Inspection on 28/07/08 for Maltreath

This inspection was carried out on 28th July 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.

Other inspections for this house

Maltreath 04/09/07

Maltreath 08/09/06

Maltreath 02/11/05

Maltreath 03/05/05

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOME ADULTS 18-65 Maltreath 23/25 Warwick Road Cliftonville Margate Kent CT9 2JU Lead Inspector Lisbeth Scoones Unannounced Inspection 28th July 2008 09:40 Maltreath DS0000062087.V367567.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 Maltreath DS0000062087.V367567.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. Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maltreath Address 23/25 Warwick Road Cliftonville Margate Kent CT9 2JU 01843 221677 01843 296644 info@temperancecare.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) Temperance Care Limited Mrs Stella Oludotuh Okesola Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th September 2007 Brief Description of the Service: Maltreath is located within Cliftonville on the outskirts of Margate. The home is situated close to the local shops, post office, pharmacy and health centre. There is limited parking on the street directly outside the home. Maltreath provides 24-hour personal care and support for up to 11 residents with mental health needs. Due to the lay out of the home, it is unsuitable for individuals with poor or limited mobility. Weekly fees are within the range of £387 to £520. Maltreath DS0000062087.V367567.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. Key Lines of Regulatory Assessment (KLORA) have informed the judgements made based on records viewed, observations made and written and verbal responses received. KLORA are guidelines that enable The Commission for Social Care Inspection (CSCI) to make an informed decision about each outcome area. This key unannounced inspection visit was carried out on the 28th July 2008. It comprised a partial tour of the premises, conversations with 6 residents, discussions with the co-owner, registered manager and other member of staff on duty. Documentation was examined in respect of the Service User Guide, financial records, care plans and risk assessments, accidents and complaints, medication, staff recruitment and training files. Prior to the visit, the registered manager submitted Annual Quality Assurance Assessment (AQAA), which provided information to inform the inspection process. The CSCI has received no complaints about the service and no safeguarding vulnerable adults referrals have been made. What the service does well: The registered manager and co-owner have responded to and acted upon requirements and recommendations made at the previous inspection. The service promotes Equality and Diversity and treats every resident as an individual with rights to make their own decisions. The registered manager and co-owner continue to make improvements to the home. The home provides a comfortable, bright, airy and clean residence. Staff are supported and encouraged to complete all mandatory training and additional courses relevant to the service. New staff are provided with induction training that meets the Common Induction Standards. Good administrative systems are in place in respect of care plans and records relating to the running of the home. Health and safety issues are well managed and records maintained. Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 6 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 be made available in other formats on request. Maltreath DS0000062087.V367567.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 Maltreath DS0000062087.V367567.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 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Prospective residents are supplied with information about the services and facilities the home provides. The information needs to be updated. Residents’ needs are assessed prior to being admitted to the home EVIDENCE: The home has produced a pictorial Service User Guide. It was devised in 2005 and is in need of updating and including some missing information as e.g. the way the home ascertains residents’ views (quality assurance) and reference to the CSCI inspection report. Since the previous inspection, two residents have been admitted for short-term care. Occupancy currently is 9. The registered manager reported that, prior to admission and when appropriate, a visit is arranged to meet with the prospective resident in his or her own home or previous placement. Discussions are held with the individual and relevant family and professionals. The home requests Care programme Approach documentation from the care manager and other background information. If appropriate a trial visit to the home would be arranged. The home completes assessment information Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 9 throughout this process, which is later used to inform the care plan and risk assessment. The admission process of one short-term resident was discussed. See also standard 6. Maltreath DS0000062087.V367567.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 This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed and recorded in a care plan. Residents are encouraged and supported to make decisions about their lives. Residents are supported to take risk to promote an independent life style. EVIDENCE: The home develops an individual care plan for each resident, a number of which were examined during the inspection. Care plans are supported and informed by a range of risk assessments indicating how risks could be reduced. The files are kept in a very organised and well- managed manner with information clearly set out and accessible. The recent admission of a resident was discussed. It was noted that a care plan had not been written until two months after admission. The co-owner Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 11 said that the admission had initially been very temporary and that as a result a care plan had not been written. The home must ensure that every resident has a care plan within an appropriate timeframe as set out in the Care Homes Regulations. At the previous inspection it was reported that aspects of the care planning process were vague and ambiguous, especially regarding the guidelines and actions for staff to meet residents’ needs. The registered manager said she that taken this on board and improvements were noted. The report recommended that independent living skills were more clearly promoted, mental health issues addressed and meaningful leisure and occupational pursuits encouraged. This has been acted upon. The previous report stated that residents could be supported and encouraged to take greater control of aspects of life such as organising activities; planning, preparing and cooking meals; household chores and promoting involvement in the running of the home through staff interviews. In respect of activities, a recent satisfaction survey indicated that residents asked for more and varied activities and this is being addressed. Residents confirmed that they are involved with deciding menus and they attend residents’ meetings. The registered manager said that care plans are reviewed generally every month and formally every 6 months or as needs change. However the system for review should be clarified in order to ensure that these are carried out in a timely manner. Key workers write a monthly report, which is part of the review process. See also standard 33. The majority of residents are under the CPA process, but amongst the files examined some residents have not had a CPA review in the past year. It is acknowledged that this is not the direct responsibility of the home. The co-owner confirmed that he has been proactive in approaching care managers to ensure that reviews are held at reasonably regular intervals. But delays still occur. See recommendation in standard 19. Comprehensive daily and night records were seen. Residents sign their care plan. It was recommended that residents also sign when their care plan has been reviewed. The home encourages residents to retain control of their finances and make decisions about their daily lives wherever possible. The majority of residents have appointees who are independent of the service, but the home does act as appointee for two residents. The finances for these residents are paid directly into a bank account for the home, then withdrawn and given in cash to the residents concerned. The provider said that every effort has been made to change the system to ensure that all personal allowances are paid into a bank account separate from the business account. Despite these efforts this has not happened nor has an independent appointee been found through care Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 12 management. Signed records were seen of residents’ receipt of their weekly personal allowance. Maltreath DS0000062087.V367567.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, 13, 15, 16 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides a range of activities and supports residents in the community. Visitors are welcome in the home. A healthy, balanced diet is provided. EVIDENCE: At the time of the inspection, two residents were playing Ludo together in the kitchen. They said there was plenty to do. A resident likes to paint pictures and several were seen on display. A resident said that she regularly goes out to the bank, shops, health clinic and out with relatives. “I can come and go as I please. I have the freedom to collect my own pension. I can lock my door if I wish and have a key. But I don’t feel the need to use it.” A resident asked Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 14 for his game to be repaired and this was done. Two other residents had just come back from having been to the shops to buy a newspaper The registered manager has secured free bus passes for those residents who are eligible. As referred to, a recent satisfaction survey identified that residents wanted more activities. A pool table and other board games have been provided. There is a TV in the lounge and music centre. The previous report reminded staff of the importance to have a creative approach to offering residents a range of possible opportunities both in and out of the home. The registered manager in the AQAA reported that more external activities are being identified with a view of opportunities for community integration. She acknowledged that getting the residents to become more interested in activities outside the home is a real challenge. One resident is involved with voluntary work twice a week. Two residents attend an ASDAN course run by Skillnet where they learn life skills such as traffic awareness. Residents spoken with confirmed that staff support them if they want to go to church. Visitors are welcomed into the home. On the day of the inspection there was one visitor in the home. The registered manager said that the quality and range of menu has improved. Residents are involved in the planning of the dinner and teatime menu each week. A rolling 4-week menu is in operation that provides a choice at the main mealtime each day. The food storage facilities are suitable for the needs of the home and stocks of food were adequate with a reasonable range of frozen, tinned, packet and fresh goods. All residents spoken with said that the food was nice; that Stella was a good cook and that the size of the portions was just right. Maltreath DS0000062087.V367567.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, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s personal and healthcare needs are met. Medication is managed and administrated safely. EVIDENCE: Current residents are self-caring in relation to their personal support needs and generally only require encouragement to address personal hygiene issues. Residents confirmed that staff treat them with dignity and respect and assist individuals to attend to any personal care issues in a sensitive and thoughtful manner. The home retains good records in relation to residents’ healthcare needs. Residents are all registered with local GPs and the majority have relatively regular contact with the local community mental health services. However, as noted at the previous inspection, a number of residents do not have an active care manager and have not had a CPA review in excess of 2 years. Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 16 Following a recommendation made at the previous inspection, the provider said that efforts have been made to remind relevant mental health services to maintain regular input and hold regular care reviews. At this inspection it was recommended that every contact from and visits by residents’ care manager or CPN be recorded on the “visiting professional page”. This would provide a clear audit and reminder of delays of reviews. Residents have input from other health care professionals such as chiropodists, dentists and opticians. The registered manager has succeeded in registering all consenting residents with an NHS dentist. It is her intention that all resident are registered with an optician. The home records all health care appointments and consultations including any relevant outcomes that may impact on the support given in the home. A resident with Diabetes administers her own Insulin injections and staff monitor the blood sugar levels. See also standard 35 in respect of training. The registered manager reported that they receive good support from the community pharmacist. Adequate policies and procedures are in place and staff who administer medication have received adequate training to enable them to perform these tasks. Medication administration records are clear and well maintained. Storage facilities are satisfactory for the needs of the home. The registered manager said that self-medication is promoted following assessment. In response to a recommendation made at the previous inspection, the provider has developed and carried out staff competency assessments to ensure on-going awareness of medication issues. At this inspection it was recommended that information leaflets relating to medication and the possible side effects are stored with the MAR charts for easy reference. It was further recommended that the MAR charts have a recent photograph of the resident, that medication stock (in relation to ‘as required’ medication) and relevant records are audited. The home must ensure that all out of date medication is returned to pharmacy. Maltreath DS0000062087.V367567.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, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents know that their complaints will be listened to and that they are protected from abuse, neglect and self-harm. EVIDENCE: The home has a complaints process, which is made available to all new and prospective residents and relatives. A record of complaints is maintained. The complaint book contained two entries, which were satisfactorily resolved. A resident said, “I have no complaints”. Another, “ It is all good. The staff are nice”. The home has suitable safeguarding vulnerable adults policies and procedures in place. All staff have received training in adult protection issues from an external training provider and these issues are also addressed through the induction programme. The member of staff on duty demonstrated a good working knowledge of these issues. Maltreath DS0000062087.V367567.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 This judgement has been made using available evidence including a visit to this service. The home is clean, hygienic and suitable for residents’ individual and collective needs. EVIDENCE: A partial tour of the premises demonstrated that Maltreath is a well-cared for, pleasant environment for the residents. The owners have made significant improvements to the home to good effect. The house is on a residential street close to the centre of Cliftonville, Margate. There is adequate parking outside the home on the street. The premises are bright and airy throughout. The owners have replaced the flooring in large parts of the home to maximise the brightness. There is a large, comfortable lounge and a good-sized dining room. There are additional communal spaces in the home if people require some quiet time, including a smoking room. There is a domestic style kitchen and separate laundry area. The replacement of the kitchen floor is on the home’s development plan. Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 19 Some residents have brought in their own furniture. All bedrooms are single. The provision of some en-suite facilities is part of the home’s development plan. There are toilets and bathrooms appropriately sited throughout the house and suitable for residents’ needs. The home was clean and hygienic. Hand washing facilities are available throughout the home. Whilst there is seating in the front garden with large tubs of colourful plants, the rear courtyard garden/patio area with shed and washing line was bare. This area could be enhanced with potted plants and garden furniture. The coowner said that was a good idea. Maltreath DS0000062087.V367567.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 adequate This judgement has been made using available evidence including a visit to this service. Residents are supported by adequate numbers of a well- trained and supervised staff. However, some supervision is delayed. The home’s recruitment practice is not robust and could potentially put residents at risk. EVIDENCE: The proprietors have invested in staff training. On the day of the inspection three members of staff were attending moving and handling updates. The registered manager encourages and supports staff to work towards National Vocational Qualifications (NVQ) and over 3 members of staff (over 50 ) have achieved level 2 in care; one has level 3. A staff member said, “I’ve finished my NVQ 3, which is something I’m really proud of.” The member of staff on duty confirmed that staff receive supervision. The registered manager said that supervision sessions provide a good opportunity for staff feedback, discuss training needs and give support in increasing their motivation. Whilst there was evidence that staff are supervised, the Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 21 recommended frequency of six times a year has not been achieved. For one member of staff there was no record since 2006. A new supervision form has recently been introduced. It was recommended that this be dated and signed by the member of staff receiving the supervision. Every resident has a key worker. A resident spoken with said that her key worker encourages her “to do more”. Key workers write a monthly report, which is part of the care review process. See also standard 6. Since the previous inspection, competency assessments have been introduced in core training areas such as medication, adult protection, fire safety and mental health to underpin knowledge gained through external training. There are 2 staff on duty at all times throughout the day and 2 sleep-in staff at night. The registered manager and the owner work 9-5 office hours and undertake some shift work. Residents said that there are enough staff on duty and that they feel appropriately supported. The staffing numbers in the home should remain under review as the numbers and needs of residents change. Two staff files were examined. Both files contained evidence of an enhanced CRB check. However, the application form does not make reference to the Rehabilitation of Offenders Act and contains no questions about applicant’s medical history. For both applicants there was only one reference on file. For one applicant there was no proof of identity, no birth certificate, no photograph and no current passport. It was recommended that all staff files are audited and a checklist introduced. It was further recommended that interview notes be kept. The previous report recommended that a full and seamless employment history should be ensured at the interview stage for new staff. New staff are provided with induction training based on Common Induction Standards to support the internal induction programme. Staff are provided with the training they need to care for the residents. A training matrix is in place and certificates on file. In addition to mandatory training and NVQ, additional courses provided include medication (to include Diabetes and medication management), adult protection, mental health awareness, Mental Capacity Act awareness, challenging behaviour, care planning and risk assessment. Maltreath DS0000062087.V367567.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 This judgement has been made using available evidence including a visit to this service. The home is well managed and run in residents’ best interests. The health, safety and welfare of the residents are protected. EVIDENCE: The registered manager and the co-owner have completed the NVQ level 4 and Registered Manager’s Award. Prior to purchasing the home the registered manager had worked in managerial roles in care home settings for a number of years. She is supported by the co-owner who takes a hands-on role in the home. At the time of he inspection, there was one member of staff on duty who said he was happy working at the home. “I get on well with the owners.” Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 23 In respect of quality assurance, a residents’ satisfaction survey has recently been carried out. In discussion with the co-owner, it is evident that action is being taken on the issues raised (mainly in relation to activities). The AQAA records that families’ and stakeholders’ views are sought through surveys and discussions when they visit the home. CSCI reports are available for all to see. An annual development plan has been developed. The member of staff on duty confirmed that staff meetings are held and two residents that they attend Residents meetings. It was recommended that audits be introduced in respect of medication and staff files. From the information supplied in the AQAA it is ascertained that the home provides a safe environment. Fire safety logs are maintained and service certificates kept on file. The home is well-maintained and in-house health and safety audits are carried out. Accident records are maintained. Staff are provided with the necessary training and safe working practices are underpinned by policies and procedures. A Fire Safety risk assessment has recently been carried out. Maltreath DS0000062087.V367567.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 2 2 3 3 x 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 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 (5) c (d) (i) Schedule 2 Requirement That the employment process complies with the Regulation and Schedule 2 Timescale for action 28/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Maltreath DS0000062087.V367567.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Maltreath DS0000062087.V367567.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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