational centres. Residents are assisted by staff to follow their weekly routine. Residents take part as much as possible in all tasks at the home including cooking and cleaning within their capacity. Two residents were watching TV during the afternoon. Two residents were out at education facilities. Another resident was listening to tapes in the kitchen watching staff undertake food preparation. Residents were clearly enjoying their free time. Staff were able to communicate with the residents and interacted well providing guidance and support. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 (Younger Adults), 8 & 9(Older People) NHS professionals meet the resident’s health care needs. Any observations by staff are well recorded ensuring good monitoring of the residents changing needs. Personal support is provided in line with the care plan by staff in private. EVIDENCE: The resident’s signs and symbols are used in meeting the service users communication needs. Trail rails and specialist lighting and equipment is provided. Mobility equipment is provided and the registered manager is in the process of review considering the residents increasing needs. The resident’s routines are based on the planned and ongoing activities and the resident’s wishes. Residents are assisted at times necessary and staffing levels take full Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 14 account of these. routines. The care plans show the residents preferred and ongoing The residents are subject to annual health care reviews and the outcome is recorded within the resident’s case record including any action needed and taken. The residents are registered with a local GP of their choice and access NHS services via the usual referral process. Several of the residents are supported and monitored by consultants and residents are supported by staff in attending any appointments. The resident’s emotional and psychological needs are well-monitored and further specialist assessments requested by staff when needed. NHS staff provide any nursing input. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The home has an appropriate complaint policy and recording system. EVIDENCE: There is an appropriate complaint procedure that is published as part of the service user guide/statement of purpose. The registered manager strives for high quality in standards and encourages feedback from service users and their representatives. One such forum is the review meeting. There have been no complaints. Both surveys returned stated that there had been no reason for complaint and the procedure was known. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 &30 (Younger Adults), 19 &26(Older People) The house provides for good accommodation that suits the needs of the service users and is bright, clean and well maintained. EVIDENCE: The house is situated in a weaver’s cottage that has been converted to provide accommodation for younger adults and older people with sensory needs and other physical or mental health needs. There is ramped access to the back of the house leading into the dining kitchen. There is a lift reaching the first Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 17 floor. A number of residents have to be able to manage stairs. The premises are regularly updated and upgraded. A new kitchen is planned at present and the manager is reviewing the availability of disability equipment provided in line with their changing needs. The furnishings are domestic in style. All residents have a single bedroom. The lower ground floor includes a laundry that is adequately equipped in meeting the laundering needs of the house. Areas of the home were seen to be bright and are regularly cleaned. The kitchen is well equipped though ageing and offers good facilities for storage and food preparations. Residents have full access to the kitchen. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 & 35 (Younger Adults), 27, 29 & 30 (Older People) The recruitment processes and practices ensure that prospective employees are properly vetted to ensure their suitability to work with vulnerable adults. The training provision meets the requirements and provides for specialist training in line with the service users needs ensuring a high skill level. EVIDENCE: Two personnel files were inspected. Orderly files are ensured and the registered manager has recently undertaken a quality assurance check in respect of file content and outcome recorded and published on a spreadsheet. This is good quality management. The files seen included written references, evidence of CRB clearance as well as details of training provided and any Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 19 professional qualifications. All appointments are subject to a trial period and performance appraisal is apparent and recorded on all files. SENSE has training and development policies in line with the service users needs and stated training standard. There is a structured induction training process and ongoing training including refresher and specialist training is provided. The staff’s training needs are assessed during appraisal and supervision. Specialist training includes handling challenging behaviour and various signing and communication courses. 85 of staff are qualified to NVQ level 2 or 3 and this exceeds the required levels. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 & 39 (Younger Adults), 33, 35 (Older People) The home is managed by a qualified and competent person who ensures a person centred approach. The service users interests and needs underpin the decision making at the home. The manager ensures ongoing quality assurance and development in line with any findings. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 21 EVIDENCE: The registered manager is qualified to level 4 NVQ in care and management. Sarah Culshaw has many years experience in working with service users with sensory impairment and multiple disabilities and is able to lead the team by example. The registered manager enables staff through supervision and staff meetings to voice their opinion and become involved in the decision making process. There was much evidence of ongoing review and quality management. The registered manager regularly reviews the content of files and policies to ensure that all is accurate and up to date. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 x Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x x 3 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING 3 x x x x x 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x x x 3 4 x 3 3 3 x x x x Version 1.40 Page 23 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Leeds and Bradford Road Score 3 3 x x 37 38 39 40 41 42 43 J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc 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. 1. Standard 6 Regulation 15 Requirement Manual handling risk assessments and care plans must be ensured for all service users. Timescale for action 01.09.05 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 Good Practice Recommendations Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP 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. Leeds and Bradford Road J52 S62102 Leeds bradford Road V233893 300605 Stage 4.doc Version 1.40 Page 25 - 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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