Inspection on 24/07/08 for Sycamore Heights

This inspection was carried out on 24th July 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sycamore Heights 08/08/07

Sycamore Heights 28/09/06

Sycamore Heights 28/02/06

Sycamore Heights 28/02/05

Sycamore Heights 13/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Sycamore Heights 89-91 Priest Avenue Canterbury Kent CT2 8PP Lead Inspector Lisbeth Scoones Unannounced Inspection 24th July 2008 9:50 Sycamore Heights DS0000023712.V367740.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 Sycamore Heights DS0000023712.V367740.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. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Heights Address 89-91 Priest Avenue Canterbury Kent CT2 8PP 01227 471074 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) priestavenue@mcch.org.uk www.mcch.co.uk MCCH Society Ltd Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2007 Brief Description of the Service: Sycamore Heights is registered to provide care for up to five people with a learning disability, though the intention is to restrict this to four. The registration certificate will require amendment to reflect this, in due course. The registered provider is Maidstone Community Care Housing Society Ltd (hereafter referred to as MCCH), which is a registered charity / industrial and provident society. The property itself is separately owned by Sanctuary Housing Association, which is registered with the Housing Corporation under Section 1 of the Housing Act 1996. MCCH is effectively acting as an agent for Sanctuary Housing Association for the shared tenancy agreements it has with the residents at Sycamore Heights, and shares a key objective with it, specifically the provision of housing accommodation with care and support. The property comprises two adjoining semi-detached two-storey houses, which have been converted into one. Although each has retained its original front door, a notice directs all visitors to Number 81. There are currently five single bedrooms. There is a choice of communal areas, including a visitor’s room. There is a dedicated office for staff use. The home is not suitable for people with significant mobility impairment without substantial adaptation. There are gardens to the front and rear and unrestricted kerb-side parking at the front plus garage space for two vehicles. Two shops, a pub and a bus stop are within close walking distance. The weekly fee charge is £ 1.307. Residents sign a tenancy agreement and contribute £ 29.40 a week for food and a contribution to the rent. Information on the Home’s services and the CSCI reports for prospective residents are detailed in the Statement of Purpose and Service User Guide. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Key Lines of Regulatory Assessment (KLORA) have informed the judgements made based on records viewed, observations made and written and verbal responses received. KLORA are guidelines that enable The Commission for Social Care Inspection (CSCI) to make an informed decision about each outcome area. An unannounced visit was made on 24th July 2008 during which all residents were met and spoken with. The support worker on duty assisted with the inspection. Later in the day 2 support workers returned from an outing with a resident and 2 other support workers arrived for the late shift. An accompanied tour of the premises was made and documentation examined in respect of care plans and risk assessments, medication records, accident records, financial records, menus, Service User Guide, policies and procedures and training records. Prior to the inspection, the manager submitted a comprehensive AQAA (annual quality assurance and assessment. Information therein informed the inspection. Since January 2008, a manager has been appointed and staffing levels improved. The manager was not on duty on the day of the inspection but telephone contact was made when she was back on duty. The manager said she is in the process of becoming registered with the CSCI and is soon to have her “Fit Person” interview. The title ‘manager’ is used throughout the report as the person appointed by the Provider to be in charge of day to day management of the home. The CSC has not received any complaints. No safeguarding vulnerable adult referrals have been made. What the service does well: The home provides a pleasant and relaxed atmosphere for its residents. The location of this home is suitable for its stated purpose. Staff interacted well with the residents and each other. The social, health and personal care needs of the residents are well addressed, particularly now staffing levels have improved. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 6 The home promotes Equality and Diversity. Staff are available to support residents who wish to attend a church service. For less verbally able residents, a communication passport has been developed. This provides useful information for staff and makes life less frustrating for the residents. Regulation 26 visits are now carried out and records maintained. What has improved since the last inspection? Since January 2008 a new manager has been appointed. Staffing levels have improved. Care plans have been reviewed. Residents’ health care needs are met. Suitable arrangements for the recording, handling, administration and disposal of medicines have been made. safekeeping, safe The complaints procedure now includes the appropriate details of the Commission. An excellent user-friendly Service User Guide has been devised. The staff room and some other parts of the home have been decorated. Individual staff-training matrices have been provided. 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. Sycamore Heights DS0000023712.V367740.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 Sycamore Heights DS0000023712.V367740.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): 1, 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A pictorial Service User Guide has been devised providing prospective residents with the information they need to make a decision about moving into the home. Good pre-admission and post admission assessments are carried out thus ensuring that the home can meet prospective residents’ needs. EVIDENCE: Since the previous inspection, residents have been involved in the devising of a Service User Guide, which is both informative and personal to the residents living at the home. A resident showed the picture and photographs with short life histories and a description of activities and holidays. It provided details and photographs of the staff working there. It was recommended that the Guide is dated and reviewed as changes occur. Every resident has an individual contract stating what they can and cannot do within the premises and includes the weekly fee. It is the manager’s intention to make the contracts more user friendly and easier to understand. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 9 No new residents have been admitted to the home since the previous inspection. At that time there was good evidence of professionals’ assessments of the most recent resident’s needs prior to his transfer to this home. The transfer had been underpinned by a range of risk assessments, and followed up with review after his admission. Sycamore Heights DS0000023712.V367740.R01.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, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are individually assessed and recorded. Residents are assisted to make decisions about their lives. They are supported to take risks in being as independent as they are able. Residents are treated with respect, dignity and due regard for their privacy. EVIDENCE: Two comprehensive care plan folders were examined. These are personcentred and address the health and social care needs of the residents. Since the previous inspection the format has been reviewed and updated. Care plans are reviewed monthly in house and twice a year at a multi-disciplinary review. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 11 Every resident is developing an individual life plan to help with the process of planning for their future. The care plan includes a “Goal setting” section. It was recommended that review dates be recorded as evidence of evaluation. The manager is a Care plan facilitator and it is her intention to train another member of staff to take on this role. The home maintains weekly planners and a range of charts and programmes of activities. These encompass personal and healthcare needs as well as practical guidelines on behaviour management. These are underpinned by risk assessments to safeguard residents in their daily routines. Other risk assessments cover residents’ participation in activities encouraging their capacity to be as independent is possible. With staff support and encouragement a resident shops independently and uses public transport. The manager reported that they have started to use a computer programme to help residents to focus on different aspects of their lives. The residents were observed being supported in their daily routines. Staff interacted with them and each other in an appropriate, enabling and respectful manner. In respect of dignity, it was noted that every resident has towels of a different colour of their choice. Sycamore Heights DS0000023712.V367740.R01.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): 12, 13, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are able to choose their life style, social activities and to keep in touch with family and friends. Residents receive a healthy and varied diet according to their requirements and choice. EVIDENCE: Abilities, activities and personal preferences are identified in the care plan and subject to day-to-day consultation. At the previous inspection, it was reported that at times insufficient staffing levels could have resulted in some restriction to the residents to exercise their choices as they have been used to. Since staffing levels have improved, residents are being taken out more often. On the day of the visit, a resident, assisted by two support workers, had been to Canterbury by bus. The previous day, a resident assisted by a support worker had gone to Folkestone for the day by train. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 13 Other activities include: art classes, shopping, visits to the seaside, cafes and pubs, swimming, musical events, bowling and horse riding. A resident attends an evening club every other Monday in Margate. Residents recently enjoyed a trip to a nature reserve where they saw owls and foxes. A Fun Day is being organised to celebrate MCCH’s 20th anniversary with a Karaoke. Residents are active in their local community. Because residents have lived at the home for many years, they are well known in the community and get on well with the neighbours. Three residents have voluntary jobs. The support worker said how much progress had been made in increasing a resident’s confidence in coping with public places. An annual holiday is being planned for the residents. One resident showed a brochure of Disney Land. For one resident a walking holiday is being looked into and for another a stay in Hastings. The home offers support and encouragement to residents in maintaining their practical life skills. Two resident were supported in hanging out their washing, another was assisting with the lunch preparations and the washing up afterwards. Care plans identify where support and assistance is needed as e.g. in self-care. A comprehensive range of risk assessments underpins such activities. A resident has and drives his own car. Families and friends are welcomed, and their involvement in the care planning processes is encouraged. There are open visiting arrangements. A resident’s mum visits regularly. Care plans include dietary needs and food preferences. Residents are supported in planning the weekly menu prior to a food-shopping trip. The home is committed to healthy eating, and the help yourself buffet lunch contained fresh salad ingredients. The dining room has a large pine table overlooking the garden and staff eat with the residents. Residents can choose where and when to eat. Records are kept of the options actually chosen by individuals, as required. Sycamore Heights DS0000023712.V367740.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, 20, 21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal care is offered in a way that protects resident’s privacy and dignity and promotes independence. Residents are protected by the home’s medication procedures. The ageing and illness of residents are handled with respect. EVIDENCE: The home’s care planning and risk assessment processes assess the extent to which each resident requires assistance with their own personal care. Staff effectively promote residents’ choice and control as far as possible. All bedrooms are single occupancy and there are enough toilet and personal care facilities to generally guarantee their availability and privacy. Staff are available on a 24-hour basis to support the residents. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 15 Care folders chiropodist, professional. choice. Staff needs. Good noted. include a section on visits from and contact with GP, optician, community nurses, continence advisor and other healthcare Residents are registered with different GP’ according to their support residents to understand and cope with their health care and comprehensive records of residents’ health care needs were Residents have all chosen a key worker who plays a special support role in their lives. Key workers write regular reports on their clients’ progress. Self-medication is encouraged. The home uses the Boots Monitored Dosage System and the arrangements for their storage, administration and recording are good. The home maintains information on the medication prescribed (including likely side effects), medical alerts and other advice, along with risk assessments – all of which is judged good practice. The home keeps a copy of the Royal Pharmaceutical Society Guidance to underpin practice. Training records and competencies assessments seen confirm ongoing investments in staff training. All staff have been trained in Diabetes and Insulin administration. Care files contain information of residents’ wishes should they become ill or die. This is supported by the home’s policy. Sycamore Heights DS0000023712.V367740.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, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and know that their views are listened to and acted upon. EVIDENCE: The home has a satisfactory complaints system in place which include policies and procedures to protect residents from abuse, neglect and self-harm. MCCH has its own policies on complaints and whistle blowing. No complaints have been reported and the last entry in the complaints book relates to 2007. It was observed that staff take any concerns residents may have seriously. Staff confirmed their commitment to challenge and report any incidents, should they occur. MCCH also has its own policy on safeguarding vulnerable adults, and there is an accessible version for the residents. The home has a copy of the Kent and Medway Multi Disciplinary protocol, to ensure a timely and co-ordinated response. Residents are encouraged to deal with their own monies. Safe systems are in place for staff who deal with residents’ monies on their behalf. Residents have an individual wallet and receipts and records are kept of all transactions. Financial records are audited. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable, clean and safe environment. EVIDENCE: The physical layout of the Home enables residents to live in a generally wellmaintained and comfortable environment, which promotes independence. In respect of safety and security, the home follows MCCH’s policy on “lone working.” The furniture is domestic in style, and comfortable. Homely touches include residents’ artwork, books and puzzles. For a visually impaired person specialist lighting has been provided. The communal areas of this home are spacious and most windows offer pleasant views of the gardens, both front and rear gardens were in need of some attention. Staff said that they are responsible for gardening duties. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 18 There is a timber summerhouse and outdoor furniture for the residents to enjoy. The seating in the dining and lounge areas is appropriate for the residents who use them. The kitchen is light, airy, clean and well maintained. There are two communal bathing/shower/toilet facilities on the ground floor and communal WCs on the first floor of each property. Each facility was clean and generally well maintained. It is acknowledged that a downstairs toilet has been decorated and new floors laid in that toilet and a bathroom. However, other parts of the home are showing signs of wear and tear and would benefit from general decorating. It was noted that the walls and floor of the laundry area were damaged and need attention. The manager said this was due to a leak of the flat roof. The roof is to be replaced and the laundry area upgraded at the same time. All bedrooms in this home are single occupancy. A resident showed her bedroom which was large, well furnished and personalised with pictures and artwork. A fan had been installed for temperature control. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff of well-trained and supported staff are available to assist residents. Residents are protected by the home’s recruitment procedures. EVIDENCE: At the time of the inspection visit there was one support worker on duty who looked after three residents. She was later joined by two other support workers who had been away on a morning visit with a resident. For the afternoon shift there were three support workers on duty. It was reported that the home provides placement opportunities for student nurses. Since the previous inspection a manager and 3 support workers have been appointed: two were transferred from other MCCH’s homes. The new member of staff has completed his induction and has just commenced NVQ 2. No staff files were viewed as support staff have no access to these. It has previously been reported that the Company operates a thorough recruitment system. The manager confirmed that two references are sought and CRB and POVA Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 20 checks carried out. Full compliance with regulations has been evidenced at previous inspections. As evidenced on the duty rota, staff receive formal supervision. A new form has just been introduced for this purpose and is kept with staff’s individual training matrix. Staff reported that they are well supervised and have regular staff and other meetings. These would encompass the home’s philosophy and aims into work with individuals; monitoring or work with individual residents; support and professional guidance; and the identification of training and development needs. Staff confirmed that they have access to good training opportunities. Training certificates were seen on file. Induction training complies with the Skills for Care criteria. Over 50 of staff are NVQ trained. Staff reported having been trained in all mandatory topics as well as the Mental Capacity Act, Epilepsy, Diabetes, medication and person-centred care planning. Since the previous inspection, individual staff-training matrices have been devised. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home which safeguards residents’ best interests. However, a registered manager must to be appointed. The health, safety and welfare of residents are promoted and protected. EVIDENCE: The previous report recorded that the home had a number of management changes and the effect this had on staff morale. It was also recorded that at times staffing levels were low. A new manager and additional staff have now been appointed. management structure of MCCH provides clear lines of accountability. The Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 22 The new manager has 15 years experience of being a Registered Manager. She is a Registered Nurse for people with Learning Disabilities. She has a NVQ 4 in Care and the Registered Managers Award (RMA). She has introduced an open management style and guides and supports het staff. It is the manager’s intention to organise two team away days to cover the aims and objectives of the home and some training initiatives. She works one day in a supernumerary capacity. At the time of the inspection the manager was in the process of submitting her application to become the Registered Manager for this service. In respect of quality assurance, regular house meetings take place. The AQAA states that residents’ views are also taken at review times and in the monthly Quality Audit (Regulation 26 visits). Every three months these are carried out by the area manager and by a senior representative at other times. Team meetings are organised six- weekly and weekly meetings regarding personcentred care planning. A business plan has been devised for the next five years with input from the manager and staff. The residents are all white British and both genders are represented. The staff group is also predominantly white British and shows an appropriate gender split as well as some cultural diversity – indicating a commitment to Equal Opportunities in the organisation. Accident records are well maintained. From information contained in the AQAA it is ascertained that all maintenance records are up to date. All staff receive health and safety training which includes infection control. Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 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 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 x 3 x x 3 x Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA37 Regulation 8 (1) (b) (i) Timescale for action That an application for registered 24/10/08 manager be submitted for Mrs Janine Osgood within three months Requirement 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 Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Sycamore Heights DS0000023712.V367740.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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