Inspection on 14/03/08 for Milton Road

This inspection was carried out on 14th March 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Milton Road 30 Milton Road Bournemouth Dorset BH8 8LP Lead Inspector Tracey Cockburn Key Unannounced Inspection 14th March 2008 9:30 Milton Road DS0000070754.V357544.R02.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 Milton Road DS0000070754.V357544.R02.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. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Milton Road Address 30 Milton Road Bournemouth Dorset BH8 8LP TBA TBA 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) Cambian Asperger Syndrome Services Ltd Mr Mark Andrew Wells Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to male service users whose primary care needs on admission to the home are within the following category: 2. Learning disability - Code LD The maximum number of service users that can be accommodated is 8. Date of last inspection New Service Brief Description of the Service: The service is a large detached building set in its own grounds with car parking to the front and one side. It is situated in a quiet street, approximately one mile from the town centre, within close reach of a wide range of amenities. There is extensive garden to the front and rear of the property. The ground floor accommodation comprises a sitting room, diningroom/activity area, WC for disabled persons’ use, kitchen, utility/storage area, office, one bedroom with en-suite WC and shower facilities. The first floor comprises five bedrooms, four of which have en-suite shower and WC facilities, one, which has an adjoining bath/shower room with WC. The second floor comprises two bedrooms; there is a bathroom (with shower attachment) and WC for the exclusive use of the two people at this level. Cambian Asperger Syndrome Services Ltd provides a number of services for young people with asperger syndrome in Dorset, Wiltshire and Hampshire, principally for the 16-19 year old age group. The Company is part of the wider umbrella organisation Cambian Education Services Ltd, who provides both education and residential resources for children and young adults with autism and asperger syndrome. As of 14/03/08 the weekly fees for this service are: £3,227.99 Further information on fair terms of contracts and care home fees can be found on the Office of Fair Trading’s website: www.oft.gov.uk. Milton Road DS0000070754.V357544.R02.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 was a key inspection, which took place without any warning. The site visit started in the morning and ended in the middle of the afternoon. A total of 5.5 hours were spent in the service, with a further 2 hours analysing information received about the service. This was the first inspection since the service was registered in September 2007. Before the site visit survey forms were returned from, students (4) staff (7) and relatives (1). Comments from students included: “ the changes happened far too fast” Relative’s comments included “… they provide a very caring and supportive service” Staff comments included “ the service tries incredibly hard to put the students needs at the forefront” During the visit 2 students were available to talk about the service, 2 students were observed, 3 staff were observed and talked to. The deputy manager was present during the inspection as was the deputy head. The registered manager was not available. The medical co-ordinator was also spoken to about medication policies and procedures. Care records for 2 students were seen, personal files of 2 members of staff were seen and other documentation such as training records, staff rotas, menus, policies and the services development plan were reviewed on the day. Throughout the report people who use the service will be referred to as students as this is a term they said they preferred. As this care service accommodates students aged between 16 –17 years supplementary standards apply. What the service does well: This is a new service, which has been operational for at least 6 months. Students only move into the service following a detailed assessment of their needs and aspirations, this means that they can be assured that the service is able to meet their needs before they move in. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 6 Each student has an individual plan of their needs and goals and they are involved in the process of developing these plans. This ensures that transition into other services is well documented and involves the student. Students say they are able to make decisions about their own lives and are supported by staff to do this. There is evidence that students are able to lead the lifestyle they want with support in place to achieve this. Students are supported to take part in activities such as leisure and education appropriate to their needs and goals. Students participate in activities in the community and have relationships with whom they want. Students also tell us that they have their rights respected within the service on a daily basis. Students are supported to consider healthy eating and are responsible for deciding what they eat. Students tell us they are supported the way they prefer and the documentation in the service supports this. Students have their physical and emotional needs identified and are supported to address them. The policy, procedure and audits of medication ensure that students are safe. The provider has a complaints procedure, which ensures that students are listened to and concerns acted upon. The policy, procedures and training for staff ensure that students are protected. Attention to detail means that students live in a homely environment, which they say they like. Students say they live in a clean and hygienic home and practice seen supports this view. Students are supported by competent and qualified staff that receive the training they need to do the job well. Recruitment practice ensures that students are protected. The home is well run; student’s views are part of the development of the service. The practices within the home ensure that the health, safety and welfare of students are promoted. What has improved since the last inspection? This was the first key inspection since the service registered with the commission in September 2007. Milton Road DS0000070754.V357544.R02.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. Milton Road DS0000070754.V357544.R02.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 Milton Road DS0000070754.V357544.R02.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service have their needs and aspirations assessed before they move in which means the service knows how to meet individual need. EVIDENCE: There is a detailed pre admission assessment, which is undertaken on a multi disciplinary basis. This forms the baseline on which individual plans are developed with the student. Each student has a focus file, which contains information on the terms and conditions of residency. There are 10 sections in the file covering transition information, placement plan, and individual progress plan. Each person also has a person centred plan. This information is developed with each student. The information also considers therapeutic needs, development of independence and brings together educational needs and goals. Of the 2 files seen both contained a placement plan setting out assessed needs and the objectives of the placement and how they will be met. This is the supplementary standard for service with younger adults aged 16-17. Milton Road DS0000070754.V357544.R02.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. People who use this service know they have a plan containing their changing needs and goals. They are supported to make decisions about their lives and take risks as part of an independent lifestyle. EVIDENCE: Two care files were reviewed. Staff and students confirmed that they had helped in the development of these plans. The compilation of weekly summaries ensures that changes and goal setting is monitored and contributes to the development of transition plans. Students spoken with confirmed that they are fully aware of their care files and are part of the development. Care plans are reviewed regularly. Copies of review documentation support that this is maintained. Staff confirmed their role in preparing for a review, which includes writing a progress report. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 11 Students are encouraged and enabled to make decisions about their own lives, evidence of this was supported by the care file contents and conversations with the students. Examples given included, support to manage their own finances and to develop their own independent leisure opportunities. In addition students have a formal house meeting each week where they also arrange menus for the forthcoming week. Person centred planning is well underway and on 1 file seen there was evidence of regular updating of the plan with meetings in April 2007, may 2007 and November 2007. These meeting involved the student, their key worker, parents and the transitions team. The home has risk assessments, which demonstrate that they are keen to ensure that students have access to life experiences and the community but within reasonable controls. Each student is assessed for his individual risk factors and strategies were in evidence to manage any potential concerns. Evidence of these risk assessments was seen on files. Individual behaviour risk assessments Supplementary standards for young adults aged 16-17 in this outcome area are around the need to plan for the student’s future when they leave education. There was evidence on the 2 files seen that this planning takes place. At an unscheduled visit my a manager some information was noted to not be in the files and this had been addressed. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are able to participate in activities, which interest them within the local community. People are also able to maintain relationships with whom they want. Their rights are respected. People who use the service are encouraged to maintain a healthy diet. EVIDENCE: All students are supported through the Wing Centre; some students are supported in work experience opportunities, whilst other access local colleges, each according to their own assessed needs or wishes. Students are also supported with individual therapeutic input. All packages of purposeful activities and educational opportunities are arranged with student participation. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 13 Students said they are able to access different leisure activities in the community. Care plans and the many varied risk assessments seen also support this to be the case. Relative’s details are recorded on the students Focus Files and daily care records included entries relating to contact with families, friends and acquaintances. Students are supported to maintain family links. Students are also encouraged to build and maintain friendships with both the college and the community. Weekly summaries are provided to parents to ensure consistency of care in addition to the personal tutor contacting and updating parents on a weekly basis. Staff encourage students to take responsibilities within the home and to be active participants in the daily routines of the home. This includes laundry, shopping, cooking and cleaning. Independence is encouraged in all aspects of their lives and is one of the key outcomes expected of student’s time at the home. Students have keys to their rooms and staff respect their privacy by knocking before entering a bedroom. Students develop menus during their weekly house meeting. Menus seen offered a healthy balance whilst incorporating their choice. Students supported by staff cook meals on rotation. Supplementary standards in this outcome area advise that each student must have details of their education history on their individual file and that staff are aware of each students history. During the inspection this information was available and staff were aware of it. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living in the service are supported in the way they prefer, their physical and emotional needs are identified and addressed and there are systems in place to ensure that medication is managed correctly to ensure the protection of the people living in the service. EVIDENCE: Care records show that student’s needs are identified and met. Routines are flexible and afford each student the scope to receive support according to their needs at a time, which is suitable for them. Students and staff spoken to confirmed this. Care plans detail the information on each student’s level of independence and assistance covering bathing, dental care, dressing, grooming, domestic skills and the strategies to be used to support each student. There is also information on their daily routine and preferences. Student’s health needs are assessed on admission and incorporated in a plan of care. Care plans seen identified where specific support or care is required. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 15 Students are registered with a local GP, dentist and optician as required. Some maintain dental and optical care at their homes. A choice of practitioner is available. Students said that they are supported to visit the GP but are able to see the doctor in private if they wish. Night records a re kept by workers on the night shift who record action taken for each individual student and the night shift leader comments on each student. This information is then transferred into each persons file so a complete picture is maintained. The service has a policy and procedure on medicines. All medication is held securely in a metal cabinet fixed securely to the wall in a locked staff office. The senior on duty administers medication as required. During the site visit the medical co-ordinator was available and able to given detailed information on the procedures for the ordering of medication. This is done once a month by the co-ordinator, who is also responsible for daily and weekly audits of the medication in the service. There is a procedure for medication leaving the home if for example a student is going home for the weekend. Parental permission is sought to give staff permission to administer medication and first aid as required. Signed permission forms were seen on care files. Supplementary standards in this outcome area advise that the home must provide information and advice on illegal substance abuse, smoking and sex education. This information was available. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living in the service say they are listened to and their views acted upon. Good systems for training and information sharing mean that people using the service are protected from abuse. EVIDENCE: The home adheres to a corporate complaint procedure, which includes the expectation that complaints are handled swiftly and within 28 days. The procedure includes stages and supports complainants in referring the complaint forward if they remain dissatisfied. Students have access to several contacts should they wish to raise a worry or complaint. All the students who responded to the survey forms said that they knew who to talk to if they were unhappy. There are simplified complaint leaflets and posters. On admission each student is given this information. If a complaint is received a record is made. The recording system includes an indication of whether a complaint has been substantiated or not and whether the complainant was happy with the outcome. The home is party to full and detailed child/adult protection procedures, including links with Area Child Protection Committees and the availability of No Secrets Policies and Whistle blowing procedures. . The training records show that all staff receive induction, foundation and refresher training in this respect. Staff confirmed that they had received this training and records evidenced this. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 17 All staff had received SCIP r UK (Strategies for Crisis Intervention & Prevention) training, although physical intervention is only used as a last resort within a risk assessed framework. Between September 2007 and February 2008 there was only 1 incident of restraint recorded across the 3 services in the area. Supplementary standards in this outcome area advise that the service should have policy on bullying and absence without authority, which it does have. Milton Road DS0000070754.V357544.R02.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 excellent This judgement has been made using available evidence including a visit to this service. The service provides a homely, comfortable and safe place for people to live. There are systems in place to ensure that the environment is clean and hygienic. EVIDENCE: The home provides spacious accommodation for up to 8 people, it is laid out over 3 floors. The communal areas such as the lounge, kitchen, dining area are comfortable with large windows. The home was warm and well ventilated at the time of the site visit. The home was clean. The building is in keeping with other house in the street. Students commented “they like that the house looks the same as others in the street” The seating in the lounge is very comfortable and thought has been given to the layout and décor. There are paintings and pictures on the walls. The kitchen is modern. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 19 At the time of registration the premises met the requirements of the local fire service, environmental health, health and safety, building acts and regulations. There is maintenance log. All staff have had training in infection control and there are systems in place to control the spread of infection. There are paper towel dispensers in the toilets and in the laundry. The laundry room is in the large purpose built shed in the garden close to the home. There are 2 washing machines and 2 tumble driers. The students use these facilities and are responsible for their own laundry with the supervision of staff. The laundry floor has an impermeable finish and the walls are easy to clean. There is sink in the laundry room to wash hands when necessary. There are policies and procedures in place. Milton Road DS0000070754.V357544.R02.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care staff are competent and qualified, which means they have received the training they need to understand the needs of the people using the service. The recruitment systems ensure that people are protected. EVIDENCE: Records evidence that staff have undergone an induction that reflects Skills for Care induction standards and the Learning Disability Assessment Framework. Staff who responded to the survey said that they receive training, which provides them with knowledge to support the students. Staff also said that the training keeps them up to date with new ways of working. The staff spoken with also felt they were particularly supportive of each other, and presented as a committed and focussed team striving for the service users to achieve good outcomes. All staff recruitment files are held at the registered providers office in Bournemouth. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 21 2 files were viewed. All documentation was clearly recorded, face-to-face interviews took place, references were sought and Criminal Records Bureau checks were completed before each person started work for the provider. Every staff survey returned felt that the training given was relevant to the role they were doing. Weekly staff meetings take place to also ensure a consistency of care. The service has a training plan, all staff receive structured induction and those staff that responded to the survey confirmed this. Staff receive equal opportunities training as part of induction. There was evidence in staff files that training is linked to the needs of the people using the service. Milton Road DS0000070754.V357544.R02.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 run with clear management structure and support. There is a system of self-monitoring and development in place, which enables people living in the home to have their views heard. The health, safety and welfare of students is promoted and protected by the systems, training and management structure in place. EVIDENCE: The Registered Manager has completed the Registered Managers Award and is in the process of completing the National Vocational Qualification (NVQ) at level 4. Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 23 The manager was not present during the site visit however from looking at files and systems within the service corporate policies and procedures are being followed. Regular unscheduled visits by other managers ensure that where systems and procedures are not being followed this is quickly rectified with an action plan. The home has a quality assurance system in place used in other homes owned by the provider. These systems are based on seeking the views of the students, the families and the relevant professionals that work with the service in order to measure success in achieving the aims and objectives and the statement of purpose. In addition quality assurance is measured through the company’s own regular audit of the National Minimum Standards, Regulation 26 visits carried out by independent personnel and six unannounced night visits, per year, carried out by Managers within the company. The home also undergoes regular Health and Safety audits. The detailed report of 1 unannounced night visit was seen. This detailed action points noted by the visiting manager. The home has an up to date fire risk assessment, which was reviewed on 16/01/08. A fire safety audit was completed on 11/12/07. All fire records were complete and show that necessary in-house and specialist checks, fire training and fire drills had been undertaken. Accident and incident records cross-referenced successfully to student’s files. There are individual fire risk assessments in place for all students this was a recommendation made at the time of registration. The regular check of fire doors was not completed in November 2007; this was picked up in one of the regular audits by managers and action taken. All staff had completed mandatory training in; first aid, fire safety, food hygiene, health and safety. These training courses are provided on a rolling rota system to ensure all staff are appropriately trained and receive refresher training when required. Temperatures of fridge/freezer and food cooking were all recorded. Coshh substances were stored safely and had accompanying data. Water temperatures are kept at 43decrees C and are also tested regularly. PAT testing is undertaken on a regular basis. There were no outstanding recommendations from the local Environmental Health Service. Milton Road DS0000070754.V357544.R02.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 X 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Milton Road DS0000070754.V357544.R02.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Milton Road DS0000070754.V357544.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colston 33 33 Colston Avenue Bristol BS1 4UA 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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