Inspection on 17/01/07 for Nutley Hall

This inspection was carried out on 17th January 2007.

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

Nutley Hall 07/03/06

Nutley Hall 19/07/05

Nutley Hall 03/03/05

Nutley Hall 23/06/04

Nutley Hall 13/10/03

Nutley Hall 09/01/03

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

CARE HOME ADULTS 18-65 Nutley Hall Nutley Uckfield East Sussex TN22 3NJ Lead Inspector Jeanette Denereaz Key Unannounced Inspection 17th January 2007 10:00 Nutley Hall DS0000021176.V325764.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 Nutley Hall DS0000021176.V325764.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. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nutley Hall Address Nutley Uckfield East Sussex TN22 3NJ 01825 712696 01825 713469 office@nutleyhall.org 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) Nutley Hall Limited Mr Paul Bradford Care Home 33 Category(ies) of Learning disability (33) registration, with number of places Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of residents to be accommodated is thirty three (33) All residents accommodated will have a learning disability. That a maximum of seven (7) residents can be accommodated over the age of sixty-five as long as their individual needs can be met and are regularly reviewed. 7th March 2006 Date of last inspection Brief Description of the Service: Nutley Hall is made up of seven independent living units with each house being shared by residents with live-in support workers. The Main House is a detached Victorian building set in three acres of grounds. The home was founded in 1959 as a residential centre for people with learning disabilities, set up to run and developed according to anthroposophical principles that seek to optimize physical and mental health and well being in each individual. The home is situated on the A22 in the centre of the village of Nutley about five miles north of Uckfield and overlooks the Ashdown forest. In addition to the residents accommodation there a number of different workshops and a bakery with shop, which is open to the public. Nutley Hall is essentially a community of residents and staff living and working together which has grown and developed organically over a number of years. Several staff and service users have lived at Nutley Hall for many years. The organisational structure is non-hierarchical although the Registered Manager is ultimately responsible for running the service. The current scales of fees range from £ 558 to £910 per week. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Nutley Hall are referred to as ‘residents’. Also the reader should be aware that the traditional term used at Nutley Hall for senior support staff is ‘houseparent’. This report reflects a key inspection based on the collation of information received since the last inspection and an unannounced site visit conducted by an Inspector on the 17th January 2007. The site visit included a tour of the premises and the workshops. The inspector undertook an examination of various records including medication, care and staffing records. The Inspector met with the manager, management team, staff members on duty and residents at various venues throughout the day, which included the individual houses, the community meeting and in the workshops. The residents were sent a ‘Have your say’ about Nutley Hall survey, and nine were returned, and from information gathered residents were very happy with the care they received. Residents requested to see the inspector, and they were interviewed and their comments were very positive about Nutley Hall with one resident saying: “ I like living here very much, everything is lovely here, if I was unhappy I would talk to Paul (The manager).” Another resident stated that “It’s lovely, and we have a good houseparent, I like bowling and going to the cinema”. Also a resident that has only lived in the home two weeks was also interviewed in the workshops, and the inspector was invited to have lunch in the resident’s house. It was evident to the inspector that the resident had settled in very well in such a short time. What the service does well: Nutley Hall offers a good standard of accommodation in a beautiful setting, and also offering residents the opportunity to get out into the wider community. The quality and quantity of the food is very good. There are two cooks and a group of residents that cook the main meal of the day in the main house and distributed between the various houses, but the evening and weekend meals are prepared and cooked in the individual dwellings. All the houses and flats have well equipped kitchen and dining areas. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 6 The workshops within the community are offering residents the opportunity to acquire skills, have a meaningful and stimulating day with a sense of achievement. The residents have a choice of activities and many attend more that one workshop per day. Nutley Hall is excellent at ensuring that new residents settle in and responds well to any difficulties. Nutley Hall was found to provide good support and the management team and staff are good at ensuring residents have a good and comfortable life. The management team are well skilled and operates in an open and inclusive way, supporting both residents and staff and continue to improve the service based on seeking the views of those involved with Nutley Hall. Besides the work ethos, Nutley Hall offers many opportunities for leisure and cultural activities including sport, music and drama. One resident returned his survey to the CSCI is so involved in the drama; he sent the inspector the most recent programme of the December 2006 production in which he had a leading part. He stated that is enjoyed the activities especially clowning, plays, festivals and outings. Nutley Hall has a large assembly hall in which many of the activities take place. What has improved since the last inspection? What they could do better: There is a need for supervision contracts to be written for staff, which would explain what was the home’s policy and expectations of the supervision, and the outcomes with regards to the National Minimum Standard (36). Nutley Hall could review the traditional terminology regarding staff. Nutley Hall DS0000021176.V325764.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. Nutley Hall DS0000021176.V325764.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 Nutley Hall DS0000021176.V325764.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): 1,2,3,4 & 5 Quality in this outcome area is excellent. The statement of purpose and service user guide clearly says what service will be offered. Prospective service users can be confident their needs will be assessed, and the home will meet their needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection there has been one new resident to Nutley Hall. The resident had a very individual introduction to Nutley Hall and case tracking confirmed good practice. Nutley Hall was approached by the resident’s parents and the manager under took a pre-assessment of the resident, which included information from the resident’s previous residential home and comprehensive documentation with regards to the residents care and socials needs were supplied. The resident visited Nutley Hall before taking up residency and these visits were documented. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 10 The inspector had the opportunity to meet with the new resident during this inspection visit, the resident had only been at Nutley Hall for two weeks but the inspector observed she had settled in well in her accommodation and daily workshops. She told the inspector that she was happy at Nutley Hall and the inspector had lunch with her in her flat with the houseparent and other residents. She spoke openly about her new home, her family and what she enjoyed doing during the week and weekends. It was recommended at the last inspection that the home review the ‘residents’ guide’ to be produced into a more readily accessible format. The home undertook this review and produced pro-type version in symbols and words. However, the residents and prospective residents did not find this vehicle of communication helpful and in fact the new resident’s family reported that it was not helpful or informative. The majority of the residents do have reading skills and others would prefer the information to be available audibly. There are plans to have available audio recording to be played in-conjunction with the home’s Statement of Purpose. Nutley Hall DS0000021176.V325764.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): 6,7,8 & 9 Quality in this outcome area is good. The manager and staff demonstrate their knowledge of the individual residents, and are aware of the complex needs of the residents and encourage them to have an independent lifestyle as far as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was evident that care plans are reviewed regularly and there are discussions within the staff teams to streamline information and have a common format throughout the community. The inspector was invited to the senior house parents meeting where care planning was being discussed and examples of the new system were given. The selection of care plans seen by the inspector had relevant information and there was evidence they are reviewed regularly and that residents are encouraged to be fully involved in decision making. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 12 The involvement of residents into decision-making was also confirmed by frequent consultation with individual residents and in groups, with the recently introduced full community meeting held every Wednesday. The inspector was invited to attend this meeting, which is chaired by a staff member and everyone has a chance to contribute. A member of the management team informed the inspector that the hope for this new initiative is it will progress and issues affecting the community and the individual will be raised at the meeting, and all will feel able to talk within the group. The inspector spoke with the houseparent supporting the new resident and she had a good understanding of the resident and throughout the interview displayed her knowledge of the resident’s needs and aspirations. The resident, when interviewed spoke very complementary about Nutley Hall, she spoke about her family, the other residents, what she does during the day and how is really enjoys working in the weaving workshop. Another resident who has been living at Nutley Hall for over forty years also told the inspector she was very happy living a here. She has a slower lifestyle now and told the inspector she spends time at home and goes to the day services when she feels able. Nutley Hall DS0000021176.V325764.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 Quality in this outcome area is good. The home’s links the local community are good and enrich residents’ lives The life within Nutley Hall also enriches the residents’ lives, and their can choice from a variety of activities that they can enjoy and met their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector toured all the workshops and met with the residents and staff within the work setting. In the weaving workshop the inspector met with the new resident, and she is very able within this craft, and she was preparing wool for felting. From previous reports from school and college it stated the resident did enjoys these activities. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 14 The resident spoke to the inspector and told her what she was doing and she seemed very relaxed and enjoying her work. The inspector visited other workshops including the Bakery, Woodwork, Laundry, candle making and the main Kitchen and had the opportunity to speak with the residents and staff during this tour. Nutley Hall continues to be part of the local community and the bakery is open to the general public and there were people buying bread on the day of the inspection. The Inspector was also informed that bread and other goods made in the workshops are supplied to local shops and from Nutley Hall on annual events. Some of residents are getting older and a slower lifestyle is reflected in their daily activities. However, for the more active resident there is a full programme of activities within the workshops of Nutley Hall and other activities in the community. The residents spoke to the inspector about their activities and their hobbies which included horse riding, walking and visits to places of interest. At the community meeting the annual trip and an evening to a nightclub were discussed. The quality and quantity of the food is very good and the home and the Inspector was invited to have lunch during this inspection visit, and the meal was very good, wholesome and plentiful. Two cooks and a group of residents cook the main meal of the day in the main house and distributed between the various houses, but the evening and weekend meals are prepared and cooked in the individual dwellings. All the houses and flats have well equipped kitchen and dining areas. Besides the work ethos, Nutley Hall offers many opportunities for leisure and cultural activities including sport, music and drama. One resident returned his survey to the CSCI in which he described his involvement in the drama activities. He sent the inspector the most recent programme of the December 2006 production in which he had a leading part. He stated that is enjoyed the activities especially clowning, plays, festivals and outings. Nutley Hall has a large assembly hall in which many of the activities take place. Nutley Hall DS0000021176.V325764.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. Residents receive personal support appropriate to their physical, emotional and healthcare needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents are registered with a local GP and health checks are regularly carried out and all personal and healthcare needs are well documented, including a full reviews. The residents receive, when requested or needed, support from the Community Learning Disability Team (CLDT). The Care planning within the community is being reviewed. The Inspector was invited to the staff meeting and care planning was discussed at length, and the care plans are to have unnecessary paper work removed and this information to be archived to make the care plan and easier document to work with. The inspector saw three care plans; information was satisfactory with annual care plan updates, but not yet in new format. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 16 It was evident that the reorganisation of care plans was a large project in progress and good work has been undertaken, but more work is needed to ensure all care plans are of a good standard. The issue of a dental care was discussed for one resident who needed treatment. The community dentist has a waiting list and a resident had severe toothache and an urgent decision was made to go private, as he was is pain. The Management team are not satisfied with service from the community dental service and will be raising this concern on behalf of the resident to the appropriate body. The medication files and storage in one house was inspected and found to be in order. It was confirmed orally by the staff member and in the documentation that all staff that administer medication have had the relevant training and are all deemed to be competent in the administrating of medication. Nutley Hall DS0000021176.V325764.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. Residents and their relatives’ complaints would be taken seriously and investigated. The staff have the knowledge and understanding to take the correct action to safeguard residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are no recorded complaints or concerns since the last inspection. The home operates in an open and pro-active manner, and the home’s policy and procedures on preventing abuse and staff recruitment were seen and were comprehensive. The manager and staff demonstrated a sound understanding on how to prevent abuse, and during this inspection visit the inspector observed staff working in a very supportive and respectful way towards residents within the home setting and workshops. Residents interviewed during this inspection visit informed the inspector that they are very happy living at Nutley Hall and if they were unhappy they would always speak to their houseparent or the manager. Nutley Hall DS0000021176.V325764.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. The overall standard of the environment including the décor and furnishing are good and provide a homely and attractive place for residents to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager accompanied the inspector to a tour of the whole community including the main house, cottages and the house in the lane adjacent to Nutley Hall. The manager explained to the inspector the plans to expand the house on the lane. During the tour the inspector met with the staff in the individual units. The accommodation of a high standard being very homely and well furnished. A selection of bedroom seen reflected the interest and hobbies of the individuals. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 19 The inspector was invited to see the new resident’s room, it was little bare at the moment but she has just moved in, and the resident and the staff informed the inspector they have plans to personalise the room in due course. Nutley Hall is well maintained and very clean in all areas, and the inspector observed cleaning being undertaken in many areas during the course of the day. Also there was evidence that re-decoration was being undertaken upstairs in the main house. Nutley Hall DS0000021176.V325764.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): 31,32,33,34,35 & 36 Quality in this outcome area is good. Staff are well supported, well trained, motivated, and well suited to meeting the needs of Residents. Although supervision for staff has taken place, it has not been regular and there is a need for the home to review the supervision policy to ensure the home is meeting the National Minimum Standards. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector observed the staff working with the residents and was impressed with the respect and empathy shown by all the staff on duty. When questioned the staff had a good knowledge of the residents, and gave the residents a personal touch to their care, this is achieved by the established staff team working well together. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 21 Training is very important to the management and the staff and all are encourage by the management team to undertake training. The inspector during this inspection visit reviewed the staffing records of the two staff members and the recruitment documentation held was in order. The manager informed the inspector that 17 staff and undertaken supervision training, and ‘peer supervision’ has been in place for two years with staff of an equal status supervising each other. Some staff had returned from the supervision training with the expectation that supervision was totally confidential between the supervisor and supervisee. The inspector and the manager had the discussion regarding this situation, and the need for formal supervision to be undertaken by senior staff. There should also be supervision contract written, which would explain what was the home’s policy and expectations of the supervision, and the outcome with regards to the National Minimum Standard (36). Residential staff are referred to as ‘house parents’ this term does not accurately reflect practice in this adult service, and is an out dated term. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. Nutley Hall is openly and exceptionally well managed in the best interests of residents who are fully involved in the running of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home benefits from a well-motivated manager and management team who are supported by motivated and enthusiastic staff team. The management team through discussions displayed their knowledge of the needs of Residents. Minutes were seen of a range of staff meetings. The Inspectors observed staff and Residents having regular and open access to management. Staff spoken to confirmed how well supported they are by the manager. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 23 A safe environment is maintained for residents with them protected from harm by well-trained staff. Records inspected showed that all aspects of health and safety were being met this included looking at appliance safety certificates, staff training, and accident records. All staff and volunteers receive regular mandatory training in food hygiene, moving and handling, fire training, first aid training and infection control. All accidents and significant incidents are promptly reported to the CSCI. Care plans, policies and procedures are regularly reviewed and updated and the new care-planning format will hopefully improve outcomes. A commitment to service user involvement is demonstrated in the planning and delivery of services. Residents are consulted on a regular bases within house meetings and community forums. Also people visiting Nutley Hall have been consulted on their views of the service and the feedback seen by the inspector was very positive with comments that they were always welcome and there was always a good atmosphere. Nutley Hall DS0000021176.V325764.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 4 2 4 3 3 4 4 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 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 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 3 X 3 X X 3 X Nutley Hall DS0000021176.V325764.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 YA36 Regulation 18(2) Requirement It is required that the registered manager ensure all staff have a supervision contract, which would explain the home’s policy and expectations of the supervision, and the outcome with regards to the National Minimum Standards. Timescale for action 01/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA31 Good Practice Recommendations It is recommended that Nutley Hall review the traditional terminology regarding staff as ‘house parents’ as this does not accurately reflect practice in this adult service, and is an out dated term. Nutley Hall DS0000021176.V325764.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Nutley Hall DS0000021176.V325764.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. 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