Inspection on 21/02/07 for Talbot Street, 72

This inspection was carried out on 21st February 2007.

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.

Other inspections for this house

Talbot Street, 72 08/02/06

Talbot Street, 72 03/08/05

Talbot Street, 72 21/12/04

Talbot Street, 72 15/06/04

Talbot Street, 72 10/12/03

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

CARE HOME ADULTS 18-65 72 Talbot Street 72 Talbot Street Southport Merseyside PR8 1LX Lead Inspector Daniel Hamilton Unannounced Inspection 21st February 2007 12.15 72 Talbot Street DS0000005239.V330720.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 72 Talbot Street DS0000005239.V330720.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. 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 72 Talbot Street Address 72 Talbot Street Southport Merseyside PR8 1LX 01704 501145 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) www.peterhouseschool.org Autism Initiatives Barbara Ann Barker Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 3 LD The service should employ a suitable qualified and experienced manager who is registered with the Commission for Social Care Inspection. The manager must complete training to achieve NVQ level IV in management 8th February 2006 Date of last inspection Brief Description of the Service: 72, Talbot Street is a small care home that is registered to provide personal care and support for up to three adults with a learning disability. The service is provided by Autism Initiatives, a national charity specialising in the care of people with Autism and the property is owned and maintained by Liverpool Housing Trust. The home is a large detached property situated in a quiet road not too far from the centre of Southport and all its amenities, with public transport and shops close by. The property is well maintained and spacious. It comprises of four single bedrooms, two lounges and a dining / kitchen area. There is a wellmaintained garden at the front, incorporating a patio area and a further patio area at the rear, which is used extensively during the summer months. Fees range from £1019.73 to £1055.01 per week. 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day and lasted approximately 7 hours. Three people were living in the home at the time of the visit. A partial tour of the premises took place and observations were made. A selection of care, staff and service records were also viewed. The acting manager and two support workers were spoken with during the visit and the three people living in the home were encouraged to participate in the inspection process using their preferred methods of communication. Survey forms were also distributed to each service user’s relatives, in order to obtain additional views and feedback about the service provided. Since the last inspection a new manager (Mr Robert Lee) has been appointed to the home. Mr Lee has previously worked in the home as a senior support worker and is aware of the needs of the people using the service. Mr Lee demonstrated a commitment to the ongoing development of person-centred care and to promoting the independence of the people using the service. What the service does well: The service users living at 72, Talbot Street continued to benefit from a well maintained home that was decorated and furnished to a good standard. Service users and staff continued to looked after the cleaning of personal bedrooms and the communal parts of the home. The parent of one service user reported; “The house is always clean and tidy. It is a pleasure to visit there.” Service users appeared relaxed and content in their home environment. Interaction between staff and service users was positive and staff spoken with confirmed they had completed specialised training to help them understand the diverse needs of people living with Autism and how to communicate effectively. Visual resources and picture communication systems were used in addition to written words to assist service users to express their views and choices, understand daily living tasks and procedures and plan their day-to-day lives. Service users were encouraged to participate in a range of activities and to maintain relationships with their families and friends. The service supported the people living in the home to take responsible risks as part of an independent lifestyle and had completed a range of risk assessments to identify and control potential risks. Medication and Healthcare was well managed by the home. Records showed that service users had regular access to a range of healthcare professionals subject to need. 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 6 Systems had been developed to correctly recruit staff and to protect vulnerable adults from abuse. There had been no complaints since the last inspection and a service user reported “Staff listen to me” and “I’m happy with everything.” A programme of self-review and service monitoring had been established which involved consultation with service users and their representatives. 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. 72 Talbot Street DS0000005239.V330720.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 72 Talbot Street DS0000005239.V330720.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. Information on the needs of service users had been developed to enable staff to provide a person centred service. EVIDENCE: The acting manager reported that the needs of prospective service users would be fully assessed before an agreement was made for a person to move into 72 Talbot Street. No new service users had moved into the home since the last visit. The original assessments of need for the people living in the home were not available for inspection, as the current service users had lived in the home for over seventeen years. Consequently, their original assessments had been archived at Autism Initiative’s head office. Since the last inspection, the service had produced a new ‘Working File’ for each service user. Each working file contained key information on the personal and communication needs of individual service users. For example, ‘Triad of Impairment’, ‘About me’ and key information on the needs and preferred routines of service users had been recorded. Some documentation viewed had not been dated. Examples were discussed with the manager during the visit. Staff spoken with during the visit demonstrated a good knowledge of the individual needs of the people living in the home and how to provide person72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 9 centred care. Staff confirmed they had completed specialised training in how to care and communicate with people with Autistic Spectrum Disorders and interaction between staff and service users observed was positive. 72 Talbot Street DS0000005239.V330720.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The changing needs and wishes of service users are recognised, planned for and supported, to promote independence, choice and wellbeing. EVIDENCE: Since the last visit, the home had developed ‘Support Plans’ for individual service users. Each support plan was based around the changing needs of service users and outlined short and long-term goals, the responsibilities of service users and the support required from staff to achieve objectives. Identified goals for future planning had also been recorded. A key worker system had been developed to enable staff to establish special relationships and work on a one-to-one basis with service users. Care plans had been developed for areas that required full staff support for example, the management of Medication and Health care. Guidelines had also been produced to clarify the support requirements of service users in relation to daily living activities / needs e.g. Ironing, shopping and personal care. A range of supporting information including; ‘Positive Intervention Plans’, ‘Pen Pictures’, ‘Likes and Dislikes’ preferred ‘morning and / or evening routines’, 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 11 health care records and daily reports were also maintained. Some records had not been dated to provide evidence of ongoing review. Examples were discussed with the manager during the visit. The home continued to utilise visual resources and picture communication systems, to enable service users to express their views and choices, understand daily living tasks and procedures and plan their day-to-day lives. Service users were observed to effectively use different communication systems including written word during the visit. Staff demonstrated knowledge and understanding of how to communicate effectively with each service user and provided time for service users to process information. Service users continued to be supported to take responsible risks as part of their daily lives. Risks had been assessed for person-centred, community based and general health and safety in the home activities e.g. risk of scalding, electrocution and / or using kitchen equipment. Risk assessments viewed identified the hazards / nature of risk and the action and precautions required. The acting manager and staff spoken with demonstrated a good understanding of their role and responsibilities in the assessment and management of risk. 72 Talbot Street DS0000005239.V330720.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Meals, activities and routines were flexible and varied to enable service users to follow their preferred lifestyle. EVIDENCE: Each service user had a weekly activity rota, which showed they had the opportunity to attend day care activities in addition to participating in a range of activities within their home and local community. Housework and other personal responsibilities were detailed on activity rotas and formed part of individual support and communication plans. Examples of activities that service users participated with included; bowling, meals out, gardening, personal shopping, preparing meals, visiting local pubs and attending a local social club disco. One service user remained an active member of the Autism Society’s Service User Consultative Committee. Autism Initiatives had produced a Policy and Guidance on Relationships and Sexuality for people with Autism. The acting manager and staff spoken with 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 13 demonstrated a commitment to supporting service users to develop and maintain appropriate relationships. Examination of records confirmed that service users were supported to maintain relationships with their family members, friends and social contacts both within and outside the home. A service user spoken with reported; “I certainly do see my family.” Records also showed that the service users had participated in family holidays and / or short breaks with their key workers during the year. The acting manager reported that service users were consulted on a weekly basis regarding their choice of food / preferred meals and confirmed that each service user’s dietary intake was monitored. No records of menu plans were available for inspection at the time of the visit. Meals were served in the home’s kitchen / dining area at times convenient to the service users. Direct observation and feedback received from service users confirmed they were supported to choose and prepare their own meals and that they enjoyed mealtimes. A record of daily meals was recorded in each service user’s daily report book for reference. Records viewed showed that service users had received a variety of nutritious meals. 72 Talbot Street DS0000005239.V330720.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 excellent. This judgement has been made using available evidence including a visit to this service. Service users received support with their personal, healthcare and medication needs to ensure a healthy lifestyle. EVIDENCE: The personal care and support requirements of service users had been detailed in each service user’s daily routine and / or support plan documentation. Service users were encouraged to be independent with personal care however support was available from staff when required. Records of personal care were maintained and weekly health checks were completed by staff to monitor service users’ weights and nail care. Health care summary records were available for general practitioner, chiropodist, speech therapy, dentist, psychiatrist and optician appointments. Records viewed showed that service users had regular access to health care practitioners, subject to individual needs and this was confirmed in discussion with one service user. Staff spoken with demonstrated a good understanding of the personal and health care needs of each service user and how to provide care and support to service users in a dignified and sensitive manner. The parents of one service user reported; “The home provides for the specific needs of our son and allows 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 15 him to live as normal a life as possible with his disability. He is always dressed nicely and always clean and tidy”. The home had a corporate medication policy in place to provide guidance to staff. None of the service users had responsibility for managing their own medication at the time of the visit. The majority of the staff team had completed Medication Awareness Training and records of in-house and external medication training had been recorded. Medication was securely stored in a lockable cupboard and a service user identification system had been established. A staff signature checklist was also available. Medication Administration Records had been completed to confirm the administration of medication and systems had been established to audit medication on a weekly basis. Since the last inspection, the new acting manager had retained copies of Patient Information Leaflets for staff to reference. 72 Talbot Street DS0000005239.V330720.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. Systems have been developed to listen and respond to complaints and to safeguard and protect service users from abuse. EVIDENCE: A copy of Autism Initiatives’ Complaints procedure was in place and leaflets were displayed within the home, which explained the procedure to follow when making a complaint. The manager reported that the procedure could be made available in other formats upon request. Records showed that no complaints had been received by the home or the Commission for Social Care Inspection since the last inspection. One service user reported that; “Staff listen to me.” Feedback received from the parents of another service user confirmed they were aware of how to complain if they needed to and that the service had always responded appropriately to any concerns raised. Service users were observed to be relaxed in their home environment and communication between staff and service users was positive. One resident recorded; “I’m happy with everything.” The home also had a copy of the local authority adult protection procedures and a whistle blowing policy in place. A service user protection document had been developed that covered all forms of abuse. Each service user had an information leaflet in their bedroom with pictures of staff and contact details for the Inspector from the Commission for Social Care 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 17 Inspection, the adult protection officer for Autism Initiatives and their key worker. Staff had access to service user protection training as part of their training and development. The acting manager and staff spoken with demonstrated a sound awareness of how to recognise abuse, reporting procedures and their duty of care to protect vulnerable adults from abuse. 72 Talbot Street DS0000005239.V330720.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 home is pleasant and well maintained. This provides service users with a safe, clean and comfortable environment. EVIDENCE: Liverpool Housing Trust remained responsible for the maintenance of the home and undertook annual property inspections to monitor the condition of the premises. Likewise, Autism Initiatives Estates Department continued to retain responsibility for emergency repair work. The acting manager maintained records of work requiring attention or completed. Areas viewed were well maintained, comfortable and decorated to a good standard. A five-year maintenance plan had been developed to ensure the fabric and decoration of the home was maintained in good order and replaced when necessary. Since the last inspection the shower cubicle and bathroom floor covering had been replaced. The acting manager reported that he was planning to also purchase a new dining table and a kitchen and hallway carpet in consultation with service users. 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 19 Service users and staff looked after the cleaning of personal bedrooms and the communal parts of the home. Picture Communication Systems had been developed to enable service users to understand how to undertake general cleaning and household duties. All areas viewed during the visit were clean, tidy and hygienic. One service user was observed cleaning the kitchen during the visit. The parent of one service user reported; “The house is always clean and tidy. It is a pleasure to visit there.” 72 Talbot Street DS0000005239.V330720.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): 32, 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 welfare of service users is safeguarded, as staff are appropriately recruited and trained to undertake their role. EVIDENCE: Records showed that staff had access to a range of training and development opportunities through Autism Initiatives. Training records showed that staff completed corporate induction training, specialised training in the care of people with autistic spectrum disorders and health and safety training. The acting manager had established a system to monitor the outstanding learning needs of staff and dates had been set to complete the required training. At the time of the visit, the home employed an acting manager and two full time and two part time support workers. The home had a vacancy for a senior support worker, which was in the process of being recruited to. The acting manager reported that all the four permanent staff had completed a National Vocational Qualification in Promoting Independence at level 2 or above. Certificates were available for only two of the four staff as two staff were waiting to receive certificates from a training provider. 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 21 The home had access to Autism Initiative’s Recruitment and Selection policy. Recruitment was coordinated via the organisation’s head office and the acting manager confirmed that he would be involved in the process of recruiting staff to the home. Pre-inspection records detailed that only one new member of staff had commenced employment at the home since the last inspection. All the necessary records required under the Care Home Regulations 2001 had been obtained for the new employee and were available for inspection. Staff spoken with during the inspection demonstrated a good awareness of the needs of the people living in the home and confirmed they had access to induction, ongoing training opportunities and formal supervision. 72 Talbot Street DS0000005239.V330720.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. Quality assurance systems had been established by the Provider to monitor the conduct and management of the home. EVIDENCE: Since the last inspection the Registered Manager (Barbara Barker) had left the home to take up a new management position within Autism Initiatives. The previous senior support worker (Mr Robert Lee) had been appointed as the new acting manager. At the time of the visit the Commission for Social Care Inspection had not received an application from Mr Lee to become the Registered Manager. Mr Lee agreed to complete and return the application form by 26/02/07. Examination of Mr Lee’s training records revealed that he had completed a range of training in his previous role that was relevant to the care of people with autistic spectrum disorders. At the time of the visit Mr Lee did not have a 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 23 National Vocational Qualification in Management and Care at level 4. Mr Lee reported that he would enrol to undertake the Registered Managers Award during March 2007. Mr Lee demonstrated a commitment to the ongoing development of the home and was observed to demonstrate a clear sense of direction. The parent of one service user reported; “Talbot Street is a very well run and organised home. The residents always come first.” Autism Initiatives continued to employ a Quality Assurance Coordinator who was responsible for inspecting the home on an annual basis. Records showed that the last visit occurred on 20/02/07. Regulation 26 reports had also been completed on a monthly basis as part of a tenancy visit. Records showed that annual questionnaires had recently been sent to service users and their families. Summary records of feedback were available. Examination of training records and discussion with staff confirmed the support workers had access to health and safety training and policies and procedures. The acting manager completed a monthly health and safety audit / checklist for the home. Pre-inspection records detailed that maintenance checks were completed at appropriate intervals. Examination of fire records confirmed the system was tested on a weekly basis and that the emergency lighting was tested each month. Records showed that staff had also completed fire instruction training on a monthly basis. A fire risk assessment was in place but this had not been reviewed since 3/08/05. 72 Talbot Street DS0000005239.V330720.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 3 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 4 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 4 3 X 2 X 3 X X 3 X 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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. 1 2 Refer to Standard YA2 YA37 Good Practice Recommendations Assessments and / or information on the needs of service users should be dated and kept under review. The manager should complete a National Vocational Qualification at level 4 in Management and Care. 72 Talbot Street DS0000005239.V330720.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 72 Talbot Street DS0000005239.V330720.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. 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