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Inspection on 27/11/07 for Lynwode Park

Also see our care home review for Lynwode Park for more information

This inspection was carried out on 27th November 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lynwode Park 27/09/06

Similar services:

Oakmount Hostel

Ark House

St Anne`s Alcohol Services - Leeds

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

People can get good information about Lynwode Park before they decide to use the service. People have thorough assessments to make sure the treatment, care and support is suitable and safe for them.People said they were very satisfied with the care they had. They were involved in making decisions about themselves and the home was aware of the risks involved in people`s treatment. People said the therapy sessions were helpful and suitable. They said the staff gave them a lot of information about their condition and how to cope after treatment. People said they were confident in their healthcare at the home. They said staff treated them with dignity and respect; and one person said they felt it was, "a very safe environment to detox". The nurses followed safe procedures when dealing with people`s medication. People said they were very satisfied with Lynwode Park`s environment. It was clean bright and comfortable. People in surveys said the housekeeping was 100%. And some referred to it as "like a hotel". People said the staff were, "friendly", "helpful", and "caring". They said staff always gave them the information they needed. The managers ran the home well, they had good systems in place to make sure they monitor care well and continue to improve the service.

What has improved since the last inspection?

We saw a lot of good evidence to show us that the service development director, manager and staff had worked well to improve standards for people at Lynwode Park. This has benefited people safety, treatment and welfare. Clients must be provided with the therapy sessions and one-to-one support that is agreed as part of their care package. Access to therapy sessions for people was better. The quality of the meals, and choice was much better. The medication recording system was safer. Staff had access to training; this includes safeguarding adult training and care practices related to people`s alcohol dependency. People who smoke can access a smoke lounge away from the main living areas.

What the care home could do better:

Make people`s contracts easier for them to read and understand. Make peoples care plans easier for them to understand and be involved in. Improve the complaints process so that the home always has a record of, the home`s action and the outcomes. Lynwode Park should have a registered manager.

CARE HOME ADULTS 18-65 Lynwode Park Wensley Road New Lodge Barnsley South Yorkshire S71 1TJ Lead Inspector Mrs Sue Stephens Key Unannounced Inspection 27/11/ 2007 10:25 Lynwode Park DS0000066643.V334864.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 Lynwode Park DS0000066643.V334864.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. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lynwode Park Address Wensley Road New Lodge Barnsley South Yorkshire S71 1TJ 01226 779450 01226 779469 info@lynwodemanor.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) Mimosa Recovery Ltd Mr William Marsh Care Home 21 Category(ies) of Past or present alcohol dependence (21) registration, with number of places Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Younger adults 18 - 65 and Older People 65 - 75 to use no more than five places within the total of 21 27th September 2006 Date of last inspection Brief Description of the Service: Lynwode Park is a registered care service for people with past or present alcohol dependence. The home provides the primary stage for detoxification and therapy. The home provides care for men and women. Lynwode Park is within a housing estate on the outskirts of Barnsley. All bedrooms are single and each bedroom has an en-suite. All of the en-suites have washbasin and toilet; one of the en-suites has a shower. Shared bathroom and shower facilities are available close to the bedrooms. There is a dining and kitchen area where clients can make drinks and snacks. There is a lounge with T.V books and games. There is a designated smoke room. The local amenities include shops, chemist, library, church, and a bus route to town. Lynwode Park does not encourage clients to use the local amenities during their stay. This is because of the nature of the treatment and therapy. The home does make special arrangements for people to attend church if needed. The manager provided the information about the homes fees and charges on 08th August 2006. Fees are £2000 per week. Additional charges include newspapers. Prospective clients and their families can get information about Lynwode Park by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Further information about the home can be found at www.Lynwodemanor.com Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced visit; it took place between 10:25 and 16:45 pm on the 27 November 2007. In the report we make reference to “us” and “we”, when we do this we are referring to the inspector and the Commission for Social Care Inspection. The manager, Christina Smith, and the service development director Susan Waine assisted us during the visit. Ms Smith has not yet applied to register with us. During the visit we looked at the environment, and made some observations on the staffs’ manner and attitude towards people. We checked samples of documents that related to people’s care and safety. These included three care plans, and a sample of medication records, staff and health and safety records. We spoke to two people using the service and looked at six of the homes satisfaction surveys. We looked at other information before visiting the home, this included evidence from the last key inspection, and a pre inspection questionnaire that we asked for earlier in the year. Since Lynwode Park’s last key inspection they have re-registered with us to increase their bed numbers from 7 to 21 and to provide accommodation for some people over the age of 65. As part of this the home has refurbished and improved some of its facilities. This was a key inspection where we checked all the key standards. We would like to thank the managers, staff and people using the service for their welcome and help during the visit. What the service does well: People can get good information about Lynwode Park before they decide to use the service. People have thorough assessments to make sure the treatment, care and support is suitable and safe for them. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 6 People said they were very satisfied with the care they had. They were involved in making decisions about themselves and the home was aware of the risks involved in people’s treatment. People said the therapy sessions were helpful and suitable. They said the staff gave them a lot of information about their condition and how to cope after treatment. People said they were confident in their healthcare at the home. They said staff treated them with dignity and respect; and one person said they felt it was, “a very safe environment to detox”. The nurses followed safe procedures when dealing with people’s medication. People said they were very satisfied with Lynwode Park’s environment. It was clean bright and comfortable. People in surveys said the housekeeping was 100 . And some referred to it as “like a hotel”. People said the staff were, “friendly”, “helpful”, and “caring”. They said staff always gave them the information they needed. The managers ran the home well, they had good systems in place to make sure they monitor care well and continue to improve the service. What has improved since the last inspection? We saw a lot of good evidence to show us that the service development director, manager and staff had worked well to improve standards for people at Lynwode Park. This has benefited people safety, treatment and welfare. Clients must be provided with the therapy sessions and one-to-one support that is agreed as part of their care package. Access to therapy sessions for people was better. The quality of the meals, and choice was much better. The medication recording system was safer. Staff had access to training; this includes safeguarding adult training and care practices related to people’s alcohol dependency. People who smoke can access a smoke lounge away from the main living areas. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lynwode Park DS0000066643.V334864.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 Lynwode Park DS0000066643.V334864.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): 1 and 2. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Lynwode Park. People get good information and assessments. This helps to make sure people know whether the service is suitable for their needs. EVIDENCE: We found good evidence to show that Lynwode Park gives people relevant information about the service. This has improved this since our last inspection. People have thorough assessments before Lynwode agree to offer treatment. The service development director said she was aware some of the writing and language in people’s contract was difficult to read and understand. She said the home would improve this as part of their quality assurance process. People we spoke to said they had information from the homes Internet site and from telephone conversations with the home’s councillor. They also had written information after they arrived at the home. One person said the information the home gave them “definitely reflects the service” and staff “explained the treatment well”. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 10 Another person said, “They told me exactly what would happen” and “It has completely lived up to my expectations”. People had careful assessments before they could start their treatment; this included talking to a councillor (usually by phone) about the person’s needs and alcohol dependency problems. People, on arrival, had a further assessment with a nurse or qualified therapist; and they had a medical assessment with the homes consultant physiatrist. We found that the home kept appropriate records of the assessments. However, the service development director said they were reviewing the records in order to make them easier for people to understand the information Lynwode Park asked and recorded about them. We see this as good practice because it helps people to keep in control of their treatment and care. Lynwode Park DS0000066643.V334864.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): 6, 7 and 9. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Lynwode Park. Lynwode Park plans people’s care well. EVIDENCE: We found that Lynwode Park have made some improvements to their care plans. For example, the people we spoke to said staff had made them aware of their care plans. The plans we looked at were adequate in recording people’s needs. However, the home had not designed them in a way that helped people understand the information written about them. And did not cover people’s preferences or special needs enough. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 12 We spent some time with the service development-director looking at how the home can improve the plans to suit people better. This included easier-to-read language and designs that included the person in their own plans. We encourage the home to improve the plans in this way. This will help people to keep in control of their own health and care needs. People get support about making decisions and taking risks in their lives through the therapy sessions they attend during treatment. People told us they found the sessions helpful and non-confrontational. And that staff had good information about alcohol and it’s effects. People said they found the peer support in the therapy sessions good and the therapists managed the sessions well. Lynwode Park DS0000066643.V334864.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): 12, 14, 16, and 17. Standards 13 and 15 are not applicable because of the nature of people’s treatment and their length of stay. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Lynwode Park. People have access to information and leisure activities suitable for the duration of their stay. EVIDENCE: On average, people stay for treatment at Lynwode Park for about seven days. The therapy sessions offer people information about their condition and start to give people the knowledge and skills they need to support themselves after their treatment. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 14 People told us they found the therapists helpful and knowledgeable. One person said, “any questions I’ve had the nurses and therapists have answered them straight away”. Lynwode Park offers people a number of therapy sessions throughout their stay. On our last inspection people told us they did not always get the therapy sessions the home had promised them. The service development director said that they had improved this a lot, but needed to improve more to make sure people always had their sessions. The people we spoke to on this occasion said therapy sessions were available when they expected them to be. The surveys we looked at rated the therapy sessions as either “good” or “excellent” Comments included, “Good and varied” “Pleased I came here, as it has given me a foundation and introduction to my rehab” “Well presented and inspirational” The home had a small choice of leisure activities, such as a communal TV, books and magazines and tabletop games. People did not have TV’s in their own rooms because of the nature of their treatment and therapy sessions. The people we spoke to said they felt this was sufficient for the length of time they expected to stay there. People told us the meals were “1st class” and “hotel style”. They said they had a menu so they knew what meals were on offer and they had a choice. They said the meals were fresh, nutritious and plenty. The surveys we looked at rated the food as either “good” or “excellent”. This had improved since our last key inspection visit. The dining area had facilities for people to make drinks and snacks whenever they wanted. Lynwode Park DS0000066643.V334864.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): 18, 19 and 20. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Lynwode Park. People get good care and support. EVIDENCE: People we spoke to told us they were satisfied with their care. They said staff treated them with dignity and respect and did not judge them. They said this helped, and made them feel confident in their treatment. They also told us that staff keep them informed about their treatment progress and pay good attention to their condition. People’s records reflected this to show that nurses took regular observations and took action by contacting doctors, if people were not coping well with their treatment. One person described the treatment in their survey as, “A very safe environment to detox” and “A very good step 1 programme”. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 16 Lynwode Park has improved their medication practices since our last visit. The storage, receipt, administration and recording systems were in good order. People’s medication details were clear and easy to follow. The manger had attended advanced medication training, and monitored the homes systems. Only qualified nurses administered medication to people. And people told us the nurses explained their medication programme to them well. We noted that the way nurses record a homely remedy it could put people at risk of receiving more than the recommended dose. When we pointed this out to the manager she agreed to alter it immediately. Because of this, and because the remaining systems are in good order we have not issued a requirement. Lynwode Park DS0000066643.V334864.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): 22 and 23. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Lynwode Park. People are protected by the homes complaints and safeguarding procedures. EVIDENCE: People told us they felt they could complain if they needed to. They said staff listened to them and one person described this as “very much so”. We looked at some complaints records; there was a good system in place to allow people to raise concerns. However, the records did not have enough detail in them to show that the home had taken enough action about the person’s concern and what the final outcome was. We advised the service development director about this during our visit. Since the last inspection we have received two complaints. We put the complaints back to the providers. They gave us good evidence to show they investigated the complaint and took action in response to the information. This has helped improve the service. Safeguarding adults (adult protection) training was now part of all stafftraining programme. This has improved since our last inspection visit. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 30. People who use this service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to Lynwode Park. EVIDENCE: All six surveys rated the homes house keeping as “excellent”. The home is well decorated; it is clean and bright and has a variety of comfortable furnishings. Lynwode Park has expanded since our last inspection visit; they have provided included better facilities for people. These include a well-equipped dining/kitchen area, comfortable lounge and better access to showers. Bedrooms are bright, clean and have good quality furniture. The home has coordinated the bedroom furnishings, this makes the rooms welcoming and dignified. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 19 People told us they were very satisfied with their rooms and the homes environment. Both people we spoke to referred to the environment as being “Just like a hotel”. And one person said they were “impressed with the surroundings”. The home had now provided a designated smoke room. Lynwode Park DS0000066643.V334864.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, and 35. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Lynwode Park. People have support from a skilled and caring staff team. EVIDENCE: All six surveys rated the staff as “excellent” and they included the following comments about the staff, “Friendly and helpful throughout” “All staff were very caring” “Staff are all fantastic, very helpful, friendly and always cheerful” One person said they had been to treatment centres before and they found the approach from staff at Lynwode Park was “100 better”. The service development director explained the homes plans for training staff. Some of this was already under way, with some waiting to start. The homes training programme included: • Therapists (already qualified) working towards a further professional accreditation, the NCAC (National Drug and Counsellors Accreditation) Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 21 • • • Support workers ready to start DANOS (Drugs and Alcohol National Occupational Standards) and National Vocational Qualification in care at level 3 Nurses completed training to assess competencies in detoxification Nurses and therapist will complete 4 units of the DANOS and this will become part of their job description This training plan will give staff excellent knowledge, skills and competencies to become a highly effective work force. If the home achieves its goal this will benefit people using the service. And could contribute to the home achieving a higher rating following future inspections. We looked at staff recruitment files to check that the home follows robust procedures to employ the right staff. In the main the files were in good order. The records showed that Lynwode Park checks staff suitability before they start work. This includes CRB and POVA checks, (criminal record bureau check and protection of vulnerable adults list), and references and checks on nurse registration. Lynwode Park DS0000066643.V334864.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, and 42. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Lynwode Park. People receive care from a well-managed service. EVIDENCE: The manager informed us that she intended to apply to register with the Commission for Social Care Inspection. The manager has held a CSCI registration in the past, she has good experience of managing services and told us she has continued to update her knowledge and experience in managing alcohol detox and recovery services. We found good evidence to show that that Lynwode Park has improved since our last key inspection. The managers and staff have worked well towards Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 23 meeting our previous requirements. The service development director, Susan Waine showed us good quality assurance systems that she has started to introduce. This includes improved management and leadership; staff monitoring and staff support and training. She showed us quality assurance packages and training material that linked with national drug and alcohol standards and guidelines. This is excellent practice and once established will benefit people who use the service. And could contribute to the home achieving a higher rating following future inspections. We saw training matrixes that identified staff mandatory training, these included moving and handling, first aid, fire training, food hygiene and infection control. Where staff were out-of-date or due for up-date training, the manager had identified this and confirmed she had made arrangements for to address this. People said they felt the environment was safe, and we saw a sample of records to show that the home maintains its equipment and carries out safety checks. Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 4 27 X 28 X 29 X 30 4 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 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 N/A 14 3 15 N/A 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA22 Regulation 22 Schedule 4(11) Requirement Complaints records must contain enough detail to show the hoes actions and outcomes. Timescale for action 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA5 YA6 Good Practice Recommendations The managers should improve the contracts so that they are easier for people to understand. The managers should continue to improve the care plans so that they are easier for people to understand and be involved in. The providers should arrange for the manager to apply to the Commission for Social Care Inspection for registration. YA37 Lynwode Park DS0000066643.V334864.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Lynwode Park DS0000066643.V334864.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. 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