Inspection on 24/10/06 for Lower Oldfield Park

This inspection was carried out on 24th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Lower Oldfield Park 11/04/07

Lower Oldfield Park 28/03/06

Lower Oldfield Park 20/11/05

Lower Oldfield Park 30/03/05

Lower Oldfield Park 09/12/04

Lower Oldfield Park 23/03/04

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

CARE HOME ADULTS 18-65 Lower Oldfield Park 82 Lower Oldfield Park Bath Bath & N E Somerset BA2 3HP Lead Inspector Melanie Edwards Key Unannounced Inspection 24th October 2006 10:00 Lower Oldfield Park DS0000008168.V317000.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 Lower Oldfield Park DS0000008168.V317000.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. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lower Oldfield Park Address 82 Lower Oldfield Park Bath Bath & N E Somerset BA2 3HP 01225 448396 01225 448396 82lop@btconnect.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bath Mind Paul Cooper Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (6) Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 6 persons with mental disorder aged 20 years and over 28th March 2006 Date of last inspection Brief Description of the Service: 82 Lower Oldfield Park is owned by Bristol Churches Housing Association and operated by Bath Mind. Bath Mind is an independent voluntary organisation, which is affiliated to National Mind. Bath Mind operates a number of projects in the Bath area, of which 82 Lower Oldfield Park is one, for people experiencing mental ill health problems and their carers. 82 Lower Oldfield Park is a care home, providing care and support for up to six people with long-term mental health needs. The manager, a senior care officer and a team of care officers support the residents 24 hours a day. The Home is a three-storey building conveniently placed close to a bus route into the centre of Bath and is close to local amenities, and the shops on Moorland Road. There are six bedrooms, two communal lounges, a kitchen/diner, four bathrooms and five toilets on all three levels. There is also a sleep-in bedroom for staff members on the lower ground floor. Bath Mind’s aim is to provide encouragement, support and assistance to residents to increase and improve their quality of life, freedom and independence to move on to supported housing when appropriate. The fee charged to stay at the Home is £ 699 week. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Four of the six residents who live at the Home, and three members of staff including the registered manager were consulted about roles and responsibilities, training needs, and how they support residents. Staff were observed supporting residents with their needs. A selection of records relating to the running and management of the Home were inspected. A selection of residents care records and care plans were also reviewed. The majority of the environment was seen with the only area not viewed being one bedroom. The Home was operating within required conditions of registration set down by us. The conditions of registration detail the type of care and the needs of residents the Home can provide personal care for. What the service does well: 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 Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. Lower Oldfield Park DS0000008168.V317000.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 Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3. Quality in this outcome area is good. Residents’ needs are assessed and are met by the Home. Prospective residents are provided with the necessary information to help them to understand the service provided by the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how residents, and prospective residents can find out about the Home a copy of the service users guide was reviewed. The guide includes information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs was also included. A copy of the complaints procedure is also given to all residents. A copy of the statement of purpose was also inspected. A copy of this document is kept in the entrance hall so that residents and visitors can read it. The document includes all of the relevant information about how the Home is run. This includes the staffing levels, and staffing structure of Bath MIND who run the service, as well as the type of care that will be provided. To find out how effectively residents’ needs have been assessed two resident’s assessment records were looked at .Mr Cooper and the staff team have completed detailed assessments of the physical, mental health and social needs of each resident. There was also information recorded about the resident’s views of their care. Included in the assessments were the likes and Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 9 dislikes of the resident, and their preferred choice of social and therapeutic activities. There was also evidence recorded in the assessments that demonstrated they had been regularly evaluated and updated with the involvement of residents. This helps to demonstrate residents’ needs are monitored by the Home. To find out how well the Home is meeting residents needs two care plans were reviewed (see also standard 6). There was detailed information written for each resident clearly stating how to assist residents with their mental health needs. The staff consulted conveyed in discussion and through observations that they had a good understanding of the mental heath needs of the residents. Staff were also observed talking to residents in a warm manner. This helps to demonstrate that residents are well supported by staff. All of the residents consulted were positive about the Home and the staff. One resident said, `the staff try their best,’ and another resident said, `we are all treated very well, and everyone is treated fairly here.’ Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9.Quality in this outcome area is good. Residents’ needs are assessed and care plans reflect how their needs are met. The residents are also well supported to make decisions and to take risks in their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how effectively residents are being supported to meet their needs two care plans were inspected. There was a detailed personal profile, completed for each person. These contained information about the personal history of the resident, as well as information about their physical and mental health history. There was also a detailed plan of care for each resident, which aimed to address the physical, mental, and social needs of the person. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 11 The care plans aimed to promote the independence of the resident in their daily lives. There was also evidence written in the records that showed residents had been consulted in planning how their needs would be met. There was evidence that care plans had been evaluated and updated on a regular basis with the involvement of the residents. There was information included in residents care plans about risks the person may face, and any risk behaviour they may exhibit. The plans of care recorded the preferred approaches staff should take to support the residents to maintain their safety, and minimise any undue risk to themselves or others. There was information written in the two residents records that showed staff were aiming to support the individual to maintain their independence in their daily living. Residents were observed leaving the Home independently. This is good evidence that demonstrates how residents are being supported and encouraged to take some risks as part of an independent life style. In discussion with staff it is clear that one of the aims of the Home is to promote residents’ rights and independence in their daily lives. There was good evidence that residents are actively involved in the choice of meals served in the Home. Also there are regular house meetings held, and residents are encouraged and supported to set an agenda for these meetings. These are good examples of how residents are supported to take an active role in the day-to-day running of the Home. One resident said they were going to raise a matter related to the daily running of the Home with the other residents at the next meeting. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,17. Quality in this outcome area is good. Residents are well supported to take part in a range of appropriate activities. They are further supported to be a part of the community and to have personal relationships. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 13 There was information recorded in the two residents records that confirmed they regularly attended a local drop in and activities centre in the City of Bath. One resident was out for the day at the social centre they go to on a regular basis. A group of residents have recently been on a short break to Paris with the support of staff. The residents who went in the trip said that they had really enjoyed it. One aim of the Home is to support residents to be able to access community facilities as independently as possible. A good example of this is residents are supported to go shopping for food items, to then prepare and cook for themselves and the other residents at least once a week. A copy of the current menu that is kept in the kitchen accessible to residents was reviewed. There was a range of dishes recorded as being available for each day. There was evidence seen that demonstrate residents likes and dislikes are included when menus are planned. There was a varied choice of meal options available for the residents. Meal options included a range of traditional, nutritional meals. The lunchtime meal options included a range of well-balanced meals and snacks. Three of the residents said that the food served was ` good.’ Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. Residents are being supported with their needs in the way preferred by them, and their needs are being met. Also residents’ medication is being stored administered and disposed of safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 15 Each residents care records include a record of their physical health needs, and appointments (see also standard 6). This details the residents’ last optician, chiropody, dental and GP appointments that the resident has attended. One resident was being assisted by staff to book a chiropody appointment for the following week. One resident also receives support from a community psychiatric nurse, for additional help with their needs. This helps to demonstrate that residents’ health care needs are being met. Residents are involved in care planning meetings with the staff and the psychiatrists that are held to review their needs on a regular basis. As also referred to in the report, there was written evidence in the two residents care records which showed the preferred day to day routine of the residents and their particular likes and dislikes. This helps to demonstrate how residents are being involved in the planning of their care. The plans of care also stated the preferred manner in which to assist the residents to meet their mental health and social needs. Staff were talking with the residents in a relaxed manner and residents and staff have built up close and trusting relationships. The procedures for the administration storage and disposal of medication were checked to monitor if there are safe systems in place. Medication was stored in the staff office in a locked wall mounted metal cabinet. The medication administration charts of two residents were read in detail. There was a recent photograph of each resident kept near the chart. The charts were legible and up to date, they contained the signature of the dispensing member of staff, as well as the reasons for any omissions had also been recorded. There was evidence recorded on a selection of the residents drug administration charts that stock checks are being carried out. This helps to demonstrate that the residents medication stock is being stored administered and disposed of safely. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23.Quality in this outcome area is good. Residents’ views are listened to, and acted on by Mr Cooper, and there are systems and training in place to protect them from the risk of abuse or harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints book record was looked at to see how residents’ complaints are responded to .The complaints book showed that there had been no complaints recorded since the Home opened. The record included the details of how the complaint would be dealt with by Mr Cooper and Bath MIND. Also each resident has been given a copy of the procedure to make a complaint and this includes the contact details for Bath MIND as well as The Commission for Social Care Inspection. This gives residents the information they need to complain about the service. There are regular `residents meetings’ held, and residents are encouraged and supported to set their own agenda for the meetings. This is also a good opportunity for residents to complain if they need to. There is a `protection of vulnerable adults’ procedure to protect residents and to guide and support staff in the event of an allegation of abuse. Mr Cooper said that the majority of staff had been on recent training on issues related to abuse in the last twelve months. Training records that were seen also confirmed staff complete regular training on this subject. This helps to demonstrate how residents are protected form the risk of harm or abuse in the Home. To find out if the Home operates safe recruitment practises a sample of staff Criminal Records Bureau checks were inspected. All staff had completed a Criminal Records Bureau offences check prior to employment. These checks are a safeguard for vulnerable clients. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 17 Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30.Quality in this outcome area is good. Residents live in a Home that is suitable for their needs and lifestyles and promotes their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 19 The Home is an older building in a quiet residential area in Bath. It is close to local shops and residents’ can access local amenities. The Home was clean tidy and satisfactorily maintained in all areas that were viewed. There are two lounges, and an open plan kitchen and dining room for the residents to use. This is beneficial as this helps ensure residents can maintain their privacy and `personal space’ if they so wish. Residents looked relaxed and comfortable in their surroundings. The bedrooms were personalised with resident’s personal possessions. There is furniture and fittings provided, including a wardrobe a comfortable chairs a bedside cabinet and a chest of drawers in each room. There were also photographs, and pictures displayed in some rooms that helped to create a more personal feel to rooms. Also several resident’s artworks are on display in their rooms and throughout the Home. Bedrooms do not have en-suite facilities however there are toilets, and a shower or bathroom located close to bedrooms on each floor, which is convenient for residents use. The kitchen is on the ground floor, leading onto the dining room, and of a domestic style. Residents use the room to prepare drinks and snacks with the support of staff if needed. This helps to demonstrate residents live in a relaxed Home where they can be independent if they wish to be. There is a small laundry room in the basement. It contains a washing machine and one tumble dryer. Residents use the laundry to wash their own clothes with staff support if needed. This is another example of how they are supported to maintain independence in their daily living activities. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36. Quality in this outcome area is good. Residents are supported by a sufficient number of competent, qualified staff who are well supported and supervised in their work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 21 Staff attend a range of training run by MIND, as well as by Bath City Council, and other training organisations. The staff had undertaken a range of relevant courses related to residents mental health needs. There was information seen in staff training file that demonstrated staff are also booked to attend forthcoming training in food hygiene, first aid and fire safety. The Home also has student social workers working there on a regular basis, as part of their training. This helps demonstrate the service is a thriving learning environment for students. The staff duty record for October 2006 was reviewed to find out how many staff are on duty each day to support residents with their needs. There had been a very small amount of sickness recorded and the Homes own staff had covered the shortfall in staff. The Home tries to cover shifts with staff that residents know to help ensure they are familiar with them. There is at least two staff on duty during the day to provide residents with support in their daily activities. There is one member of staff on duty at night working a `sleeping in’ shift and is available for support if needed. There is also an on call support system to support staff and residents out of hours and at weekends. Based on the evidence from the inspection, the number of staff on duty is meeting residents’ needs. The staff observed during the inspection conveyed they were able to communicate and support residents in a sensitive manner. Mr Cooper undertakes the supervision of staff, and the supervision records of one member of staff was looked at .The records demonstrated the member of staff is being well supported by Mr Cooper . Also based on the discussions with the staff on duty it was evident that the staff feel supported in their work. This benefits residents if staff are supported to be able to provide the care, and a have good understanding of residents and their needs. The staff meetings minutes record was looked at. These showed that staff meetings take place regularly, and staff are consulted about a range of relevant matters related to the day-to-day running of the Home. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42.Quality in this outcome area is good. Residents’ benefit from a well run Home and can be confident that their views will be listened to. Residents and staff health and safety is being protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr Cooper has over seven years experience working with residents who have mental health needs, and also working in a Care Home run by the RNID supporting people who are deaf. He is registered with us as the manager of the Home. This demonstrates Mr Cooper is considered suitable and qualified to fulfil the role of registered manager. One resident said that Mr Cooper was, `a great manager.’ Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 23 Residents’ records are kept in a locked metal cabinet in the office. The residents’ care records, and the records seen relating to the running of the Home were satisfactorily written, legible, up to date, and satisfactorily maintained. This helps demonstrate residents’ confidentiality is protected, and also that Mr Cooper ensures legal records required for the effective running of the Home are in order. The monthly monitoring visits of the Home that need to be carried out by a representative of MIND are undertaken as required by law. The records of these visits are being sent to us on a regular basis. The records that have been seen, demonstrate that the designated individual responsible for the visits spends time consulting with residents and their representatives and observing staff. Residents are also formally consulted on an annual basis, as part of the quality monitoring of the Home and the service it s provides. The results of the residents’ surveys are sent to Bath Mind head office, and residents’ views and wishes are acted upon wherever possible. The Home looked safe and satisfactorily maintained in all areas viewed. Staff are provided with regular training in health and safety matters including first aid, and moving and handling practices. This should help protect residents’ health and safety if staff are knowledgeable and trained in health and safety principles and practices. All staff complete food hygiene training to help them maintain their understanding of how to handle and cook food safely. All high-risk foods, such as meat, eggs, and fish are being temperature probed before serving to demonstrate that they have reached above the minimum safety guidance temperature. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and fire fighting equipment are carried out and were up to date. One of the staff act as designated health and safety representative and carries out regular audits of the health and safety of the environment. Mr Cooper said he also carries out regular health and safety checks of the environment, to help ensure the Home is safe and satisfactorily maintained. Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Lower Oldfield Park DS0000008168.V317000.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!