Inspection on 11/04/07 for Otley Road 14

This inspection was carried out on 11th April 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

Otley Road 14 20/12/05

Otley Road 14 19/04/05

Otley Road 14 28/10/04

Otley Road 14 10/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Otley Road 14 14 Otley Road Harrogate North Yorkshire HG2 0DN Lead Inspector David White Key Unannounced Inspection 11 & 16th April 2007 09:00 th Otley Road 14 DS0000061602.V329264.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 Otley Road 14 DS0000061602.V329264.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. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Otley Road 14 Address 14 Otley Road Harrogate North Yorkshire HG2 0DN 01423 500700 01423 500700 info@4sr.co.uk 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) Foresight Residential Ltd Ms Gladys Carol Sowerby Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 13 Service Users with Learning Disabilities, some or all of whom may also have a Physical Disability and/or Sensory Impairment. 20th December 2005 Date of last inspection Brief Description of the Service: 14 Otley Road is registered to provide residential personal and social care for 13 adults aged 18 to 65 years who have learning disabilities and associated sensory impairment. The home is situated in a residential area approximately 1 mile from Harrogate town centre and provides good access to the towns services and amenities. The property is a large converted manor house with a large accessible garden. The upper floors are accessible to residents by vertical passenger lift if required. The registered provider is Foresight Residential Ltd and the responsible person is Mr P Coldwell. The registered manager is Ms Carol Sowerby. The fees at the time of the site visit ranged from £698 per week upwards and did not include costs for toiletries, hairdressing, magazines, holidays, leisure activities, hairdressing and chiropody. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit undertaken on 11 April 2007 and 16 April 2007. The second visit was made because on the initial site visit day on 11 April 2007, certain documentation, which needed to be looked at, could not be accessed as the manager was on leave. These visits were carried out by one Regulation Inspector and overall took 7 hours with 4 hours preparation time. The home was able to return the requested information before this site visit. Surveys were sent out and received from twelve residents, five relatives and one health professional. The report includes information from the Regulation Inspector’s inspection record, which details the history of the home and relevant information about what has been happening in the home since the previous inspection visit. The site visit included an inspection of the premises. The visit involved looking at three residents’ care records, including residents’ assessments, care plans and medication records. Staff rotas, accident records and health and safety documentation were inspected. Three residents, two members of care staff and the manager talked about their experiences in the home and time was spent observing the interaction between residents and staff. The focus of the inspection was on a number of key standards and inspecting the case records of a number of residents to establish whether they corresponded with their experiences of life in the home. The manager was not available for the first day of the inspection but was present for the second day. The findings were discussed at the end of the inspection visit with the manager. What the service does well: Residents receive a good standard of care from a caring, committed and welltrained staff team who have a good understanding of their needs and who act in their best interests. A healthcare professional said that the staff team have an “excellent understanding of resident’s needs” and residents described staff as “kind and helpful”. Residents are encouraged as much as possible to make their own choices and this gives them control over their lives. There are a range of activities on offer for residents so that they are able to pursue their leisure and social interests. Relatives feel that trips are well organised. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 6 The home has good relationships with other services and this helps to ensure that residents are able to access and receive specialist support in order to maintain and promote their good health. The atmosphere in the home is relaxed and welcoming and the home is well maintained and this makes residents feel comfortable and safe. Staff receive a range of training to help improve their skills and knowledge in meeting residents’ needs. The home is very well managed so residents can feel confident that any concerns will be addressed properly and good standards of care will be maintained. What has improved since the last inspection? 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. Otley Road 14 DS0000061602.V329264.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 Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Proper pre-admission procedures are in place so that prospective residents can feel confident that their needs will be met by the home. EVIDENCE: Although no residents have been admitted into the home since the previous inspection visit it was noted within the care records of three residents that the home did have proper pre-admission procedures in place. All the care records contain information that has been obtained from other sources such as placing authorities before any decision had been made about whether the home would be able to meet the person’s needs. The home also carries out their own assessment of the individual’s needs in order to help them make a decision about a prospective resident’s suitability. Prospective residents and their relatives are invited to spend time at the home before making any decision about moving in. Each resident has an individual contract explaining the terms and conditions of their stay at the home and they are provided with a service user guide which gives specific information about the home. All of the information is available in Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 9 large print and Braille format to assist those residents who have visual impairment. Responses within all the resident surveys indicated that residents felt they were given all the necessary information before moving into the home. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents are encouraged to make their own choices about their own lives as much as possible taking into account any risks that need to be considered. EVIDENCE: The philosophy of the home is to maximise the residents’ level of independence as much as possible. Each resident has a care plan containing detailed information about their assessed needs and how these are to be met. The care plans focus on the strengths of the resident, their likes and dislikes and how they are to be supported by staff in meeting their needs. The care plans are informative and staff said that they are “easy to follow”. Residents are involved in their care planning as much as possible and regular care plan reviews take place involving the resident, their relatives and other professionals where this is appropriate. The home has a key worker system that allows staff to work with residents on a one to one basis. Residents are aware of who their key Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 11 worker is and one made comments that her key worker had helped in organising a night out for her to celebrate her impending birthday. Residents feel that they are encouraged to make their own decisions. Members of staff demonstrated a very good understanding of the needs of each resident and they could be seen to be interacting well with the residents through various means. A survey received from a health professional stated that the staff team have “an excellent understanding of the residents’ needs”. Risk assessments are in place for each resident to promote their independence and safety and these are regularly reviewed. Specialist advice is sought to help with the risk assessment process as in the case of a number of residents with mobility problems who have been assessed by a physiotherapist. The physiotherapist produces a report on their findings and the care records show that their advice is followed and acted on by the staff team. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents enjoy a very fulfilling lifestyle and have involvement in the local community. EVIDENCE: Each resident has an individual activity programme for throughout the week. There are some in-house activities and these include an Arts and Crafts group. Some of the residents attend local day services, which they describe as “enjoyable”. One resident who attends a day service said that she particularly enjoys a baking group whilst another resident likes make-up and attends a beauty group at a local day centre whilst another resident enjoys weekly regular visits to the library to choose audiotapes and Braille books. Residents said they also like going swimming and one enjoys visits to the local pub. Residents made comments that they “live their lives as I choose” and feel that they have good social opportunities. The home has a minibus that is used to Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 13 take residents out on trips and a holiday to Northumberland is planned for the summer. Because of the number of residents it is not possible to take everyone who wants to go out at a particularly time especially as there are four residents at the home who use a wheelchair. However records are kept of who has attended trips out to make sure that all residents have the same opportunities and relatives made comments that trips are well organised. The home also keeps life and leisure skills records to record activities undertaken by residents on a daily basis. Staffing rotas are flexible and planned around the needs of the residents. Visiting arrangements are flexible and residents can see family and friends whenever they want. Some residents’ keep in regular contact with family by telephone and a number of them go on holidays with their relatives. One resident who is involved in a relationship said that she is able to see her boyfriend at any time and receives visits from him at the home. Staff did say that there had been some incidences in the past when people had been asked not to visit the home at the residents’ request. Residents said that they enjoy the meals on offer at the home. Some are able to make their own meals and this is encouraged. There is a varied menu to suit all personal tastes and alternative meals are available if residents do not like what is on offer. One resident prefers to eat non-meat options and there are always vegetarian meals available and the menus take into consideration healthy eating. On a weekend residents said that they enjoy having a takeaway meal. A mealtime was observed and residents could be seen to be enjoying a nicely presented meal in a relaxed and unhurried environment. Staff and residents eat their meals together. Otley Road 14 DS0000061602.V329264.R01.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 and 20 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The personal and healthcare needs of residents are very well met. EVIDENCE: Resident’s care plans clearly state how each resident is to be supported in meeting their needs. Staff could be seen to be providing cares to residents in a sensitive manner and responses from resident surveys indicate that residents feel they are treated well by the staff team. Personal cares are provided in private and staff could be seen to be respectful towards the residents. Residents described staff as “kind and helpful”. Each resident has a General Practitioner (GP) and a dentist and a chiropodist regularly visits the home. One resident with hearing difficulties said that she attends a hearing clinic for regular appointments and some residents have involvement from a psychologist and psychiatrist. Referrals to other specialist services are made as required. At the time of the site visit a member of staff could be seen attending to a resident’s fingernails. The care records are very Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 15 good in explaining the reasons for healthcare checks and the outcomes from these. Very good communication systems are in place to make sure that staff are aware of appointment dates so that staffing arrangements can be made to support the resident in attending their appointment. A number of the residents have epilepsy and the care records clearly explain what actions staff are to take if a resident has an epileptic fit. One resident’s care records show that a referral has been made on their behalf to an appliance department for some better fitting shoes and referrals are also made to services who focus on increasing physical exercise to promote people’s physical health. Comments from relative surveys were positive about the care provided at the home and three relatives described the care as “excellent”. A health professional made comments that the home always seeks advice from specialist services about how to improve the health needs of residents and is very good at communicating with them to achieve this. The home has good medication systems in place. All the medication records are up to date and proper arrangements are in place for the receipt, storage and disposal of medications. All the staff team have received medication training. Otley Road 14 DS0000061602.V329264.R01.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 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Clear complaints and adult protection policies and procedures are in place and understood by the staff to safeguard residents from possible harm. EVIDENCE: The home has a complaints procedure detailing how any concerns would be dealt with and this is available in large print and Braille formats. Residents know who they would need to speak to if they wish to raise concerns and staff said they would be able to be aware of concerns through observations of resident behaviour for those residents who may have difficulty in communicating. Staff are well aware of residents’ rights and how to protect these. In one of the care records it was noted that a request made by an external agency for information from the home about a resident’s financial situation was refused after the home had discussed the matter with the resident and a family member. The home has a policy and procedure in place for the protection of vulnerable adults and staff have all attended abuse awareness training and receive regular updates. Staff spoken to had a good understanding of what abuse is and how to respond to it if it was happening. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 17 Staff support residents in managing their monies and residents have their own bank accounts and can have access to their monies at any time. Good systems are in place for the storage and recording of incoming and outgoing monies. A random check of a resident’s monies held at the home tallied with the records. Otley Road 14 DS0000061602.V329264.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 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents live in a comfortable, spacious and safe environment that is suited to their needs. EVIDENCE: The home has a very friendly, relaxed and welcoming atmosphere. Residents said that they generally “get on with each other” and this could be observed. Accommodation is over three floors and can be accessed by stairs and a vertical lift although this is rarely used. There is ramped access to enable people with mobility problems to have access to and from the home. Residents made comments that they are pleased with the standard of their accommodation. Bedrooms are personalised and are lockable to offer residents privacy. There are a sufficient number of toilets, baths and showers with appropriate aids and adaptations to promote residents’ independence and mobility. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 19 Furniture and fittings are of a good standard and are well maintained. The home has lighting and colour contrasting to help residents with their mobility, independence and safety. Whilst some parts of the home are bright, the lighting in the toilet areas on the ground and first floor and to the corridors leading to the bedrooms on the first floor needs to be improved to maximise residents’ mobility, independence and safety. The home is clean, tidy and well maintained. There are separate laundry facilities where residents’ personal clothing and bed linen are looked after. The kitchen is well maintained and regular checks are carried out to promote safe food hygiene practices. Residents made comments that the home is “always fresh and clean”. The home has a fire risk assessment in place and a recommendation made from a recent environmental health visit has been acted on to promote food safety. Systems are in place for the monitoring of hot water temperatures and any problems are referred to the maintenance worker for the organisation. A random check of the hot water temperatures was found to be within safe limits. The home has an ongoing programme of re-decoration and refurbishment. Otley Road 14 DS0000061602.V329264.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): 32, 34 and 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents receive good standards of care from a staff team who are well trained and supported. EVIDENCE: Staff are committed towards providing a good quality service for the residents and staff and residents could be seen to be interacting well with each other through various means of communication. The duty rotas show that there are sufficient numbers of staff on duty at all times. The rotas are flexible and are planned around the needs of the residents with particular attention given to busy times and social activities. Residents said that they feel there is “always enough staff around to help you if you need them”. Staffing levels enable staff to spend time with residents on an individual basis and to carry out activities in the home. A cook and a cleaner are employed to maintain food and hygiene standards. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 21 The home is accredited with the Royal National Institute for the Blind (RNIB) who provide training to the staff to develop their skills in meeting the needs of people with a visual impairment. All the staff team have received British Sign Language training to assist them in enhancing their communicating skills with people who have hearing difficulties. Most of the staff have either completed or are undertaking the National Vocational Qualification (NVQ) programme to develop their skills and knowledge in meeting the residents’ needs. An induction programme is in place for new staff and this is detailed and covers a number of aspects of working at the home. Staff said that there is “a wide range of training on offer” and that this training has been useful in improving their skills and knowledge. Relatives and a health professional both made comments that they feel staff have the right skills and experience to meet the needs of the residents. The home has a recruitment procedure and through looking at staff files it is clear that these are being followed in order to safeguard residents from potential harm. All the necessary checks take place prior to care staff starting work at the home. Otley Road 14 DS0000061602.V329264.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 and 42 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home is very well managed in the best interests of residents and with proper attention given to their health and safety. EVIDENCE: The manager has a vast amount of experience in running the home and looking after the resident group. She has undertaken management qualifications and receives other training to support her in her management role. It is clear that the manager has developed a very open and transparent culture that encourages people to share their views and opinions. The home has a deputy manager to assist the manager in the leadership of the home. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 23 It is evident through observation and discussions with the residents and staff that the manager is well respected and puts the interests of the residents first. Staff said that the manager is “very approachable, supportive and hands on” and residents feel they are well looked after and are safe. Although there are no formal meetings for residents, as this is considered too stressful for them, residents do feel that they are involved in the running of the home and would have feel comfortable in raising any concerns. The senior management of the organisation carry out regular unannounced visits to the home and seek the views of residents about the care and services on offer within this process. Relatives are kept informed of important matters and are invited to attend care plan reviews with the resident’s permission. Staff meetings are regularly held to enable staff to voice their views and opinions about the service and these are recorded and staff supervision systems are in place to support them in meeting residents’ needs and to address any staffing issues. The home has proper arrangements in place to make sure that health and safety practices promote a safe environment for residents, relatives and visitors to the home. A random selection of the required health and safety certificates are up to date and satisfactory. All staff receive a range of health and safety training and accidents are clearly recorded in the home’s accident book to safeguard the interests of residents. Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 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 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 3 X X 3 x Otley Road 14 DS0000061602.V329264.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 YA24 Regulation 23 (2) (p) Requirement The registered person must make arrangements for adequate lighting to be provided in all parts of the building to assist residents with their independence, mobility and safety. Timescale for action 11/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Otley Road 14 DS0000061602.V329264.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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