Inspection on 11/04/07 for Pathways North West Ltd

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 Excellent. 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

Pathways North West Ltd 06/12/05

Pathways North West Ltd 19/04/05

Pathways North West Ltd 04/11/04

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

CARE HOME ADULTS 18-65 Pathways North West Ltd 136 Whalley Road Accrington Lancashire BB5 1BS Lead Inspector Mrs Lynn Mitton Unannounced Inspection 11th April 2007 10:00 Pathways North West Ltd DS0000059734.V332290.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 Pathways North West Ltd DS0000059734.V332290.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. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pathways North West Ltd Address 136 Whalley Road Accrington Lancashire BB5 1BS 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) Pathways North West Ltd stephen.dewsbury@btinternet.com Miss Claire Mason Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission 6th December 2005 Date of last inspection Brief Description of the Service: Pathways Northwest Limited is registered with the Commission for Social Care Inspection to provide personal care and accommodation to 5 adults with a long-term mental health disorder. The premises are a spacious mid-terraced garden fronted property that is situated in a residential area of Accrington. The home is within walking distance to the town centre of Accrington and is close to local amenities including a post office and bus stop. Accommodation is provided in 5 single bedrooms. Shared space is 2 lounges dining room, male and female bathrooms and a kitchen. The home aims to provide structured rehabilitative support that responds to the needs of service users to help them achieve their maximum potential. There are a range of therapeutic activities i.e. stress management and problem solving available. Fees for the cost of a weeks care at Whalley Road range from £793.50 to £1648.77. There was information available to potential service users and their families advising them of the home and giving them details about the type of service they could expect. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted on 11th April 2007. The registered manager of the home completed a pre inspection questionnaire. The inspector spoke to 3 service users living at the home, and to the support staff on duty at the time of the inspection. Two service users were in hospital at the time of the inspection. Throughout the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small representative group of service users. Records regarding these people were inspected. One service user was case tracked, their file examined in detail and two support staff member’s files were also case tracked. Four of the Commissions service users surveys were returned, and one visitors/relatives questionnaires were returned. Two health professional’s surveys were also returned. Comments and findings of these surveys are referred to throughout this report. The inspector conducted the inspection with the registered manager. During the inspection a number of records, policies and procedures were also viewed. What the service does well: One health professional wrote: “I always feel reassured that my client’s needs are being addressed and that if any difficulties do occur they contact me”. One service users relative wrote; “Pathways have been good for my relative he was in two other homes before and that was awful. My relative still wants to come home sometimes but for now he is happy. I trust Pathways and know that he is well looked after”. One service user wrote; “I really like living here and hopefully will be going home after because I don’t want to go back to hospital”. Needs assessments were in place identifying the care needs of service users so that support staff. Contracts explained what service users could expect, how much it cost, and what was expected of them in order for them to live at Whalley Road. Information on care and health plans meant that service users’ needs were known to support staff and were being met in a consistent way. The risk assessment and management framework supported service users to take responsible risks. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 6 The home was run to make sure the service users had opportunities to enjoy their life and to fulfil their potential. Service users had regular access to their local community, and had opportunities to maintain family links. Service users privacy was respected and they were valued as individuals. They were each given opportunities to maintain their independence. Individual dietary needs were catered for. Service users were encouraged to participate in shopping, planning and preparation of meals. Personal support was offered in accordance with resident’s wishes, and in a way that promoted privacy dignity and independence. Policies and practices for managing and administering medication were in good order. Personal support was offered in accordance with resident’s wishes, and in a way that promoted privacy dignity and independence. Policies and practices for managing and administering medication were in good order. There were clear complaints and protection policies and practices in place and evidence that the service users views were sought and acted upon. The standard of décor and furnishings provided a comfortable and homely environment for service users. The standard of cleanliness and hygiene was good. Aids and adaptations were in place as identified in care plans. Staff spoken to and observed by the inspector demonstrated a good understanding of the needs of service users. There were sufficient staff members on duty to meet service users needs. Staff recruitment records, which would ensure service users were safe, were in place. The home was run to ensure the safety and welfare of residents and staff were safeguarded. General good practice was in place with regard to the safety and welfare of the staff and service users. What has improved since the last inspection? What they could do better: Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 7 Ensure at least 50 of support staff have achieved NVQ 2 qualification in order to ensure that support staff re sufficiently trained to meet service users needs. 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. Pathways North West Ltd DS0000059734.V332290.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 Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA1, YA2 & YA5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Needs assessments were in place identifying the care needs of service users so that support staff would have a clear understanding of how they could support them. Contracts explained what service users could expect, how much it cost, and what was expected of them in order for them to live at Whalley Road. EVIDENCE: The statement of purpose and service user guide had been updated, and a copy given to the inspector. There had been no new admissions to the home since the last inspection. The inspector case tracked one service user and found that information had been obtained by the home prior to the person’s admission to Whalley Road. Service users contracts were seen. These had been signed and dated by the service user, and fully explained the terms and conditions of their residence at Whalley Road. The inspector was advised that these were due to be re-issued in the near future with most recent placement costings. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 10 Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA6, YA7 & YA9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Information on care and health plans meant that service users’ needs were known to support staff and were being met in a consistent way. Policies and practices enabled service users to make decisions about their lives. The risk assessment and management framework supported service users to take responsible risks. EVIDENCE: One service users care plan was examined. This contained very detailed information about the level of support needed for staff to ensure they were aware of all the service users mental health and support needs and thus provide continuity and consistency in their care. The care plan had been recently reviewed. The inspector felt these documents included excellent content and detail and included service users input. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 12 One health professional wrote: “Pathways always carry out to the best of their ability my clients care plans around his health care, and the care plan reflects my clients choice of lifestyle”. Service users spoken to by the inspector, and from observations made, it was evident that service users had some autonomy in which they made decisions about their daily lives. For example, one person told the inspector about how he choose and made his own breakfast, lunch and supper, with staff supporting him as he needed it. The policy of the home was to promote responsible risk taking and freedom of choice. Individual plans case tracked contained a number of detailed risk assessments and management strategies. These were agreed and signed by the service users, who advised the inspector they understood the reasons for any strategies in place. For example one service user told the inspector that staff would never entered his bedroom without first knocking and waiting to be invited in, he understood that this would always be the case unless staff felt there was a risk to his wellbeing. The service user felt this was reasonable and acceptable. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA12, YA13, YA15, YA16 & YA17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home was run to make sure the service users had opportunities to enjoy their life and to fulfil their potential. Service users had regular access to their local community, and had opportunities to maintain family links. Service users privacy was respected and they were valued as individuals. They were each given opportunities to maintain their independence. Individual dietary needs were catered for. Service users were encouraged to participate in shopping, planning and preparation of meals. EVIDENCE: The service user case tracked had an individual activity programme in place, which included community-based activities. This had recently been updated. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 14 The inspector was satisfied that the activity programme was based on meaningful and valued activities for each service user, and that they regularly accessed their local community. These also endeavoured to ensure service users had opportunities to fulfil their potential socially, emotionally, and maintain their independent living skills. Motivation continued to be difficult for some service users. Activities included voluntary work and household/domestic tasks. The inspector was advised that it was planned in the near future for a local college to come into the home to offer service users computer skills training, other training courses that may then be on offer included flower arranging and animation. Service users are enrolled on the “fitness for life” programme at the local leisure centre. 2 service users had been to play snooker and one service user had been involved in tree conservation as a volunteer during the inspection. Since the previous inspection a people carrier vehicle had been purchased. A service users questionnaire had been completed asking service users where they would like to go for their holiday. These suggestions had not yet been formalised into firm bookings. A number of day trips had been arranged over the coming months, these included East Lancs. Railway; Wild Boar Park; Shire horse Centre and Blue Planet Aquarium. Most service users have regular contact with their families. The inspector was satisfied that service users families were encouraged to be involved in the care planning for each service user. Service users spoken to said that they felt their rights and wishes were respected and gave examples of how and when this had occurred. One health professional wrote: “A private room is always available for my client to use and discuss any issues”. The inspector saw service users making their own lunch. A record of what each service user eats was kept. Service users made their own meals with staff support as required, except tea, which was a communal meal. Halal meats were provided for one service user. Service users were advised individually about nutritionally balanced diets, and were given a weekly budget to buy their own food at lunchtime. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA18, YA19 & YA20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health needs of service users case tracked had been identified and, how they would be met, recorded. Personal support was offered in accordance with service users wishes, and in a way that promoted privacy dignity and independence. Policies and practices for managing and administering medication were in good order. EVIDENCE: Service users advised the inspector that they receive personal support in the way they prefer and require, and gave the inspector instances of when this had occurred. One service user told the inspector “I can’t fault it” referring to the support and care he received. Individual plans identified service users personal support needs. One health professional wrote: “Staff seem knowledgeable but do keep in regular contact if they are unsure of anything relating to my client”. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 16 There was detailed evidence on the service users care plan case tracked that service users mental health and physical health needs were being given due care and attention. These included a health check, which detailed the service users general physical health status and included pain recognition and lifestyle risks. There was also mental health safety profile in place. These were very detailed documents and had been recently reviewed. The service user case tracked was registered with a dentist. The inspector and registered manager discussed ensuring that any written comments made in health records are followed up with an outcome. The inspector was advised that Whalley Road was now a non-smoking home and provision had been made for service users and support staff to smoke in a sheltered area at the rear of the home. The smoking cessation nurse has visited the home to assist 2 service users reduce/stop smoking. A monitored dosage medication system was in place. Most staff had undertaken administration of medication training. Further medication training was being pursued for those staff who had not yet completed this. Policies and practices for managing and administering medication were in place, and seen by the inspector. An audit by Boots pharmacist had taken place in February 2007. A medication returns book was in place and being completed. Patient information leaflets were in place. A staff signature register was in place. The medication administration record sheets were seen by the inspector and appeared to be in good order. The temperature of the drugs storage cabinet was being made daily. The inspector and registered manager discussed the use of a dossette box for use on days out. A Medication Administration Consent form was completed for the service user case tracked. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA22 & YA23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were clear complaints and protection policies and practices in place and evidence that the service users views were sought and acted upon. Staff spoken to had a good understanding of adult protection issues and how to deal with complaints made by service users. EVIDENCE: The Commission had received no formal complaints. There had been no complaints received by the home. Policies and practices regarding concerns complaints and protection were in place and had been recently reviewed and updated. Service users meetings were held monthly and minutes kept, and included an opportunity for service users to raise any concerns. Two staff spoken to by the inspector knew what to do should any complaints be made to them. Service users spoken to by the inspector said they would talk to the registered manager if they had any concerns. There were detailed prevention of abuse policies and practices in place, which included whistle blowing. These had been reviewed and updated in March 2007. All support staff had completed prevention of abuse training and the inspector was advised that this training was ongoing on a rotational basis. Staff spoken to had a good understanding of adult protection issues and how to deal with complaints made by service users. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 18 Pathways North West Ltd DS0000059734.V332290.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. JUDGEMENT – we looked at outcomes for the following standard(s): YA24 & YA30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of décor and furnishings provided a comfortable and homely environment for service users. The standard of cleanliness and hygiene was good. Aids and adaptations had been made to accommodate one service users needs. EVIDENCE: The home was clean and tidy, and there were no offensive odours. The inspector was advised that a number of communal areas of the home and service users bedrooms had been redecorated. New leather sofa’s had been purchased for both lounges. An aquarium had been set up in the dining room. One of the office areas on the 2nd floor had been converted into a staff training room. There were shared bathroom facilities for service users. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 20 Appropriate laundry facilities were in place. Following an occupational therapist’s assessment for one service user, various aids and adaptations had been fitted in the service users bedroom and bathroom. The inspector was advised that this home is now a non-smoking home for service users and staff. A sheltered area outside at the rear of the home had been made available for smokers. Pathways North West Ltd DS0000059734.V332290.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. JUDGEMENT – we looked at outcomes for the following standard(s): YA32, YA34 & YA35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff spoken to and observed by the inspector demonstrated a good understanding of the needs of service users. There were sufficient staff members on duty to meet service users needs. Staff recruitment records, which would ensure service users were safe, were in place. Support staff should complete their NVQ training. EVIDENCE: 2 staff members were case tracked. Their files contained information that demonstrated appropriate checks had been taken to ensure that service users were safeguarded. Induction training met TOPSS specification, and of the two new members of staff case tracked, one had already completed their induction, having been in post for 4 weeks. The inspector noted that new staff were having monthly 1:1 sessions with the registered manager during their probationary period. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 22 Staff training was ongoing and relevant to the service users living at Whalley Road. The inspector observed service users being supported by competent staff. Regular support staff meetings were being held and minutes recorded. The inspector advised that annual staff surveys should be implemented. According to the rota, there were at least three staff members on duty from 9am – 5pm and two staff from 5 – 10pm, during the night there was one wake and watch staff on duty and one on call person. Of the 11 care staff, 1 had completed NVQ 4 training, 2 had completed NVQ 3 training, a further 2 were undertaking NVQ 2 and NVQ 3 training. A training matrix was in place. One service user said that he thought the management was “very efficient, and the staff team were very professional and they will do ‘owt for you”. One service users relative wrote; “staff tend to come and go quite a lot and this can affect my son as he is a creature of habit and gets attached to people. This is not Pathways fault as such people do move on and the people who stay are wonderful”. One health professional wrote; “The staff are very polite, conscientious, and hard working”. Pathways North West Ltd DS0000059734.V332290.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. JUDGEMENT – we looked at outcomes for the following standard(s): YA37, YA39 & YA42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. An experienced and appropriately trained registered manager ran the home. Monthly visits by the registered person were now taking place. Service users were regularly consulted regarding the running of the home. The home was run to ensure the safety and welfare of service users and staff were safeguarded. General good practice was in place with regard to the safety and welfare of the staff and service users. EVIDENCE: The registered manager had already completed NVQ4 and the registered manager’s award. The inspector was advised that the registered manager had enrolled on the NSC Masters in Nursing which is a 3 year part time course. Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 24 The inspector was satisfied that there were clear lines of accountability within the home and with the registered person. The Commission had received some monthly reports from the registered person, however not every month had been received by the commission. The inspector noted the evidence available in the home that visits by the registered person had taken place most months. The registered manager advised these reports would now be posted instead of being sent by e-mail. A business, training and development plan was in place and seen by the inspector. The Investors in People award had been awarded. Service users meetings took place each month the last one was held on 2nd March. The last service users survey took place in January 2007. The responses had yet to be amalgamated and published. Records regarding the prevention of fire, and routine maintenance records of the gas and electrical supplies and appliances were seen and found to be in good order. Training for support staff had been taken regarding to ensure the safe working practices. Pathways North West Ltd DS0000059734.V332290.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 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 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 4 X Pathways North West Ltd DS0000059734.V332290.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. No. 1 Standard YA32 Regulation 18(1)(c) Requirement The registered person must ensure that persons employed receive training appropriate to the work they are to perform. 50 of care staff should achieve NVQ 2 by 2005. Timescale for action 28/12/07 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 Pathways North West Ltd DS0000059734.V332290.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Pathways North West Ltd DS0000059734.V332290.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. 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