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Inspection on 29/11/06 for Sunkist

Also see our care home review for Sunkist for more information

This inspection was carried out on 29th November 2006.

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

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

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

This is a care home where adults with mental illnesses continue to be well looked after. Staff are very caring and considerate and the atmosphere in the care is very homely. Staff know what to do to ensure residents feel safe and well cared for.

What has improved since the last inspection?

No requirements had been made at the last inspection.

What the care home could do better:

The manager should ensure changes are made to the way some medication is administered. This will ensure it is safe. The manager has advised the inspector that, since the inspection, this is now being done. The manager should ensure that all newly appointed staff receive structured induction training. This will ensure new staff know what is expected of them when providing care and support to residents. The manager has advised the inspector that, since the inspection, this is now being done. The registered provider should ensure a representative visits the care home at least once a month to monitor the care and services provided. This will ensure the home is being well run and takes into account the views of residents. The manager has informed the inspector that such visits are now being carried out.

CARE HOME ADULTS 18-65 Sunkist 14-16 Winchester Road Worthing West Sussex BN11 4DJ Lead Inspector Mr D Bannier Unannounced Inspection 29th November 2006 09:45 Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunkist Address 14-16 Winchester Road Worthing West Sussex BN11 4DJ 01903 218908 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) Sunkist Homes Ltd Post Vacant Care Home 26 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (26), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximun of four service users aged 65 years and over may be accommodated. Service Users over the age of 65 years may not be admitted. Date of last inspection 29th September 2005 Brief Description of the Service: Sunkist is a care home registered to provide accommodation and personal care for up to twenty-six people between the ages of eighteen to sixty who have mental disorders. There is also provision to accommodate up to four people who are over the age of sixty-five years within that number. Sunkist is situated in a residential area of Worthing within easy access of the town centre and its facilities. The premises consist of two large houses that have been linked together internally to form one care home. Private accommodation is provided in twenty-three bedrooms, four of which have been registered for double occupancy. Communal accommodation is provided in a dining room and two lounges, one of which has been designated for smoking, located on the ground floor. The fees for this care home range from £303 to £800 per week. The registered providers are Sunkist Homes Ltd who has identified Mr Belisario Schiavone as the responsible individual to supervise the management of the care home. The providers have appointed a manager to be responsible for the day to running of the care home. The manager has yet to apply to be registered with the Commission in accordance with the Care Standards Act 2000. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using new methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place. For example, information has been used from the registered provider’s action plan that sets out how the requirements from the last inspection will be met; information has also been used from written reports of visits to the care home made by representatives of the registered provider. This visit was unannounced and started at 9.45am. It took place over six and three quarter hours. The inspector spoke to five of the twenty three residents who are currently living at Sunkist. This gave the inspector a picture of how it is to live at this care home. The inspector also spoke to three staff who were on duty. This helped the inspector to gain a sense of the work staff are expected to do. The inspector saw the communal areas and some of the private accommodation, with the permission of the residents living there. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. The manager was present throughout the inspection and kindly assisted the inspector with his enquiries. What the service does well: This is a care home where adults with mental illnesses continue to be well looked after. Staff are very caring and considerate and the atmosphere in the care is very homely. Staff know what to do to ensure residents feel safe and well cared for. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 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 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. Sunkist DS0000014752.V319977.R01.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 Sunkist DS0000014752.V319977.R01.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has taken appropriate action to ensure all new residents’ needs are thoroughly assessed before they are admitted. EVIDENCE: The manager informed the inspector that five residents had been admitted since the last inspection. The inspector examined the records of residents. Records seen confirmed that the manager had carried out an assessment of each resident’s needs. The paperwork seen confirmed assessments were comprehensive and covered such as areas as social skills, daily living skills and physical/mental health care needs risk assessments and a care plan. There was evidence that confirmed assessments had been carried out prior to admission. A comprehensive care plan, providing information to staff about the level of support required by each residents had also been drawn up using the information gathered from the assessment process. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has ensured residents know their assessed and changing needs and personal goals are reflected in their individual care plan. The manager and his staff have taken appropriate steps to ensure residents are able to make decisions about their lives with assistance as needed. Residents have been supported by the manager and his staff to take risks as part of an independent lifestyle. EVIDENCE: The inspector looked at the records of three residents. They included detailed care plans, risk assessments and guidance for staff to follow regarding how care is to be provided for each resident. There was also evidence to confirm Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 10 that care plans have been regularly reviewed. Residents and their care managers had been consulted as part of this process. The inspector spoke to three residents. Comments made were very positive. One resident told the inspector, “ Staff are helpful; they can help me as a need. Staff do understand my needs.” The inspector observed the manager talking to another resident. The resident was seeking assurances from the manager about something they had concerns about. The manager clearly understood the support need by the resident. Discussions took place in a calm, helpful and considered manner. A third resident told the inspector about a personal matter where they had needed support from the staff team. The resident confirmed that staff had been very helpful and supportive. The inspector also spoke to three staff who were on duty in the care home. Discussions revealed they understood the needs of residents and were able to confirm they knew how to meet them in accordance with recorded guidance. One resident, told the inspector they often visit their friends who live nearby in the local community. Another resident said often go out in the mini bus to local garden centres and to local places of interest such as Littlehampton Harbour. There have also been outings to art galleries in London, which the resident has enjoyed. Care plans provided staff with information about how residents should be supported in making decisions about their own lives. Staff were able to discuss with the inspector how support is provided to each resident. The manager informed the inspector that, currently three residents are looking after their own medication. They have been provided with a lockable facility to ensure medication has been stored safely. Care plans seen included appropriate risk assessments, which have been regularly reviewed with the involvement of the resident. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and the staff team have ensured residents are enabled to take part in appropriate activities. The manager and the staff team have ensured residents are encouraged to be part of the local community. The manager has taken appropriate steps to ensure residents have appropriate personal and family relationships. The manager and the staff team have ensured residents’ rights are respected and responsibilities recognised in their daily lives. The manager has taken appropriate steps to ensure residents are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 12 Residents told the inspector of the activities they enjoy. One resident, told the inspector about trips out in the minibus to a local garden centre and local places of interest such a Littlehampton Harbour. There have also been trips further afield to the Tate Art Gallery in London. The resident expressed a great deal of pleasure in going on such trips. According to the information board, which was in the hallway, a Gala Bingo night was planned to take place in the near future. There was also an advertisement for a Winter Fair which was taking place at a local day centre. From photographs, which were also on display, the inspector noted that residents had been on a trip to Parham House during the summer months. A member of staff had produced a newsletter called the “Sunkist Times”. This included details of various activities and events, which have taken place at Sunkist. There were examples of art work produced by residents, articles and stories by residents from the creative writing class, photographs from the cooking class of a resident baking cakes, photographs and an a account of an expedition made by the rambling group to Littlehampton. There were also a variety of poems and articles written by residents. One resident told the inspector about residents meetings. “These take place once a month, we are due one soon. We talk about and sort out cleaning our rooms, our laundry, and anything like that which is current. We are also told about changes in the staff, anyone coming or leaving.” The inspector also noted that there was a suggestion box in the hallway for residents to use. The manager confirmed that residents do use it and provide useful comments and suggestions about the day to day running of the home. Care plans provided staff with information about how residents should be supported in making decisions about their own lives. Staff were able to discuss with the inspector how support is provided to each resident. The inspector was provided with a copy of the menu. This demonstrated that residents have been provided with a varied, nutritious and appropriate diet. One resident told the inspector, “The food is alright, I don’t eat a lot. I do get the food I like. If we ask we get choices of food. If we ask for something different from the menu they usually find it for us. The staff eat the same food as us.” The manager showed the inspector round the care home. The residents have the facilities in the dining room where they are able to make hot and cold drinks for themselves. This area is also kept stocked with bread and sandwich fillings so that residents can make a snack for themselves if they are hungry. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 13 Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has ensured residents receive personal care in the way they prefer and require. Appropriate steps have been taken to ensure residents’ physical and emotional health needs are met. The manager has ensured residents can retain, administer and control their own medication where appropriate. They are also protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Residents told the inspector that they supported in the way they prefer. One resident told the inspector, “Staff are helpful. They help me as I need. The staff understand my needs.” The inspector observed the manager talking to another resident. The resident was seeking assurances from the manager about something they had concerns Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 15 about. The manager clearly understood the support need by the resident. Discussions took place in a calm, helpful and considered manner. A third resident told the inspector about a personal matter where they had needed support from the staff team. The resident confirmed that staff had been very helpful and supportive. Information provided in care plans confirm that residents’ wishes and preferences regarding the care they need has been recorded. The paperwork seen confirmed assessments were comprehensive and covered such as areas as support care needs, risk assessments and a care plan. Staff on duty were able to clearly demonstrate they understood the needs of residents and how they should be supported. The manager informed the inspector that, currently three residents are looking after their own medication. They have been provided with a lockable facility to ensure medication has been stored safely. Care plans seen included appropriate risk assessments, which have been regularly reviewed with the involvement of the resident. Other residents receive medication from the staff at prescribed times. Medication records seen were in good order and had been kept up to date. The deputy manager, who is responsible for overseeing the administration of medication within Sunkist had telephoned the pharmacy inspector to seek advice about the administration and handling of a named drug. The pharmacy inspector discovered that current practices were not safe. Advice and guidance was given in line with National Minimum Standards (NMS) produced by the Department of Health and guidance produced by the Royal Pharmaceutical Society of Great Britain (RPSGB). The manager has informed the inspector that, since the inspection, administrative practices have been changed and are now in line with approved safe practices. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has ensured residents feel their views are listened to and acted upon. The manager has ensured residents are protected from abuse, neglect and self- harm. EVIDENCE: One resident told the inspector, “If I am unhappy I would speak to the manager. I never had to do so, but I am confident that I would be listened to.” The inspector examined records of complaints received about the running of the care home. There had been one incident record since the last inspection. According to records seen the incident had been appropriately investigated and resolved to the satisfaction of the complainant. Care plans provided staff with information about how residents should be supported in making decisions about their own lives. Staff were able to discuss with the inspector how support is provided to each resident. During the inspection the manager confirmed that staff have not received training in identifying and reporting abuse. Information contained with staff training records confirmed when this had taken place. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 17 Staff on duty were able to explain how they would identify different types of abuse and what action they would take if they discovered an instance when a resident had been abused. Residents spoken to said they felt safe and well cared for by the staff employed in the care home Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured residents live in a homely, comfortable and safe environment. The manager and the staff team have ensured the home is clean and hygienic. EVIDENCE: The inspector visited the bedrooms of four residents, with their permission. The residents told the inspector that they are able choose their own furniture and make their rooms as individual and homely as possible. Rooms seen appeared well maintained, clean and well decorated. One resident said, I’m quite happy with my room. I have toilet nearby, and hot and cold running water. My room is cleaned and hovered once a week by the cleaner. There is enough room for my clothes and my other possessions.” Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 19 The inspector also viewed communal areas including the lounge, the smoking room, and the dining room. These rooms had also been maintained and decorated to a good standard. The atmosphere throughout the care home was relaxed and felt very homely and welcoming. The inspector also viewed the kitchen, the laundry area and some bathrooms and toilets. These areas, residents’ bedrooms and communal areas were clean and hygienic. Some discussion took place with the manager regarding how laundry procedures could be improved to reduce the risk of cross infections. As there was no facility in the laundry for staff to wash their hands it is recommended that a supply of alcohol based gel is provided so that residents and staff can clean their hands after handling laundry. Since the inspection, the manager has confirmed that such a gel has been provided and residents and staff are encouraged to use it. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has taken appropriate steps to ensure residents are supported and protected by the home’s recruitment policy and practices. The manager has taken appropriate steps to ensure residents’ individual and joint needs are met by appropriately trained staff. EVIDENCE: The manager confirmed that four staff had been appointed since the last inspection. Records examined confirmed that all necessary checks had been taken up on staff employed at the care home. There was evidence that staff had received training in a range of subjects including mandatory training such as fire safety, adult protection, health and safety and food hygiene. In addition staff have also received specialist training in a various subjects including care planning, behaviour management, secrets of self harm and an introduction into dual diagnosis. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 21 Staff on duty confirmed the training they had received and were able to explain to the inspector how the training they had received can be put into practice. The manager was unable to confirm that all new staff had completed a structured induction programme including a basic understanding of mental illnesses. Since the inspection, the manager informed the inspector that such a programme is now in place. Although no new staff have been appointed since this inspection, it was confirmed that, from now on, newly appointed staff will receive structured induction training. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured residents are benefiting from a well run home. The registered provider has taken appropriate steps to ensure residents’ views do underpin all self-monitoring, review and development by the care home. The registered manager has ensured the health, safety and wellbeing of residents have been promoted and protected EVIDENCE: The current manager has been in post since September 2006 and has yet to submit an application to register with the Commission. From direct observation Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 23 of care practices, discussions with the manager, with residents, and staff on duty and a visiting social worker the inspector concluded that this person has sufficient skills and knowledge to manage and provide a service to younger adults with mental illnesses. Residents and staff informed the inspector the manager is very approachable and supportive. Care plans and records are informative and have been well maintained. There was no evidence to demonstrate that registered provider has visited home on a monthly basis in order to monitor the care and services provided. Following discussion, the manager was advised that this is a requirement. The manager was also advised that, over the next inspection year care homes will be expected to demonstrate they are self monitoring , reviewing and improving services provided. Since the inspection, the manager has confirmed that such visits are now being carried out and appropriate reports of visits are being kept at the care home. One resident told the inspector about residents meetings. “These take place once a month, we are due one soon. We talk about and sort out cleaning our rooms, our laundry, and anything like that which is current. We are also told about changes in the staff, anyone coming or leaving.” Residents told the inspector that they were very happy with the way is being run. The inspector also noted that there was a suggestion box in the hallway for residents to use. The manager confirmed that residents do use it and provide useful comments and suggestions about the day to day running of the home. From direct observation of care practices, examining accident and maintenance records and also following a tour of the premise there was clear evidence that the health, safety and wellbeing of residents have been promoted. Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 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 X 3 X 3 X X 3 X Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 25 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 Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Sunkist DS0000014752.V319977.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!