Inspection on 15/12/06 for St Michael's

This inspection was carried out on 15th December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Michael's 13/10/09

St Michael's 31/07/09

St Michael's 19/06/09

St Michael's 20/04/09

St Michael's 31/10/07

St Michael's 14/02/06

St Michael's 14/06/05

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

CARE HOME ADULTS 18-65 Priory Gate 129-131 Wingfield Road Stoke Plymouth Devon PL3 4ER Lead Inspector Antonia Reynolds Unannounced Inspection 15th December 2006 10:15 Priory Gate DS0000062825.V304165.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 Priory Gate DS0000062825.V304165.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. Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priory Gate Address 129-131 Wingfield Road Stoke Plymouth Devon PL3 4ER 01752 564944 01752 563400 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) Stoke HealthCare Ltd Vacancy Care Home 37 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (37) of places Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Home is registered for 37 service users. 8 staff who provide care must be on duty from 8am to 2pm; 7 care staff from 2pm to 8pm and at least 2 waking night staff from 8pm to 8am. One named Service User out of category over the age of 65 years Date of last inspection 14th February 2006 Brief Description of the Service: Priory Gate is a care home providing personal care and accommodation for thirty-seven people, aged 18 – 65, with mental health needs. At the time of inspection, the home was undergoing a major refurbishment and there were only fourteen service users resident in one half of the home. Therefore this description only applies to half of the home as the other half is unoccupied and inaccessible to service users. The home is privately owned by Stoke Healthcare Ltd, which also owns other care homes in the South West of England. The fee levels start at £420 per week and vary depending on the individual needs of service users. Information about the home and copies of inspection reports can be obtained from the Manager, Christine Hanwell. The home was purchased by the present owners in March 2005. It consists of a large detached three-storey building, made up of two semi-detached houses, situated in its own grounds and close to Stoke village in Plymouth. It is within walking distance of local shops and amenities, central Plymouth is accessible by public transport, and the home has its own car. All sixteen bedrooms are single and located on each floor. Five of these have en suite showers and toilets. Bathing/showering and toilet facilities are available on each floor, close to the bedrooms and communal rooms. There are large lounge and dining rooms on the ground floor. Attached to the dining room is a conservatory, where service users may smoke if they wish to. The home has a call bell system installed in every room. The home is wheelchair accessible on the ground floor only. The home stands in large grounds that will be made accessible to all the service users. The home has parking inside the grounds and on street parking Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 5 is available at the front of the home. Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection consisted of an unannounced visit between 10.15am and 3.20pm on Friday, 15th December 2006. The Manager, Christine Hanwell, was present throughout. A tour of the premises took place and records/documents relating to the care of the service users, staff and the home were inspected. A pre-inspection questionnaire had been completed by the Manager, which contained information relevant to the inspection. Survey forms had been completed by seven service users, eight service users were spoken with at length and a further four service users were observed during the visit. Written feedback was received from one relative and two relatives were spoken with during the visit. Five staff members were spoken with during the visit. No feedback was received from social and health care professionals. What the service does well: What has improved since the last inspection? A new Manager has been in post for approximately five months and has introduced many new systems, policies and procedures into the home, to ensure that staff know what is expected of them to enhance the lives of service users. The management of the home has worked hard to develop and improve the detail contained in service users’ care plans and risk assessments, and these are regularly reviewed. Half of the home has been extensively renovated and refurbished. The décor, furnishings and fittings are of a very high standard and there are plenty of toilets and bathing/showering facilities. All the radiators have low temperature surfaces to reduce the risk of burning. All the hot water taps used by service Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 7 users are fitted with thermostatic valves to reduce the temperature to a safe level to reduce the risk of scalding. Medication is stored safely in a designated room and staff have received training in the administration of medication. Staffing levels have been reviewed and increased and staff have time to support service users in valued activities, skills development programmes and leisure activities. All staff are expected to attend training including National Vocational Qualifications and training specifically related to working with service users with mental health needs. Staff files are now kept in the home and are available for inspection. A new quality assurance system has been introduced using feedback from service users and information obtained from service users’ meetings. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Priory Gate DS0000062825.V304165.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 Priory Gate DS0000062825.V304165.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): Standards 2, 3 and 4 Quality in this outcome area is good. The home’s admissions procedure ensures that prospective service users and their relatives/representatives know that the home will meet their needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre-admission assessment process ensures that the needs of prospective service users are identified. Service users and their relatives/representatives are welcome to visit the home prior to admission to meet other service users, staff and have a look around the home. There are also opportunities for prospective service users to have a meal or stay overnight should they wish to. Whilst the home does not usually accept emergency admissions, a recent service user was admitted without enough time to visit. In this case the Manager used a laptop computer to show this person photographs of the home and the allocated bedroom, thus helping the decision making process. Discussions with service users, relatives, staff and the Manager, as well as observation, show that staff are aware of the needs of the service users. Priory Gate DS0000062825.V304165.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): Standards 6, 7, 8 and 9 Quality in this outcome area is good. Service users can be confident that they will be encouraged and supported to make choices and decisions about their lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five service users’ files were inspected and these contained care plans and risk assessments relating to health and personal care needs that are regularly reviewed. The care planning documentation has been updated and contains comprehensive and detailed information about how the care needs of service users should be met by the staff team. Discussion with service users and staff confirmed that personal care is maintained, service users can bathe/shower when they choose to and are encouraged to be as independent and make as many choices as possible. With regard to service users’ money, the Manager confirmed that each service user is encouraged to maintain their own bank or building society account. Some service users’ finances are administered by the Court of Protection or relatives/representatives. The spending money Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 11 belonging to four service users is looked after by the home for safekeeping purposes. Priory Gate DS0000062825.V304165.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): Standards 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. Service users can feel confident that they will have opportunities for personal development, various activities are available to fulfil their aspirations, and independence and choice are promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions with service users, relatives, staff and the Manager confirmed that service users attend a range of work and leisure activities, including arts, crafts and trips out. Visitors are encouraged and confirmed that they visit whenever they like. Observation showed that all the service users knew the visitors and enjoyed lively discussions with them. Educational opportunities are available if required. The home has access to a separate facility where service users can enjoy various arts and crafts and the artistic work produced adorns the walls of the home. The home employs a staff member with specific responsibility for co-ordinating and arranging various activities. The home owns a car to Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 13 transport service users to appointments and social events if required but service users are also encouraged to use public transport. Each service user is encouraged to have has his/her own bank/building society account and is provided with assistance, advice and guidance to manage their financial affairs should they need this. Service users said that they liked the food provided in the home and can choose what they want to eat. Meal timings are flexible and both service users and staff said they are able to enjoy their meals in an unrushed and sociable atmosphere. There are limited opportunities for service users to use the home’s kitchen due to health and safety reasons. Therefore facilities are provided in the dining room, consisting of a kettle, microwave, refrigerator, dishwasher and sink, where service users can make their own drinks and snacks. Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. Service users can be confident that personal support is provided in the way, and at the time, that they want and need. Health care needs are monitored and advice is sought when necessary. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service user plans have been updated and developed to provide detailed information about personal, emotional and health care needs. Where service users have complex health needs, the management and staff team work hard at meeting those needs with support from local health care professionals. The home keeps detailed records to monitor an individual’s progress and these are maintained thoroughly and consistently. External professional advice and guidance is sought when necessary from local health care professionals or social services, including psychiatric services and consultants. Visits to the doctor, dentist and other health appointments are recorded in individual files. Through observation it is clear that timings are flexible and the choice of the service user. Each service user has a designated key worker and service users Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 15 said they could discuss any personal issues with their key worker or other members of staff. The home has a separate, secure room where medication and service users’ care plans are kept. Records pertaining to the administration of medication were up to date, however there was one instance when medication had not been signed for by administering staff even though the medication was stated to have been given. The Manager agreed that action would be taken to ensure this did not occur again and confirmed that staff designated to administer medication have received training. Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. Service users can be confident that any concerns or complaints will be listened to and addressed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the service users, staff and the Manager, demonstrated that the open culture of the home and the recognition of service users’ rights ensure that service users are protected from harm. The home has a written complaints procedure and this is displayed in the hallway. Service users are well aware of how and to whom they can make a complaint and feel free to do so. They each have a designated key worker and said they could speak to this person, the Manager or any other member of staff. The Manager confirmed that all staff members are expected to attend training in the protection of vulnerable adults as part of the induction process. The home has a copy of the Local Authority’s Alerter’s Guidance available for staff with a procedure for notifying any alleged incidents of abuse or concern. Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 17 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): Standards 24, 25, 26, 27, 28 and 30. Quality in this outcome area is good. Service users live in a spacious, clean, safe and comfortable home with a very high standard of décor and furnishings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is undergoing complete renovation. One side of the building was completed in November 2006 and the service users were able to move in. The other side of the building is closed to service users until the renovation is finished. There are a few problems with the new building work but these are being addressed by the home’s management team. The part of the home that has been completed is spacious, comfortable, safe and clean with a very high standard of décor and furnishings. There is a call bell system throughout the building. The service users are delighted with the accommodation and say that it is a massive improvement. Service users’ art and craft work is evident in all the rooms and is beautifully displayed. One service user commented on new light fittings that are low down on the walls to light the landings and stairs at Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 18 night as this has proved to be of great benefit when walking around at night because the main lights can be switched off. Service users confirmed that they are responsible for cleaning their own bedrooms if they wish to and the staff clean the communal areas. The communal rooms consist of a large lounge room and a smaller dining room that has a conservatory attached. The conservatory is the designated smoking room and this room was rather cold at the time of inspection. However the Manager confirmed that the heating issue is being addressed and will be improved. In the meantime there are freestanding electric heaters available should the service users choose to use them. Each service user has a large single bedroom with plenty of space for individual needs and lifestyles. Every bedroom is fitted with telephone and computer points as well as facilities to receive Sky television, which are excellent facilities. The bedrooms are located on every floor of the building. The two bedrooms on the 2nd floor have a lounge room and kitchenette area, as well as a shower and toilet for their own use. This half of the home can accommodate wheelchair users on the ground floor only. All the bedrooms contain wash hand basins and five of them have en suite showers and toilets. Bedrooms are individually furnished and contain many personal possessions, including small, caged pets. The Manager confirmed that service users will be able to choose the colour of their bedrooms in due course, but the new plaster work has to settle first. The bedrooms are all personalised by or for the service users, depending on their wishes. The type and quantity of furniture varies dependant on the wishes and needs of service users. Every bedroom has a lock on the door that can be locked from the inside by using a knob, and locked from the outside by using a key. The home keeps a master key to all the key locks so that they can be opened if an emergency should occur. The bathrooms and toilets are new and located close to bedrooms and communal rooms. Discussions with service users, as well as observation, showed that there are enough facilities to meet the needs of the service users and staff. All bathroom and toilet doors are fitted with locks that can be opened from the outside by staff in an emergency. The home has two level access shower rooms on the ground floor so that they can be used by people with mobility difficulties, however the floor of one of these is being relaid following a flood into the hallway. The building stands in its own large grounds, which will also be renovated in due course. Service users and the Manager confirmed that plans for the garden will be discussed and agreed, as service users have requested a vegetable patch and would like to keep some hens. At the time of inspection, the laundry was being fitted with suitable equipment. Whilst this is going on, the Manager said that laundry was being sent out to a local laundrette. Service users confirmed that this is acceptable to them. Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 19 The kitchen is newly refurbished and the Manager confirmed that, due to health and safety reasons, service users do not prepare or cook meals in this kitchen. However there is a kettle, microwave, refrigerator, dishwasher and sink in the dining room for service users to make their own drinks and snacks should they wish to. Priory Gate DS0000062825.V304165.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): Standards 31, 32, 33, 34, 35 and 36 Quality in this outcome area is good. Service users benefit from a competent, experienced, well-supported and supervised staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions with service users, the staff on duty and the Manager confirmed that there are always enough staff on duty to meet the needs of the service users. There are usually at least three care staff on duty during the day and a recreation co-ordinator, as well as a member of the management team. At night there are two waking night staff but, if needed, additional staff will be provided. In addition to the care staff, the home also employs ancillary staff including cooks and housekeepers. The staff members on duty were aware of service users’ needs and how to support them. Service users and relatives confirmed that the staff team are very good and it was evident that there was a good rapport between service users and staff. Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 21 Three staff files were inspected and the information in them show that the organisation has a robust recruitment procedure. The Manager confirmed that verbal references, as well as written references, are always obtained and the information is recorded. One of the files contained only one written reference and the Manager confirmed that the second reference is being pursued. Criminal Record Bureau (CRB) checks are made for every new staff member and the Manager confirmed that new staff are never left unsupervised until all the checks and references are returned. The staff team is expected to participate in various training courses and all training and supervision meetings are documented in staff files. The staff members spoken with were confident that they receive enough training and supervision to enable them to do their jobs. New staff are expected to complete a structured induction training programme and ongoing training including adult protection, first aid, health and safety, manual handling, infection control, fire safety, medication, food hygiene, National Vocational Qualifications (NVQs) and courses related specifically to working with service users with mental and physical health needs such as epilepsy, diabetes and communication. The Manager said that all senior staff are completing the Certificate in Community Mental Health Award as she deems this to be the most relevant course for staff to do. Priory Gate DS0000062825.V304165.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): Standards 37, 38, 39 and 42 Quality in this outcome area is good. The management approach is open, inclusive and positive, providing clear leadership and guidance. Service users’ rights, health, safety and welfare are protected and promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home does not have a Manager registered with the Commission for Social Care Inspection at present as the organisation is undergoing management changes. There is a Manager who has been in post for approximately five months and has several years experience of managing care homes and training care staff. She qualified as a registered nurse, specialising in mental health, in 1977, although her registration lapsed in 1999. She attained a level 5 National Vocational Qualification in Business Management in 1995. Discussion with the Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 23 Manager confirmed that she is extremely knowledgeable, competent, committed and dedicated to providing the best care for the service users. The service users and staff who were spoken with confirmed that they were consulted and included in decisions regarding the running of the home. Written feedback from a relative said “I commend the manager, Christine, … for her quiet authority and understanding.” The home has a quality assurance system that focuses on service users’ views and obtains feedback from service users, relatives and professionals from health and social care services. Health and safety practices are satisfactory in that equipment is maintained in good working order and staff receive training in health and safety, fire safety, first aid, food hygiene, infection control and manual handling. Inspection of the fire logbook indicated that the required weekly and monthly tests/checks of the fire alarm system/equipment are carried out. All radiators have low temperature surfaces to reduce the risk of burning and the Manager confirmed that thermostatic valves to reduce the hot water temperature to a safe level are fitted to all hot water outlets accessible by service users. The Manager confirmed that restrictors are fitted to all windows above the ground floor and the windows inspected did have restrictors fitted. Pre-inspection documentation and discussions with the Manager confirmed that comprehensive safety checks have been carried out including gas appliances, electrical equipment and hoists. All accidents and incidents are documented at the time of the event. Hazardous substances are locked away and data sheets are available should there be a spillage. The home had a visit from the Environmental Regulation Service on 19th October 2006 to check food safety and no issues were raised. Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 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 4 26 3 27 3 28 4 29 N/A 30 3 STAFFING Standard No Score 31 3 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 3 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 3 3 X X 3 X Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 Priory Gate DS0000062825.V304165.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Priory Gate DS0000062825.V304165.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!