Inspection on 15/06/05 for Needwood House Nursing Home

This inspection was carried out on 15th June 2005.

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

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

Other inspections for this house

Needwood House Nursing Home 08/10/08

Needwood House Nursing Home 16/10/07

Needwood House Nursing Home 27/03/07

Needwood House Nursing Home 18/02/06

Needwood House Nursing Home 17/01/05

Needwood House Nursing Home 01/09/04

Needwood House Nursing Home 01/03/04

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

CARE HOMES FOR OLDER PEOPLE Needwood 58 - 60 Stafford Street Heath Hayes Staffordshire WS12 2EH Lead Inspector Keith Jones Announced 15 June 2005 09:00 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 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 Older People. 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. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Needwood Address 58 - 60 Stafford Street Heath Hayes Staffordshire WS12 2EH 01543 275688 01543 275688 chris@bartonneedwood.freeserve.co.uk Mr John Mansell & Mrs Ann Mansell Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Mansell Care Home 25 25 25 Category(ies) of DE registration, with number MD of places Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) DE is Dementia elderley over 60 years 2) MD is mental disorder Elderley over 60 years 3) including one named patient detained under the mental health Act 1983 4) including one named person aged 59 years , male with dementia Date of last inspection 17 January 2005 Brief Description of the Service: Needwood House is situated in a quiet street, a short distance from the High street in the small town of Heath Hayes. Amenities and services are well provided for, and a regular bus service offer good connection to Cannock and Lichfield. The home is a two-storey town house adapted for the care of the elderly who have dementia and mental illness. The home offers a good standard of care under the protection of a well-qualified and experienced management and staff, who promote a sense of individuality and feeling of belonging in a homely environment. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out with the provider and care manager team. The last inspection report was discussed to which it was noted there were no outstanding issues. There were 24 service users in residence on the day of inspection. A tour of the unit permitted free access to all areas, service users, relatives and staff, when open discussion took place. A full case tracking of three service users with the senior nurse yielded a valuable insight of policies in action. An inspection of administrative procedures and documentation preceded a detailed follow-up report. The provider, care manager and senior nurse were thanked for their cooperation and open willingness to contribute to the inspection process. What the service does well: What has improved since the last inspection? The staffing situation has stabilised with a steady, consistent deployment of staff rapidly establishing a firm teamwork, and developing experience. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 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. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4 and 5 It is recognised that the Statement of Purpose represents the foundation on which the home operates upon, offering service users and their relatives the opportunity to make an informed choice about where to live. Following an assessment the senior nurse assessor determines the suitability of the application in view of the facilities available, and at the capacity of the home, to manage the individual and any special needs. The Home has demonstrated their commitment to promote a partnership of care, to meet the objectives of providing a home to meet individual needs. EVIDENCE: The Statement of Purpose, service users guide and brochure have been reviewed and continue to represent an excellent description of the home’s aims and objectives, philosophy of care and terms and conditions. Contracts are exchanged after a settling-in period, with the fully signed agreement of service users and relatives. Service users were seen to be admitted to Needwood House following a preadmission needs assessment, always carried out by the care manager or a Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 9 deputy. The form was examined and discussed and found to be acceptable. Any special needs of the individual including cultural, social or personal needs are fully discussed and documented. This assessment initiates the process of care, each individual having a named carer and a plan of care, which includes a daily living plan and longer-term goals and outcomes. Following assessment the senior nurse assessor determines the suitability of the application in view of the facilities available, and at the capacity of the home, to manage the individual and any special needs. Case tracking confirmed that a valuable exchange between service users and assessor took place and resources made available. These resources were seen to be an appraisal of staffing skills, equipment and general environment. It is not the policy of the home to accept emergency or unplanned admissions, although policies are in place and were considered adequate to meet the eventuality. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11 The admission assessment provides the base from which care planning is formulated. Residents and their families are encouraged to be involved with their plan of care, if they wish to be. The GP services are supportive, and through this agency arrangements are made to provide other professional support. Staff were observed in addressing service users in a respectful and dignified way. Individual freedom is extended to providing for visitors to come freely, and be involved in the daily activities, encouraging continued social contact. Care staff maintain all aspects of service users personal care, overseen by the trained nurse on a daily basis. EVIDENCE: Examination of records identifies a continuing meeting of these standards. The pre-admission assessment represented the foundation for a well-considered and detailed care planning process. A profile of the service user’s social, physical and psychological status offered an individual plan of care, based upon a Roper model of care. Inspection of three residents care records confirmed Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 11 that each service user’s individual plan of care is reviewed monthly, including service users and relatives views, to reflect their changing needs. Included in the care records were established monitoring systems following a process of goals, care and evaluation models of monthly assessment. The assessment made at admission determines the initial health care needs of service users, and ensures that access to the necessary services is arranged. Case tracking confirmed the attention to detail that the senior staff had taken in prepared the plans for care. The inspector observed the free, courteous interaction between service users and staff based on a level of confidence of mutual trust and respect. The facilities and bedrooms were presented to facilitate privacy for the individual, which included medical examinations and personal care procedures, being performed in private. The administration of medicines continues to adhere to procedures to maximise protection to service users. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 The daily routine was seen to be flexible to acknowledge individuality, yet present a focal point for residents to offer the security of consistency. Service users’ life-styles and interests are recognised, discussed with their relatives prior to admission, and documented as far as possible to enhance a position of supported independence. Those who wish to bring in personal possessions are encouraged to do so. Staff were observed to hold a friendly, sympathetic and confident interaction with service users and family, in lounge areas, and at lunchtime in helping those who required assistance. Service users were offered a varied and nutritious choice of meals from a rotating menu. Special diets were accommodated with the cook making every effort to engage with service users to discuss personal preferences. EVIDENCE: The Statement of Purpose and Guide indicate a flexible routine, established to meet the preferences of service users. The recording of social activities are seen to be an integral part of care reporting and planning. Social activities are designed to stimulate motivation and interest in their surroundings, with help from care staff. Policies are clearly set out to encourage relatives and friends Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 13 to visit and participate in the overall provision of care. At the time of inspection several relatives were present and seen to be helping on various activities. Personal choice and relative self-determination are respected in policy and action. Those who wish to bring in personal possessions are encouraged to do so. Service users were offered a choice of meals from a 4-week rotating menu that the cook had recently reviewed. Lunch was served during the inspection and found to be a well-presented meal enjoyed by residents. Special diets were accommodated, with the cook making every effort to engage with service users to discuss personal preferences. Staff were seen to offer discreet assistance to those who required it. The choice of dining room, lounge or bedroom was at the discretion of service users. The kitchen was inspected with the cook and found to present a well equipped and organised area. All fridges and freezers were seen to be used in the appropriate manner, and well maintained, checked daily by the kitchen staff. A cleaning schedule was in place and found to be accurate, up to date and comprehensive. COSHH signs and notices were in evidence with cleaning chemicals secure, appropriate and under control. The kitchen itself was uncomfortably hot, although there is an air vent. Access to the kitchen area should be restricted to authorised staff only, with protective clothing made available. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18 Complaints and Protection (Standards 16 – 18) 3 of the 3 standards assessed were met There is a suitable mechanism for handling of complaints, with most being dealt with at the source of concern. Staff training clarified the responsibilities of all staff in their daily contact with service users, especially their privileged position in protecting service users from abuse, of all natures. EVIDENCE: The care manager kept a complaints file for minor issues resolved locally. No complaints had been received by the CSCI since the last inspection. Policies and procedures were in place. The complaints procedure was displayed in the hallway and contained the address of the CSCI. Advocacy service is available to those who require it, as indicated in the service user guidelines. Service users’ legal rights are protected by the systems in place in the home to safeguard them, including their contract, the continual assessment of care planning and policies in place, i.e. the complaints procedure. Two residents were presently under guardianship orders. The care manager showed satisfactory evidence of a protocol and response to anyone reporting any form of abuse, to ensure effective handling of such an incident. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 and 26 The location of Needwood House is conveniently placed for a care home. The external state of repair and maintenance is generally very good, and the interior state of repair is at a high standard; bedrooms are well appointed. Communal areas are furnished and decorated to a good standard to present a homely and comfortable environment. Bathrooms and toilets are suitably equipped and adapted. The domestic services in the home were seen to be of a very high standard. The home presented a clean and pleasant, odour-free atmosphere, much to the credit of staff. EVIDENCE: The home is well appointed to meet the needs of an elderly population of service users. A traditional large town home setting provides a safe, comfortable, friendly and homely environment. External access is satisfactory for visitors parking; pathways and fencing were safe and recently attended to. There is a small garden facility for service users Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 16 to take advantage of. Internal access was facilitated with ample fittings of hand and grab rails in adequate, well-lit and airy corridors. Re-decoration and recent up-grades were inspected and found to be of a high standard, confirmation of the long-term commitment to improve services and establish Needwood’s good quality standard of care. Wheelchair access was satisfactory throughout all areas of the home. Bedrooms were well maintained to meet service user’s personal preferences. It is the policy that on bedrooms becoming vacant, that each room is reappraised for redecoration. It was noted that there had been 16 new beds and mattresses provided. Communal areas were pleasantly furnished with facilities to accommodate social or reflective needs, in a homely setting. The conservatory offers a pleasant area with air conditioning, good standard of furnishing and a pleasing view of the garden area. Toilets are accessible to all, and within close proximity to all communal areas, the standard and presentation of all the toilets and bathrooms were of a high quality, clean, uncluttered and odour-free. There are adequate sluice facilities, each secure and with locked reagent cupboards. Policies for handling soiled and infected linen were satisfactory. Each room has adequate space to assist with personal care and dressing assistance, there is a good standard of furnishing complimented with a variety of personal belongings. It was recognised that 7 new bedside tables/lockers were on order. The evidence seen on inspection of service user’s rooms, and on discussion with the individual service users and family, assured that this standard was well met. Several service users spoken to expressed a sense of belonging and satisfaction in the quality and presentation of their living areas. Those service users who require adjustable height beds have a nursing bed. The domestic services in the home were seen to be of a very high standard. The service users and relatives spoken to remarked that they find the environment always very clean and conducive. There was no evidence of unpleasant smells or unsightly debris anywhere throughout the inspection. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 17 The nurse-call alarm system was satisfactorily tested and service record checked. The heating arrangements throughout the home are by central heating with guarded radiator convection. The laundry area was clean and very well organised; procedures were in place for coping with soiled/infected linen with the provision of alginate bags to minimise handling and cross-infection. COSHH signs were evident. Chemical cleaners were used appropriately throughout the home, and were seen to be secure and under COSHH recommended practices. The building complied with local fire service, Environmental Health and Health and Safety requirements. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 Staffing (Standards 27 – 30) 4 of the 4 standards assessed were met Staffing stability has been maintained with consistent levels to ensure equilibrium between numbers, skills and qualifications, with a strong presence of long serving experienced staff. Agency staff and nurse bank, with agreed overtime and flexible rostering, accommodate shortfalls. The management have established a comprehensive procedure for interview, selection and appointment of staff. The thoroughness of staff selection has a significant effect upon the provision of cares to ensure protection of service users. All staff receive training in care issues within the home from registered nurses and external trainers. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 19 EVIDENCE: Three weeks of off-duty were examined, i.e. 19/06/05 through to 8/07/05. The consecutive duty rotas were examined, providing evidence that the home is managing to maintain numbers, skills and qualifications to ensure the needs of the service users are met. On the day of inspection the staffing levels were: 0730 – 1500 1500 - 2100 2100 – 0800 1 Registered nurse 4 care assistants 1 Registered nurse 4 care assistants 1 Registered nurse 2 care assistants There are 7 registered nurses deployed working 218 hours/week, which exceeds recommended levels and 18 care staff working on average 543 hours/week. Agency staff and nurse bank with agreed overtime and flexible rostering meet identified shortfalls. The care manager will continue to fulfil the management responsibilities, whilst maintaining a working commitment to the shift rota. There was 3 housekeeping/laundry staff to provide 84 hours a week. The Home employs a maintenance man working 20 hours. There is 1 administrator working 40 hours per week. Two kitchen staff covered shifts between 0730 and 1500 amounting to some 49.5 hours per week established. At the time of inspection there were 2 carers on level II NVQ course, with 8 due to start. The care manager is confident that the home will meet the necessary level of commitment to the training requirements. Documentary evidence confirmed a continuing adherence to the quality of staff selection, recruitment effort and practice, which remains impressive. The management have established a comprehensive procedure for interview, selection and appointment of staff. This involves a standard application form to assess and profile, two references taken and CRB (enhanced) checks gathered before a contract is offered to successful candidates. The thoroughness of staff selection has a significant effect upon the provision of cares to ensure protection of service users. Service users are supported and protected by these practises and all new staff goes through an induction process that will ensure that they are going to be the right person for the home. All staff interviewed had a statement of terms and conditions. It is a declared policy that recruitment is based on equal opportunity. All staff receive training in care issues within the home from registered nurses Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 20 and external trainers. There was evidence of regular NVQ assessor visits and numerous certificates on display. Staff induction programmes are well established; very well designed, forming the base upon which in-service supervision and training are planned and achieved. Staff records displayed an account of training offered. Records were available to demonstrate an on-going process of supervised practice, showing training sessions and appraisals to be a routine feature of staff development. Development of the supervision process is ongoing, and the indications show an established routine. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37 and 38 The care manager, John Mansell is a very experience qualified nurse with a known track record of excellent standards and professionalism, is of good character and able to discharge his responsibilities fully to staff and service users. The registered provider confirmed commitment to Needwood House, and it’s future financial viability. This open style of management was mentioned by several service users, which provided a source of trust and mutual respect. There is a confidence apparent in the interaction of staff and the Home’s management that demonstrated a positive relationship that pervades throughout the Home. Service users and their families are encouraged to look after their own financial affairs, however if the service user requires some assistance this could be offered and the procedure for dealing with monies would be operated. The administration and management of the home is efficient, uncomplicated and sensitive to the needs of service users. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 22 EVIDENCE: The inspector observed at first hand the confident interrelationship that exist not only between management and staff, but also between staff, service users and relatives. Evidence was secured to confirm that an effective quality monitoring system has been introduced, based upon audit of standards, care plans, general audits and feed back from service users and relatives. Standards are discussed at staff meetings, daily reports, direct observation and involvement and one to one staff meetings. Regular audits and on-site inspections by the providers offers written evidence of a management firmly in control, well organised and prepared to facilitate meaningful, Inspection of the accounting and financial procedures in the home were found to be satisfactory. Examination of staff records showed that employment policies are effective and meaningful. An extensive examination of administrative, monitoring, planning and care records showed an organised and professional attitude to effective record keeping. In general they were found to be well maintained, accurate and up to date, ensuring that the service users’ rights and best interests are safeguarded. All records and medical notes are kept confidential and secure. Records inspected included, fire prevention tests on equipment, six monthly fire training and procedures, Health and Safety checks on equipment servicing, maintenance and risk assessments. The accident books for staff and service users were checked and found to be accurate, up to date and Riddor sensitive. These issues and routines ensured the health, safety and welfare of service users and staff. The administration and management of the home is efficient, uncomplicated and sensitive to the needs of service users. Relevant legislation and prevailing care issues were discussed and are fully appreciated by the management. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 4 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 24 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 Regulation none 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. 1. Refer to Standard 19.5 Good Practice Recommendations That access to the kitchen area is restricted to authorised staff, and that protective clothing be made available. Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Needwood E09 E51 S22355 Needwood V202635 090605 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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