Inspection on 13/02/07 for Overton House

This inspection was carried out on 13th February 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

Overton House 27/02/06

Overton House 10/10/05

Overton House 02/03/05

Overton House 20/09/04

Overton House 10/02/04

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

CARE HOME ADULTS 18-65 Overton House Overton Road Cheltenham Glos GL50 6BL Lead Inspector Mrs Eleanor Fox Key Unannounced Inspection 13th February 2007 10:00 Overton House DS0000016529.V313521.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 Overton House DS0000016529.V313521.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. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Overton House Address Overton Road Cheltenham Glos GL50 6BL 01242 234635 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) National Star College To be appointed Care Home 31 Category(ies) of Physical disability (31) registration, with number of places Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: Overton House is one of two homes providing off site accommodation for students attending the National Star College. The building is owned by Barnwood Trust and is leased to the College. Overton House is a large Georgian property, which has been adapted and extended to provide residential accommodation for up to 31 students who have physical disabilities. The house is situated in a residential area very close to the centre of Cheltenham. Student accommodation is provided on three floors, accessed by shaft lifts. This consists of a mixture of single and double rooms and a flat. A recent garage conversion creates an additional two independent living flats. Overseas volunteers who work at Overton are housed on the top floor. Students have access to a range of communal spaces, including a large recreation room, a quiet lounge and a dining room. A domestic size kitchen is also provided in addition to the main kitchen. An enclosed inner garden is accessible to all students. During the daytime, local people with disabilities use parts of the building such as the computer room and recreation room for adult education courses. The provider supplies information about the service, including the most recent CSCI report, to students and their advocates on request. The current scale of charges is maintained within the Learning and Skills Council matrix. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to Overton House and takes into account the views and experiences of people using the service. One inspector undertook this unannounced inspection over two days in February 2007. During the visit, she chose the care of four of the students for particular scrutiny. She met each of these young people, read their care records, visited their bedrooms and, where possible, observed their interaction with members of staff. She also observed their participation in personal development activities. She conducted a discussion with a group of students about life at the College. The inspector walked around the property and observed the service of a mid day meal during her visit. She also spoke with some of the staff who were on duty on these days. These included the nursing staff who explained the processes for the administration of medications and provision of any required medical interventions. Records relating to any complaints and staff training were provided for inspection. The provision of quality assurance processes was also inspected. The inspector had the opportunity to talk to the acting Manager and her deputy, particularly in relation to general management issues. Both were open and most cooperative in providing information as requested. During a visit to the National Star Centre, the inspector read selected personnel and recruitment records relating to staff working at Overton House. She also looked at the recorded evidence of the maintenance of equipment in use in the building. CSCI surveys were distributed to the students and members of staff working at Overton House. Ten were returned from students, some of which had been completed for them by a named member of staff; and seventeen surveys were received from staff. Many of their comments and opinions are reflected in the content of this report. What the service does well: Careful consideration is given to placing each student in his or her preferred accommodation, to ensure that it meets individual needs; students’ care is fully reviewed prior to relocation to Overton House. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 6 Clearly detailed plans of care relating to all aspects of their lives are developed for each person. Any restrictions to independent living are agreed on the basis of appropriate risk assessments. Students are supported and encouraged to lead as full and independent a life style as possible throughout their stay at Overton House. They are given access to a wide variety of activities and are provided with support to develop personal, social and educational skills. One person commented that he was gradually gaining confidence about facing his new life when he left the College in the summer; he would be most sorry to leave Overton House. A good standard of food is served to students at this residence. The management of health care needs, including medication administration is addressed well; students are given support to take responsibility for directing their own care as much as possible. Any complaints or concerns raised about Overton House are addressed promptly and, where necessary, efforts are made to rectify the issue identified. There are also robust policies and good staff training in place to protect students against any form of abuse. Each applicant for a staffing post at Overton House is subject to robust recruitment processes. All new members of staff are fully inducted to his or her roles and have access to excellent training opportunities. Members of staff working at the residence have developed good working relationships with the students. They appear to work together as a supportive positive team. There is a good focus on improving the quality of care provided to students at Overton house. Health and Safety issues are also managed well. What has improved since the last inspection? Since the last inspection there have been a number of decorative and maintenance improvements throughout the building, enhancing the environmental standards for students living at this residence. Two replacement sluices have also been installed. The processes for managing fire prevention procedures have been improved; on this visit it was observed that these are implemented fully and consistently. There has also been an improvement in the provision of necessary records for Overton house. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 7 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. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students choose to be relocated to Overton House once they have adequate information about the establishment and assurances have been given that their assessed needs may be met while they are accommodated at the residence. EVIDENCE: Students studying at the College are normally given the opportunity to move to the accommodation of their choice, usually at the start of their second year. They are provided with detailed written information about each residence to assist them to make the decision. Once a request to move to Overton House has been received, the student’s condition is fully reviewed to ensure that the new residence will suit his or her individual needs. If it later transpires that the move has not been successful alternative arrangements will be made. One student described his own personal experiences; he is now happily settled at Overton House. Students are provided with the opportunity to visit the available facilities before they make their choices. During the inspection, arrangements were Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 10 made for two people currently accommodated in Wilson Court to visit Overton House after the half term break with a view to moving there in September. Conversations with students currently living in this residence show that it is a popular place to live and they particularly enjoy the close proximity and access to the facilities of the nearby town. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are comprehensive care planning systems in place, including risk assessments, which give detailed information to ensure that students’ health, personal and social needs are met. Students are supported to have autonomy over their individual life styles. EVIDENCE: Clearly detailed plans to address all areas of the student’s care and life style are documented and reviewed appropriately. Students participate in this process; reviews are also undertaken in a timely fashion. This information is also recorded electronically to improve communication of information between the different sites throughout the college campus. Personal development profiles and clearly detailed target action plans are also agreed with each student and developed throughout their stay at the College. These are reviewed and updated with the full involvement of the student concerned. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 12 During conversation the students agreed that they do have autonomy over their lives within the agreed boundaries of college life. They confirmed that they have formal student meetings on a regular basis and that at a recent meeting some amended Student House Guidelines had been produced with the agreement of those present. There were concerns expressed by some of the students who spoke to the inspector about a few of the new restrictions. However these will be raised through the appropriate channels at the next meeting. Students are facilitated to manage their own personal monies as far as possible. Well-detailed risk assessments are undertaken on each person to assess their ability to undertake as independent a life style as is possible. These are reviewed and updated appropriately and cover all aspects of their college life. Any necessary restrictions are discussed and agreed with the individual concerned. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Students are facilitated to live as full and independent a life as possible. Good opportunities are provided for varied and stimulating activities to occupy the students and thus improve their quality of life. Students are facilitated to maintain any links they wish with family, friends and the local community, thus adding interest to their lives through social contact. The meals are nutritious and balanced, offering a good choice and variety to the young people living at Overton House. EVIDENCE: The students are given support and are facilitated to achieve their documented personal development goals by staff employed at Overton House and within the College campus. One person was supported to achieve a catering skill during the visit. Photographic evidence of the successful completion was Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 14 maintained in the records. The focus is on preparing the students for their future lives once their college education has been completed. The students participate in college educational activities at the main campus and at Overton House. Facilities and equipment are provided to suit their wide variety of needs. Arrangements are in place to facilitate the students to take part in life in the wider community as far as they are able and wish to. One person was gaining experience using public transport independently; another was planning a trip out for a meal at a local restaurant. Students use the facilities such as the shops, clubs, pubs etcetera of the local town, when they are not involved in college activities. They also attend local churches as they wish. Students may take part in an extremely wide variety of college leisure activities if they wish. These include sports, creative pursuits, drama, and other special interest groups. They also have access to the college bars and communal meeting areas. In addition, facilities are provided at Overton House where students may meet socially and pursue their own interests. Family and friends visit students at Overton House when they wish; either using the personal bedrooms or one of the communal rooms provided. Students also have the opportunity to visit each other in their different accommodation buildings. Students living at Overton House meet and agree to live within the self regulated Student House Guidelines (See Standard 7). These are clearly displayed for their guidance and attention. A good variety and standard of food is provided for the students at Overton House. The meals are planned to suit their particular likes and dislikes and generally appear to meet the preferences of the young people living here. This is devised with input from the students living in the residence at the current time. One person spoke most positively about the food served although another was less enthusiastic, describing it as “OK, I suppose”. The students also have access to their own cooking facilities and sometimes prefer to eat ‘take away’ meals for a change. Records are maintained of the food served in this residence. Students were observed eating their food in a relaxed and informal manner. Those requiring assistance were helped in a friendly but sensitive fashion. The kitchen was clean and well organised. Special diets are prepared for two students with particular dietary requirements. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students’ medical care needs, including medication administration, are addressed appropriately, ensuring that they receive the healthcare support they require. EVIDENCE: Qualified nursing staff are on duty throughout the day and night to provide care to students as required. It was evident that good relationships had developed between the care and support staff, providing holistic care to the students as appropriate. Students confirmed that they are involved in any decisions about the care they receive; the completion of consent documentation further confirmed this. Observation of the records and discussions with the students showed that they also receive specialist care and support from other healthcare professionals, such as physiotherapists and speech therapists, if necessary. An occupational therapist visited one student to adjust a wheelchair during the inspection. Nursing staff maintain close contact with the students, checking and maintaining records on their general health and well being on a daily basis. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 16 Students are supported to manage their own health needs including accessing medical care, dental care, chiropody and other specialist assistance as needed. Students are also supported to take responsibility for their own medication administration as far as is possible; this is done on the basis of a documented risk assessment process, which is kept under regular review. Medications are ordered, stored and administered correctly. Arrangements are in place to ensure that students attending the main college campus receive the appropriate medication at the prescribed times; these processes are also kept under regular review to ensure consistency. Selected non-nursing staff have completed formal medication administration training to ensure that students are fully supported when they are on trips away from the college premises. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A satisfactory complaints system enables students and their families to feel assured that their views would be listened to and acted upon. Students are offered a good level of protection against abuse. EVIDENCE: Information on how to raise a concern or to make a complaint is provided to students and their families in literature about Overton House. The students who responded to the survey and who spoke to the inspector confirmed that they were aware of the processes; one person had recently raised a small concern with a member of staff, “and it was dealt with straight away”. Observation of the ‘Complaints File’ showed that there had been no formal complaints about Overton House in recent months. The number and content of concerns and complaints is closely monitored by the National Star College. Overton House has policies to address all forms of abuse. These are readily available for members of staff to read. Whistle blowing procedures are also included in this documentation. Members of staff working at this residence have had the opportunity to attend workshops on these issues in the last year. Tuition on these subjects are also included in national vocational training. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 18 POVA (Protection of Vulnerable Adults) legislation is correctly followed at Overton House. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students are provided with a good standard of clean comfortable accommodation. EVIDENCE: Overton House is an older style property, which has been extended to provide student accommodation catering for a diversity of needs. All areas are light, accessible and reasonably well maintained. Since the last inspection there have been considerable decorative and maintenance improvements throughout the building, particularly in the corridors and communal areas. Bedrooms are of a good size and are designed to suit the individual student’s needs. Each of the bedrooms seen on this visit had been personalised by the occupant with pictures, music equipment and other personal possessions. A wardrobe door in one bedroom was broken and could have posed a risk to the occupant; this was rectified during the inspection. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 20 The entire building was reasonably clean, fresh and of a comfortable temperature. Laundry facilities are provided for the personal use of the students but there are also arrangements in place to deal with any infected materials and clinical waste. Replacement sluicing facilities have recently been installed. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, and 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Care is provided by a stable care team, which is subject to robust recruitment processes and has access to very good training opportunities, ensuring that the students are fully protected. EVIDENCE: Students described the care staff as, “friendly”, “very kind”, and “good fun” and “they listen to me when I have a problem”. The staff appear to have developed a good rapport with those living at Overton house. At present fifteen of the staff already hold a NVQ (National Vocational Qualification), Level 2 or above, representing 54 of the total staff; additional staff are now undertaking this course. Observation of the staff rotas, comments in the completed surveys and discussions with staff and students on the day of the inspection suggest that there is an adequate number of staff on duty throughout the week to address the students’ needs. It was acknowledged that there are sometimes occasions when students may have to wait a short while at weekends to be accompanied on trips away from Overton House but on the whole their wishes can be addressed at mutually Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 22 agreeable times. When questioned, students did agree that this was normally the case. All recruitment records are maintained in the Human Resources department at the National Star College. Personnel files relating to six members of staff employed since the last inspection were read in detail. Each person had completed an application form providing a full employment history. Medical details were checked. POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) screening had been completed. Two written references were provided for each applicant. There was also documented evidence that each person had been inducted to his or her respective post. Staff have access to a commendable amount of varied training appropriate to their respective roles. This includes attendance at mandatory annual training. Records of attendance were provided for inspection. The students were about to commence their half term holiday, the first day of which had been delegated for training workshops for staff employed at Overton House. A variety of medical and care topics were due to be addressed. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The effective implementation of the College’s policies and procedures ensures that the Overton House is well managed and the students’ rights upheld. There is also evident commitment to improve the services for the benefit of the students living there. EVIDENCE: The Commission for Social Care Inspection is currently processing the application of the acting manager to become registered manager of Overton House. She has already gained considerable experience in the care of young people and has completed the Registered Manager’s Award and an NVQ, Level 4 in Care. Lines of management responsibility are clearly defined and made known to everyone at Overton House. It was apparent that all groups of staff now Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 24 appear to be working as a cohesive team with the individual members of staff providing good support to each other. The acting manager has already gained the respect and support of the students and staff. This was strongly confirmed in completed surveys and during conversations with both groups of people. Excellent quality improvement processes are in place at the College. Included in these are SPOC (Students Perception Of College) surveys, which are conducted on an annual basis and action plans to address any identified issues are then drawn up. Students also have regular formal and informal meetings at Overton House when any specific concerns, suggestions or queries may be addressed. All those questioned confirmed that they were able to “have their say” about Overton House and felt that they were “listened to”. Any complaints, accidents or adverse incidents are all monitored and audited centrally. During a visit to the National Star College records were provided to show that statutory maintenance/inspection of equipment and services is arranged in a timely fashion. Where faults are identified, they are rectified as necessary. Fire prevention management and training of staff appears to be addressed well. Records showed that fire drills and training had been undertaken appropriately. The building was safe and secure throughout. Staff attend mandatory training on health and safety issues, as required. Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 3 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 3 25 x 26 2 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 3 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 x 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 4 x x 3 x Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 26 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. 1 YA26 23 (2) (b) The registered person must audit 30/04/07 wardrobe doors throughout Overton House and arrange necessary repairs to ensure the safety of the students living there. 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 Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Overton House DS0000016529.V313521.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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