Inspection on 21/06/05 for Selwyn Road (1-3)

This inspection was carried out on 21st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Selwyn Road (1-3) 20/09/06

Selwyn Road (1-3) 01/11/05

Selwyn Road (1-3) 20/01/05

Selwyn Road (1-3) 24/06/04

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 1-3 Selwyn Road 1-3 Selwyn Road Bow London E3 4PX Lead Inspector Anne Chamberlain Announced Inspection 21st June 2005 at 9.30am 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 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 Stationary 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. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 1-3 Selwyn Road Address 1-3 Selwyn Road, Bow, London, E3 4PX Telephone number Fax number Email 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 8983 0036 csavill@outward.org.uk Outward Post vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2005 Brief Description of the Service: Selwyn Road is situated in the vicinity of Roman Road, off the Mile End Road. The area has good public transport connections with buses and underground trains going west to the centre of London and east past Stratford. Selwyn road is a residential home for 5 adult women with learning disabilities and some challenging behaviours. It comprises two adjoining houses. House number 1 has a ground floor bedroom with en-suite facilites, lounge kitchen and conservatory. On the second floor there are a further two bedrooms with hand basins and a shared bathroom/toilet, also the office/sleep in room. House number 3 has a kitchen and lounge with doors on to a small garden shared with number 1. On the first floor are a further two bedrooms with hand basins and a shared bathroom with separate toilet. The service is currently without a registered manager. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on one day. The inspector spoke individually with two service users and with the staff on duty, as a group. She also observed the interaction between service users and staff. There is currently no registered manager and the inspector interviewed the deputy manager who is acting up. She also spoke briefly a senior manager who is supporting the deputy manager. The inspector viewed a random selection of service user and staff personnel files and various documents and records. She toured the two houses and the shared garden. The inspection resulted in two legal requirements. The inspector would like to thank the service users, deputy manager and staff for their co-operation with the inspection. What the service does well: The home is very well organised and systems are in place which allow staff time to interact positively with service users and also prompt them to do so. Service users are empowered and enabled to live full and varied lives. They have opportunities to achieve and are encouraged to be independent and to make choices and decisions. Staff at this home are pro-active and will put into place strategies which will help the service users themselves to manage their own behaviour. Stregths are worked with. The approach at Selwyn is flexible and empowering and service users appear to thrive in the environment which has been created for and by them. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 6 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 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 standard(s) 2 The service has a sound procedure for the assessment of needs of prospective service users. EVIDENCE: There have been no new admissions since the last inspection or for some time before that. The deputy manager explained the procedure which would be followed if they had a vacancy and were considering a new referral. The inspector was satisfied that the needs of prospective service users would be thoroughly assessed. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 9 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 standard(s) 6,7 and 9. Individual plans reflect assessed and changing needs. Goals are set and reviewed. Service users are encouraged and facilitated to make decisions about their lives. Risk assessment is thorough and regularly updated. Every effort is made by staff to facilitate chosen activities. EVIDENCE: Service users at Selwyn have a support plan and a sample of these were viewed by the inspector. They were detailed and comprehensive. The plans are discussed in keyworking sessions and reviewed with service users every six months. In addition a running log is kept in a handover file and records what has been happening for service users on any one day, how they have eaten, slept, etc. From these sheets monthly reports are produced and filed. The deputy manager was able to give the inspector a number of examples of service users making choices and taking decisions and these could be evidenced in various ways. Service users have decided where they want to holiday and with whom. The five individuals between themselves are going to three different destinations at three different times. The inspector saw the picture board which assisted the decision taking and the chart which shows who is going where, when and with whom. There is no ‘ set menu’ at the 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 10 home. There are good stocks of various foodstuffs and service users decide what they would like to eat for their meals individually. Service users decide how they want to spend their time and what activities they would like to undertake, and when they want to stop and try something else. The home uses pictures and visual aids to assist communication with service users Well developed risk assessment was evidenced on files. Assessments are reviewed signed and dated. A recent incident has triggered the review of a risk assessment for one service user. The deputy manager advised that she intends to call a meeting and involve the care manager. The inspector felt that this evidenced a robust approach. The missing persons policy and procedure exists as a corporate document but is also individualised for each service user on their file. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 11 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 standard(s) 12,13,15,16 and 17. The home facilitates a wide range of appropriate activities. They support and encourage contact with family and friends. The rights and responsibilities of service users are recognized and built into household programmes. There is a wide range of food on offer and choice about where and with whom to enjoy mealtimes. EVIDENCE: The inspector heard about the various ways in which service users access educational, recreational leisure and community activities. Service users take part in structured regular activities like day centres and clubs but also decide on an ad hoc basis whether they want to go to church, have a meal in a pub or café, go shopping, visit the library, cinema, etc. The deputy manager stated that staff support is planned and made available to facilitate the above. The inspector viewed the activities sheet which gives a basic guide to the way in which service users spend their time. One service user confirmed to the inspector in conversation that she attends church. Another service user likes to take a ball to the park and the balls were in evidence in the garden along with plants which service users had chosen. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 12 The inspector was able to see a great photograph of one of the service users taken just a few days ago in Columbia Road (famous local flower market) dancing with a prominent local politician. This is displayed on the wall of the lounge and is giving everyone a lot of fun. There is a significant level involvement of family and friends at the home. Most of the service users have strong family links and one service user has a long-term boyfriend with whom she exchanges visits. The home recently supported them to have a weekend break together. Relationships are supported. Family and friends visit and visits to them are supported. A service user mentioned to the inspector that she her family would be visiting on Saturday. There is also telephone contact. The inspector heard how one service user is not able to spend as much time as she used with her parents, due to their deteriorating health and abilities. The staff are fostering her interest in sewing so that when she does have to come home early from a visit home she has something to look forward to. This diffuses the disappointment and is a successful strategy for enabling this woman to manage how own behaviour. Keys to bedrooms are available and one service user chooses to have one. Mail is passed unopened to service users and keyworkers support with reading the mail and putting any appointments in the diary and/or action book. The deputy manager was able to describe the needs of service users in terms of who likes time and space alone, who enjoys groups, who likes the garden and which food preparation and household tasks individuals prefer to get involved in. All service users take responsibility for some household tasks and this was evidenced on the weekly plan. The inspector viewed the stocks of food stored and noted a good variety of fresh and preserved foods. The manager stated that if they don’t have something in which a service users fancies, someone will pop across to the corner shop to get it. As previously stated there is no ‘set menu’ and food choices are individual, including regular opportunities to eat out. One service user is diabetic and this is managed within the context of normal eating. The inspector viewed her blood test monitoring chart and the service user spoke to the inspector about it. She is very aware of the importance of the reading being within the acceptable range as she has to adjust her intake of certain foods accordingly. Soft drinks are kept out of sight except at mealtimes to protect this service user from over indulgence, which will result in her blood sugar level rising. Chilled water is constantly available and the service users are all very able to ask for their choice of drink, and the inspector was assured they will do so at any time. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 13 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 standard(s) 18,19 and 20. Staff at the home, including agency staff, offer personal support in the way which service users prefer. The physical, emotional and health needs of service users are met. The policy, procedure and arrangements for the administration of medication are sound. EVIDENCE: In addition to their support plan service users, particularly those who are nonverbal, have on file guidance about the way in which they prefer their support to be offered. This information is reproduced on a separate file called ‘induction file’ which is designed to give new or agency staff a quick reference to service user preferences. The service users have a variety of physical and emotional and health needs which the inspector discussed with the deputy manager. As previously mentioned one service user is diabetic and is supported to monitor her blood sugar on a daily basis herself. The home works with specialised professionals and clinics to support needs and the inspector viewed documentary evidence of this. The inspector viewed the arrangements for the administration of medication also the medication policy. She checked balances of medication. The home is in the process of transferring all service users (with their permission) to one 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 14 GP (who they find more accommodating) and is working with one pharmacy. Prescriptions are collected direct from the GP by the pharmacist and supplied in one week disposable dossette boxes, four weeks at a time. The medication is signed for and there is a sheet for returning any medication, which is also signed. The medications are checked every Monday by the staff in the home. There were no issues with the storage and recording or administration medication. The deputy manager advised that permanent staff are trained as part of their induction and agency staff are not allowed to administer medication. The inspector saw the kit for measuring blood sugar levels which is kept in the locked medications cabinet. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 15 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 standard(s) 22 and 23. The home listens to the views of service users and acts upon them. Service users are protected by the homes policies and procedures from all forms of abuse. EVIDENCE: The inspector viewed the complaints policy, the pictorial ‘Quick Guide’ to complaints, and the complaints form which were all appropriate. In addition the home has ‘Listening Books’ and the inspector saw these to hand for service users and staff, in both homes. Listening books are designed to ensure a quick response to points raised so as to avoid the need for complaining. There are also regular house meetings and a quarterly residential forum where service users can express their views. The inspector advised the deputy manager of the functions and requirements of the Protection of Vulnerable Adults register. The inspector viewed the policy for the protection of vulnerable adults which was audited along with the other policies in August last year. She also saw the ‘alert form’ which is for staff to record on, and the whistleblowing policy. There have been no recent adult protection incidents. The deputy manager explained the financial arrangements to the inspector. All service users have bank accounts and their benefits are paid directly into them. They all use ATM (cash) machines with staff support. The inspector checked a bank statement against receipts (which are signed by staff to indicate who supported the service user to withdraw cash), and balances of cash kept in the safe. No discrepancies were found. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 16 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 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 standard(s) 24,25,26 27 and 30. The houses are homely and comfortable and the environment is safe. Service users bedrooms reflect their personal tastes and interests and promote their independence. Toilets and bathrooms offer privacy and are adequate to the needs of the service users. The home is clean and hygienic. EVIDENCE: The appearance of the two houses are generally homely and comfortable. They are safe. The conservatory and lounge in number 1 have just been redecorated with service users choosing the colours and they and look fresh and nice. There is also some new furniture in the lounge of number 1 which matches with the existing conservatory furniture and everyone is pleased with this. There are however a number of outstanding decorating tasks in the home. The ceiling of the ground floor bedroom was the subject of a requirement at the last inspection, having quite extensive water damage from a leaking roof. The roof has been repaired and an interval of time has been allowed to elapse to establish that the repair is successful. The ceiling must now be redecorated. In addition there are decorating needs in the downstairs cloakroom which also needs work on one wall where a fitting has been 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 18 removed and screws and rawlplug are sticking out. There are also decorating needs in house number 3 where various areas of walls and woodwork need repairinting and there are cracks in the wall under the staircase. The inspector understands from the deputy manager that the whole house will be brought up to a high standard of decoration in one complete decorating operation in the near future. New curtains are needed in the lounge in the lounge of number 3 house. This is a requirement (previous timescale of 1/7/05 had not quite elapsed at the time of the inspection). The garden is very small but sheltered and private and washing can be hung outside to dry. Service users had chosen some plants in tubs for the garden. The inspector saw two service user bedrooms, one on the ground floor. They were both personalised with photographs, pictures and ornaments. The service users’ bedrooms promote their independence . The ground floor bedroom has an en suite bathroom. The furniture and fittings are comfortable and meet individual needs. There are an adequate number of toilets and shower and bathrooms, but as already mentioned there is a need for some redecorating. 30 The home is clean and hygienic. There were no offensive odours. The laundry and other wet areas have impermeable flooring. The washing machine has a very hot wash programme. One service user has nocturnal incontinence and she brings her sheets downstairs every morning and launders them straight away. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34,35, 36,39 and 42. There are robust staff safe recruitment procedures in place which protect service users. Staff are well trained and their personal development is encouraged. They are well supported and supervised but it is important that a new registered manager be appointed as soon as possible. EVIDENCE: The inspector viewed a random sample of staff personnel files. They evidenced a robust recruitment procedure with application forms, interview, job description and person specification and two references. Staff have a contract of employment signed by both parties. Staff also have a code of conduct. There is a probationary period of six month for new staff. Staff training is provided with induction training. The training and development programme, is the vehicle for annual refresher training. The deputy manager advised that managers are automatically reminded of refresher training needs for staff. The inspector saw a copy of last year’s programme but was advised that the plan for 2005 –6 is not yet available. Staff confirmed that their training needs are met. The inspector viewed staff training profiles. A number of the staff have NVQ 2, three have NVQ 3. She felt that training levels were satisfactory. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 20 The service is currently without a registered manager and the deputy manager is acting up. The deputy manager will be supported by two managers from the organisation, who will each spend one day a week at the service. The deputy manager stated that supervision is regularl once a month and this was confirmed in conversation with staff. The inspector viewed the supervision rota which was pinned up in the office and which also evidenced staff appraisal. The inspector understands that the organisation is vigorously recruiting for a new manager and they must ensure that they do all they to appoint a suitably qualified and experienced manager to the service as soon as possible. The manager must then apply to be registered. This is a requirement. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42. The views of service users underpin the monitoring and development of the service. Health and safety and the welfare of service users is promoted and protected through the practices of the service. EVIDENCE: Service users have various opportunities to express their views and influence the development of the home. One to one keyworking sessions address quality assurance as do tenants meetings and the listening books. Service users meet at a forum and some attend a women’s advocacy project on a Monday evening. One service user has an advocate specifically for her health issues. In conversation with the inspector one service user agreed that she likes living at the home. Person in control visits which were the subject of a restated requirement of the previous inspection are now taking place regularly and this was evidenced in documentation. 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 22 The inspector viewed the health and safety manual and a number of records which evidenced safe working practices in the homes. The fire risk assessment was seen and also evidence of quarterly fire drills, the last one having taken place in March 2005. The extinguishers were checked in March 2005. An outside contractor MPE tested the fire alarm and nurse alarm call on 16th June 2005, gas safety was checked in March 2005. The portable appliance tests are due in July 2005. The deputy manager stated that the emergency lighting is checked once a month by staff but is not yet one year old and has not had a check from an outside contractor. Temperature recordings for fridge freezers and taps were also viewed. The inspector was satisfied that health and safety are promoted. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 Standard No 24 Score 2 Version 1.20 Page 23 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score 25 26 27 28 29 30 STAFFING 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 2 x 1-3 Selwyn Road DG57 G06 S10303 Selwyn Road V222310 200605 Stage 4.doc Version 1.20 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 24 36 Regulation 23 10 Requirement The two houses need an upgrade of decoration as detailed in the main body of the report. The organisation must expedite the appointment of a new manager as detailed in the main body of the report. Timescale for action 01 September 2005 01 October 2005. 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. 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