Inspection on 13/02/08 for Lyttle`s Residential Care Home

This inspection was carried out on 13th February 2008.

CSCI found this care home to be providing an Good service.

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.

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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 Lyttle`s Residential Care Home 61 Vesey Road Wylde Green Sutton Coldfield West Midlands B73 5NR Lead Inspector Richard Eaves Unannounced Inspection 13th February 2008 08:00 Lyttle`s Residential Care Home DS0000069730.V348995.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 Lyttle`s Residential Care Home DS0000069730.V348995.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. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyttle`s Residential Care Home Address 61 Vesey Road Wylde Green Sutton Coldfield West Midlands B73 5NR 0121 240 5286 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) thomaslyttle@blueyonder.co.uk Mrs Anne Marie Lyttle Thomas Daniel Lyttle Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide persnal care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Learning Disability (LD) 9 The maximum number of service users to be accommodated is 9 Mrs Lyttle must ensure that Mr Adrian Lyttle takes no part in the day to day operation and management of the home. New service. 2. 3. Date of last inspection Brief Description of the Service: Lyttles Residential home is a 3 story property situated in a residential area in Wylde Green that is part of Sutton Coldfield. The home is registered to provide care and accommodation for 9 residents with a learning disability. The accommodation consists of 9 single en suite bedrooms 3 on each floor with communal rooms on the ground floor. The home does not have a lift and would therefore not be suitable for people with physical disabilities to be accommodated on the upper floors. There is a mature garden with patio and disabled access. The service intends to provide its own transport as the service develops. Fees for this service range from £771 to £2036. The fee information given applied at the time of the inspection; persons may wish to obtain more up to date information from the Home. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection visit was undertaken by an Inspector from the Commission for Social Care Inspection using the following information: reports from the organisation relating to the conduct of the home, records maintained at the home, the annual quality assurance self assessment and meeting and speaking with the service user and staff on duty. The inspection involved a full tour of the property including all internal rooms and the garden. What the service does well: What has improved since the last inspection? This being the first inspection since registration there are no changes to include in this section. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 6 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. Lyttle`s Residential Care Home DS0000069730.V348995.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 Lyttle`s Residential Care Home DS0000069730.V348995.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): Standards 1 – 5 Quality in this outcome area is good The homes statement of purpose and service user guide are good sources of information providing details of the service enabling the service users representatives to make informed decisions about the suitability of the home, different formats would make them more accessible to the service users. The most experienced staff undertake pre-admission assessments and confirmation is given to the service users representatives that the assessed needs can be met by the home and further confirmed by contract at the time of admission. The service users undertook a trial period at the home and arrangements are in place for future clients to trial the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes statement of purpose and service user guide written during March 2007 in preparation for registration later in the year and will require revision to include details of the Commissions new premises. The documents are of a good standard and informative but currently only provided in print, other formats such as picture, large print and audio should also be available to make them accessible to the service users. The home can accommodate up to 9 service users and since opening 4 have been admitted to the home, 3 continuing to reside there, the 1 other recently Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 9 discharged to move into supported living accommodation. The case files of the remaining service users were examined in detail. The files themselves were constructed to a format with an index and each section indexed. Even so with the extensive collection of information it was difficult to use there being large amount of information, it was however comprehensive and thoroughly completed and regularly reviewed. Each file case tracked had detailed assessments for learning disability and activities of daily living. Risk assessments were individualised and undertaken in accordance with the activities each engaged in. An example in one included; walking, transferring, bathing, dressing, toileting and eating and drinking, all essential for the welfare of the individual. Other disabilities such as health conditions, mobility and personal care, the level of independence such as self care skills and home care skills. An assessment of life skills such as reading, writing, numeracy and money, time and measuring and the level of inclusion home and community based leisure over time this will further enhance the opportunities for individual development. Arising from the assessments a range of care plans are developed and also individual charts to monitor food taken, weight, body charts to show marks , sleep chart, toilet and behaviour records, these as required are completed at each period of day and night and record good as well as problem behaviour. These assessments are supplemented with good social histories and pen portraits that provide real insight to the individual. The home demonstrates a commitment to the development of its staff in the skills required to meet the needs of this client group already achieving good qualification levels with those carers new without NVQ all enrolled and the 50 target achieved. All staff have undertaken skills for care standard induction and completed all mandatory training within the last year. There have not been any new admissions for a considerable time, however the policy provides for extensive trial periods and introductions. An emergency admission policy is also available. A contracts and terms and conditions were seen to be included in the each of the service user files. Lyttle`s Residential Care Home DS0000069730.V348995.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): Standards 6 - 10. Quality in this outcome area is good. Care needs are comprehensively identified in Care Plans and the necessary directions of actions required to ensure that service users care needs are fully met and health is promoted. Care Plans are regularly reviewed and revised as necessary. Risk assessments have been undertaken to enable the service users to maximise their lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three service users were case tracked although 1 was away from the home for the full day and did not meet with the inspector. The care plans detail the actions required of staff and include individual objectives to promote independence. Also included are health action plans and health conditions such as epilepsy. A detailed plan was seen for the management of epilepsy with a protocol for urgent medication, staff training, specifically for this administration and arrangements for booking out the medication for trips out. Detailed plans are available for seizures occurring to the individual in a wide range of environments and situations. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 11 Detailed records are maintained for each period of the day in an individual daily diary this being different to the behaviour record book. An extensive range of risk assessments and risk reduction plans were in place for each individual and individual service user training is included in the plan of care. Confidentiality of records and other aspects of personal information are maintained securely and those inspected seen to be accurate and up to date. The topic is given the necessary priority and included in staff training and staff sign for their copy of the policy. Lyttle`s Residential Care Home DS0000069730.V348995.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): Standards 11 – 17 Quality in this outcome area is adequate. The home provides a varied but limited range of leisure, social and recreational activities that provide interest and pleasure for service users. Service users follow a lifestyle appropriate to their age. Meals at the home are wholesome and meet the nutritional needs of service users while providing for choice and personal taste. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users case files show that opportunities are provided for each to develop life skills both within the home and through attendance at day care and training courses, there remains scope to develop the care plans for the detailed development of life skills breaking each element down to basic stages. A recently discharged service user had developed sufficiently to move into sheltered accommodation. The case records clearly identify individual interests and the means of accessing these. Individual programmes are prepared of personally meaningful activity both within the home and externally. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 13 Evidence was seen of family relationships being promoted, where there are some and also of sibling contact and involvement in the home and service users lives. It was noted for a named service user who has no family contact that the home has arranged for an independent advocate. None of the service users have been resident for sufficient time to record that holidays have been provided but is known to be provided by the sister home, previously managed by the manager. Meals are prepared by care staff and choices are shown daily, records are kept of meals taken as many lunches are taken away from the home. The main meal is service during the evening and is one time that the service users usually share together, supper is also included on the menu. Each person has a food dairy and these indicate that a variety of wholesome food is offered that includes fresh fruit and vegetables and is able to cater for dietary and cultural requirements. The one service user at home was able to express an opinion about the meals and had eaten ravioli for lunch and said that he ‘loved it’, he also said that he enjoyed the meals generally. All service user files contained a nutritional assessment and evidence of regular weight monitoring. The kitchen is clean and tidy and food is stored appropriately, with staff recording the temperatures of hot food before it is consumed, fridge and freezer temperatures are recorded to ensure that food requiring cold storage is kept at the correct temperatures. The kitchen is well equipped with modern appliances, hob and oven, dishwasher and microwave. Lyttle`s Residential Care Home DS0000069730.V348995.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): Standards 18 – 20 Quality in this outcome area is good Personal support is given using a person centred approach and staff respect service users rights to privacy and dignity. Healthcare needs are well documented and are compiled with the input of the individual service user. The care plans give clear directions to ensure that service users’ healthcare needs are assessed, recognised and addressed. Arrangements for the administration of medication are good and ensure service users medication needs will be safely met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has an individual care plans that address the areas of personal care and support and clearly identifies where assistance is needed and developed with promoting independence as a priority. Service users are all registered with a GP and access allied healthcare such as dentist, optician, chiropody and others as required and receive health checks annually, other screening is obtained through the GP. Allied medical practitioner reports were seen for individuals such as Speech and Language, Occupational and Physiotherapists and Consultant Physicians. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 15 Service users have behaviour plans in place as appropriate that clearly identify how staff should intervene and incidents are recorded in individual books. None of the service users have been assessed as able to self medicate. The home uses a monitored dosage system and have the support of their pharmacist who undertakes quarterly audits, these were seen to be satisfactory. The inspection shows that there are no controlled drugs in use at the home. A detailed protocol was seen for the administration of an emergency anti-epilepsy medication and staff receive specific training in this medication administration. Arrangements for the receipt, storage, administration, recording and disposal of medicines comply with the homes policy and this standard. The medicine administration charts were inspected and seen to be very well completed with no omissions. Lyttle`s Residential Care Home DS0000069730.V348995.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): Standards 22 & 23. Quality in this outcome area is good. The home complaints and protection policies are robust providing a safe environment in which service users feel they can voice concerns and that these will be listened and responded to. Staff demonstrate knowledge and understanding of adult protection issues that contribute to an environment free from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive policy/procedure that complies with this standard and a copy was seen to be included in each service user file and included in the service user guide available in each bedroom. Since opening the home has received no complaints. In conversation with the service user able to communicate it was clear that he could express himself when unhappy. Policies relating to the protection of Residents from abuse were observed to be in place and readily accessible, these included, ‘Whistle Blowing’, ‘Abuse Awareness’ and ‘Adult Protection’. Staff training files indicated that Staff had received training in respect of these Policies. There have been no safeguarding referrals since the home opened. In conversation with staff it was clear that they had the knowledge and confidence that they had been well prepared to respond effectively to the types of challenges that may present at the home. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 - 28 & 30 Quality in this outcome area is good. The Home provides a comfortable, attractive, safe and ‘homely’ place to live. The home is clean, hygienic and free from odours. Residents live in a comfortable home that offers them a life style suited to their age. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lyttles Residential Care Home is a 3 storey converted property situated in a residential area of Wylde Green, a part of Sutton Coldfield. There is limited parking at the front with the rear of the property given to garden/recreational space. The garden has a patio with garden furniture and is disabled accessible by ramps, the garden areas were seen to be neat and tidy and appropriate to the season. Garden tools are stored in a locked shed. A clinical waste bin is provided and a contract in place with the local authority. Each floor has three en-suite bedrooms, the large en-suites having wc., handbasin and a bath with shower. All bedrooms were large and fully compliant for Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 18 windows, lighting, radiators, electrical points and furniture, hot water is controlled. Each bedroom is fitted with a sprinkler system and fire extinguishers were available on each landing. No call system is provided. Staff facilities are on the first floor and a further staff wc. is on the ground floor, an office and meeting room are also on this floor. The ground floor has an entrance hall with the registration certificate displayed, visitors book and a range of information. The three occupied bedrooms were individual with one very much personalised the others less so. Also on the ground floor are the communal rooms of lounge and dining rooms these were attractively fitted in a domestic fashion, the fireplace is display only. The kitchen is also fitted in a domestic style while being managed in a Hazard Analysis and Critical Control Points (HACCP) compliant way. Additional fridge and freezer are in a storage area separate from the kitchen. The laundry is equipped with an industrial standard washer with sluice and disinfection programmes. The wash hand basin requires disposable towels and liquid soap. The deco is of a high standard and the whole home well presented, clean and hygienic with no odours. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31 – 36. Quality in this outcome area is good. Staff are clear as to their individual roles and responsibilities and are enthusiastic, sufficient in numbers, well trained, supportive and committed to maximising the service users quality of life. The recruitment practices and staff training contribute to ensuring service users benefit from the skills and knowledge of the staff. This is further enhanced by up to date and relevant formal supervisions. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff met and spoken with demonstrated that they knew of the homes aims and values and this was apparent in their interaction with service users. The staff files confirm that a job description has been issued along with the General Social Care Council (GSCC) code of conduct and important policies and procedures. Current staffing levels for three service users is 2 over the full day and night with overlaps between 7 & 8 am, 1 & 5pm and 9 & 10pm providing for peak personal care needs at either end of the day and activities during the afternoon. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 20 The National Vocational Qualification (NVQ) position is currently 6 of 13 care staff holding level 2 or better and the manager having level 4. All those not yet qualified are enrolled and studying for a level 2 qualification. Three staff files were selected for inspection and included the most recently appointed. The recruitment process was of a high standard with all necessary checks being undertaken prior to commencement. The files inspected all included an application, 2 references, interview record, Criminal Records Bureaux (CRB) and Protection of Vulnerable Adults First (PoVA 1st) check. It is recommended that any positive CRB be risk assessed and approved formally by the responsible person. The home uses a ‘Skills for Care’ standard for inducting new staff, other mandatory training was noted to be up to date for all staff. The home uses an accredited training for medication administration and all staff have received training in the protocol for emergency medication administration for seizures. Records for one to one supervisions were seen on individuals files and regular staff meetings are held. Arrangements are in place to appraise staff annually and staff receive important procedures at the start of employment. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 & 42 Quality in this outcome area is good. Leadership of this home is good and staff demonstrate an awareness of their roles and responsibilities. The managers approach is open and positive and develops positive relationships amongst service users and with staff. The home has arrangements to review its performance, which includes seeking the views of service users, families and other stakeholders but has yet to fully implement all aspects of this. Environment management and staff training in respect of health and safety ensures service users safety and welfare are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is lead by a well qualified and experienced manager whose leadership style promotes efficient and relaxed home and is well regarded and Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 22 liked by the service users and staff alike, this is apparent from speaking with service users and staff as well as observing the interactions over the day. The manager evidenced that he undertakes ongoing periodic training to maintain and update his knowledge and skills. The home has developed a quality assurance system to ensure high standards of practice and a safe environment and has been part implemented. All environmental elements are in place. The system provides for monthly internal audits and regulation 26 visits by the responsible person. The element of surveying service user, family and stakeholders views is still to be implemented, the manager advises that this will occur before the end of the planned year. Health and Safety is given appropriate priority with a broad range of monitoring and maintenance in place with all staff receiving health and safety training at induction and on annual mandatory up dates. During the tour of the building it was observed that all corridors were clear of obstructions and the premises are kept in a safe condition. Appropriate arrangements are in place for the monitoring, recording and reporting of accidents. An inspection of the service and inspection certificates identified these to be up to date. Documentation also show that staff working at the home hold up to date certificates in first aid, manual handling, food hygiene and fire safety. Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 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 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Not applicable STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA30 Regulation 13(3) Requirement The registered person will arrange for a supply of disposable towels and liquid soap to be made available in the laundry. Timescale for action 30/04/08 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. Refer to Standard YA1 Good Practice Recommendations The registered person will supply a copy of the service users guide to each service user in a format relevant to the individuals, this may include formats other than written such as audio or pictures. The home should seek to increase the amount and range of appropriate activities available to service users. The home should formally risk assess any individual applying for employment who has a positive CRB entry and seek formal approval from the responsible person. 2. 3. YA14 YA34 Lyttle`s Residential Care Home DS0000069730.V348995.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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. 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