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Inspection on 13/04/07 for Saltways Cheshire Home

Also see our care home review for Saltways Cheshire Home for more information

This inspection was carried out on 13th April 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The organisation, manager and staff constantly work hard to maintain and improve standards within the home, which maintains positive environmental standards that are enjoyed and appreciated by residents. The home is effectively and competently managed, and all staff were observed being very caring and considerate to residents. The rights and interests of residents are clearly promoted by staff and residents were appreciative of this. The staff team are well motivated and trained. This enables them to provide positive standards of care to people who have very complex and challenging care needs. The staff team work well with residents to engage them within the care process. Meals are varied, well balanced and nicely presented offering choice and variety. Staff work well with residents to ensure that the meals provided are suitable to individual likes and preferences. Many of the resident`s bedrooms have been personalised by the individual resident, which gives a more homely environment and reflects their personality. The home encourages residents to have ownership of their home and the way it is run. Residents are encouraged to assist with staff recruitment, choices in their care, and this is demonstrated through care records and discussions with residents.

What has improved since the last inspection?

The organisation, manager and staff have continued to work hard to maintain and further improve their standards, which resulted in the home meeting and exceeding all the standards at this inspection, this is commended.

What the care home could do better:

No requirements were given the home met and exceeded all the minimal standards at this time.

CARE HOME ADULTS 18-65 Saltways Cheshire Home Church Road Webheath Redditch Worcestershire B97 5PD Lead Inspector Chris Potter Unannounced Inspection 13 April 2007 11:00 Saltways Cheshire Home DS0000004140.V335716.R03.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 Saltways Cheshire Home DS0000004140.V335716.R03.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. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Saltways Cheshire Home Address Church Road Webheath Redditch Worcestershire B97 5PD 01527 452800 01527 452850 saltways@lc-uk.org www.leonard-cheshire.org.uk Leonard Cheshire 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) Marilyn Christine Briers Care Home 24 Category(ies) of Physical disability (24), Physical disability over registration, with number 65 years of age (5) of places Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The accommodation is primarily for people under 65 years of age who have a physical disability. The accommodation may also be used for people who have an additional learning disability or mental disorder. 27th February 2006 Date of last inspection Brief Description of the Service: Saltways Cheshire Home (Redditch) is a single-storey building located in a suburban district of Redditch. The home comprises of four wings (or units). All residents are accommodated in single en – suite bedrooms which are specially equipped for there use. In addition to the bedrooms the home provides lounges, dining room, and specialist bathing facilities. The grounds are accessible for the residents use and provide a pleasant outlook from the home. The home provides 24-hour nursing care mainly for people under the age of 65 years who possess a physical disability. It can and can also accommodate up to five people over the age of 65 years who also possess a physical disability. The home is owned by the Leonard Cheshire group who have many homes throughout the country. The registered manager is a first level nurse with many years experience working in the health and private sector. The fees for the home range between £615.00 - £1.300.00 per week depending on the residents assessed care needs. The fees do not include hairdressing, toiletries, social trips, chiropody and dental services. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was Saltways unannounced key inspection and was undertaken on Friday the 13th of April 2007 lasting a total of six hours. Both the manager and deputy manager were on duty and assisted throughout the inspection. On the day of the inspection the home was caring for 23 residents. Prior to the visit a pre - inspection questionnaire was returned to the commission, which provided information about the progress since the last inspection. In addition to the pre-inspection questionnaire a number of questionnaires were also sent to the home for residents, relatives and other persons to complete. A total of three questionnaires were returned to the CSCI prior to the inspection. Three comment cards were received from General Practitioners. The findings from the questionnaires are included within this report. The inspection included a tour of the home, concentrating primarily on communal areas and facilities. The care documents of three residents were viewed including care plans, daily notes, risk assessments and some accident records. Other documents seen included medication records, some service records and some staffing records. In addition to the persons mentioned above discussions took place with staff, relatives and residents. What the service does well: The organisation, manager and staff constantly work hard to maintain and improve standards within the home, which maintains positive environmental standards that are enjoyed and appreciated by residents. The home is effectively and competently managed, and all staff were observed being very caring and considerate to residents. The rights and interests of residents are clearly promoted by staff and residents were appreciative of this. The staff team are well motivated and trained. This enables them to provide positive standards of care to people who have very complex and challenging care needs. The staff team work well with residents to engage them within the care process. Meals are varied, well balanced and nicely presented offering choice and variety. Staff work well with residents to ensure that the meals provided are suitable to individual likes and preferences. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 6 Many of the resident’s bedrooms have been personalised by the individual resident, which gives a more homely environment and reflects their personality. The home encourages residents to have ownership of their home and the way it is run. Residents are encouraged to assist with staff recruitment, choices in their care, and this is demonstrated through care records and discussions with residents. What has improved since the last inspection? 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. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 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 Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is good. Prospective people looking for a service and their representatives have the information needed to choose a home. They have their needs assessed and a contract which clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the home had reviewed and updated their Statement of Purpose and Service User’s Guide. The Service User’s Guide can be produced in various formats to assist service users to understand the information. Prior to admission to the home a potential resident would have a care needs assessment completed usually by the manager. This ensures that the home can fully meet all their assessed needs. Individual records are kept for each of the residents, and inspection of the records for three residents had full assessment information recorded. If possible residents are encouraged to visit and spend time at the home prior to accepting a place. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 9 Resident’s and relatives complimented the care provided at the home. One resident stated how the staff were “friendly, helpful and trustworthy.” A resident discussed the role of their key worker, “ they chat over any concerns with you, help organise your bedroom” Another resident described the home has a “first class service”. Residents are provided with a contract of terms and conditions on admission to the home. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Quality in this outcome area is excellent. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records for three residents were reviewed during the inspection; the care records clearly showed that residents and their representatives were being routinely consulted about the care provided. Documentation available showed that appropriate risk assessments were taking place, and action was being taken to minimise the risk once it had been identified. The risk was minimised whilst promoting, as far as possible, the independence of each resident. The care records were comprehensive and showed evidence of regular review and evaluation. All staff spoken with reported that they have Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 11 access to the care records and find the information relevant in assisting them in meeting the residents care needs. Residents confirmed that they have regular meetings with the staff to express their views. One resident confirmed that they had attended organisational meetings and regularly assist with interviewing staff to be employed for the home. Residents are also consulted about introducing and changes to policies and procedures. Residents confirmed that the staff respects their confidentiality at all times. Saltways Cheshire Home DS0000004140.V335716.R03.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): Quality in this outcome area is good. The home enables residents to make choices about their life style, and provide support to further develop any skills. Social, educational, cultural and recreational activities meet the individual’s expectations with the exception of the frequency of outings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the activities co-ordinator has left, resulting in the home being limited with some activities during this period. The person now employed for activities was spoken with during the inspection. He is most enthusiastic in further developing this role, but is aware of the limitations in doing so by the residents’ physical disabilities. He is getting to know all the residents’ by working on an individual basis to establish social likes and dislikes. He is also looking at ways of adapting computer equipment so that it is practical for some of the residents to use. Residents spoken with during the inspection felt that the activities were suitable. One resident commented that Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 13 they would appreciate more outings, but understood that a driver being away had limited these. The activities organiser explained that he is trying to organise regular outings to local parks, shops and garden centres for the residents. Two relatives commented that they did not feel that the residents did not go out enough due to the restriction with transport. These comments were discussed with the manager to look into. Residents care plans have social needs recorded and what activities the residents participate in are also recorded. Since the last inspection the home has increased their physiotherapy cover for the residents to further assist those residents whom it is recommended for. A couple of resident’s go to college for computing courses, which they enjoy. Other residents attend local day centres during the week. The home welcomes visitors and refreshments are available for them. Visitors confirmed that they were made to feel welcome by the staff, and the staff were polite and courteous. A resident advised that they had made a good friend within the home and how staff support them to spend social time together. He also referred to the staff as being his friends. All staff were observed being respectful to the residents, and residents confirmed that staff always were helpful, and respected their wishes. Where possible residents are offered choices about how they spend their day, what time they get up, go to bed and food preferences. Residents, staff and relatives all described the food as excellent. The chef has worked at the home for many years and has established a good rapport with the residents. She advised that given many residents are unable to communicate their likes and dislikes she looks for facial expressions to establish if they are enjoying the meal. Several residents have soft and pureed food, the chef makes every effort to ensure the food looks attractive by keeping the different food separate and uses lots of colours. The home was inspected by the environmental health last week and no issues were made as a result of this visit. The lunch was being served during the inspection and this appeared appetising and residents appeared to be enjoying the meal. Residents were being assisted by staff where required. All residents have a nutritional risk assessment in place, which monitors their weight and recommends if any additional supplements are required. The care plans reviewed evidenced that the assessments were being updated monthly. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 14 Saltways Cheshire Home DS0000004140.V335716.R03.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 and 20 Quality in this outcome area is good. The health and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents confirmed that the home offers a flexible service; they chose what time they wish to get up and go to bed. A choice of meals is offered and they can request drinks and snacks throughout the day and night. They confirmed that the staff were competent in meeting their care needs and respected their privacy and dignity at all times. The care records for three residents reviewed showed that the residents specialist health, nursing and dietary requirements are clearly recorded in each residents care plan. The care records showed evidence of regular review and evaluation. The care staff confirmed that they had access to the care Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 16 documentation and assisted with the recording of information contained. Appropriate risk assessments had been completed and showed evidence that they were being regularly updated. The residents wishes are recorded in their plan of care about their after death wishes. All staff were observed interacting well with the residents providing a pleasant atmosphere. Residents have access to health and remedial services and a record of all visits is recorded in the residents care plan for reference. The home has an open visiting policy and visitors confirmed that they are made to feel welcome and were able to make refreshments when they visit. The medication management was reviewed during the inspection, and supported that the home was following their medication policy appropriately. The home had recently changed their pharmacist and was hoping that they continued to receive a good quality service. All nurses attend regular medication training and a record is available in the home and when training is recommended. Saltways Cheshire Home DS0000004140.V335716.R03.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 and 23 Quality in this outcome area is excellent. Residents who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive complaints policy in place and all complaints are taken seriously. The home monitors and records all complaints and records the detail of the investigation and the outcome of the complaint. In the last 12 months the home has received fifteen complaints six of which were upheld. Two complaints are still in the process of being investigated the outcome is not yet known. A relative contacted the CSCI recently for information relating to a complaint made over twelve months ago. On reviewing the documentation the organisation had investigated the complaint using an external area manager, the complaint had been partially upheld and the results had been given to the complainant. Residents who were asked confirmed that they were aware of how to make a complaint and whom they would tell. A relative reported that they were unhappy about a resident being charged for a taxi for a hairdressing appointment. This was discussed with the manager, who had been advised by the care manager and was going to investigate the Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 18 issue. The manager had been advised that the appointment had been made independently and that the homes transport was not available at the time requested. All staff are provided with training for recognising any potential abuse. Staff spoken with confirmed that they would have no hesitation in reporting any poor practise. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is located in Redditch and provides accommodation for 24 residents in single bedrooms all on the ground floor. Residents are encouraged to see the home as their own home. The home is well maintained throughout, and the home employ a maintenance operative to manage this area and deal with issues has they occur. Since the last inspection the home had a small underground fire outside the laundry and have had to repair the damage caused by the fire. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 20 The home has specialist equipment and adaptations needed to meet the individual residents needs. Residents are able to access all areas of the home and gardens in their wheelchairs. Many of the resident’s bedrooms have been decorated to the resident’s choice, which gives a more homely appearance. The home also provides lounges, dinning room, snoozelam room, physiotherapy room and therapy room for the residents to use. Residents spoken with confirmed that they were happy with their bedrooms and the communal areas of the home. Residents were observed during the inspection moving freely around the home. All areas of the home were observed to be clean and tidy, the management of odours was commended. The home provides a laundry service and the appearance of the residents and linen was reflective of a good standard. However one relative commented that clothes did not last long, and some times clothes appeared poorly ironed. These comments were shared the manager at the time of the inspection. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All staff spoken to during the inspection were aware of their roles and responsibilities and confirmed that suitable training had been provided by the home. Staff stated that they felt well supported and confirmed that the managers were approachable and helpful. Staff also commented that they felt that the care was first class, but felt little time to sit and socialise with the residents. The manager confirmed that they are looking to increase staffing levels to further support the staff. The home also has a team of volunteers who go through the same safety checks to assist meeting the social needs of the residents. Staff confirmed that the home has regular staff meetings and receive regular supervision, which they find helpful. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 22 The home has nine carers who have completed the NVQ level 2 qualification, with a further two carers in the process of completing NVQ level 2 and one carer completing NVQ level 3. The staff should complete these by the end of August 2007. The home has a highly developed recruitment procedure that has the needs of the people who use the service at its core. The home is highly selective with recruitment to ensure that the right person for the job is appointed being more important to filling the vacancy. Residents also assist in interviewing potential staff, which is commended. The staff records for three members of staff who was in the process of either being recruited or had recently commenced at the home. These showed that the home had followed their recruitment procedure and appropriate checks had been completed prior to commencing duties. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed and implemented by a competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is a first level registered nurse, who has completed the registered managers award. She has many years experience and is competent to run the home to meet the stated aims and objectives. The manager and care manager demonstrated a good level of knowledge about the home and the residents care needs. Residents spoken with spoke highly of the managers’ and confirmed that they felt listened to. Residents are Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 24 also consulted about changes to some policies and procedures this is commended. The organisation has an effective quality audit system in place. The home completes a self-assessment report based on the national minimal standards annually. An external audit system is undertaken every three years. Residents do questionnaires and staff complete questionnaires as part of the audit process. The results from the audits are available at the home on request; the results were positive and most complimentary. The home has a good record of meeting relevant health and safety requirements, and provided service history and maintenance records of equipment and systems to the commission prior to the inspection. The home consistently promotes quality and diversity rather than just meeting needs in a reactive manner. Staff is able to translate understanding into positive outcomes for people who use the service in the areas of race ethnicity, age, sexuality, gender, disability and belief. Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 4 29 3 30 4 STAFFING Standard No Score 31 3 32 4 33 3 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 4 4 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 N/A 4 3 4 3 3 3 3 Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Saltways Cheshire Home DS0000004140.V335716.R03.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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