Inspection on 22/05/07 for The Laurels

This inspection was carried out on 22nd May 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

The Laurels 20/01/06

The Laurels 16/08/05

The Laurels 01/10/04

The Laurels 28/05/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Laurels 3 Nine Mile Ride Finchampstead Berkshire RG40 4QA Lead Inspector Julie Willis Unannounced Inspection 22nd May 2007 11:15 DS0000050226.V335825.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 DS0000050226.V335825.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. DS0000050226.V335825.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Laurels Address 3 Nine Mile Ride Finchampstead Berkshire RG40 4QA 0118 973 7110 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.new-support.org.uk New Support Options Limited Ms Vicky Richards Care Home 6 Category(ies) of Learning disability (6) registration, with number of places DS0000050226.V335825.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2006 Brief Description of the Service: The Laurels is a small residential home that is part of New Support Options, a large provider group, and is registered for 6 people who have learning disabilities and some physical disabilities. The care needs of this group are complex. The home is a large converted bungalow, including two self-contained flats with facilities within. The house is situated in a rural area at one end of a busy road. There is a large well-maintained garden with a patio area and lawn. The charge for this service is £1181.21 per week DS0000050226.V335825.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspection took place on Tuesday 22nd May 2007 between 11:15 am and 4.30 pm. and covered all the standards for younger adults. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as social workers, doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met all of the residents. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. This service is good at meeting the needs of residents with a range of diverse and complex needs. The inspector gave feedback about her findings to the homes Manager and Service Manager at the end of inspection. There were no legal requirements made as a result of this inspection. The Commission has received no information concerning complaints since the last inspection. What the service does well: The home is clean, comfortable and attractive and offers residents a comfortable place to live. The large gardens are well used by residents during nice weather. Each person has their own bedroom and two residents say that they like living in their flats. The home is very good at making sure residents can say what they like to do and they are always given a choice. Written records are good and help staff to know what care residents need. DS0000050226.V335825.R01.S.doc Version 5.2 Page 6 There is always something to do at the home and people say they like to watch television, DVD’s or listen to music. The staff are very good at helping the residents to make things and to join in the shopping, cooking and other activities. Residents sometimes go out to clubs or with day services to bowling, football, cinemas or other outings. The staff are well trained and know what people need to make them happy. Residents said they are kind and helpful. 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. DS0000050226.V335825.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 DS0000050226.V335825.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): Standard 2 Quality in this outcome area is good. People are fully assessed prior to admission to ensure the home will be able to effectively meet their need This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although there have been no new admissions to the home for a number of years it was evident from discussions with staff that people were fully assessed prior to their admission to the home. The home has a comprehensive admissions policy in place which details the comprehensive and holistic assessment that will take place and the need to fully involve the person to be admitted, their families, advocates and a multidisciplinary team of professionals. DS0000050226.V335825.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 6, 7, 9 Quality in this outcome area is excellent. People using this service are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations, goals and lifestyle choices of people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From examination of care documentation and discussion with staff it is clear that the home positively encourages residents to develop new skills and to become as independent as possible. Two residents have their own flats in the home with sitting area, kitchenette and bathroom. The residents of the flats said that they liked living there and it was clear that they took great pride in their accommodation and the independence that they provided. Observation of practice concluded that residents are encouraged to participate in the activities of daily living within the limits of their individual capabilities. Several residents cook meals, do the laundry and clean the home as part of their documented care plan. DS0000050226.V335825.R01.S.doc Version 5.2 Page 10 Examination of care records and risk assessments indicated that adequate support and supervision were provided whilst involving residents in daily routines and activities that could pose a risk to their safety. It was evident that the home pro-actively motivates people to develop life skills. This has led to a degree of risk taking. Management of risks takes account of the specialist needs of the individual balanced against people’s personal aspirations for independence, choice and normal living. The content of care plans evidenced that people are supported to take risks as part of their everyday life style and to experience new situations and to try new things. Risks have been fully assessed and guidelines have been put in place to minimise the risk to people using the service. The inspector case tracked 3 peoples care. Records were up-to-date and accurate. It was clear that the staff have tried to involve people that use the service in the care plan process from the outset and their input was clearly recorded in the care files. All residents have a personal profile and detailed life history and all documentation is person centred. All residents had an up-todate social work review and it was clear that the home works in partnership with other agencies to benefit residents. Large areas of the plans had been developed in a pictorial and photographic format to help residents to understand the content. Plain English and simple terms are used wherever possible The care records were comprehensive and holistic in detail and provided sufficient information for staff to provide the appropriate care. Residents had agreed their personal programs and goals and these appeared realistic and achievable. A separate file had been produced for bank and agency staff and new workers at the home. This gave a brief overview of peoples needs and a synopsis of their daily living plan and was easy to read and understand. People that use the service confirmed that they are encouraged to make choices and are supported in their decisions by the staff. The residents are supported to manage their own monies and to make choices about how they spend it. One resident came to ask for some money for her purse, which she was taking to do day services. One of the residents is a Director of ‘Support Horizons’ a user forum hosted by an independent organisation, which advocates on behalf of people with learning disabilities. Minutes of these meetings are sent to each participant following the meeting and are produced in written and picture format for ease of use. Several residents made comments to the inspector about the home such as “I like my flat”, “other people are nice” and “its good here”. DS0000050226.V335825.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People that use the service take part in activities that provide opportunity for personal, practical and emotional development and are encouraged to be part of the local community. People are provided with a menu that is nourishing, varied and meets their individual and cultural need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are provided with the opportunity to engage in activities that are stimulating and worthwhile and make use of communal facilities including local restaurants, cinemas, sports facilities and public houses. Most attend local day services several times a week where they are encouraged to participate in a range of small group activities or are provided with one-to-one support. At the time of inspection one of the residents was going bowling, which they particularly enjoyed and said “I’m going to win this time” and another was going to play football. People’s attendance at each session is well documented DS0000050226.V335825.R01.S.doc Version 5.2 Page 12 and their overall progress is well monitored and forms part of their on-going review. At home residents are involved with the shopping, cooking, cleaning and laundry activities in the home and this is a well-documented part of each users care plan. Residents listen to music, watch television or DVD’s, or to go for local walks to California Country Park. People at the home are encouraged to be part of the broader community by attending the local ‘challenge club’ which provides activities and parties on a weekly basis but their attendance is dependent on staffing levels and the availability of suitable transportation. One resident is in paid employment and works for a local company shredding paper. They are supported in their workplace by a job coach provided by Spectrum. The resident said “I like it there”. It was evident that the users are positively encouraged to engage with the local community and are supported to learn new skills at local colleges and Adult Learning Centres. One resident said that they had done cookery classes in the past and another said that they enjoyed computers. Several residents usually participate in an annual holiday but as yet holidays have not been booked for this year. This is due in part to the shortage of permanent staff at the home and particularly to a shortage of drivers. From discussion with the staff and management it is clear that shortage of transport is significantly curtailing residents opportunities to engage with the community. Car share systems are in place, which means that residents can be picked up by the transport of a sister home to attend various day opportunities and taxis are used routinely for outings, but there is often a shortage of permanent staff to accompany residents. Residents are encouraged to maintain their relationships with family and friends and one resident goes to the Isle of Wight each year with her mother for a holiday and is away alternate weekends to stay with her. Another resident visits family each week. The home provides a nourishing menu, which meets the needs of its residents. Residents are provided with choice and variety and are regularly consulted about the menus. For those residents requiring support during mealtime’s staff provide support, which is discrete and sensitive, both to the resident they are helping and also to other residents living at the home. The mealtimes are a pleasurable experience and are a time when residents can get together. They are encouraged to eat meals in the dining room. At the time of inspection the staff were preparing chicken with roasted vegetables for tea. The meal looked attractive and nutritious and only fresh produce was used in its preparation. DS0000050226.V335825.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19, 20 Quality in this outcome area is good. Peoples physical and personal support needs are well met at this home and well-trained and competent staff deals with medication safely and appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of resident’s documentation and discussion with staff and management indicated that all residents are registered with a local doctor. Regular health checks and routine screening and treatments are offered by the practice and several residents regularly see the practice nurse for blood tests and other advice and treatment. The doctor also offers residents regular vaccinations against flu and other illnesses and the decision as to whether or not to have treatment is documented in the resident’s records. There was evidence that residents also have regular dentistry, podiatry and attention to their vision and hearing and their attendance is appropriately recorded in the care records. A number of the users are regular attendees at hospital. Details of the outcome of these appointments and any changes in treatment or medication are well documented in the care plans and daily records. DS0000050226.V335825.R01.S.doc Version 5.2 Page 14 From examination of 3 care records it is evident that residents physical and personal care needs are well met by the home. All care given is documented in the daily diaries and was observed to fully validate the content of care plans. Observation of practice demonstrated that care was provided in a manner, which maintained the users right to dignity, privacy, independence and choice. The home has robust medication policy, procedure and practice guidance. Staff are aware of their responsibilities in relation to the safe administration of medication and have been properly trained. None of the current residents self medicate. The system used for the safe administration of medication is the monitored dosage system. This system reduces the likelihood of medication error and provides an accurate record of administration. All staff have been fully trained in the safe use of the system. DS0000050226.V335825.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by staff that can demonstrate knowledge of the homes abuse of vulnerable adults This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has a complaints procedure, which is clear and accessible to residents. It has been produced in a user-friendly pictorial format to aid residents understanding. Residents are provided with information on how to make a complaint to the home, the time scale for response, and the stages and process of the Organisations complaint procedure. Examination of the complaint records indicated that there have been 2 minor complaints made to the home since 1st January 2007. The details of the complaints were well documented. The complaints had been fully investigated by management and an outcome had been provided to the complainants. There was evidence in staff files and from discussion with staff, that they receive training in safeguarding adults as part of their formal induction to the home. This learning is later consolidated when undertaking NVQ training in which it forms a core module. Staff interviewed were aware of the homes whistle-blowing policy and understood the importance of protecting users from abuse and exploitation at all times. DS0000050226.V335825.R01.S.doc Version 5.2 Page 16 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): Standard 24 & 30 Quality in this outcome area is excellent. Standards of hygiene, décor and furnishings in this home offer residents a comfortable and homely place to live This judgement has been made using available evidence including a visit to this service. EVIDENCE: From a tour of the building it was evident that service users live in warm clean and comfortable environment. All areas of the home were found to be clean and hygienic. The home is tastefully decorated and is furnished in a modern and comfortable way. Residents are encouraged to see it as their own home and to add their own personal touches to the environment. The home is well maintained and has the specialist equipment it needs to accommodate its residents. The home is fully accessible to people with physical disabilities apart from the first floor flat which has been provided for a mobile resident. Adaptations and specialist equipment are designed to be as unobtrusive as possible and to fit in with the domestic homely surroundings. DS0000050226.V335825.R01.S.doc Version 5.2 Page 17 The home has been designed for small group living where residents can enjoy maximum independence in a discrete non-institutional environment. All bedrooms are furnished and decorated to an excellent standard and they are individually personalised to meet the needs and preferences of the residents. Two of the residents have been provided with specialist rise and fall electrically operated beds, which effectively meet their needs. Track hoists have been provided where needed to aid manual handling. Since the last inspection the home has been provided with two new adapted baths which are easy to use and offer residents a choice of bathing or showers. One resident has her own Jacuzzi. One of the residents said “I like it here, I have my own flat which is lovely”. DS0000050226.V335825.R01.S.doc Version 5.2 Page 18 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. Residents are provided with care and support by a team of well-trained and caring staff that have been robustly recruited. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has been suffering from a chronic shortage of permanent staff for some time. The home has a staffing complement of 13.5 FTE (full time equivalent) staff but currently employs only 8 FTE. The impact on residents has not been felt unduly as bank and agency workers and people working overtime are currently covering vacancies. The same temporary staff are employed whenever possible to aid continuity for the residents. Senior management are aware of the homes situation and has recently placed an advert in the local press, which was unfortunately unsuccessful. The home is situated in a quiet country lane and buses are infrequent and few. The home is planning to place an advertisement in the local Army barracks to attract staff that can walk to work in order to alleviate the staffing problem. The inspector examined the recruitment records for 3 staff. The content of files evidenced that all necessary checks are undertaken on prospective staff to DS0000050226.V335825.R01.S.doc Version 5.2 Page 19 ensure the safety and protection of residents. The content of the files met the National Minimum Standards and Regulations. The policies and procedures relating to selection and recruitment ensure resident safety and are robust, transparent and meet the requirements of current good practice guidance and legislation. From discussion with four permanent staff and examination of their training records it was clear that they have received structured induction training to Sector Skills Council specification. All staff receive core skills training in fire safety awareness, health & safety, infection control, safeguarding adults, food hygiene, first aid and manual handling. All staff are encouraged to attain National Vocational Qualifications at levels 2, 3 & 4. Additional training is offered to the staff of the home to enable them to effectively meet the needs of users with a variety of complex needs. This training includes understanding autism, epilepsy, ‘Makaton’, ‘SCIP’ training, abdominal massage, effective communication, person-centred planning, antidiscriminatory practice and nutrition. All staff receive on-going support and are formally supervised at least six times a year. They have additional opportunities to air their views and to have a say in the way the home is run in the regular team meetings. The minutes of these meetings were examined by the inspector and appeared to follow a shared agenda and were resident focused. Staff interviewed informally by the inspector seemed knowledgeable, motivated and caring and clearly knew the needs of individual residents well. Service users appeared relaxed and happy in the staffs care. The staff team were clearly able to interpret resident’s non-verbal signals effectively and to offer them appropriate choices in relation to their everyday lives. DS0000050226.V335825.R01.S.doc Version 5.2 Page 20 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. The home is safe and well managed by a competent manager and professional staff team. The home seeks and focuses on the views of its users on an on-going basis. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager in charge of the home Janette Roberts has been in post for 7 months and is an effective and popular leader. Discussion took place about her registration with the CSCI and the inspector was informed that her application would be completed as soon as possible. Janette has experience of working with people with disabilities and is currently studying for an NVQ 4 in care & Registered Managers Award. Staff confirm that the Homes Manager demonstrates effective leadership skills and is ‘hands-on’ accessible and supportive. Staff confirm that they have the DS0000050226.V335825.R01.S.doc Version 5.2 Page 21 opportunity to express their opinions openly in staff meetings, supervision sessions and staff handovers. They say that they are provided with plenty of opportunity to express concerns, share information and to feel included and involved in the way the service is delivered. A number of health and safety records were examined including fire records, hoist servicing records, gas safety records, PAT tests, water temperatures and COSHH sheets. These checks evidenced that essential servicing and maintenance of equipment is undertaken routinely to safeguard the health and welfare of users. Servicing and safety certificates were available on file. Unnecessary risks to users are identified using comprehensive risk assessments that are reviewed at regular intervals. So far as possible risks are reduced or eliminated. DS0000050226.V335825.R01.S.doc Version 5.2 Page 22 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 4 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 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X DS0000050226.V335825.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000050226.V335825.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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. 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