Inspection on 04/01/07 for The Homestead

This inspection was carried out on 4th January 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Homestead 01/12/05

The Homestead 12/11/04

The Homestead 26/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Homestead (The) (Sidlow) The Homestead Reigate Road Lower Duxhurst Sidlow Surrey RH2 8QH Lead Inspector Christine Bowman Unannounced Inspection 4th January 2007 10:30 Homestead (The) (Sidlow) DS0000013680.V325400.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 Homestead (The) (Sidlow) DS0000013680.V325400.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. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homestead (The) (Sidlow) Address 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) The Homestead Reigate Road Lower Duxhurst Sidlow Surrey RH2 8QH 01293 774740 Surrey and Borders Partnership NHS Trust Mr Sumesh Anand Drepaul Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1), Sensory impairment (1) of places Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: The Homestead is a home for 8 people with a learning disability in a rural area on the outskirts of Reigate and Redhill. The home is detached and set back from the main road (A217) and provides kitchen, dining area, living room, a conservatory and 9 single bedrooms. The garden is spacious, providing an area for dining outdoors. The home has a range of transport available and there is ample parking space to the front of the property. The charge for a single room is £69,978.00 per annum. There are no additional charges for basic care. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was conducted as part of a Key inspection process. The visit took place over six hours commencing at 10.30 am and ending at 16.30 pm and was undertaken by Ms Christine Bowman, regulation inspector. A presentation on the new IBL process was given at the beginning of the inspection to the Deputy Manager, who kindly assisted throughout the visit. Since the previous inspection there had been changes in the National Health Service Trust, which is the provider organisation, and it is now entitled, ‘Surrey and Borders Partnership NHS Trust’. A minor variation had decreased the number of places the home is registered for from nine to eight to enable the staff to devote more time to supporting the complex needs of the service users. All the key inspection standards for Younger Adults were assessed and the care of three service users was sampled, including their care records. The Deputy Manager and a support worker were interviewed and the staff team were observed engaging with service users, using non-verbal communication skills and body language. It was not possible to obtain the views of the service users verbally as they required support with their communication but comment cards were left for key workers to complete with service users. A tour of the premises was undertaken, accident and incident records, complaints and compliments and staff training logs, were inspected and policies and procedures viewed. The staff personnel files were not accessible to be inspected because the filing cabinet was locked and the Deputy Manager did not have access to a key. The inspector would like to thank the Deputy Manager, service users and staff of The Homestead, for their assistance and hospitality throughout the site visit and for completing the comment cards. What the service does well: The home had a calm, relaxed atmosphere and was clean and comfortably furnished. Members of staff on duty were seen to act very naturally around the service users and clearly knew them very well. This was evident in the way they instinctively understood the wishes and needs of service users who did not communicate verbally. The home had a ‘person centred’ style of care planning, which meant that the care and support provided was based on what the service user wanted and needed rather than what was easier to deliver, and they were involved as fully as possible in the planning of their care. The plans were very detailed and gave clear guidance to any staff supporting the service users on what was to be done and how it was to be done. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 6 The home had an excellent risk assessment process for service users that focussed on all areas of their everyday lives. The assessments clearly identified risks and gave detailed instructions on how to reduce or prevent the risk of harm. This means that service users were able to enjoy a variety of activities and experiences in the safest way possible. The home had strong links with the local community and made good use of the facilities and resources available. Service users had a full programme of activities based on their individual needs and choices. Two service users were busy creating a colourful picture and modelling clay in the conservatory area when the inspector was touring the premises, and another service user was enjoying music as they relaxed in the lounge. The minutes of the service user meetings described the celebrations organised by the staff for the service users, including a Halloween party with music and dancing, and a spooky grotto. Photographs had been taken and some service users had displayed them in their bedrooms. The relationships between the service users and staff were observed to be relaxed and friendly, creating a warm and homely atmosphere. There was a great deal of evidence that the home was geared to the needs and wishes of the residents, with staff there to provide support and guidance. What has improved since the last inspection? What they could do better: Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 7 Accident and incident records must be stored securely in line with the Data Protection Act 1998, to protect the personal information of the staff and the service users recorded in them. The registered manager must ensure that the staff records are accessible for inspection at all times so the inspector can check that a safe system of recruitment and selection of staff is in place to protect the service users from potential harm. 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. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 8 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 Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 9 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): Standards 1,2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information with respect to the home, which is kept under review, is available to current service users and their representatives in a suitable format. A suitable assessment tool is available and all the current service users had a full care needs assessment in place to ensure the home could meet their needs. EVIDENCE: The statement of purpose and service user guide had been reviewed and updated to include the new title of the organisation and the complaints procedure now refers to the Commission for Social Care Inspection, to inform the service users, their relatives and representatives. The service user guide was well-presented, illustrated with colourful symbols and printed in large type. The code of conduct was very clear about the home’s commitment to anti-discriminatory practise and the expectation of service users, their visitors and staff to respect others regardless of their culture, race, religion, sexuality, disability, age or colour. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 10 The home had decreased the number of service users it accommodated from nine to eight since the previous inspection due to the increasing complexity of the needs of service users. A suitable assessment tool is available should it be required for any new service users. The current service users, whose files were inspected, had a full care needs assessment in place to ensure the home could meet their needs. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 11 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): Standards 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed information contained in individual care plans described the needs and goals of the service users and gave very clear guidance to the staff of how they preferred to be supported in the home and in the community. Thorough risk assessments supported the service users individual life-styles promoting their safety and welfare. EVIDENCE: The care of three service users was sampled in detail during the visit. All had person-centred plans, which were very detailed and clear covering all aspects of personal and social support and healthcare needs. Due to the fact that the service users could not communicate verbally, communication profiles had been created, which described individualised behaviour and the response the service user wanted to elicit from the staff member supporting them. All service users had a key worker allocated to them and reviewed care plans had been signed by them on the behalf of the service users and the reason for this was recorded. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 12 Minutes of service user meetings recorded the range of activities, visits, and celebrations organised on their behalf and gave feedback on their involvement and participation. These documents contained colourful symbols and were written in large type and short sentences for the service users. As well the detailed support plans in place the service users had extremely detailed risk assessments in place for the activities of daily living. These covered every aspect of the service user’s daily life and include their vulnerability to abuse and self-harm. The risk assessments were very well written with clear instructions to the staff on how to minimise potential risk without compromising the service users ability to participate in activities. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 13 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): Standards 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. Service users take part in appropriate activities that take account of their needs and preferences. They are supported to maintain peer relationships and to be part of the local community. Service users rights are recognised and they are offered a healthy diet that reflects their individual tastes and dietary needs. EVIDENCE: Service users were encouraged and supported to be as independent as they were able and they all continued to lead busy and interesting lives, which included activities provided in the home, attending day centres, undertaking activities in the local community and many leisure activities. Individual programmes for service users included art therapy, clay modelling, singing and listening to music, attending day centres, visiting a local farm and cookery. Two service users were busy creating a colourful picture and modelling clay in the conservatory area when the inspector was touring the premises, and another service user was enjoying music as they relaxed in the lounge. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 14 The home benefited from having suitable transport and the minutes of service user meetings confirmed that holidays were planned, and trips were taken to the seaside. The deputy manager stated that service users enjoyed trips to the cinema, bowling, going out for a meal, visits from the vicar, shopping and going to the hairdresser. The minutes of the service user meetings described the celebrations organised by the staff for the service users, including a Halloween party with music and dancing, and a spooky grotto. Photographs had been taken and some service users had displayed them in their bedrooms. There were also photographs of Christmas, showing decorations, presents, festive food and happy service users wearing the new clothes selected with help from their key workers. A visiting relative had remarked on the ‘wonderful display of food’ and on ‘how smart everyone looked in their new clothes’, and this was recorded in the minutes. The deputy manager added that service users from other Trust homes were invited to some celebrations and attend bar-b-cues in the summer. She also stated that relatives and friends were always welcome. Birthdays were celebrated and this was remarked upon in one service user’s person centred plan as something they really enjoy. The home had a four weekly menu in place that had been devised in consultation with the service users, the deputy manager stated. The kitchen was of a good size with appliances and storage suitable to the needs of the number of people living in the home. All the necessary food safety checks had been carried out and recorded and the staff had received food hygiene training. Food storage and hygiene practice was observed and found to be improved since the last inspection. The dining room was pleasant and comfortably furnished with new circular tables and matching chairs, which were solid but also domestic. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive care and support in the way they prefer and their physical and emotional needs are met by the home. Safe procedures, policies and staff training in the administration of medication protect the service users and the staff. EVIDENCE: Service users preferences in the way they were supported were documented in their support plan for healthy living. A comment recorded in the care plan of a service user was that he, ‘really enjoyed choosing what to wear,’ and another service user commented that they, ‘Don’t like being rushed.’ Each service user had a healthcare checklist giving an up-to-date physical assessment including medication needs, weight, hearing, eating and drinking and mobility. This was very detailed information and risk assessments were also included. There was evidence of the involvement of a variety of professional including an aroma therapist, a chiropodist, opticians, dentists, psychologists and an art therapist. All service users were registered with a local General Practitioner and specialist health professionals were accessed through the practice. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 16 The medication administration record (MAR) charts had been maintained accurately and medicines were stored securely and appropriately. Medication was supplied mainly in blister packs by the local pharmacy and all the staff, who undertake the administration of medication had received appropriate training. Risk assessments had been undertaken and no service user was able to self medicate. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ views are understood by caring staff, who know them well, carry out their wishes and protect them from abuse, neglect and harm. EVIDENCE: The home had a complaints procedure of which all members of staff were made aware at induction. The procedure was also available in pictorial format to make it more accessible to service users and a copy was in the service users guide, and attached to notice boards throughout the home. No complaints had been recorded since the previous inspection. The home had a copy of the most recent Surrey Multi-Agency Procedures for ‘Safeguarding Adults’ and had reviewed and updated its policy and procedure on the protection of vulnerable adults from abuse (POVA) to be in line with this. Members of staff spoken with were aware of the local procedure and how to deal with complaints. There had been no referrals under these procedures since the previous inspection. Successful intervention to minimise challenging behaviour and a reduction in service user numbers had dealt with the primary cause of previous referrals. Homestead (The) (Sidlow) DS0000013680.V325400.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): Standards 24,25,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, hygienic, comfortable, safe and homely and meets the needs of the service users well. The service user’s bedrooms reflect their individual tastes and interests. EVIDENCE: A tour of the premises was undertaken. The home was in a good state of decoration and repair throughout. Communal areas of the home were comfortably furnished and pleasantly decorated and all areas of the home were clean with no unpleasant odour. New furniture had been purchased for the conservatory, dining room and sitting room, enhancing the environment and making it homely and comfortable for the service users and their visitors. Plants, displays of dried flowers, mounted photographs of service users enjoying celebrations and modern laminated floors reinforced the homeliness of the environment. A large television in the sitting room with video, music centre and art and craft materials offered opportunities for entertainment and engagement. Minor repairs had been completed since the last visit, including the replacement of a cracked tile in the service user’s bedroom. The bedrooms Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 19 of the three service users sampled, were personalised according to their taste. The furniture was solid yet domestic, the bedrooms were well ventilated, benefited form a controlled heating system and window restraints for safety. Homestead (The) (Sidlow) DS0000013680.V325400.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): Standards 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are enthusiastic and committed to supporting service users, and training and development is given to ensure they are competent and qualified. The registered persons must ensure that the staff recruitment records are available for inspection to confirm that safe systems are in place to protect the service users. EVIDENCE: Observations of the staff working with the service users confirmed they had a good understanding of their communication needs and were committed and enthusiastic in the supporting role. Agency staff were still necessary, the deputy stated, and there were four vacancies, for which interviews had been arranged in January. The deputy stated that the same agency staff were used regularly, that they had undergone a robust recruitment procedure and an induction programme prior to working with the service users. An agency member of staff interviewed, confirmed she had completed a Criminal Records Bureau check, an application form, supplied the names of two referees, been interviewed and had an induction period of one week. Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 21 On the day of the site visit, the manager was on annual leave and the deputy manager did not have the key to access the staff personnel files. Despite all efforts she was not able to procure the key resulting in the key recruitment standard not being robustly inspected. The registered persons must ensure that the staff records are accessible for inspection at all times so the inspector can check that a safe system of recruitment and selection of staff is in place to protect the service users from potential harm. The feedback from the member of staff regarding recruitment provides some evidence that there is a robust recruitment process to ensure service user safety and the overall outcome has therefore been assessed as ‘good’ in the absence of sampling the staff records. The sampling of staff records will form part of the next key inspection of the service and therefore these must be available. The staff had individual training records, which were accessible. These were sampled and found to provide evidence of mandatory and developmental training having been undertaken. In addition to certificates for mandatory training, staff had undertaken courses in person centred awareness, disability awareness, epilepsy and the administration of rectal diazepam, risk assessment, respect for all and health action planning. Homestead (The) (Sidlow) DS0000013680.V325400.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): Standards 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run, competently managed home where their views are sought and responded to. The home promotes the health, safety and welfare of service users. EVIDENCE: The manager had been registered with the Commission for Social Care Inspection since the previous visit, ensuring stability in leadership for the staff and the service users. The members of staff interviewed confirmed the style of management was open and inclusive and felt they were well supported. There was evidence of regular monthly meetings taking place with the service users and the minutes recorded and produced in an accessible format. The deputy manager stated that the service user’s needs were paramount in Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 23 producing the development plan and their link workers actively sought their views. Managers of other ‘Trust’ homes carried monitoring visits out every month and the findings were recorded. Copies had been sent to the CSCI local office. The home had policies and procedures in place for health and safety and fire safety checks, including fire drills, had been carried out regularly and recorded. A new fire alarm system had been installed, which was attached to the main fire exits, which are released when the alarm sounds to ensure the safe evacuation of the service users. All members of staff had received training in health and safety, the control of substances hazardous to health, infection control, moving and handling, first aid, fire safety, food hygiene and the protection of vulnerable adults. Accident and incident records were inspected. They were stored on an open shelf in the office and must be stored securely to protect the personal information of the staff and the service users recorded in them. Homestead (The) (Sidlow) DS0000013680.V325400.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 3 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 4 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 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 2 X Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 25 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 YA34 Regulation 17(3)(b) Requirement Timescale for action 01/03/07 2. YA42 The registered persons must ensure that the staff records are accessible for inspection at all times. 17(1)(a)(b) The registered persons must 01/03/07 ensure that the accident and incident records are stored securely. 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 Homestead (The) (Sidlow) DS0000013680.V325400.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Homestead (The) (Sidlow) DS0000013680.V325400.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!