Inspection on 25/04/08 for Norfolk Road (28)

This inspection was carried out on 25th April 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Norfolk Road (28) 01/05/07

Norfolk Road (28) 22/11/06

Norfolk Road (28) 07/03/06

Norfolk Road (28) 19/05/05

Norfolk Road (28) 11/12/04

Norfolk Road (28) 26/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Norfolk Road (28) 28 Norfolk Road Harrogate North Yorkshire HG2 8DA Lead Inspector Linda Trenouth Key Unannounced Inspection 25th April 2008 09:30 Norfolk Road (28) DS0000007901.V364157.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 Norfolk Road (28) DS0000007901.V364157.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. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Norfolk Road (28) Address 28 Norfolk Road Harrogate North Yorkshire HG2 8DA 01423 871288 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) iannorris@st-annes.org.uk www.st-annes.org.uk St Anne`s Community Services Manager post vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st May 2007 Brief Description of the Service: 28 Norfolk Road is a care home registered by St. Annes Community Services to provide personal care and accommodation for up to four adults with learning disabilities. The home consists of a semi-detached two-storey town house with garden areas to the front and rear including an enclosed area with hard standing for parking. The home is situated on a quiet road approximately one mile from the centre of Harrogate. Local community amenities and facilities, including shops, churches and pubs are within walking distance. Each of the four bedrooms is for single accommodation, none of which has en-suite facilities. These are all on the first floor and are accessed by a staircase. Current information about services provided at 28 Norfolk Rd in the form of a statement of purpose, service user guide and the most recent inspection report published by the Commission for Social Care Inspection are available by contacting the home. Information provided by the manager on 13th March 2007 indicated that the current weekly fee for the home is £935.07. Additional costs include toiletries, hairdressing, newspapers, activities and holidays. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We visited the service over one day for approximately 6 hours. The inspection also included gathering information and evidence before and after the visit to decide the overall judgement. The home does not have a registered manager, there is however an acting manager who visited the home during the inspection. We looked at the records, watched staff working, and talked to people who live at the home. We also looked around the building. The main purpose of this inspection is to make sure that the service provides a good standard of care. We sent comment cards to people who use the service, relatives, and social and health care professionals, to give them the opportunity to comment on the service. Four comment cards were returned. The manager of the home completed a self-assessment form called an AQAA, which is information we ask for every year and is used as part of the inspection process. The returned self-assessment documentation provides information about staffing and people who use the service. Feedback was given during the inspection to the acting manager and requirements and recommendations made during this visit can be found at the end of the report. What the service does well: The service user guide provides good information to help people understand what the home provides. People have a choice in what they want to do from day to day and regular house, staff and relative meetings are held to make sure everyone has a say in things that matter in the home. The manager and staff make sure that people’s health care needs are met. People see their own GP regularly and get good support from the community health facilities. One health care professional felt that the staff at the home communicated well Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 6 and that they protected people’s rights. They also commented, “The home responds to concerns quickly” One relative felt that the staff did a good job and made them feel that they are an important part of the care at the home. “I would like to reiterate our families congratulations for the work that is done at Norfolk Road, to make (his) life as happy and as comfortable as is possible.” People are encouraged to join in leisure and social activities and to make dayto-day decisions about their lives. People enjoy a variety of activities both within and beyond the home. One health care professional commented that the staff, “Seem to have a good rapport with clients and an understanding of their needs” The GP felt that that the staff always respect people’s privacy and dignity and took any medical advice seriously and acted upon their instructions. What has improved since the last inspection? What they could do better: The home still has no registered manager, which means that there is a lack of consistency and long-term support for people living at the home, relatives, and staff. The worn and broken furniture in the communal areas must be replaced to make sure people have a good quality of environment to live in. The décor must improve and be of a good standard. The manager must make sure that all areas of the home are kept up to a satisfactory level of cleanliness and hygiene. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 7 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. Norfolk Road (28) DS0000007901.V364157.R01.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 Norfolk Road (28) DS0000007901.V364157.R01.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People receive information about what the home has to offer and their needs are assessed to make sure that these can be met. EVIDENCE: The service user guide and statement of purpose provide good information about the home. These are available in a picture format for people with different communication needs to understand. The home has a pre-admission policy that outlines the procedures to be followed when people are considering moving into the home. There have been no admissions since the previous inspection visit, however, proper preadmission procedures have been followed in the past to make sure that only suitable people are admitted to the home. Information about a people’s care needs is collected together to make sure that the home can meet all their needs. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 10 Staff say that people visit the home to help decide if they wanted to move in and then have a trial period before they move in. Each person has a signed agreement, which makes sure that they are aware of their rights whilst living at the home. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 11 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People are well supported to make their own choices and are included in daily decision making in the home. EVIDENCE: Each person has their own care plan, which records how they prefer their individual needs to be met. The care plan is called “ Living my life the way I want to live it.” One person told me that he makes his own choices about what he will do each day. He uses a range of photographs and special equipment to help him understand. The care plan showed that people are involved with making decisions about many things in their lives such as, planning and shopping for food, clothes, holidays and enjoying a variety of different hobbies. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 12 One relative said where a person is not able to understand something staff supported them and also make sure that relatives are involved. One person also has an advocate who supports them in making important decisions. The care plans are good and are set out in a way that makes sure that people’s choices are taken into account. They are in a simple language and are easy to follow and some of the information in the care records is in picture format for people with communication difficulties. This makes sure they can be fully involved in planning of their own care. A review of the care plans is done regularly and from the records it is evident that relatives are encouraged to be involved. From watching people during the day we observed that they are encouraged to be independent and to make their own decisions. Risk assessments are in place to promote people’s independence and safety and are reviewed regularly to make sure that any changing needs are met. Daily records reflect how choices and decisions are made and these are up to date and accurately reflect the care that is being given. Each person has a key worker, which means that people receive individual support in their care. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People enjoy an active and varied lifestyle and participate in a wide range of community activities. EVIDENCE: The care plans show what people wish to do from day to day. People are supported to participate in local activities. The activities include, walks, ten-pin bowling, outings, and trips to theatre. One person said he enjoyed supporting his local football team and he had many other interests, he enjoyed watching the boats so much so he is hoping that this year he would go on a cruise. Some enjoyed activities such as social Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 14 clubs, swimming, horse riding, and outings to places of local interest. Others enjoy activities such as attending the gym, garden centres, shopping and visiting the pub. Staff clearly have a good knowledge of people’s hobbies and interests and support people to engage in a variety of activities. Staff say that they are always looking for interesting and different activities that people may enjoy. Help with communication skills is given to people with communication problems. All the staff receive Makaton training so are able to communicate with residents using sign language. One individual who has communication difficulties can become anxious about their daily routines. In order to reduce this stress, the daily routine is displayed in photographs so people know what they are doing on that particular day and when. People are encouraged to be involved with planning the menus, shopping, and preparing meals. Menus are planned in advance and alternative meals are available if a person does not like what is on offer. Specialist diets are catered for and the staff are aware of the need for a healthy menu. We saw that the meal-time was relaxed and informal with people eating at their own pace. One individual is trying to lose some weight to improve their health and the care records show that they have been referred to a nutritionist for specialist support with this. The family are also working with the home to support the health and diet of their relative. Norfolk Road (28) DS0000007901.V364157.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s personal and healthcare needs are met. EVIDENCE: The care plans are assessed and reviewed by the staff. Staff show a good understanding of individual health needs and promote people’s well-being. The records show that staff are prompt in making GP referrals and involving specialists to support people with their health. Staff support people in attending appointments. People have a health assessment and staff follow a healthcare checklist to make sure that no appointments are overlooked. The records include detailed information about why the people are attending appointments and the outcomes from these. This is important to make sure that all health needs are met. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 16 Staff say that any health care support is provided in private and in the way a person wishes. The GP confirmed that people’s privacy and dignity is supported by the staff at the home and the staff communicate well with them in making sure that people’s health needs are met. People at the home are not able to administer their own medication. The staff say that they have clear procedures to follow for the administration, receipt and disposal of medications. There is a good stock control of medication and the medication is safely stored. There are no controlled drugs in the home but suitable storage is available. The medications records seen are complete and all staff have had training in the administration of medication. This is to make sure that staff support people safely. Norfolk Road (28) DS0000007901.V364157.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 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People using the service and their relatives feel confident that their concerns will be acted on properly and procedures are in place to safeguard people from harm. EVIDENCE: Assessments have been completed for all people who display differing levels of challenging behaviour. These are written in to the care plans and help staff be consistent in how they will help someone. Staff say that they feel confident in managing any difficult behaviours and understand what is expected of them. People are encouraged to manage their own money. However, if they do not wish to staff keep it for them in a safe place. The staff complete financial documents to show how the money is managed and show any transactions that have occurred. The manager monitors this and the staff also check this regularly. This is to make sure that people are safe from any financial abuse. The home has a complaints procedure that details how someone can make a complaint and the actions that would follow on from this. The complaints Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 18 records show that the home has had one informal complaint since the last inspection visit and this has been dealt with satisfactorily. People say that they speak to staff if they are unhappy and have any concerns. Relatives also commented that any concerns are dealt with quickly. Staff said they would be able to be aware of concerns through observations of people’s behaviour for those people who may have difficulty in communicating. The staff team have training in how to make sure that someone is protected from abuse. The staff say that they feel confident they know what to do in response to allegations or incidents of abuse. This is important to make sure that vulnerable people are safe. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 19 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 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People could live in a cleaner and more comfortable environment. EVIDENCE: The home has two floors with bedrooms on the first floor. There are no lifts in the home and there is no ramped access to and from the premises so the home would not be suitable for people with mobility problems. Each person has their own bedroom that is personalised and there are bathroom and toilet facilities that are easily accessible to people on both floors. Aids and adaptations are appropriate in meeting the people’s needs. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 20 The staff work hard to care for people, cook and clean in the home. People have busy and varied daily lives and clearly enjoy a great variety of activities. The décor, furniture and cleanliness of the home however could be better. During the visit we toured the home and found that the bathrooms, bedrooms and communal rooms are not cleaned well enough with stains on the walls, paintwork, carpets, radiators and ceilings. The toilets and bathrooms are not cleaned to a good standard with engrained dirt and a soiled toilet plunger left in the bathroom. The décor in the communal areas is also poor in places and furniture is in need of replacement. Staff had stripped the lounge wallpaper but their appeared to be no immediate plans for redecoration. Seating in the lounges and dining room are dirty and threadbare. The manager tells us that there are plans to refurbish the lounge and that a carpets has been ordered. Some furniture has been broken for sometime, with a broken mirror in the bathroom and a cupboard door missing in the dining room. This means that people do not have a clean and comfortable environment to live in. The manager says that he feels this is his responsibility to ensure that the home meets a good standard of cleanliness and decor, he also says that staff do take a great deal of pride in their work and have decorated the bedrooms and communal rooms themselves. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 21 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 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People’s needs are met by a trained and competent staff team. EVIDENCE: When we arrived at the home one member of staff was supporting two people in the home whilst another member of staff was out for the day with the remaining people. The duty rotas show that there are at least two staff members on duty at all times through the day. During the night one member of staff sleeps on the premises and there is an on-call system if extra support is needed. Staffing rotas are flexible and are planned around people’s needs. Staff say that the induction training is good and that they are registered onto LDAF (Learning Disability Award Framework) when they begin work. They then go onto NVQ (National Vocational Qualification) level 3. Nearly all the staff at Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 22 the home have this qualification. This is good practice and shows that the service sees training as important making sure that people are cared for by a confident and skilled staff team. The manager has an audit of all staff training and this makes sure that he can effectively plan for future training needs. Staff say that the training is good at the home and they are supported to undertake both mandatory and specialist training. Staff have training in food hygiene, first aid, and adult protection. They also train in the management of different behaviours and techniques for people with challenging behaviour. This is important so that staff can safely meet people’s needs No new staff have been recruited since the last inspection. Previously the recruitment procedures were felt to be good. Staff told us that they feel well supported and have regular supervision with their manager. They also confirmed that regular staff meetings are being held. Staff say that communication is good and that they have a handover that means important information is passed on. Staff also confirmed that the staff meetings are held regularly. The staff have worked hard and the concerns about the environment is not a criticism of their enthusiasm and skill but it would seem that staffing is being stretched too far by staff supporting people, cooking, cleaning and decorating. Relatives say that they also feel that the staffing levels at the home are not always enough and this sometimes can limit the activities for people. If the continue staff to fulfil all these rolls an increase in staffing maybe necessary. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 23 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 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The home needs a permanent manager to give support and provide consistency. EVIDENCE: It is now some time since the home has had a registered manager and this needs addressing to make sure everyone has consistency and support. The service is seeking to recruit a new manager, the service tells us that this manager will manager this home and one other in the group. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 24 An acting manager has been appointed on a temporary basis to run the home. The acting manager has worked in the capacity of a deputy manager in one of the other organisation’s homes and has been in post for a year. He has a lot of experience of working with people who have a learning disability and is in his second year of a Foundation Degree in Business Management. The manager says that he does not wish to be the permanent manager of the home and that he hopes that someone will be appointed soon. People living at the home, relatives, health care professionals, and staff commented that the acting manager has made a positive impact on the home. They now feel that communication is more consistent, “The flow of information has improved in the last 12 months” However they also feel that there has been a lot of management and staff changes, which has an impact on the people who live at the home. “Staff changes have resulted in a lack of continuity and routine ….the latter is quite important to (the person)” “Staff shortages have, from time to time limited ….. outdoor activities” There are systems in place to find out the views of people about the running of the home. House meetings are held and records are kept and show how people have been involved in decision-making. Relatives are invited to attend care plan reviews and their views are sought about the care and services on offer. Staff sat that the area manager visits the home regularly and carries out audits of the home. This is important to make sure that everything is running well and the acting manager feels supported. Staff meetings are held so that staff can voice their views and opinions. Staff told us that they are receiving regular supervision to support them. A number of health and safety certificates checked are up to date but the manager must monitor the hygiene and cleanliness of the home more effectively to make sure that people live in a safe and comfortable environment. It is a concern that the furniture and decoration to the home needs replacement and improvement. The service has begun to order carpets and involve people in choosing furniture. The service must however make sure that all areas of the home ensure people’s comfort. They must also make sure that the level of decoration to the home is of a good standard. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 x 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 2 25 3 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 4 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 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 3 2 x Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes 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 YA24 Regulation 8 1(9) Requirement The worn and broken furniture in the communal areas must be replaced to make sure people have a good quality of environment to live in. The home must be kept to a safe standard of hygiene and cleanliness at all times. The registered provider must submit an application for a registered manager to be processed. (This requirement remains outstanding from previous reports 01/08/07). Timescale for action 01/09/08 2 3 YA30 YA38 13 13 01/07/08 01/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA33 Good Practice Recommendations The registered provider should make sure the home has an effective team to support people’s needs at all times. Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Norfolk Road (28) DS0000007901.V364157.R01.S.doc Version 5.2 Page 28 - 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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