Inspection on 03/03/09 for Old Ford End

This inspection was carried out on 3rd March 2009.

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

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

Old Ford End 21/12/07

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

CARE HOME ADULTS 18-65 Old Ford End 74 Old Ford End Road Bedford MK40 4LY Lead Inspector Angela Dalton Unannounced Inspection 3rd March 2009 10:05 Old Ford End DS0000070533.V374055.R02.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 Old Ford End DS0000070533.V374055.R02.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. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Ford End Address 74 Old Ford End Road Bedford MK40 4LY 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) 01543 442500 01234 358298 londonroad@tiscali.co.uk Milbury Care Services Ltd Care Home 6 Category(ies) of Learning disability (6), Physical disability (5) registration, with number of places Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC. to service users of the following gender: Either. whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD. Physical disability - Code PD. The maximum number of service users who can be accommodated is: 6 21st December 2007 2. Date of last inspection Brief Description of the Service: Old Ford End was opened in 2007 and is finished to a high standard with regard to fixtures, furnishings, and décor. The home is located in a residential part of Bedford in Bedfordshire, in close proximity to local facilities (Bedford town centre) and transport links. There are six en-suite bedrooms - five of these are on the ground floor and are fitted with a toilet, hand basin, and shower. An additional bathroom and separate toilet are on the ground floor. On the first floor the sixth bedroom has been designed as a bed-sit and comprises of its own bathroom with overhead shower, bedroom, kitchen, and dining area. This could accommodate someone looking to develop his or her independent living skills. All bedrooms are of a good size and the ground floor bedrooms and bathrooms have been fitted with overhead tracking. There is no wheelchair access to the first floor and sixth bedroom. All of the bedrooms have been individually decorated and include a bed, a chair, a table, a touchoperated lamp, matching curtains and bed linen. In addition to the bedrooms and bathrooms the premises include a lounge, activity/sensory room, an open plan kitchen diner, laundry, office, a number of store cupboards, a fully enclosed garden and parking for several cars to the front of the property. A TV and a music system were available for service users within the communal areas. The current weekly fee ranged from£1648.00 to £1741.73. Old Ford End DS0000070533.V374055.R02.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 2 stars. This means the people who use this service experience good quality outcomes. One inspector conducted this unannounced site visit on 3rd March 2009 between 10.05am and 4.30pm. The manager was present for most of the inspection. Two people were case tracked: The inspector followed the care of people who use the service to ensure the care they receive is reflected in the care plan and meets their individual requirements. The case tracking process cross-references all the information gathered to confirm that what Inspectors are being told is actually happening and reflects the Statement of Purpose, which contains the aims and objectives for the service. It included discussion with service users, staff, a relative and the manager. We looked at a variety of documentation which illustrated how the needs of people who use the service are met. The previous manager completed an Annual Quality Assurance Assessment (AQAA) report which provided us with additional information. People who use the service are well cared for and staff focus upon individual needs and ensure that people develop their skills and independence. The current weekly fee ranged from£1648.00 to £1741.73. What the service does well: What has improved since the last inspection? Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 6 At the previous inspection in December 2007 16 requirements were made which have all been met. Care plans have been updated to reflect details of assessments and health plans. Nutritional assessments have been completed and are regularly reviewed. Risk assessments have been conducted and are reviewed. Each person who uses the service has a contract outlining their fees and terms and conditions. Hot water checks are regularly conducted to ensure people who use the service are not exposed to unnecessary risk. The sluice now remains locked so that people are not able to access the hot water housed in this room. Staff deployment has been reviewed to ensure that people who use the service are not at risk. The manager aims to use regular bank staff or agency staff when necessary. Staff vacancies will be filled if recruitment is successful. A quality assurance review has been completed and the manager is reviewing ways of making this more accessible to people who use the service. A new manager has been appointed and is developing their understanding of the service. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Old Ford End DS0000070533.V374055.R02.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 Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence reflected that individual needs are assessed to ensure that they can be met by the service. EVIDENCE: There was evidence that the home had assessed the needs of the service users to ensure that they could be met before moving in. The manager informed us that one new person had moved in since the previous inspection. An assessment had been completed and provided the foundation for the care plan. The assessment also evidenced the transition process. Staff ensure that the moving in process occurs as the pace of the individual and that the feelings of the people already living in the service are considered. As stated at the previous inspection the assessment detailed reason for referral, medical overview, personal hygiene, elimination, eating and drinking, communication, mobility, daily routine, work and leisure, sexuality, beliefs, individuality and concluded that the service user would be suitable for the home. The new manager plans to reflect that the person has been involved in their assessment and has chosen to move into their new home. Each person has a contract in place outlining their terms and conditions and the expectation that they can have whilst living in their home. The manager plans to update the contracts to ensure information is current and the rate of Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 9 fees charged is included. The manager is also in the process of reviewing the statement of purpose and service users guide to ensure that staff details are up to date. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are the focus of the service and care plans illustrate how the needs of people who use the service are monitored, managed and met. EVIDENCE: We looked at 2 care plans to follow the care of people living in the service. They covered each aspect of people lives and provided comprehensive information enabling staff to provide appropriate care. They had been reviewed since the previous inspection and provided information about any changes that had occurred. Health action plans have been introduced to ensure staff record information about health needs and how they can be met. They were easy to follow and were up to date. The manager plans to hold ‘in house’ reviews for each person to ensure that all care plans are up to date and that each person is happy with their care plan. It will also provide an opportunity for families to further Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 11 contribute to care plans. This will also enable keyworkers to discuss care plans with people and reflect that this has occurred. We met with a relative during the inspection who had told us that they had been asked to contribute to their daughter’s care plan to ensure that staff could meet individual needs. The manager is developing care plans and has introduced a colour coded index help staff quickly access specific details. They are also researching ways of making care plans user friendly. There is a daily record sheet and the manager is exploring ways of better recording how each aspect of the care plan has been met to assist in the review process. Each person has a keyworker who is identified a s the main person to ensure that care plan information is kept up to date and appointments are recorded. This was reflected in the care plans we looked at. Risk assessments are in place for various aspects of people’s care. They provided details to assist staff to ensure that risks were still taken in a safe and managed way and also advised what action to take should a risk occur. The manager plans to ask for some specialist input from an occupational therapist to develop risk assessments for one person who has household appliances in their room. They are also planning to review some practices in the home to ensure compliance with the introduction of the Mental Capacity Act such as the locked front door and use of monitoring equipment to monitor night time epilepsy. We spoke to the person who has the monitors and they told us that they were happy that they had them as staff could ensure that they were alright during the night and this made them feel safe. They told us that they could turn them off if they wanted to but felt happy with current arrangements. We saw examples that ranged from assessing risk whilst swimming to managing potential risk of choking. End of life wishes were recorded for some people and reflected family involvement. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The leisure requirements of the people who use the service are met in a flexible way. EVIDENCE: People who use the service are able to pursue a range of leisure pursuits including attending various clubs, going to the cinema and therapy sessions such as hydrotherapy. An aromatherapist visits and people are able to receive treatment in their own home. The manager will review their CRB status but is assured that documents were presented to the previous manager. The manager is currently consulting people about their choice of holiday and this will be the first time a holiday has occurred. People we spoke to shared their excitement and showed us the brochures they were choosing their holidays from. Voyage issue a regular newsletter and the manager is offering people the opportunity to enter an art competition that the company are holding. One Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 13 person is looking forward to this as they enjoy painting and have some framed prints of their art displayed. The manager is developing the menu in consultation with people who use the service and this will be reviewed regularly in house meetings and one to one sessions. There are laminated pictures of meals and a board to display them upon. The manager is researching additional ways of making menus and meal choices more user friendly. Each person has nutritional guidelines and where necessary received support from a dietician to ensure that their needs are met. Care plans reflect this input. Weights are regularly recorded and the manager aims to review whether this is necessary for everyone and will link it to nutritional care plans where appropriate. People who use the service do weekly shopping by taxi or public transport. The manager is hoping to secure two medium sized vehicles later in the year for people to use. We were told that the service previously had a minibus but there were insufficient staff qualified to drive it so it was returned to the rental company. The manager aims to streamline transport bookings by pre booking taxis to enable arrangements to be more organised. The handover sheet and care plans reflect leisure activities and this will be developed following individual reviews. Each person attends college once a week and also participates in household chores and laundry. We observed staff supporting people to prepare lunch and clean the kitchen during our visit. The service has raised beds in the garden to enable easy access. Some people went out to do some gardening and plan what plants were needed during the inspection. The service has a Snoezelen (sensory room) that was being enjoyed by some of the people who live there. Other people were enjoying watching television and listening to their choice of music and dancing. People who use the service were enjoying spending some leisure time jointly, listening to music and singing and dancing together. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 14 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. This judgement has been made using available evidence including a visit to this service. The health needs of people who use the service are met. EVIDENCE: Each person has a health action plan which outlines what their needs are and how they are met. Each person receives support from various professionals and their guidance forms part of their care plan. There was evidence to reflect that staff were maintaining people’s health and seeking advice where necessary. The community nurse visited during the inspection and confirmed that staff communicated well with her and the community nursing team. They commented that the staff team ‘seem to have endless patience.’ There were letters from the district nurse outlining what care was being delivered by the team and the arrangements for ongoing care. The community nurse was updating a care plan and delivering a letter outlining the latest arrangements from the district nurse. Some staff have received training on pressure care and dressings and the manager will ensure that if any nursing tasks are delegated there is evidence available to reflect that staff are competent. One person currently receives support for pressure care and suitable equipment is Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 15 provided. We asked the manager what they would do if they had concerns about a person’s pressure care and they confirmed that they would contact the district nurse. The care plan reflected the care that was delivered to manage this need. There were clear and comprehensive care plans for identified needs and we saw clear instructions for managing the care of a supra pubic catheter. Care plans detailed individual preferences about the delivery of personal care and this is regularly reviewed. We observed staff work at people’s pace and they are not rushed or hurried. We checked medication records for two people. The manager has introduced an additional recording system for amounts of medication but this may complicate the existing system as there was some conflicting information but the manager was able to clarify the medication records. The manager plans to identify two members of staff to oversee responsibility for medication to ensure consistency. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 16 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. This judgement has been made using available evidence including a visit to this service. The service has a clear system in place to enable people to express their concerns. EVIDENCE: There is a process for recording complaints and reflecting any action taken. Each person who uses the service has a complaints policy in a user friendly format. The manager plans to implement regular house meetings to ensure that people’s views are recorded. Each person has a keyworker who they can make their needs known to. The manager would access an Advocacy service if this was required to access independent support for a person. When we spoke to a relative they confirmed that they could raise any concerns with any of the staff team or manager and felt comfortable to do so. Each person has family and they all have good relationships with the staff team. There was a Safeguarding incident several weeks ago. The situation was appropriately dealt with and the manager is working closely with both families and people who use the service. The relative we spoke to was satisfied that the situation had been appropriately resolved and they were confident that appropriate measures had been taken. Care plans and risk assessments have been updated and staff confirmed that they knew the changes that had taken place. All staff have received Safeguarding of Vulnerable Adults training and demonstrated that they knew what to do if they felt someone was at risk of abuse. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 17 We checked two financial records for people who use the service and found them to be in good order. Families act as appointees for people and each individual had access to their finances. Old Ford End DS0000070533.V374055.R02.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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home meets the needs of people who use the service. EVIDENCE: The home was clean, tidy and odour free during the inspection. People have personalised their bedrooms in individual styles. Staff confirmed that any equipment that was required was in place and in good working order. The home is styled in a contemporary and homely fashion and is able to meet the needs of people who live there. The manager is planning to purchase a computer for use by people who use the service. This will enable people to continue to develop the skills learnt at college. Staff have access to protective clothing and the manager plans to order dissolvable alginate bags for use with soiled laundry. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are equipped to meet the specialist needs of people who use the service. EVIDENCE: There are currently 155.5 vacant hours to be covered. One new member of staff has been recruited which will cover 37 hours but they have not yet started work at the home. The manager will be interviewing staff over the next two weeks and hopes to recruit four staff to work a variety of hours. Staff have working with reduced staffing levels for some time but stated that they have coped by ‘pulling together.’ Staff morale appeared high and there was a cheerful and friendly atmosphere in the home. Staffing deployment has been reviewed since the previous inspection: there is no longer a sleep in member of staff but 2 waking nights. There are 3 members of staff on early and late shifts with staff covering a middle shift. The manager will review staff levels once a full staff complement is achieved to ensure that people’s needs are well met. A full staff team and permanent manager will ensure that regular staff meetings and supervisions are able to occur. The relative we spoke with confirmed that staff were friendly and approachable and stated that her daughter and staff just seemed to ‘ hit it off’ and Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 20 understand each other. Staff complete comprehensive training to ensure that they are able to meet the needs of people they support. All staff have access to a laptop to complete pre loaded mandatory training electronically. One member of staff showed us how this worked and spoke favourably about training as it enables them to work at an individual pace. They are working towards completing the Learning Disability Qualification which enables staff to achieve a specialist qualification at induction and foundation level. This will then lead onto an NVQ qualification. The manager informed us that 3 out of 11 staff are working towards NVQ level 2. We looked at recruitment records for 3 staff. There are ‘pro forma’ checklists to reflect that head office has completed all appropriate recruitment checks. This agreement has been made between the Commission for Social Care Inspection’s Professional Relationship Manager and Voyage. The manager is planning to update staff photographs and display them to assist people who use the service to know who will be on each shift. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 21 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. This judgement has been made using available evidence including a visit to this service. The health and safety of people who use the service is assured, however the manager has yet to register with the Commission for Social Care Inspection. EVIDENCE: The manager has only been in post for six weeks but has already identified the areas which require attention or development. One member of staff told us that “if the manager says they’re going to do something it gets done.” Service users can be assured that despite a lack of a registered manager, Old Ford End is run with their best interests in mind. Service users benefit from an open, accessible management system. The operations manager has produced an operational review which has provided a baseline to work towards. The manager is in the process of completing the required paperwork to register with the Commission for Social Care Inspection. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 22 There are monthly visits by a member of the senior management team to ensure the service is running well and meeting people’s needs. There was evidence to reflect that the manager had reviewed care plans and was familiar with individual needs. People who use the service are asked their views during reviews and house meetings. The company issues quality assurance questionnaires on an annual basis to people who use the service, their relatives and professionals involved in their care. Staff are also asked to take part. Once feedback is received it is published in a report and made available to those who completed the questionnaires. The manager plans to incorporate findings into the Statement of Purpose. Regular health and safety checks are conducted. We inspected fire records which illustrated that weekly fire checks and regular fire drills took place. Hot water checks are recorded and reflected that it at a safe temperature. Action has been taken to keep the sluice cupboard locked as the hot water is at a higher temperature than in the rest of the home. This was identified as a risk at the previous inspection. Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 23 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 3 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 Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA37 Regulation 8 Requirement The manager of the service must be registered with the Commission for Social Care Inspection. Timescale for action 31/05/09 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 Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Old Ford End DS0000070533.V374055.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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