Inspection on 18/12/06 for Nicholl Grange

This inspection was carried out on 18th December 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Nicholl Grange 13/12/05

Nicholl Grange 14/12/04

Nicholl Grange 08/04/04

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

CARE HOME ADULTS 18-65 Nicholl Grange Nicholl Grange 14 - 22 Nicholl Street West Bromwich West Midlands B70 6HW Lead Inspector Chris Lancashire Key Unannounced Inspection 18th December 2006 10:00 Nicholl Grange DS0000004820.V324243.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 Nicholl Grange DS0000004820.V324243.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. Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nicholl Grange Address Nicholl Grange 14 - 22 Nicholl Street West Bromwich West Midlands B70 6HW 0121 525 3828 F/P0121 525 3828 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) Sandwell Association for Mental Health Jephson Housing Association Limited Post Vacant – care manager Jeanette Witton Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14) of places Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Nicholl Grange is an independent sector home that provides residential accommodation, including four self-contained flats, for up to fourteen people experiencing mental ill health. The home’s main objective is to provide a supportive environment in which to enable residents to live independently within a community setting. Support is provided with all aspects of daily living skills with a focus on individual needs and maintaining good mental heath. The home is situated close to West Bromwich town centre with easy access to all local amenities and transport networks. Parking is available at the front and there are extensive well-maintained gardens at the rear. The ground floor consists of an entrance hall, office, 2 single bedrooms, laundry room, small lounge, dining room, kitchen, main lounge (where smoking is permitted), storage cupboard and two separate toilets. Two staircases lead to the first floor, which includes two toilets with walk in showers, toilet and bath, a kitchenette, staff bedroom and eight single bedrooms. A further four registered places are provided in an adjacent building with self-contained facilities. Sandwell MIND has responsibility for both the management and staffing of the home whilst Jephson Housing Association is responsible for the maintenance of the building. The fees for this service are £524pw-£580pw. Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The inspector visited the home on 18th December and found that all staff and service users were planning to go out for their Christmas lunch. After brief discussion with staff, the inspector decided to leave and return two days later. She returned on 20th December with a colleague and they toured the building, examined records, spoke with staff, the manager and the service manager. In addition, the manager provided pre-inspection information and the service users completed questionnaires. This information was used in the preparation of the report. What the service does well: What has improved since the last inspection? The new manager has worked hard to ensure that the requirements made in the previous report have been addressed. Several areas of the building have been decorated and new furniture has been purchased. There are improved arrangements for staff training. The home now has improved systems for evaluating and monitoring the quality of care provided and for making plans about the home’s future needs. These have led to improvements in the general health care of residents, including their diet. Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Nicholl Grange DS0000004820.V324243.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 Nicholl Grange DS0000004820.V324243.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): 2,3,4,5 Quality in this outcome area is good. Admission procedures ensure that service users are able to make an informed choice before moving into Nichol Grange on a trial basis. They also ensure that the home is confident that they will be able to meet their individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prospective service users are provided with opportunities to visit the home before they move in on a trial basis. Two sampled files contained evidence that a full assessment had been undertaken by the home of the service users’ needs, and details of the initial referral. Assessments and care plans had also been received from the relevant professionals involved in their care. The manager informed the inspector that she is providing training to senior staff in the assessment process. Once the assessment process has been completed the prospective service user receives confirmation in writing as to whether their needs can be met and a trial move in date is arranged. During the trial period an induction programme Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 9 is completed with the individual to ensure they are aware of the homes policies and procedures. Licence agreements are completed and signed which clearly set out the terms and conditions of living at Nicholl Grange including the room to be occupied, payment of fees, and restrictions on the consumption of drugs and alcohol. Copies of funding agreements from the relevant authorities are also kept on file. These procedures are formalised in the home’s admissions and referral policy. Appropriate records are being maintained to ensure compliance. Nicholl Grange DS0000004820.V324243.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): 6,7,8,9 Quality in this outcome area is excellent. Good procedures ensure that appropriate action plans are implemented to meet service users needs and that they are involved in the decision making process. There is a clear emphasis on having open and transparent procedures and sharing differences of opinion. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have their own individual plan of care. These set out the ways in which their needs will be met and the goals towards which they are working. Two sampled plans were detailed and reflected the assessed needs and specified actions required to meet them. This included physical and mental health, medication, personal care, daily living tasks and preparations to move onto independent living, where appropriate. Service users expressed satisfaction with the key worker allocated to them and confirmed that regular meetings take place to discuss their progress & plans for the future. They Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 11 have up to date copies of their plans. There is clear evidence on files that service users are encouraged to be involved in making decisions about all aspects of their lives. In addition to individual consultation, there are regular monthly meetings which are used to seek the service users’ opinions and suggestions in relation to the running of the home and any planned changes. Risk assessments had been completed including agreed boundaries. Early warning signs of mental ill health and relapse prevention plans had also been recorded. The views of the service users and those of others had also been included and copies of the plan had been given to the individual and their care co-ordinator. This ensures everybody is working to the same agenda and any difference of opinion is shared. These are reviewed at least every six months. There are also risk assessments on the building and individual activities carried out both inside and outside the home. Individuals are enabled to take risks, within agreed boundaries, in order to develop skills and confidence. All records are kept securely in either the main office or staff office. Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is good. There are good opportunities available to enable service users to develop their independence skills and become involved in the local community. Their rights are respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Interaction between staff and service users was observed to be good. Staff were attentive to their needs and requests and displayed a good level of knowledge about individuals’ needs and goals. They demonstrated a commitment to enabling the service users to develop skills and interests. Some service users attend craft sessions and art classes. Staff stated the framed painting on display was an example of the work of their most talented resident. A garden party was held in September to which relatives and neighbours were invited and there are plans to put the proceeds towards a Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 13 water feature in the garden, which service users have requested. The home provides a range of activities such as DVDs, computer and board games and a selection of books are available. Service users also enjoy an annual holiday. On the first day of the inspection, the service users and staff went out for a Christmas meal. One service user spoke of their previous work history and intention to return to paid employment in the future. In order to achieve this the service user is attending a weekly work preparation session. Discussions with some service users confirmed their understanding of their finances. One service user praised staff for their support in helping to obtain the right benefits. Service users spoke about their relationships outside the home and the support given to them to enable them to maintain positive contact with family and friends. Where service users have expressed a wish to live with a member of their family or friend this is fully explored with all relevant parties. Visitors can be received at any reasonable time or with prior agreement and can be seen in either of the two lounge areas or their own room. Service users are responsible for keeping their own rooms clean and tidy. One service user was carrying out this task during the visit. Staff were observed providing encouragement and support. All service users are responsible for their own laundry. There is a small kitchenette situated on the first floor that residents use to prepare light snacks and drinks. The manager would like to provide residents with a training kitchen and is exploring how best this can be provided. Menus are displayed on the notice board in the dining room. The home provides service users with four week rolling menus and includes a weekly ‘takeaway’ of their choice. These are being reviewed as part of the home’s action to “Working towards 5 for Life” and the manager has contacted a dietician to provide advice. At the time of this visit a copy of the Christmas Menu was also displayed. The cook, who is familiar with service users’ dietary requirements and likes and dislikes, prepares the meals and provides alternative meals at service users’ requests. Records are kept of alternative meals served to service users. Training is being undertaken in Food Safety and the staff team are working to educate service users about the benefits of healthy eating. Arrangements are made during the week for some service users to prepare their own meal. Service users living in the self-contained flats are assisted in planning, shopping, and preparing their own meals as required. There are facilities for tea, coffee and cold drinks to be made throughout the day. Complimentary comments were received from service users about the food. General information for service users is displayed on the notice board in the dining room. Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 14 Service users are provided with keys to the home’s front door and their own bedroom. For security reasons the front door is locked at night. Waking night staff are available to open the door to residents returning at night. Nicholl Grange DS0000004820.V324243.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. The home has good systems in place to enable service users to live as independently as possible whilst ensuring their personal and medical care needs are met. The procedures and practices concerning the storage and administration of medication are good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Sampled care plans contained detailed information in relation to the personal care required by the service users. Service users were observed to be making their own decisions on how to live their lives such as when to get up or whether they wanted to go out. Assistance was seen to be provided by the care staff as needed. Feedback received from service users and staff was very positive. Service users confirmed that staff provided the assistance which they required. They felt the home allowed them to develop skills for living independently and were happy with the level of support provided. Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 16 There are comprehensive records to ensure that all medical needs are being met and monitored. The manager and staff are aware of the need to ensure that the health care takes a holistic approach to the service users and does not concentrate exclusively on their mental health needs. All appointments are entered into the homes diary and transferred to a daily activities sheet. Outcomes are noted on a log sheet for chiropody, optician, dental appointments etc. (as identified in their care plan and/or assessment). A separate log is maintained for GP and psychiatric outpatient appointments. The homes policy and procedure (available on the Sandwell MIND’s website) for medication has been signed by staff responsible for administration to ensure that it had been read and understood. Following a risk assessment service users can either have their medication managed by staff or start a staged programme towards self-administration. This risk assessment is undertaken with the service user’s involvement. The medication files contain all the required information including service user’s photograph, list of medications, and the reason for their prescription. Additional guidance has also been provided by medical professionals when needed. Sampled medication administration sheets were seen to be appropriately completed and medication was appropriately stored. Nicholl Grange DS0000004820.V324243.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. Nichol Grange has good procedures in place to ensure that service users are protected from abuse. They also welcome feedback on how well their service is being received and involve users in any decision making which will affect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure was clearly displayed in reception and contained all the required information including contact details for the Commission for Social Care Inspection. Other notices included an advocacy service, user involvement, MIND conferences, minutes from in house meetings, the home’s Statement of Purpose, and service users guide. There is also a collection box available for written feedback. Complaints have been handled appropriately and the outcomes are recorded. MIND has a policy and procedure relating to adult protection and whistle blowing (available on their website), which is dated and reviewed. Staff have signed to confirm that this has been read and they have also received training. The home also has a copy of the Social Services procedures relating to adult protection. Nicholl Grange DS0000004820.V324243.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): 24,25,26,27,28,30 Quality in this outcome area is good. Service users live in a homely and comfortable environment which meets their needs and is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The house is decorated and furnished to a good standard and has a homely atmosphere. The main lounge has been re-decorated since the last inspection and new furniture has been purchased. Service users have been involved in putting up the Christmas decorations. There were no obvious health and safety hazards on the day of the inspection. Records of the regular checks on and servicing of appliances and equipment are kept by the home. The manager reported that all are in good working order. Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 19 Bedrooms are located on the ground and first floors. Those seen by the inspector were suitably furnished and personalized to the individual service users’ tastes, reflecting their individual personalities and interests. The home has appropriate toilet, bathing and shower facilities. A toilet suitable for wheel chair users is situated on the ground floor. Service users have access to all shared areas within the home. This includes two suitably furnished lounges. Residents who wish to smoke may do so in one of these rooms. The large rear garden is well maintained. It is shared with residents in the supported living accommodation. There are suitable ’sleep-in’ facilities for staff. The home was found to be clean and tidy. The person responsible for domestic duties confirmed that service users are supported to keep their own rooms clean and tidy by care staff and are encouraged to participate in some of the household tasks. Suitable laundry facilities are provided. The home practices good hygiene and infection control. Cleaning materials are appropriately stored. Nicholl Grange DS0000004820.V324243.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): 31,32,34,35,36. Quality in this outcome area is good. The home has recruitment policies and practices, together with staffing arrangements which ensure that the service users are supported and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Nichol Grange has good recruitment and selection procedures in place to ensure that service users safety is protected. All staff met and observed during the inspection demonstrated professional skills, a detailed knowledge of the service users needs and enthusiasm. Staff have designated roles and responsibilities. In addition to the manager, there are three full time shift leaders, who have clearly defined responsibilities. They are encouraged to develop their skills so that they can undertake a range of management tasks. For example, they are undertaking training in assessing the needs of prospective service users. Care staff are allocated to a service user in the role of ‘key worker’. A senior member of staff is appointed to Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 21 supervise and support the worker in this role. The care staff are supported by a cook and housekeeper. Sufficient numbers of staff are allocated to provide care for service users, including a senior member of staff on each shift. An additional member of staff is included on the rota when work is being carried out with service users in the home’s semi -independent living accommodation. When there are shortfalls on the rota, use is made of agency staff when there is no cover available from within the team. Efforts are made to maintain consistency by using staff whoa re known to the staff and service users. Staff confirmed that they felt well supported by the manager in the home and that managers within the company were readily accessible. They were complimentary about the support provided by managers when required. Minutes are available of the monthly staff meetings and these are read and signed by staff that are absent. The agenda and contents of the minutes show discussions include the progress of service users, practice and staff training issues. Staff also receive at least six supervision sessions each year by the manager and she is making efforts to increase this to 12. Staff also receive annual appraisals. Staff also confirmed that the manager is available for discussion at other times. Staff undergo a structured, six-week induction programme and this is followed by a 6-month foundation-training programme. There are improved arrangements for training, which ensure that staff have access to a variety of relevant courses in addition to their mandatory training. The training manager maintains a matrix of training for each home and the manager of the home plans to meet with her on a monthly basis to plan. All of the shift leaders are registered for the NVQ level 4 and the remainder of staff are registered for level 3. Approximately 20 of staff have attained this level. Nicholl Grange DS0000004820.V324243.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): 37,38,39,42,43. Quality in this outcome area is good. The home continues to be managed well. Good systems are in place to ensure the health and safety of service users, staff, and other visitors to the home are protected. However, the manager must register with the Commission for Social Care Inspection This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new manager has been appointed since the last inspection report. She is now settled into her post and has made efforts to ensure that the requirements made following the last inspection have been met. However, there is no registered manager for the home and this was discussed on the day of the inspection. The manager informed the inspector that she intends to submit an application in the near future. The organisation must ensure that there is a registered manager for the home. Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 23 Nichol Grange has systems to receive feedback from service users, visitors, and others people who come into contact with the home. The manager has worked to ensure that the home’s quality monitoring is robust and service user focussed. The first of the planned quarterly reports is very detailed in respect of equal opportunities and training for staff. There are plans to publish the results of the monitoring on an annual basis. Visits under Regulation 26 are now being made on a regular basis to the home. A tour of the buildings communal areas showed that the home was clean and tidy and well maintained. Several new items of furniture have been purchased since the last inspection The fridge, freezer, cooked food, and water temperatures are being recorded and monitored. The home was visited by an Environmental Health Officer in July 2006 and there were no issues which needed to be addressed. There are good systems for ensuring that appropriate checks are made on services to and equipment in the home. Appropriate checks are made on fire detection and fighting equipment and there is a completed fire risk assessment. Monthly and quarterly audits are undertaken in respect of Health and Safety. Stress risk assessments are undertaken as part of the staff supervision process. Nicholl Grange DS0000004820.V324243.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 X 2 4 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 3 X X 3 3 Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA37 Regulation 8 Requirement The organisation must submit an application for the registration of the manager to the Commission for Social Care Inspection. Timescale for action 01/02/07 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 Nicholl Grange DS0000004820.V324243.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Nicholl Grange DS0000004820.V324243.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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