Inspection on 16/05/06 for Russell Hill

This inspection was carried out on 16th May 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Russell Hill 05/07/07

Russell Hill 12/12/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Russell Hill 33 Russell Hill Purley Surrey CR8 2JB Lead Inspector Deborah Yapicioz Key Unannounced Inspection 16TH May 2006 09:50 Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Russell Hill Address 33 Russell Hill Purley Surrey CR8 2JB 020 8763 2611 020 8288 3614 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) Independence Homes Limited *** Post Vacant *** Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 Brief Description of the Service: Russell Hill is owned, managed and staffed by Independence Homes Ltd. The property is registered with the Commission for Social Care Inspection (CSCI) to provide residential care for up to seven adults with learning disabilities. The home particularly provides residential care for younger adults aged between 18 and 65 with epilepsy and severe learning disabilities. Russell Hill is a detached property in a quiet road in Purley. It has seven single bedrooms. Communal areas include lounge, dining room, kitchen, bathrooms on ground and first floor, a multi use therapy room, a multi sensory room and a secure private garden. There is a lift between the ground and first floor. The home supports and encourages each service user to maximize their independence. The aim is to promote individual skills and helping service users to reach their full potential. The home treats each service user as a person in his or her own right and value them for their own individuality. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection for the year 2006/2007 and was an unannounced visit, which took place on the morning of 16th May 2006. The home was inspected under the National Minimum Standards Care Homes for Younger Adults. The home is currently being managed by the Independence Homes development manager Nicky Coleshill who has taken the necessary action to comply with the majority of the requirements set at the previous inspection. Methods of inspection included a tour of the premises, observation of contact between staff and service users and discussion with the home manager as well as staff members. The inspector was also able to speak to two parents who were visiting the home and were very happy with the care provided. The service users at the home have limited communication skills, which restricted the way that service users could be involved in the inspection process. Records examined during the inspection included service user plans; care manager needs assessments and risk assessments, medication records, complaints, staffing records, staff files, health and safety and fire records. I would like to thank the service users and their relatives for their feedback and the staff and management of the home for their support on the day of the inspection. What the service does well: What has improved since the last inspection? Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 6 The home has had some “teething problems” since it opened. The management team at the home had a meeting with the home inspector and regulation manager when the areas of concern were discussed. There have been significant improvements since the last inspection with new systems in place for many of the key areas including setting up individual records and home records like fridge and freezer temperatures and as well documentary evidence of staff training. Financial records were clear and appropriately maintained. A company representative completes random checks on the service users monies as part of regulation 26 visits. Monies are held securely and are checked by staff at the home at regular intervals. A supervision structure has been put in place and the staff team should all receive at least six supervision sessions over the year. Appraisals for the staff team have now been booked. Since the last inspection the home has consulted service users and their families with regard to issues around death and dying including any particular spiritual/religious requirements and a record of these wishes have been placed on the service users files. A representative of the registered provider visits the home regularly and copies of the visit reports are sent to the Commission for Social Care Inspection Croydon Office. The visit reports are very detailed documents, which cover staff, service users and health and safety issues. 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. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 7 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 Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An up to date statement of purpose is not yet generally available, although the home manger is in the process of compiling a more up to date document. The service users guide has been given to each of the service users and the home is in the process of putting it into a more accessible format. EVIDENCE: Since the last inspection the home has produced a service users guide, which has been given to all of the service users at the home. The home manager told the inspector that she is currently completing a statement of purpose, which will be available for the next inspection. She is also in the process of putting the service users guide into an alternative format. A widget format is being considered as well as a possible taped format. This should also be available for the next inspection. On a tour of the premises it was noted that the service users guide was available in each of the service users bedrooms. The organisation has a pre-assessment format. The service users files looked at during the inspection all contained clinical and medical assessments completed before the service users moved into the home. The introductory assessments include details on the service users background, education, allergies, medical history and details of how the home will meet their needs. The home manager confirmed that cultural and religious issues were also discussed at the time of referral to the home and ways of meeting these needs would be included in the service users care plans for example skin and hair Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 9 care routines were incorporated into the care plan of an afro Caribbean service user. Each of the service users had a planned introduction to the home and a transition plan was seen on the service users files looked at during the inspection. There has been some progress in implementing contracts between the home and service users a draft format has been sent to the Commission for Social Care Inspection, Croydon office for consultation. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users have comprehensive individual care plans with good information on their needs and personal goals. Individual care plans are regularly updated to reflect current needs. EVIDENCE: Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 11 Service users files looked at during the inspection confirmed that each of the service users at Russell Hill now has a care plan, which is drawn up with input from families They are regularly updated and detailed the care needs and personal goals of the service users. The plans follow on from the initial assessments completed by their care manager. These plans cover all aspects of care, such as the client’s physical skills, their communication ability, selfcare skills, health, behavioural issues and community living skills. Information is also available in respect of service users’ preferred likes and dislikes, cultural and religious issues and any dietary needs. A pictorial copy of the care plan is made available for service users and these were seen in the service users bedrooms during the inspection. A copy of the care plan is also kept on the “daily” file. The “daily” files contains the information that one to one workers need to be aware of when working individually with the service users and includes information on food allergies, dietary requirements and behaviour guidelines, as well as their timetable of daily activities. The staff team at the home make a daily record of events and the care plans are also reviewed regularly. The home has a key worker system and offers one to one staffing ratios. Independence Homes run client forums and a service user from another home is a representative for Russell Hill at the meetings. The home manager explained that due to the communication abilities of the service users part of the role of the key worker is to advocate on behalf of the service user, family members also advocate for the service users. The home operates a risk management system Service users at the home have individual risk assessments depending on their needs and goals. Since the last inspection a missing person profile has been completed and placed on the service users files. Financial records were clear and appropriately maintained. A company representative completes random checks on the service users monies as part of regulation 26 visits. Monies are held securely and are checked by staff at the home at regular intervals. A family member or care manager is the named Appointee for all the homes service users. In keeping with recommended good practice no persons working at the care home act as the Appointee/agent for service users currently residing at the home. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users at the home are offered the opportunity to engage in age appropriate activities with an emphasis on using community based facilities. The daily routines and house rules promote residents’ rights and encourage independence. The home has an open visitors policy to ensure friendships and family links are maintained. EVIDENCE: The service users have a varied programme of social activities. The activities have been organised by the staff team to reflect service users individual interests. needs and goals and a record of the sessions undertaken by the service users are kept on their files. Activities are provided on a one to one basis. The manager explained that the staff team work with the service user group on a rotation basis. There is a strong emphasis on service users using the community and the home has two vehicles. One of the vehicles is wheelchair accessible. The activity programmes are initially based on the original assessments completed during the induction process. The home employs therapists who work alongside the staff team at the home to devise and implement individual programmes for the service users. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 13 Each service user has a copy of their timetable in their rooms as well as on their files. The home manager informed the inspector that some of the service users at the home have particular dietary needs such as “gluten free” or “dairy free” meals. The home employs a nutritional therapist who works with the staff team to provide a balanced diet that takes into account the various needs of each individual service user at the home. A copy of each of the service users dietary needs is kept in the kitchen area and on their files. The kitchen cupboards are labelled in particular groups i.e. “Gluten free” and “wheat free” etc. A record is kept of what each service user has eaten. The staff team at the home encourage service users to remain in contact with family and friends who can visit regularly. Family members spoken to during the inspection felt that the communication at the home is good and they are kept well informed about important matters affecting their relative. Family and friends are made aware of the home’s visiting policy and there are few restrictions about when people can visit. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ physical and emotional health needs are detailed in personal plans to offer consistent care in this area. Residents’ medication is well managed to ensure good health. EVIDENCE: The home has a policy on the receipt, recording, storage, handling, administration and disposal of medication. It is the homes policy that all medicines administered are recorded on Medicine Administration Record Sheets. The home uses a “nomad” system for medications. There has been an improvement in the level of recording on Medicine Administration Record Sheets and all medication records were complete at the time of the inspection. As part of their induction staff at the home attend a “familiarisation” course, which includes medication training. All of the staff team are trained in the administration of rectal Diazepam. The home has a pictorial reference file for each medication as a memory aid for the staff team. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 15 All of the service users need assistance with their personal care. The level of support a service user needs would be detailed at review meetings and their preferred routines are set out in their individual Plans. Personal care is provided in private, and timings of this are flexible. The home provides consistency and continuity through designated key workers Healthcare needs were recorded in the service users’ files. Several of the service users are wheelchair users, and Water low assessments have been completed and placed on the service users file. The staff team at the home monitor the health of each of the service users and would ensure they receive any treatment needed. Service users are registered with a local General Practitioner. The service users are able to access community health facilities. There has also been an improvement in the reporting of incidents at the home and the Commission for Social Care Inspection Croydon office is sent copies of incident forms. The home has consulted service users and their families with regard to issues around death and dying including any particular spiritual/religious requirements and a record of these wishes have been placed on the service users files. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 at least once during a 12 month period. 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. There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users. EVIDENCE: The home has a complaints procedure, which was clear and contained all of the elements required to meet standard 22 including a minimum response time of less than 28 days. The staff team have participated in training on Adult Abuse, which is completed as part of the induction process, and a copy of the Croydon Adult Protection Policy is available in the home. The acting manager is aware of the need to report any allegations of abuse to care managers and the Commission for Social Care Inspection Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The general décor of the home is good providing a comfortable, clean and safe environment for service users to live in. Service user’s bedrooms provide privacy and reflect individual interests and preferences. EVIDENCE: 33 Russell Hill is a large house situated in a mainly residential area in Purley and is keeping with the local community. The home is fairly close to local amenities and transport links. The design and the layout appeared suitable to meet the needs of the service users. Care and accommodation is provided on the ground and first floors with the second floor providing office space. A passenger lift ensures that all parts of the home are accessible to service users. There is a large communal lounge on the ground floor as well as a dining room and separate kitchen. The home also has a multi use therapy room and a sensory room. The home manager informed the inspector that a small office extension is due to be built on the ground floor, which will free up more space in the home for a computer for service users and additional activity space. Each of the service users in the home has a single room. The rooms were fitted with specialist equipment where required for example some rooms had padded areas. There were also bed alarms and listening devices to help staff monitor Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 18 service users seizures, particularly at night. All of the rooms have been personalised and decorated to reflect their individual taste. Bedrooms viewed provided sufficient and suitable furniture. All areas of the premises viewed were clean and free from offensive odours. There are appropriate laundry facilities. Systems are in place for controlling the spread of infection. This includes staff training in this area. The home has two assisted baths, one on each floor. The home has thermostatic valves fitted to each of the baths to avoid any scalding accidents. The temperature of the water is taken and recorded on a chart. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team at the home have a range of skills and abilities, which enable them to meet the needs of the service users living at the home The staff team have all had Criminal Records Check, as a safeguard to offer protection to the homes service users EVIDENCE: The home manager confirmed that all staff members currently working at Russell Hill have had Criminal Records Checks returned. Staff records looked at during the inspection confirmed that staff files contained job descriptions, proof of identity, written references, terms and conditions of employment and all information required under the standards. The job descriptions for staff at the home staff clearly states what is expected of its employees in terms of their roles and responsibilities and the values that should underpin their conduct Criminal Records Checks are completed before a new member of staff can begin work in the home. The home has a rolling programme of staff training in place including LADAF, fire safety, adult protection and Non Violent Crisis Intervention. Since the last inspection the home manager has completed training needs assessment for the staff at the home and training courses that have been booked are on the white board in the office area. Each member of staff has an individual chart, which the training manager has completed. The dates of training courses booked and a certificate of attendance is kept on the staff file. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 20 A supervision structure is in place and the staff team should all receive six supervisions this year. The manager has also booked in appraisals for the staff team. Handovers occur at the start of each shift and the home has regular staff meetings, which are recorded. The atmosphere in the home is friendly. The staff members spoken to felt they worked well as a team and would have no difficulties approaching the manager and senior members of the staff tram if they needed to. The staff team were observed to treat service users with dignity and respect during the inspection. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management style appears to be transparent with clear lines of accountability, however a permanent home manager must be recruited and register with the Commission for Social Care Inspection. In the main health and safety arrangements are adequate to ensure potential risks to service users health and safety are so far as reasonably possible identified and minimised. EVIDENCE: 33 Russell Hill was opened in September 2005. Since then two managers have been appointed and then resigned. The home has had some “teething problems” since it opened. This lead to a meeting with the homes management team and representatives form the Commission for Social Care Inspection area office, when areas of concern were discussed. Since the last inspection there have been significant improvements with new systems in place for many of the key areas including setting up individual records, and home records as well documentary evidence of staff recruitment and training. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 22 The home is currently being managed by the Independence Homes development manager Nicky Coleshill who has taken the necessary action to comply with the majority of the requirements set at the previous inspection. Interviews for the new manager are due to take place in the near future Ms Coleshill stated that she plans to have a handover for the new manager to ensure consistency in the transition period. Records required for the safety and well being of service users are in place including accidents, water temperatures, complaints, incidents, food records, fire records, staff and service users case files, medication records and so forth. A first aid box and a fire blanket are situated in the kitchen. There are fire extinguishers throughout the house. All staff must attend training relating to health and safety issues including fire safety and medication training. A record of training attended is kept on staff files. Magnetic door release catches have been fitted to the doors and there are thermostatic control values on water outlets. Water temperatures are taken and recorded. Fridge and freezer temperatures are also taken A representative of the registered provider visits the home regularly and copies of the visit reports are sent to the Commission for Social Care Inspection Croydon Office. The visit reports are detailed documents, which cover staff, service users and health and safety issues. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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 2 2 3 3 X 4 3 5 2 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 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X X X X 3 2 Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4 Requirement The registered provider is required to produce an up to date statement of purpose setting out the aims, objectives and philosophy of the home its services an d facilitates and terms and conditions The registered person is required to develop and agree with each service users a written and costed contract/statement of terms and conditions between the home and the service users The registered provider must ensure that a business plan demonstrating the homes is financially viable for the purpose of achieving the aims and objectives set out in the statement of purpose is supplied to the Commission for Social Care Inspection Timescale for action 31/08/06 2. YA5 5(C) 31/08/06 3 YA43 25 31/08/06 Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 25 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 YA1 Good Practice Recommendations It is recommended that the service users guide be made available in formats suitable for the service users for whom the home is intended (e.g. appropriate languages, pictures, video, audio or explanation. Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Russell Hill DS0000064951.V291128.R01.S.doc Version 5.1 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!