Inspection on 14/02/07 for Queen Ann House

This inspection was carried out on 14th February 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 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

Queen Ann House 23/01/06

Queen Ann House 14/02/05

Queen Ann House 04/11/04

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

CARE HOME ADULTS 18-65 Queen Ann House 40-42 Old Park Road London N13 4RE Lead Inspector Tony Brennan Key Unannounced Inspection 14th February 2007 11:00 Queen Ann House DS0000010622.V321330.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 Queen Ann House DS0000010622.V321330.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. Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Queen Ann House Address 40-42 Old Park Road London N13 4RE 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) 020 8882 2336 Mrs K B Kelly Ms Pamela Kelly Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. It is recommended that accommodation in individual rooms (service user bedrooms) is now recognised as being provided in four double (shared) rooms and seven single rooms. 23rd January 2006 Date of last inspection Brief Description of the Service: Queen Ann House is a privately run care home registered to provide personal care to fifteen service users who have experienced mental health problems. The home is located in an attractive residential area, a short walk from local shops and business premises in Palmers Green. It comprises of two interconnecting houses with attractive rear gardens. The private accommodation for service users is provided in seven single and four shared rooms located on the ground and first floors. The communal sitting areas, dining room and kitchen are on the ground floor. The home is comfortable, homely and well maintained. The registered proprietor owns another care home, Queen Ann Lodge, for the same service user group, next door at number 38. Queen Anne House has traditionally provided a secure and supportive environment for people who have enduring mental health problems. Many of the present service users have lived at the home for several years. Care practice is targeted to supporting people in their efforts to become independent and lead stable lifestyles. The fees are between £700 and £1000. Copies of this report are available from the Commission’s Website. Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken as part of the annual inspection programme. The inspector also sought to confirm that the quality of the service is being maintained. There were no areas for improvement identified at the last inspection. The inspection took place over one day. Pam Kelly, the registered person, assisted the inspector with the inspection. The inspector spoke with the three people who live at Queen Ann House, and three members of staff. The inspector observed care practice and interaction between the service users and staff. The inspector toured the building and examined a number of records relating to the care, health and safety and management of the home. The inspector would like to thank the registered manager and staff who assisted him by answering questions about the running of the home. The inspector would also like to thank the three people who live at the home who discussed their views of the service they receive. What the service does well: The inspector case tracked people who live at Queen Ann House and found that there were assessments from the home and care management of their care needs. These identified their needs prior to admission to the home. A person who lives at the home said, “I spoke with the manager and staff before coming to live here. They explained how they would help me”. He also told the inspector that he had spent three days at the home so he could “see what it is like”. A person who lives at the home explained that he had been involved in a multi-disciplinary review of his care plan. He confirmed that his views were listened to. The needs of people who live at the home are planned to ensure their needs are met. Risks to people who live at the home are assessed. Risk assessments identified the specific risk facing individuals to ensure their safety and independence. People said that a range of activities were offered. These included visits to the cinema and theatre. There was also keep fit, gardening and visits to the local swimming pool. Service users spoken to confirmed that they were involved in cleaning of their bedrooms and cooking. The registered person explained that the menu is prepared at weekly meetings with people who live at Queen Ann House. Medical needs had been identified as part of the initial assessment and were referred to in care plans and risk assessments. People who live at Queen Ann House confirmed that they had received regular support from community mental health professionals. The medication policy contained all the required Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 6 information. The inspector found that records for the administration of medication were complete. Daily notes showed that community mental health professionals had been consulted to ensure that people who live at the home were receiving the medicines they required. Medication profiles were in place and had been updated to reflect any changes in the medication prescribed to people living at the home. The inspector toured the home and found that it was in a good state of repair. Bedrooms were decorated and furnished in a manner that reflected individual preferences. The inspector found that the rota showed that a consistent staffing level was maintained to ensure that the needs of people who live at Queen Ann House are met. The rota also showed that extra staff were on duty to provide escorts to appointments and support with activities. The registered manager provides a varied training programme for staff to get skills necessary to meet the needs of people who live at the home. The registered person explained that the home has maintained its Investor in People Award. All staff are supported to do some form of training that meets their professional and personal development needs. Training records showed that 95 of staff have either level 2 or 3 in the National Vocational qualification in care. The registered person explained that the deputy managers are doing the Registered Manager Award, National Vocational qualification. The home has a stable management and the registered person has experience and understanding of the needs of people with mental health needs. Staff and people living at Queen Ann House confirmed that they felt the registered person was supportive. The home has a system to monitor the views of people living at Queen Ann House on the service that is provided. Ideas for improvement are sought. The registered person ensures that safety risks are identified. Measures are put in place to provide a safe living and working environment. What has improved since the last inspection? What they could do better: There were no areas for improvement identified at this inspection. Queen Ann House DS0000010622.V321330.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. Queen Ann House DS0000010622.V321330.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 Queen Ann House DS0000010622.V321330.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are assessed prior to admission to the home to ensure they receive the care and support required. EVIDENCE: The inspector case tracked service users and found that there were assessments from the home and care management. These identified the needs of service users prior to admission to the home. The inspector case tracked one service user who had recently come to live in the home. The service user had assessment information drawn from a spectrum of professionals involved with him. The service user spoke with the inspector and explained that he had been actively involved in choosing to live at Queen Ann House. The service user said “I spoke with the manager and staff before coming to live here. They explained how they would help me”. The service user also told the inspector that he had spent three days at the home so he could “see what it is like”. This service user also told the inspector that he had signed a contract detailing what the home provided. Staff spoken to understood the needs of service users and could explain the specific needs of service users case tracked. The inspector was able to confirm that staff understood the needs of the service user who had come to live in the Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 10 home. Staff were able to identify his needs and how they needed to respond to him. The needs of the service users case tracked had been reviewed. Professionals had carried out reviews. Appropriate professional support had been obtained to ensure that service users’ mental health needs were supported. Queen Ann House DS0000010622.V321330.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): 679 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provided detailed information on the needs of service users. Service users are supported to make decisions about their lives. Risks to service users are assessed to ensure their safety. EVIDENCE: Service users spoken to told the inspector that they felt staff understood their needs. A service user case tracked said, “they understand what you need”. The inspector case tracked three service users who live at the home. The inspector found that care plans had been developed with the involvement of service users. Service users had commented on how they wished their needs to be met. Care plans explained the mental health needs of service users and how staff needed to respond to support them. Service users spoken to confirmed they had been involved in reviews of their care plans. A service user case tracked explained they had been involved in a multi-disciplinary review of his care plan. The service user confirmed that his views were Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 12 listened to. The inspector found that issues he had raised were part of the service user’s care plan. Risks to service users were assessed. A service user commented that he felt safe in the home. Risk assessments were found to cover all areas that affected the service user’s daily life. Risk assessments identified the specific risk facing individual service users. Staff were able to describe how they prevented risks to ensure that service users were safe and were supported to exercise control over how they live. Risks relating to behavioural issues were identified and actions to prevent or lessen the level of risk were discussed. The risk assessments had been agreed with service users or their representatives. Risk assessments had been reviewed to ensure changes to the level of risk were addressed. Queen Ann House DS0000010622.V321330.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): 12 13 15 16 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to engage in a range of activities that meet their needs. Service users have community contacts and are supported to maintain personal relationships. Service users are supported to maintain a nutritious diet that reflects their personal choice. EVIDENCE: Service users said that they could choose from a range of activities. These included visits to the cinema and theatre. There was also keep fit, gardening and visits to the local swimming pool. A number of service users attend day centres. A service user spoken to told the inspector he attended a day centre. Daily notes and care plans confirmed that service users were regularly involved in activities both in and outside of the home. Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 14 Service users spoken to confirmed that they were involved in cleaning of their bedrooms and cooking. The inspector observed service users preparing the mid-day meal. Service users are able to make hot drinks whenever they wish to. A service user said he, “goes out and visits friends when ever I want to”. Another service user said that her mother visits her regularly. Daily records recorded service users’ visitors and showed that they were supported to develop contacts in the local community. The registered person explained that the menu is prepared at the service users’ weekly meeting. The inspector saw minutes of these meetings and service users’ suggestions for meals were recorded. The inspector observed service users prepare a meal. Service users spoken to confirmed that they had been involved in preparing the menu. The inspector observed that there were fresh vegetables and fruit available. One service user explained that they had been involved in doing the weekly shopping. The inspector saw that meals were well presented and were provided in a relaxed and supportive environment. Queen Ann House DS0000010622.V321330.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 excellent. This judgement has been made using available evidence, including a visit to this service. Service users are supported with their personal care needs to ensure that they maintain their independence. Service users are able to access the medical care they need. Service users are protected by safe procedures for handling medication. EVIDENCE: Care plans outlined the support service users require and how they could be supported to maintain their independence in doing their personal care. A service user said, “staff are understanding and meet my needs”. The inspector spoke with staff who understood the personal needs of the service users. The inspector spoke with service users who explained that staff provided support and encouragement to maintain their personal hygiene. The inspector observed staff supporting a service user to do their personal washing in the laundry. Medical needs had been identified as part of the initial assessment and were referred to in care plans and risk assessments. Two service users case tracked confirmed that they had received regular support from community mental Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 16 health professionals. Staff at the home had supported them to attend appointments. The inspector found that one service user case tracked was not well. Daily notes and observation confirmed that the General Practitioner had been consulted and medication had been prescribed. The inspector observed that this was discussed at the afternoon handover between staff and a full report of the General Practitioner’s visit was recorded in the service user’s notes. Medical notes confirmed that service users had received medical care from a range of health professionals. The record for one of the service users case tracked confirmed that a multi-disciplinary review had been held. Follow up action had been taken. The service user confirmed that he had been supported to participate and had given his views on his care. The medication policy contained all the required information. The inspector found that records for the administration of medication were complete. Records of medication received and returned were also complete. All medication was held securely. Service users’ medication had been reviewed regularly to ensure their continued well-being. Daily notes showed that community mental health professionals had been consulted to ensure that service users were receiving the medicines they required. Medication profiles were in place and had been updated to reflect any changes in service users’ medication. Training records and discussions with staff confirmed that they had received training on the safe administration of medicines. Advice was available for staff on the side effects of medication. The inspector observed staff administering medication and found that this was done safely. Queen Ann House DS0000010622.V321330.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. Service users can be confident that their complaints are listened to and acted upon. Adult protection procedures protect service users from abuse. EVIDENCE: The complaints policy explained how to make a complaint and how it would be dealt with. Service users told the inspector that they understood how to make a complaint. The complaints record showed that there had been no complaints. The registered person explained that she regularly talks with friends and relatives of service users to talk about their views of the service. Any issues that are raised are dealt with immediately. Service users are encouraged to discuss their views of the service in weekly meetings. Service users told the inspector that they could challenge and raise concerns about the way they were treated. The inspector observed staff approach service users and this was done appropriately and sensitively. A service user who was not happy was given time by staff to discuss what was wrong. There were comprehensive policies on handling abuse and adult protection. Training records showed that staff had received training in adult protection. The inspector spoke with staff and they demonstrated their understanding of adult protection issues. Queen Ann House DS0000010622.V321330.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 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe and comfortable environment that is adapted to meet their needs. The home is a clean and hygienic environment for service users to live in. EVIDENCE: The inspector toured the home and found that it was in a good state of repair. Service users’ bedrooms were decorated and furnished in a manner that reflected their personal preferences. There were areas for service users to sit and relax. Service users were able to access the kitchen and other facilities without restrictions. A service user said, “I always get my bedroom cleaned”. The inspector found that the home was clean and hygienic. Equipment was provided for this purpose. The home has an infection control policy. Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Sufficient staff are always available to meet the needs of service users. Staff do have all the skills to support service users as they are provided with on-going development opportunities. Service users are protected by the home’s recruitment procedures. EVIDENCE: The inspector found that the rota showed that a consistent staffing level was maintained. The rota also showed that extra staff were on duty to provide escorts to appointments and support with activities. Service users and staff spoken to confirmed that sufficient staff were available. Since the last inspection there has been a recruitment drive. The registered person explained that care staff and an activities organiser had been appointed. The registered manager provides a varied training programme for staff. The registered person explained that the home has maintained its Investor in People Award. All staff are supported to do some form of training that meets their professional and personal development needs. Training records Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 20 confirmed that all staff were up to date with, and had all the statutory required training. Staff had also received training in mental health awareness. A number of staff are about to do training on Relapse Prevention in Mental Health. This will further develop their understanding of service users with mental health needs and how to prevent them becoming unwell. Staff spoken to were looking forward to this course. They commented that the registered person positively encouraged them to go on training to develop their skills and understanding of the needs of service users. The registered person also ensures that training was available on areas that would support staff general development. For example, staff had attended training on using of computers and recycling. Training records showed that 95 of staff have either level 2 or 3 in the National Vocational qualification in care. The registered person explained that the deputy managers are doing the Registered Manager Award, National Vocational qualification. The registered person explained that training had been planned to ensure that staff keep up to date with developments in social care. The registered person has put in place a training plan for the coming year. The inspector found that this ensured that staff continue to have all the necessary skills to meet the needs of service users. The inspector examined staff files and found that all the required information was available relating to the recruitment and appointment of staff. Staff had gone through an interview process and there were notes to confirm this. Applicants had been invited to the home to meet with service users before their interviews. Service users spoken to confirmed that they had been consulted about the recruitment of staff. Service users can be confident that they are protected by the home’s recruitment procedures. Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 21 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 42. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The registered manager has the skills and understanding to manage the service in the best interests of service users. Service users’ views of the service are sought and used as the basis for improvement. Service users and staff health and safety is always promoted and safeguarded. EVIDENCE: The home has a stable management and the registered person has experience and understanding of the needs of service users with mental health needs. Staff and service users spoken to confirmed that they felt that the registered person was supportive and approachable. The inspector observed the registered person working with staff and confirmed that she was supportive and understood the needs of service users. The registered person has continued to develop her skills by attending courses on management and care Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 22 of service users with mental health needs. The registered manager has continued to develop the service to meet the needs of service users. The registered person has plans to move to all single occupancy bedrooms. Plans for this have already been drawn up. The home has a system to monitor the views of the service users on the service that is provided. Ideas for improvement are sought. A service user said, “if there is anything wrong, they will do something to put it right”. A quality survey has been carried out of service users’ relatives and professionals. Service users are consulted about how the home is run. Minutes were seen of meetings held with service users to discuss the quality of the service provided. Action to improve the service had been agreed with service users. Service users had been involved in the review of their needs. Service users commented that they felt confident that their needs are being met. The registered person ensures that the safety risks to service users and staff are identified. Measures are put in place to provide a safe living and working environment. Records showed that fire equipment was tested regularly and maintained. Drills were taking place. The fire risk assessment provides details of potential risks of fire. All health and safety policies were available. Certificates for gas and electrical testing were in date. COSHH guidance was in place and chemicals were stored safely. Training on health and safety topics was complete. Service users have been involved in identifying safety issues. Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 24 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. 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 Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Queen Ann House DS0000010622.V321330.R01.S.doc Version 5.2 Page 26 - 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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