Inspection on 04/12/07 for Leighside

This inspection was carried out on 4th December 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

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

CARE HOME ADULTS 18-65 Leighside 19a Kenilworth Gardens West End Southampton SO30 3RE Lead Inspector Richard Slimm Unannounced Inspection 4th December 2007 09:00 Leighside DS0000070029.V353555.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 Leighside DS0000070029.V353555.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. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leighside Address 19a Kenilworth Gardens West End Southampton SO30 3RE 023 80462221 023 80462221 andrewfoster@inchorus.co.uk 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) In Chorus Ltd Mr Ian Philip Gregory Care Home 5 Category(ies) of Learning disability (0) registration, with number of places Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 5. Date of last inspection New Service Brief Description of the Service: Leighside is a small five - bedded care home that was registered in June 2007. The organisation, that runs a number of similar services in the area, set up this service in order to improve facilities for existing service users. The house is of a modern build and an ordinary domestic style dwelling on an ordinary housing estate on the outskirts of Southampton City. There are five bedrooms all single with en suite facilities. On the ground floor there are two communal lounge areas, one used as a TV/music room, and one as an activities area. There is a domestic style kitchen, a utility room and an office. The home has off street parking with side access and a large garden to the rear, with sheds for workshop/storage and gardening. The home provides support services to five younger adults with autistic spectrum disorders; some associated learning and communication difficulties and behaviours that may challenge. The fees range from £4791.00 to £5317.00 per month. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit formed part of the key inspection process and was carried out by Richard Slimm regulatory inspector. The information used to write this report was gained from the homes Annual Quality Assurance Assessment; a visit to the service and a review of comment cards received from people living at the home, staff, relatives, and health and social care professionals. Other information was gathered from the services history of events, previous inspection reports, and direct conversations with people living at the home, staff, the manager and one of the directors of the organisation. There was also an analysis of information supplied to and recorded by the link inspector. We met four of the five people living at the home during the site visit. The findings of the inspection were discussed with the management at the end of the day. What the service does well: The service provides flexible well-planned and responsive support to the people living at the home. The home was set up following consultation with the people who were to move into the home Comments received by us included – • I know I can take concerns/complaints to the manager or the owner. • Meals are particularly good – all home cooking of a high standard and residents get involved with prep and some cooking. Resident’s are encouraged to contribute to the running of their home and there by value it. Music and art and craft sessions are arranged every week and tutors for this brought in from outside. Very Good Manager and some good support workers. • I see my relative 3 times a week and take them out. This arrangement has been in place for the past 5 years. I find the manager and staff at Leighside (the new one and the old one) very supportive. • I know I can take concerns/complaints to the manager or the owner. • I believed the home supports people well to cope with their autism in day-to-day life. • Staff treat me well on the whole, but some seem to understand me better than others and these I warm to more. • Two other service users comment cards were returned both were positive but no specific comments made other than ticking the relevant positive boxes. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 6 • • • • • • • • I was asked if I wanted to move to the home and had meetings with the owner. This home suits me well I like it here. We have residents’ rotas to identify when each resident goes out. Each resident has different times to go out. (In order that support is available if needed) I can do what I want at the weekend. If I was unhappy I would talk to staff. If I needed to complain I could speak to staff or managers. The staff who support me listen to me. They listen, they do care about me, the staff do. They are kind and friendly. What has improved since the last inspection? What they could do better: The service needs to ensure that the notice periods in the contracts follow reasonable timescales that would enable people to find, or be found suitable alternative arrangements in the event of terminating residency. The service needs to ensure that people are made aware of how to contact the CSCI should they wish. This information needs to be added to the services complaints and comments procedure. There were a number of comments from stakeholders and people living at the home that may identify potential areas for improvements/developments, these included – • My only reservation is that this year there have been umpteen changes and that this does not suit my relative in any shape or form. I don’t understand why my relative’s key worker has been made to put in hours at another home run by In Chorus, when I am sure an alternative Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 7 measure could have been found. Why unsettle my relative (who is ultra sensitive to change) more than need be? • Just too much turnover of staff this year on top of the actual move to West End, which unsettled my relative. I feel my relative’s key worker, given all the other changes could have been kept to their usual hours, at Leighside for the sake of my relative. I feel there are occasions when more checks are needed on my relative to ensure specs are clean, shoes are on properly; correct underclothes are worn. I want the very best for my relative, and I feel some standards could be higher. I’ve complained about the smeared specs and for a while support staff check this, but after a while things slip back. I would wish for my relative to be taken out for a walk every day. They love this and have a right to daily exercise. But this doesn’t happen due to staff shortages. It would help if there were less changes / turnover of staff. Parent meetings once or twice a year could be offered to enable our views to be heard. I feel there could be more support to deal with those behaviours that challenge. The service could inform the community team of relevant incidents involving people using the service. Staff don’t always listen to me. Sometimes I feel that the staff don’t care about all my worries, but the good thing is they do listen sometimes. But I feel it’s when they feel like it but they do listen. Some of the staff not all of the staff listen to me and act on what I say. I want all the staff to help me with my worries because not all of the staff listen. Well they do but not always. They listen, they do care about me, the staff do. They are kind and friendly. • • • • • • • • 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. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard two and five were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective users’ individual aspirations and needs are assessed. While each service user has an individual written contract or statement of terms and conditions with the home. The notice period is not sufficient. EVIDENCE: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. This home was set up after careful consultation with the people who live there. Consequently the fiver people living at the home have been enabled to be involved in the planning and the setting up of the service. New residents can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 10 conditions between the person and the care home that includes how much they will pay and what the home provides for the money. The one-month period of notice may be to little to enable suitable alternative residential arrangements to be made, given the specialist needs of the people using the service. This period will need to be reviewed with the people who live at the home, and potentially, parents and commissioners who would be involved in any move. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 11 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): Standards 6, 7 and 9 were reviewed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 supported to take risks as part of an independent lifestyle. EVIDENCE: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff members promote their rights and choices. Three support plans were part of the case tracking exercise to gather evidence, and each was found to be up to date, relevant to the person concerned and promoted a person centred approach to support and care. Some issues identified by relatives were case tracked and there was evidence Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 12 that action was being taken to address these issues. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. This was also evident by more able residents being enabled to lead more independent lifestyles with staff support when needed. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. System to promote good communication were evident, and residents with less communication skills were being afforded the same rights as anyone else living at the home. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff members follow. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 13 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): Standards 12, 13, 15, 16 and 17 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. 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. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 14 EVIDENCE: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, wellpresented meals and snacks, at a time and place to suit them. People were observed either preparing their own or being supported by staff to prepare their own lunches in their kitchen. People interviewed and observed, as well as feedback from residents and other stakeholders confirmed that the quality and variation of food was good and met the needs and wishes of the people living at the home. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff members support their personal development. People choose and participate in suitable leisure activities both at the home and externally in fully integrated settings. Support plans included clear risk assessments relevant to a variety of activities people engage in, and risk management was part of the promotion of rights and independence. It was clear that the service does not provide a one size fits all service, but there was clear evidence of five separately tailored packages of support relevant to the needs, wishes and aspirations of the individuals concerned. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 15 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): Standards 18, 19 and 20 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. EVIDENCE: People receive personal support from staff in the way they prefer and want. This is because assessments of peoples needs and wishes inform support plans that are individualised. Peoples’ physical and emotional health needs are met because the home has developed person centred support plans, have put in place key workers as well as procedures that staff members follow. In addition to this there are regular reviews undertaken with people to check the level of support is still relevant to need. It was observed that the manager took action to ensure that one resident with Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 16 specific needs was supported to be as independent as possible in this aspect of daily living. The case tracking exercise provided evidence that care is taken as far as possible to ensure things such as clean spectacles are provided and that people wear appropriate clothing, shoes are on properly and gloves are worn if needed. It was also noted that daily walks are arranged, but there are occasions when the time available for such external one-to one activity may be limited due to staffing issues. The manager agreed to monitor this matter and to seek the views of the parent concerned on a regular basis. The organisation makes arrangements to ensure that the staff team reflects the gender and age interests of the people living at the home. Cultural and ethnic issues are identified and action taken to address any areas of need. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. The service should be commended for the small number of people who are currently taking regular medication. If people are approaching the end of their life, the care home have systems in place that will ensure respect of personal choices and help them to feel comfortable and secure. They, and people close to them, are reassured that any palliative needs will be arranged appropriately and handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 17 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): Standards 22 and 23 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel their views are listened to and acted on. Where people have any doubts about such issues they know how to make their views known. The service users complaints procedure does not currently advised clearly how to contact the CSCI. Service users are protected from abuse, neglect and self-harm. EVIDENCE: If people have concerns with their care, or the quality of any other aspect of the service, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. This was evident from feedback provided by a variety of sources. The home has provided people with complaints procedures in formats that they can understand or are easily explained to them. Currently the complaints procedure does not clearly identify how to contact the CSCI. People living at the home felt able to share issues with us, in an open and adult manner. The management were open to comments that were made and were responsive to these matters, wishing to deal with them before they became a problem for people. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 18 Records and interviews as well as the home’s annual quality assurance assessment provided to us indicated that all staff members are adequately checked before working with vulnerable people. Staff members interviewed confirmed they received safeguarding training. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 19 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): Standards 24 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. In line with best practice and the stated aims of the service people are supported and actively encouraged to engage in such activities as keeping their house clean and tidy. The home was only registered in June 2007, and has consequently been assessed as meeting all of the national standards. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 20 Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. People have been and continue to be consulted in the running of their home. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 21 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): Standards 32, 34 and 35 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent and qualified staff supports Service users. Service users are supported and protected by the home’s recruitment policy and practices. Appropriately trained staff members meet Service users’ individual and joint needs. EVIDENCE: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff members get the right training, supervision and support they need from their managers. An effective staff team who understand and do what is expected of them supports people. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 22 During the site visit the inspector observed interactions between staff members and people living at the home. There was evidence of staff listening to what people said and acting on the stated needs of residents. Case records provided clear guidance about communication needs, and the AQAA for the service has also identified the need to make further improvements in this area of service provision, to benefit people living at the home. The resident with concerns about some staff not listening was able to discuss these issues with the inspector and the registered manager at the time of the visit. The resident did not wish to make a formal complaint and it was agreed the manager would be working with the resident, their key worker and the staff team to address such concerns. The manager did acknowledge the challenge of staff turnover, and the particular difficulties this can pose for people with autistic spectrum disorders. However, the home does not use agency staff members and this does a lot to promote continuity. The organisation is also pro-active in relation to retaining good staff. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 23 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): Standards 37, 39 and 42 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home. Service users are confident their views underpin all self-monitoring, review and development by the home. The health, safety and welfare of service users are promoted and protected. EVIDENCE: People have confidence in the care home because it is run and managed appropriately. The registered home manager has more than 10 years relevant management/supervisory experience in residential care settings and additional experience in a related field. He holds the Registered Manager Award and NVQ4. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 24 People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. This service was designed and set up by In Chorus as a direct result of the views of service users for their future. We have known the provider organisation over some years and have registered a number of services run by In Chorus. We regulated the previous service also called Leighside and it was noted that the only significant change to arrangements has been the physical move to the new house. All other aspects of the service including the staff team, five service users, the manager and the provider organisation have not changed. However, the manager did acknowledge there had been some disruption due to the move, and there is a perennial challenge in respect of staff turnover. This is not uncommon in care homes nationally, and In Chorus has developed some good arrangements in order to promote the retention good staff. The environment is safe for people and staff because health and safety practices are carried out. The people living at Leighside also appreciate the new environment, and all appeared to be settling down well into their new home. Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 X 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA5 Good Practice Recommendations It is recommended that the period of one month for termination of accommodation be reviewed in light of how long it could take to find alternative accommodation. This should be done in consultation with the people living at the home, their advocates and the relevant commissioners. It is recommended that the complaints procedure for people using the service include the contact details for the CSCI. 2 YA22 Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Leighside DS0000070029.V353555.R01.S.doc Version 5.2 Page 28 - 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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