Inspection on 22/11/06 for Phoenix Court

This inspection was carried out on 22nd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Phoenix Court 09/03/09

Phoenix Court 27/02/06

Phoenix Court 06/09/05

Phoenix Court 03/03/05

Phoenix Court 02/09/04

Phoenix Court 03/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Phoenix Court 16 & 18 Phoenix Court Todmorden Lancashire OL14 5SJ Lead Inspector Lynda Jones Key Unannounced Inspection 22nd November 2006 10:30 Phoenix Court DS0000001069.V321164.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 Phoenix Court DS0000001069.V321164.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. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Phoenix Court Address 16 & 18 Phoenix Court Todmorden Lancashire OL14 5SJ 01706 819608 01706 819608 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) www.st-annes.org.uk Paul please note this change of address for your records St Anne`s Community Services Ms Amanda Morgan Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Phoenix Court DS0000001069.V321164.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: Phoenix Court is a care home registered to provide nursing care and accommodation for seven adults with learning disabilities. The home is operated by St Anne’s shelter and Housing Association, a charitable organisation. The charge is £410 per week. The accommodation is divided into two self-contained areas, first floor and ground floor. There are four bedrooms on the ground floor occupied by four women. There is also a kitchen, lounge, bathroom, bathroom/ toilet, and a laundry on this floor. Upstairs the accommodation comprises three single bedrooms, occupied by three men. There is a kitchen, lounge, bathroom, bathroom/WC and an office upstairs. Externally the service users have safe access to a garden at the rear of the property. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgement categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This visit to the home took place over 5.5 hours. A pre inspection questionnaire was sent to the home before the visit took place. This provided useful information about Phoenix Court, which has been used in the preparation of this report. Comment cards were sent to relatives asking for their views on the service provided, four replied and their views have been included in this report. What the service does well: Relatives have confidence in the staff and say they are always made welcome when they visit the home. Relatives said the staff are “very nice at all times” “they do a wonderful job” and “I admire them”. They said they are satisfied with the overall care provided. The staff know everyone really well, they know what people like and dislike and they understand their preferred routines. There are some good quick reference guides about daily routines in the house. Some good information is recorded about the life experiences of residents. Care plans are up to date and regularly reviewed. Relatives are invited to planning meetings and they feel that they are kept informed and consulted about care issues. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 6 The staff rotas are organised to try to make sure that residents are supported to take part in leisure activities. Additional staff are on duty to support residents to attend doctors and hospital appointments. Health care plans are up to date and are regularly reviewed and amended when there is any change in circumstances. The house is comfortable and has a homely feel. Bedrooms are personalised and everyone has lots of their own belongings around them. The home is well managed and staff members are very experienced in the work that they do. Staff supervision and staff meetings take place regularly. The staff feel that they can voice their opinions and they are listened to. They said they communicate well with each other. What has improved since the last inspection? What they could do better: The quality of recording against personal objectives was better in some plans than in others. Based on the evidence in some of records, it seemed that there had been little progress in meeting some personal objectives and this needs to be improved upon. Staff need to make sure that relatives are aware of the complaints procedure. There are some repairs that need to be done in toilets and bathrooms. The kitchens need decorating and floor seals need attention. The bathrooms and shower are quite bare and uninviting. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 7 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. Phoenix Court DS0000001069.V321164.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 Phoenix Court DS0000001069.V321164.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): 1,2,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is available. Everyone has a licence agreement outlining their terms and conditions of residence. EVIDENCE: Phoenix Court has been home to the three men and four women who live there, since 1993. They moved there following the closure of a nearby hospital. This will remain their home for as long as their needs and aspirations can be met at Phoenix Court. St Anne’s has all of the required policies and procedures in place regarding admission to the services provided. These are available at the home but have not been put to the test at Phoenix Court because there has been no change in the people living there. It is St Anne’s policy to provide everyone living at the home with a licence agreement outlining their terms and conditions of residence. Phoenix Court DS0000001069.V321164.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): 6,7,8,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff know people very well and are fully aware of what is in the personal plans; residents are supported and encouraged to be as independent as possible. EVIDENCE: Everyone living at the home has a personal file, which contains information about their life experiences. Information is recorded about where people have lived and been to school. There is detailed information about what people like to eat, what they like to do with their time, the type of hobbies and interests people have, and about the sort of things that individuals need help with. The files include a personal plan, which sets out what each person wants to achieve. So that everyone is aware of what is in the plan, each resident has a planning meeting. The meeting may involve their relatives, staff from the home and Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 11 may involve other care providers. Some residents’ attend their planning meetings, some people don’t like meetings, and so they don’t go. They are still involved in deciding what is in the plan. They usually do this with their key worker or named nurse on the staff team. Because of the nature of their disability, some people who live at Phoenix Court can’t say what they want including in their plans. In these situations it is very important that staff know people really well so that they can advocate on their behalf. From talking to the staff it was clear that this was the case, some members of the team have known residents for many years and they clearly have a good understanding of their individual needs. On one of the files that was looked at, there was evidence that the residents relatives had been present at a planning meeting. Three out of four relatives who returned comment cards said they were kept informed and consulted about important matters relating to the care of their family member, one person said they were “sometimes” consulted. The documentation showed that where individual risks had been identified and assessed, appropriate plans were in place to protect and support residents. Phoenix Court DS0000001069.V321164.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): 11,12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have opportunities to take part in appropriate activities both in the home and in the community on a regular basis. Staffing arrangements are flexible so that residents can be supported on leisure activities. EVIDENCE: At the planning meetings a set of personal objectives is agreed, outlining what each resident wants to work towards achieving. Everyone present at the meeting agrees an action plan which sets out exactly what needs to be done to support residents so that they can achieve their objectives. It is very important that the staff accurately record all activity that residents are involved in, in pursuit of their objectives. This provides the evidence, which helps to measure individual progress, and will show whether the goals are realistic. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 13 Three plans were examined. There was evidence that personal profiles had been updated and that planning meetings had taken place this year within the correct timescales. When staff prepare a profile update they look back at the objectives that were set at the previous meeting and consider from the evidence recorded, whether the objectives have been achieved or not. There was some variation in the quality of recording made against the objectives. Some staff are obviously very good at keeping the records up to date and evaluating outcomes. For example, on one plan there was evidence that the resident had been on holiday, was going for days out, going out regularly for meals, attending music concerts and maintaining contact with family members. The records were good, the evidence was clear. On others, some of the outcomes were disappointing. For example, one person’s objective was to go swimming, the records indicate that this was not achieved because there were not enough staff available. A note indicated that as staffing levels had since improved swimming would now commence, this was carried over as a new objective. Another objective was to attend football matches, this had not been achieved but staff had noted that as the new football season had started this would now begin; this objective had been carried over. One objective was to go horse riding, the records show that two sessions had taken place since April. A note said “unable to get back in touch with riding school, now looking for alternatives”, this objective was also carried over. There was no sign of progress in supporting one resident to choose a new colour scheme for their bedroom and no progress recorded in assisting someone “to access computer technology to support communication”. One person was to be supported to go to church, there was evidence that this was achieved in April and May but nothing had occurred in June, July and August. The reason given in August was that there was no appropriate transport available. No mention was made of September. The following month, the resident was unwell and unable to attend. The records indicate that when she attended early in November she “enjoyed the service”. On another plan an objective was listed as helping the resident to maintain physical and mental health, it was not clear why this was a personal objective as all residents have right to expect this kind of support. Leisure activities appear to be well organised. Everyone has specific time set aside when they receive 1:1 support from staff. They may be supported to attend a specific activity such as going to the hydrotherapy pool, going bowling Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 14 or attending a local social club. Some people choose to go shopping or out to the pub or a local café with their keyworker. Times for these sorts of activities are mapped out for each person and the staff rota is planned accordingly. Staff can see in advance what is planned and who they are supporting. The rota is flexible and if two members of the team need to support one resident this is planned for. On the day of the visit, two staff accompanied one person to a hospital appointment and a member of St Anne’s bank staff provided additional cover alongside other staff on duty. Menus are planned each week, taking into account individual likes and dislikes. There is plenty of choice available and a healthy diet is encouraged. Phoenix Court DS0000001069.V321164.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): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The healthcare needs of residents are regularly assessed and reviewed to make sure that individual needs are not overlooked. Staff provide sensitive and flexible personal support EVIDENCE: A detailed health check is completed in respect of each resident. The documents are reviewed and updated annually; those that were seen were all up to date. The records show that every resident has access to a range of health care services and that that routine appointments and check ups with dentists, opticians, chiropodists etc take place as planned. There are some good quick reference guides about daily routines in the house. These can be used by bank or agency staff to ensure that consistent care is provided to residents in the event of temporary staff covering shifts. There is a guide for staff about the specific personal care routines of residents indicating what support is required in order to help each individual with their preferred Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 16 daily routines. It includes details about the order in which they prefer to dress and how to assist people with their personal hygiene including the degree of support and prompting that each person requires. The guide includes information about meal times showing a table plan and details of where people like to sit, what type of chair they need to use, what assistance each person requires with food and drinks. Residents are supported to make decisions about their lives as far as they are able to; they are encouraged to be as independent as possible. Everyone needs help with washing and bathing, dressing and undressing and staff support is required at meal times. From talking to the staff and from observing care practice it is apparent that they know people very well and have a good understanding of what people like and don’t like and they support people accordingly. Relatives who completed comment cards said they were satisfied with the care provided at Phoenix Court. One person said the staff did a “wonderful job of taking care of everybody”. Medication records were checked and were found to be satisfactory. Discussion took place during the visit about one of the prescribed medicines, which was provided in the form of 2mg tablets, when only 1mg was prescribed. Staff were breaking the tablets in half and disposing of the unwanted half in an unsatisfactory manner. Further discussion took place with the manager following the visit and she agreed to seek advice on this matter from the dispensing pharmacist. Phoenix Court DS0000001069.V321164.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): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are protected from abuse and have their rights protected. EVIDENCE: The service has a complaints procedure that is up to date and clearly written. According to the information provided in the pre inspection questionnaire, there have been no complaints over the last twelve months. All four relatives who returned comment cards said they did not know about the home’ complaints procedure, having said that, three out of four said they had not had reason to complain. One person who had made a complaint did not provide any details. It would be useful to take steps to remind people about the procedure. St Anne’s regularly arranges training of staff in areas of protection. The records show that this training is regularly updated and staff have attended a course in the last twelve months. Staff are aware of their responsibilities in this area. Phoenix Court DS0000001069.V321164.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): 24,25,26,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortably furnished, bedrooms are individualised and meet the needs of residents. Specialist equipment is provided to meet the needs of residents. EVIDENCE: The stone built detached house is at the end of a cul de sac. It is in keeping with all the other properties on the small development. At the back of the house there is an enclosed garden, which is well maintained. Part of this area has recently been redesigned to create a safe patio area for people to use. At the front of the house there is a safe paved area, which can be reached from the lounge. Outdoor furniture is available for people to use when the weather is good. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 19 All of the bedrooms are single, each one is personalised and decorated differently. The rooms are comfortably furnished and reflect the tastes and personalities of each occupant. Bedrooms can be used at all times, some people prefer to spend most of their time in their rooms listening to music rather than in the lounge. The lounge areas are comfortable and are both equipped with TVs, videos and sound systems. The house has been adapted and fitted with the equipment that each person has been assessed as needing. Overhead tracking is provided for people who have mobility difficulties and door closures are linked into the fire alarm system. There is no toilet seat in the upstairs bathroom, this needs to be replaced. In the downstairs toilet the seat is fastened on with only one hinge and is unsafe. The floor seals in toilets, bathrooms and kitchens need attention where they have come away from the walls. The shower room looks uninviting, two buckets were stored in this room; the seal around the shower base is black with mould and needs replacing. The kitchen decor needs attention where new units have been installed. Some of the cupboards are different shapes to the old ones, exposing several areas of undecorated wall. Phoenix Court DS0000001069.V321164.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): 32,33,34,35,36.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-informed staff team who receive regular training and supervision. Communication amongst the staff is good. Staff are confident about expressing their opinions within the team. EVIDENCE: During the day the home is staffed by two support assistants plus one qualified nurse on duty from 7.30am to 9.30pm. At night there two staff are available, one awake, one on “sleeping in” duty. The staff on duty said there is usually one person working upstairs and two downstairs during the day, it is more often the qualified nurse who works upstairs where the office is located. The rota is flexible, additional staff are on duty if a resident needs to attend an appointment and extra support is required. Similarly, if someone is going out for the day or is going on holiday, staff cover is increased. Three out of four relatives did not feel there were always enough staff on duty, they did not cite any examples of how this had affected the care provided. One person said “I think more staff would be better but they do very well with what they’ve got” Relatives commented on the good job that the staff do, one person said they admired the staff for the work they perform. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 21 The Provider Relationship Manager for the Commission for Social Care Inspection examined a sample of St Anne’s staff files in April 2006. Recruitment practices were generally found to be good, with references and Criminal Records Bureau checks taken up before new staff start work. The manager provided details of all of the training that staff have attended and details of updates of all mandatory training courses. Staff on duty talked about some of the training they had attended recently, they said they had regular refresher training in areas such as food hygiene, moving and handling, adult protection and fire safety. Staff were also able to confirm that they receive regular supervision and an annual appraisal and that staff meetings are held every month. Staff felt that they were listened to and that their opinions were taken on board. Phoenix Court DS0000001069.V321164.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): 37,39,41,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a qualified and experienced manager. Records are well maintained and kept up to date and the health and safety of residents is given high priority. EVIDENCE: The home is well managed, the staff on duty said they enjoyed their work and they found the manager and their colleagues on the staff team to be very supportive. Members of the team have lots of experience of working with people with disabilities and they regularly update their knowledge through training. The service has a comprehensive set of policies and procedures, which are reviewed regularly. Details of implementation and review dates were provided with the pre inspection questionnaire. Systems are in place to ensure that staff follow procedures during their practice. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 23 Health and safety issues are given high priority. Regular checks are carried out around the home, according to staff, urgent repairs that are needed are promptly dealt with. The manager provided details of maintenance and associated records with the pre inspection questionnaire. The records indicate that all equipment is serviced at the required intervals. Phoenix Court DS0000001069.V321164.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 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 3 26 3 27 3 28 3 29 3 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 2 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 3 3 X Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 25 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 2 3 Standard YA11 YA27 YA30 Regulation 16(3) 23(2)(j) 13(3) Requirement Timescale for action 31/01/07 Residents must have the opportunity to attend religious services of their choice. The toilet seats must be replaced 31/01/07 and made safe. Floor seals in the bathrooms and 31/03/07 kitchens must be repaired to maintain good standards of hygiene RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA22 Good Practice Recommendations The manager needs to ensure that all of the relatives know about the homes complaints procedure. Phoenix Court DS0000001069.V321164.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Phoenix Court DS0000001069.V321164.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. 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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