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Inspection on 23/08/06 for Ogilvie Court

Also see our care home review for Ogilvie Court for more information

This inspection was carried out on 23rd August 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 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service offers secure, homely accommodation in small units to people with a variety of needs including learning disabilities and challenging behaviours. The staff have had a wide training to meet the needs of the residents in a supportive way. A number of staff have been at the home some years and are knowledgeable about the residents and their needs and behaviours. Staff said the acting manager has made some positive changes since coming into post.

What has improved since the last inspection?

The Statement of Purpose has been updated to reflect changes in the service but does not fully meet the requirements of the Care Homes Regulations 2001. Quality assurance has been carried out with all relatives of residents. Some staff have had Protection of Vulnerable Adults (POVA) training. Regular staff and management meetings have been recommenced and a programme for staff supervision has been started.A programme of decoration and repair has been commenced for some units and new furniture has been purchased for the lounge in Turner Lodge.

What the care home could do better:

The laundry wall in one unit was badly damaged by a resident and has been temporarily repaired. The damage needs to be made good and redecorated. The ARC is very shabby and requires a major redecoration and refurbishing programme. The Statement of Purpose needs to be updated to include all the information required by Standard 1 of the National Minimum Standards, Care Homes for Adults (18-65).

CARE HOME ADULTS 18-65 Ogilvie Court America Road Earls Colne Colchester Essex CO6 2LB Lead Inspector Jane Offord Key Unannounced Inspection 23rd August 2006 10:15 Ogilvie Court DS0000017898.V305948.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 Ogilvie Court DS0000017898.V305948.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. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ogilvie Court Address America Road Earls Colne Colchester Essex CO6 2LB 01787 222355 01787 222495 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) Speciality Care (Rehab) Ltd. Acting Manager. Care Home 28 Category(ies) of Learning disability (28), Physical disability (1) registration, with number of places Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 28 persons) One named person under the age of 65 years who requires care by reason of a learning disability and who also has a physical disability The total number of service users accommodated in the home must not exceed 28 persons 14th November 2005 Date of last inspection Brief Description of the Service: Ogilvie Court is a care home providing personal care and accommodation for twenty-eight adults with a learning disability that varies from semi-independent to requiring full support from staff. The home is owned by Speciality Care (Rehab) Limited, which is a part of Craegmoor Healthcare. An acting manager is in post and the Commission for Social Care Inspection (CSCI) will be processing their application to become the registered manager. Ogilvie Court is a large property with spacious grounds situated in a rural setting some three miles from local shops and is not accessible by public transport. The home is divided into four separate buildings; all bedrooms are for single occupancy. Turner Lodge is primarily for semi-independent residents and Chelmer House is for residents to gain skills to be semi-independent. Danbury and Moore Houses are for more dependent residents. A day care unit, known as The Arc (Activity and Resource Centre) is located within the grounds and is in daily use for all residents. Fees range between £740 and £1,676.78 per week depending on the accommodation occupied, the source of funding and the level of dependency of the resident. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection looking at the core standards for care of adults. It took place on a weekday between 10.15 and 16.00. The acting manager was on annual leave so one of the team leaders assisted with the inspection process. During the day a number of staff and residents were spoken with, a tour of the buildings and grounds was undertaken and observation of a medication administration round was made. Two new residents’ files, care plans and daily records were seen, as were two new staff files, the policy folder, the duty rotas, some menus and an activities programme. Other documents seen included risk assessments, maintenance records, quality assurance results, the Statement of Purpose and some medication administration records (MAR sheets). Staff were observed supporting residents to manage day-to-day activities. Some more independent residents were performing household tasks such as doing the laundry or assisting with the meal preparation. Other residents were helping to prepare for an Open Day planned for the following week. Residents respected the boundaries between the houses and gardens but in their own environment were relaxed and confident. Interactions between staff and residents were friendly and appropriate. What the service does well: What has improved since the last inspection? The Statement of Purpose has been updated to reflect changes in the service but does not fully meet the requirements of the Care Homes Regulations 2001. Quality assurance has been carried out with all relatives of residents. Some staff have had Protection of Vulnerable Adults (POVA) training. Regular staff and management meetings have been recommenced and a programme for staff supervision has been started. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 6 A programme of decoration and repair has been commenced for some units and new furniture has been purchased for the lounge in Turner Lodge. 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. Ogilvie Court DS0000017898.V305948.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 Ogilvie Court DS0000017898.V305948.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality for this outcome area was adequate. People who use this service can expect that information concerning their needs will be obtained prior to admission but they cannot be assured that the Statement of Purpose meets the Care Standards Regulations 2001. This judgement has been made using information available including a visit to the home. EVIDENCE: The Statement of Purpose has been updated to reflect some of the changes in the service however there are still omissions if it is to meet the requirements of the national minimum standards (NMS). There is no mention of preadmission assessment of need or the possibility of trial visits to the home prior to making a final decision to stay there. Individual accommodation is not described and contract terms are not detailed. The information about making a complaint and contact details of the local CSCI office are not included. The files of two new residents were inspected. One contained evidence that the family had given information to help identify the resident’s needs for example, ‘gets sunburnt very easily, needs sunscreen on if outside’, ‘Can use Makaton but needs to be encouraged’. The other had a care plan from the resident’s previous placement. This resident had come from another part of the country so a visit to assess their needs had not been possible. The resident had only been in the home a matter of days and the key worker was working with the resident to identify their needs and formulate a care plan. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality for this outcome area was good. People who use this service can expect to have a care plan to help meet their needs and make decisions and take risks with support. This judgement was made using information available including a visit to the home. EVIDENCE: The files and daily records of two new residents were seen. One file had a care plan for the residents’ needs, the other had a care plan from a previous placement but the resident had only been in the home for two days and their key worker said they were spending time together to devise a new care plan. The established care plan had ‘care plan targets’ for the resident. These included encouragement to access the community for shopping, hair cuts and to visit a local café. There was a daily routine that included the preferred time of getting up and the resident’s likes and dislikes for food and activities. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 10 Both files contained risk assessments for activities the resident liked to participate in such as swimming, being out in the minibus, preparing snacks in the kitchen and helping in the gardens. Some residents were overheard making plans to go shopping with staff for new clothes and trainers. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality for this outcome area was good. People who use this service can expect to be able to access appropriate activities and maintain contact with their family. They can also expect to be treated with respect and offered a healthy diet. This judgement was made using information available including a visit to the home. EVIDENCE: The home has an activities and resource centre called The Arc that is open each working day to any of the residents. Dedicated staff support a range of art and craft activities there. There was evidence of artwork, pottery and photography on display. The Arc also has a snoozelum to give residents an area with a quieter atmosphere. The snoozelum has different lighting facilities, soft furnishings and music for relaxation. On the morning of the inspection The Arc was not in use as the staff were accompanying residents to the supermarket for the weekly food shopping. Although the home is in a rural setting and there is no access to public transport a number of the staff hold a driving licence to allow them to take residents out in the home’s own transport. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 12 In the residents’ files seen there were records that they had been out to a local public house, had ‘tea at McDonalds’ and attended ‘a party at the day-care centre’. In discussion with staff and some residents they said they had also visited the local swimming pool, bowling alley, cinema and restaurants from time to time. During term time some residents attend courses at Colchester or Braintree colleges. Observation of interactions between staff and residents showed that staff are respectful of residents’ opinions and needs. Staff knocked on doors to residents’ rooms. One resident had had a problem when another resident entered their room and interfered with their possessions uninvited. The resident had agreed that they would like their room locked during the day but they were not confident about managing the key. Staff kept the key and willingly unlocked the room at the resident’s request. The home has extensive grounds with each unit having its’ own garden area with level access and sheltered seating. There is a large vegetable garden and orchard that is managed by a gardener who works four days a week. Residents who have an interest in gardening and horticulture help with the work and any produce is used in the units to offer fresh fruit and vegetables to residents. The staff in each unit are responsible for the menus and shopping for their unit. Residents are consulted about the menus and some help prepare some of the vegetables and simpler dishes. Menus were seen for two units and offered a wide range of dishes for lunch ranging from roast dinner on a Sunday to prawn stir fry with noodles and cheese and herb potato cake and fresh vegetables. The evening meal offered a hot snack with the option of a later supper of fruit, yoghurt and crackers before bed. The residents’ files seen had details of the next of kin and family relationships. There were no rules about friends and relatives visiting. Staff confirmed that visitors were welcome at any reasonable time and could see the resident wherever the resident felt comfortable. One resident talked about a recent visit to spend time with a parent at home and what they had done together during the weekend. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality for this outcome area was good. People who use this service can expect to have their health and emotional needs met and are protected by the home’s medication practice. This judgement was made using information available including a visit to the home. EVIDENCE: Residents’ files seen had details of the health professionals involved in the care of the resident such as GP, psychiatrist, dentist and optician. There were records of visits to and from other health care professionals and details of medication changes and possible side effects to observe for. The daily records seen recorded moods and behaviour. There were weight charts and food intake monitoring records and a behaviour monitoring chart that was filled out each day. The policy folder contained comprehensive guidelines on medication administration and procedures. It included guidelines on the use of homely remedies and covert administration of medicines. There were guidelines for the assessment of residents who wanted to self medicate. Part of a medication administration round was observed and practice was safe. The cupboard was secured each time the carer left it, MAR sheets were only signed after the Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 14 medicine had been taken and medicines were dispensed hygienically. No signature gaps were noted on the MAR sheets. Some of the residents can demonstrate challenging behaviour. A carer talked of an incident that had occurred during the morning. They had been assisting a resident to have a bath and the resident became very anxious. Although the carer had managed a similar situation previously they felt they needed help this time and a senior carer was called. The resident was calmed and finished their personal care with help. The carer and senior carer said they would ‘debrief’ at handover and the strategy used would inform the resident’s care plan. Another resident who demonstrates challenging behaviour and can self harm has had a ‘behaviour management strategy plan’ devised so all staff respond in the same way. The plan showed evidence of regular review and was last updated at the end of July. The plan details ‘triggers’ for the behaviour and pro-active strategies for staff to employ to avoid an incident. There are also reactive actions for staff to help manage any behaviour. The plan includes acceptable ‘control and restraint’ manoeuvres to prevent the resident hurting themselves or others. There was clear guidance that any ‘control and restraint’ manoeuvres must be used for as little time as possible and all incidents must be reported and recorded. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality for this outcome area was good. People who use this service can expect to be protected from abuse and have any complaints taken seriously and investigated. This judgement was made using information available including a visit to the home. EVIDENCE: The home’s complaint log was seen and there has not been a complaint since 2004. CSCI have not received any complaints about this service either. The complaints policy was looked at and offers a robust procedure for investigating and reporting on complaints findings. Two of the relatives’ questionnaires that were returned to the home said they were unaware of the home’s complaints policy. Previous inspections have found the guidelines for the Protection of Vulnerable Adults (POVA) in use in the home satisfactory but the training of staff has been inadequate. The home also has a bullying/whistleblowing policy in place to protect staff if they exercise their duty of care to report colleagues. Staff spoken with said they were clear about action to take in the event of any suspicious incident. POVA issues are covered during NVQ training but not all staff have enrolled on the courses. Regular updates for all staff need to be provided to ensure residents are protected. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. Quality for this outcome area was adequate. People who use this service can expect to live in a clean environment with their own rooms personalised but they cannot be assured that all areas of the home will have a fresh décor or damage will be speedily repaired. This judgement was made using information available including a visit to the home. EVIDENCE: A tour of all the units including the ARC was undertaken. Some units have had recent redecoration and new furniture. Turners Lodge was one of these and the furniture in the lounge looked attractive and comfortable. Some residents were pleased to show off their own rooms and these were individually decorated and had co-ordinating soft furnishings and duvet covers. The units that had not been decorated looked shabby and worn. The ARC in particular was dark and the furniture was marked and old. The challenging behaviour of some residents has meant that for safety reasons some television sets have to be boxed into the wall to prevent them being moved. This work has been done as carefully as possible to match the surrounding décor. Some damage to a laundry wall that had been done by a Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 17 resident had had a temporary repair but needed to be made good and redecorated. All bathrooms and toilets seen were clean and tidy and had liquid soap and paper towels for hand washing. Each unit has its own washing machine and staff are responsible for doing the residents’ laundry. In some units more independent residents were seen doing some of their own laundry. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality for this outcome area was good. People who use this service can expect to be supported by correctly recruited and trained staff. This judgement was made using information available including a visit to the home. EVIDENCE: Two new staff files were inspected and both contained a complete work history and two references. There was evidence that a check had been made on the Protection of Vulnerable Adults (POVA) list, which is part of the Criminal Records Bureau (CRB) check and called a POVA 1st, before the staff commenced in post. Both staff had also had a full CRB check before starting work. There was documentary evidence that checks of identification had been made and a record of the interview questions and answers were kept. There was evidence of an induction programme that covered infection control, equal opportunities, recognition of abuse, food hygiene, fire awareness, challenging behaviour, managing violence and aggression, health and safety, control of substances hazardous to health (COSHH) and moving and handling. Staff spoken with confirmed the training they had received and said they had had additional training for administration of medication, using control and restraint techniques, managing epilepsy and administering rectal diazepam. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 19 The home employs forty eight care staff of which seventeen hold NVQ level 2 award or higher and eight are currently working towards the qualification. The duty rotas were seen and showed that Turner Lodge had two staff daily, Danbury had four and the other units had three. Night time was covered by five waking and two sleeping staff. The care team was supported by a gardener and an administrator. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality for this outcome area was good. People who use this service can expect to have their opinions sought and their welfare protected by the home’s procedures and practice. This judgement was made using information available including a visit to the home. EVIDENCE: The acting manager was on annual leave on the day of inspection. They have been in post since mid June 2006 and have made an application to CSCI to become the registered manager. They hold a registered mental nurse (RMN) qualification. Staff said that some changes that have been made recently have made for better communication between the care team. Regular management and team meetings are being held, minutes are taken and action points and dates noted. Residents are consulted on day-to-day issues but more formal consultation is limited by the degree of disabilities and understanding of the residents. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 21 Questionnaires have recently been sent to all relatives asking about the service offered to the residents. Opinions about internal and external environment, the level of personal care, communication with the home, and the staff attitude were canvassed. Five questionnaires have been returned and indicate that relatives are generally happy with the service. There was a comment about poor communication between the home’s management and relatives about the changes in management structure. A note recorded in one of the management meetings shows that relatives are to be contacted by letter. CSCI had received 12 ‘have your say’ comment cards from this service prior to this inspection. They all indicated that the resident was happy in the home and felt they were given choice about their way of life. Risk assessments were seen for accessing the boiler room, the use of window restraints and the risk of electric shock. Certificates for checks done on fire alarms and emergency lighting were seen and showed they had been inspected in July 2006. Records show fire drills are done regularly and the nurse call system is checked every two weeks. Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 22 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 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 23 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 YA1 Regulation 4 (1) (a) (b) (c) Sch. 1 23 (2) (b) (d) Requirement The home’s Statement of Purpose must be amended to meet the requirements of the Care Homes Regulations 2001. A programme of repair and redecoration must be developed to ensure all parts of the home are maintained and reasonably decorated. Timescale for action 30/09/06 2. YA24 30/09/06 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 Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ogilvie Court DS0000017898.V305948.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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