Inspection on 03/01/07 for The Mill House

This inspection was carried out on 3rd January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Mill House 20/09/05

The Mill House 16/05/05

The Mill House 31/01/05

The Mill House 24/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Mill House Cliff Top Ingham Lincolnshire LN1 2YQ Lead Inspector Mr Doug Tunmore Key Unannounced Inspection 3rd January 2007 09:00 The Mill House DS0000002455.V324123.R02.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 The Mill House DS0000002455.V324123.R02.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. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Mill House Address Cliff Top Ingham Lincolnshire LN1 2YQ 01522 730130 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) Milbury/Voyage Mrs Lynne Louise Gaskin Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2005 Brief Description of the Service: Mill House is an adapted detached property, situated on the edge of the village Ingham. Local facilities include a post office, village shop, GP surgery and public house. The home has its own mini-bus to enable residents to access other facilities within the community. The property stands in its own grounds and gardens, which includes aviaries, with birds of prey and other small animals that service users care for. The home provides accommodation for 8 service users who have a learning disability and accompanying challenging needs and behaviours. Communal facilities are on the ground floor, as is one service users bedroom. All service users have single room accommodation, with one room having en-suite facilities. A detached bungalow at the front of the main building offers separate accommodation with en-suite facilities for 2 service users working towards independent living. There are car-parking facilities to the front of the building. The homes current charges range from £1,468.84 to £2,250. 00. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took into account any previous information held by the Commission for Social Care Inspection (commission) including the homes previous inspection reports, their service history, the homes pre-inspection questionnaire and residents questionnaires sent to the home by the commission prior to this inspection. The site inspection consisted of case tracking a sample of two resident’s records and assessing their care. The inspector spoke with two of the residents one of whom was being case tracked and joined four other residents for lunch. The inspector also spent time with the manager and one member of staff. One social worker was also contacted who had a client placed at this home. A partial tour of the home and a review of a sample of the records were also included. What the service does well: This inspection found, as did previous inspections that resident’s needs are met at this home. Residents were seen to be relaxed and enjoyed good relationships with their care workers. Residents informed the inspector that they discussed their needs with care workers and attended college courses of their choice as well as accessing other community facilities. This home provides a pleasant homely and clean environment for residents. The manager has provided evidence prior to this inspection, which shows that the home continues to meet the needs of the residents. The home also has a training profile for all care workers detailing what training has been undertaken. Good recruitment practices are also in place ensuring that only suitable staff were employed. Residents have access to all those community facilities that are available to other members of the community. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Mill House DS0000002455.V324123.R02.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 The Mill House DS0000002455.V324123.R02.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 adequate. This judgement has been made using available evidence including a visit to this service. Not all resident’s benefit from a comprehensive care assessment process relating to their care needs. EVIDENCE: A review of all information available prior to this inspection and evidence seen at a previous inspection carried out in September 05 demonstrates that the home would admit residents only after a care needs assessment has been undertaken with other health care agencies. Social workers and psychiatrists and other health care workers carry out assessments if required. Information received prior to this inspection demonstrated that an assessment of care needs carried out on the 16/04/06 included the prospective resident, her mother, social worker and the homes development manager, team leader and current provider. The prospective resident also undertook a pre-admission visit to get to know other residents and choose the colour scheme for her bedroom. A letter was also sent confirming that the provider could meet resident’s needs. However, the care needs assessment was found to be lacking in information relating to the resident’s health care needs, behaviours and those prompts required to ensure the well being of the resident. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 9 A social worker was contacted who stated that ‘this is one of the best homes that I have worked with. I am very pleased with the placement and staff visited my client some five hours drive away to assess her care needs to ensure that it was the right placement for her’. Prospective residents are also given the homes welcome pack, which is also available in pictorial form. Information received from the home also showed that resident’s files contained the homes charter of rights for residents and terms and conditions of residency. The commission has received seven questionnaires sent to the home prior to this inspection. All residents completed the questionnaires by themselves. The questionnaires showed that six of the seven residents wanted to move to this home and six residents also had enough information about the home prior to admission. One resident felt that he didn’t want to move to this home and did not have enough information. The manager stated that she visit this client prior to admission and all information was made available at that time. A resident stated that she had a pre-admission visit accompanied by a relative and social worker. She also stated that she discussed the colour scheme of her flat with staff at that time. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ individual needs are promoted and documented appropriately. Residents are empowered at reviews and take a full and meaningful part. EVIDENCE: A review of all information available prior to this inspection and previous key inspections carried out in May and September 05 at this home evidenced that residents had an individual detailed care plan. This inspection found that those care plans of two residents who were being case tracked had been reviewed on a regular basis and reflected the changing needs of the residents. The home has a care plan questionnaire, which explores with residents their care plans and its purpose. These questionnaires were seen and evidenced that residents The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 11 are actively involved with planning their care and understanding what their individual care plan is for. Resident’s files seen showed that relatives are contacted regarding issues affecting their sons or daughters. Previous inspections also found that residents risk assessments and reviews are signed by residents agreeing to the risk identified and/or the change in their care plan and how this might effect their daily living. One of the residents spoken to was aware that she had a care plan and risk assessment had signed it agreeing to the care being provided by the home. One residents commented that staff are ‘nice and helpful, they help me clean my room’. A second resident said that ‘he liked living here’. Those questionnaires returned by residents showed that six felt that carers listen and act on what they say and one resident felt that they usually do. Evidence was received from the home, which showed that regular house meetings are held in which residents are empowered to raise any issues and discuss the running of the home. This inspection showed that the last house meeting was undertaken on the 14/12/06 and issues discussed related to outings, staffing levels and holidays. The next meeting would be held in January 07. A social worker commented that there is good communications between the provider and herself and the manager and staff understand the residents needs. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s have a busy and varied lifestyle, with opportunities to engage in a range of leisure and cultural activities within the home and community. occasion. EVIDENCE: Information has been received from the home regarding seven residents weekly timetable that is been drawn up by them with their key worker. Previous key inspections have found that these weekly programmes are on display in the dining room for the information of residents. The weekly diary evidenced that; a full and diverse programme is available for individual residents. The programme includes both activities and outings such as, working with the birds of prey and other small mammals, (check his own snake) outings for shopping, visits to the local The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 13 local leisure centre and developing independent living skills. Residents also attend club 87 where they meet residents from other care homes. The minutes of the last residents meeting also identified that residents are engaged in planning holidays and outings for the coming year. Three residents also attend college courses in different parts of the county due to their specific learning requirements. Courses provide National Vocational Qualifications (NVQ). Another resident also undertakes voluntary work during the week at a charity shop. One resident stated that ‘I see quite a lot of my mum and dad and I also go home on special occasions for Christmas and birthdays’. The homes signing in book evidenced that visitors attend the home for review as well as general visits to see residents. Previous inspections have found that residents have keys to their rooms and they confirmed that neither staff nor other residents can enter without getting their permission. They also stated at this inspection that they are involved in learning daily living skills by keeping their rooms clean and tidy, cleaning the mini-bus, budgeting and undertaking college courses which promote their independent living skills. Those questionnaires received from residents evidenced that all seven felt that they can make decisions about what to do each day and they received the care and support they needed. The kitchen in the home has been completely refurbished since the last inspection. There is a separate pantry were food is kept locked due to a number of residents having Prader Willi Syndrome, which is an eating disorder where people are unaware when they have eaten enough. Due to this, residents and care staff work together to monitor food intakes and work out calorie needs of each resident. Evidence was seen in resident’s files that they weighed on a regular basis as well as obtaining dietary advice when required. One resident stated that ‘staff help me to lose weight or I will become poorly’. The inspector joined four resident for lunch and learned that they all have separate menus, which they signed to agree their food requirements for that week. Residents also stated that they do cooking and that they liked pasta and fish. A social worker confirmed that her client had lost a lot of weight since being admitted to this home. She also said that the manager and staff are progressive and are aware of care plans. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health care needs are met and there are clear medication policies and procedures in place. Personal support is only given to residents with their consent. EVIDENCE: Previous inspections have shown that there are satisfactory policies and procedures and systems in place relating to the administration of medication. This also includes residents being responsible for their own medication if assessed as able to do so. The pharmacist visited on 02/10/06 and recorded that storage and stock control was very good and no signatures were found to be missing from a medication sheet. Training certificates dated 2006 was seen relating to those care workers charged with the administration of medication. Due to the satisfactory inspection carried out by the pharmacist and the past positive inspections of medication no inspection was undertaken during this visit. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 15 Risk assessments were seen which showed that no resident in this home has been assessed as able to administer their own medication. The files of those resident’s who were being case tracked were seen and evidenced that referrals had been made to GPs, psychiatrists and consultant physicians. Evidence was also available that eye teats had been undertaken as well as visits to the dentist. A social worker commented that she ‘is very pleased with the placement and I actually see plenty of staff in the home’. Resident’s files also showed that care plans also highlight those areas in which residents require prompts in various aspects of their daily living. A carer commented that all residents are very able but prompts are sometimes given regarding personal care issues. Observations made by the inspector during lunch was that residents are able and free to express their views and what they wanted. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust complaints procedure in place. There were good systems in place to ensure the safety of service users. EVIDENCE: Previous inspections have found that the homes complaints procedure is available in each resident’s bedroom. A pictorial format is also available for resident’s information. All complaints received are dealt with either by the key worker, manager or the providers. The resident is empowered to nominate who they wish to investigate their complaint. The homes pre-inspection questionnaire evidenced that eight complaints have been made over a twoyear period. The manager stated that ‘the providers take complaints very seriously no matter how trivial. Seven residents feedback cards showed that they all knew how to make a complaint and also knew who to see if they were unhappy. Complaints information was made available prior to this inspection and showed that there are appropriate policies and procedures in place regarding empowering residents or relatives to make a complaint. A breakdown of all complaints made was seen and it was found that a large number were The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 17 complaints made by residents about other residents. Files evidenced action taken and letters to complainants were available. There has been four occasions when restraint has occurred and full documentation was available, which showed that reviews were undertaken after such an event to ascertain action taken and reasons why the incident occurred. A file of one resident who was being case tracked showed that he had been involved in a review following being restrained and had signed the review form. Residents had made two allegations of abuse since the last inspection. Evidenced provided by the home at the time of the allegations and records seen showed that one had not occurred, with the second found that on the balance of probability verbal abuse had occurred. The Social service Department and the manager investigated both allegations jointly. The majority of staff have undertaken safeguarding vulnerable adults training. Discussion with a carer showed that they had a clear understanding of the procedures. The commissions holds information about the home in it there service history which showed that notification had been given regarding all instances of restraint and allegations made by residents. A resident said that she felt safe living at this home and that’ if someone tried to harm me I would tell a member of staff’. The Mill House DS0000002455.V324123.R02.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a homely and comfortable environment for residents. The home is clean and tidy with a pleasant smell throughout the home. The utility room needs to be considered for refurbishment. EVIDENCE: A previous inspection of this home in September 05 found the home to be clean, tidy and comfortably furnished. Resident’s questionnaires showed that five felt that the home is always fresh and clean and one felt that it was usually fresh and clean with one stating it is never fresh and clean. This visit found the home to be clean and no offensive odours were detected. A resident showed the inspector around the home and his room, which he was very proud of commenting that it is very big and has been painted by my key worker with my football teams motif. A second resident was seen in her semiindependent flat, which is situated in a bungalow. She stated that stated that ‘I visited the home before coming here and discussed the colours that I wanted The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 19 for my rooms. This resident was also aware of her risk assessment especially relating to not using sharp knives. She also stated that she ‘gets support in cleaning my flat’. The bungalow was well maintained and the occupant was very happy living there. Each flat contains a large bedroom, en suite shower and toilet and an open plan lounge with kitchen area. The kitchen areas were well provided for with cooker, microwave, fridge and washing machine. Not all of the bedrooms were seen as some service users were out and others did not want them to be seen. The utility room which houses the washing machines and driers was not functioning with the electricity being cut off due to a fault. This fault had also heated the wooden ceiling causing some concern. This situation developed and was managed on the day of the inspection but consideration must be given to the refurbishment of this room. The Mill House DS0000002455.V324123.R02.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): 31 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a well trained and knowledgeable staff team who are fully vetted prior to being appointed. EVIDENCE: This inspection found that recruitment practices were in place and one staff file contained all of the documentation required by law. It was also found that interview notes of a new care worker employed at the home were kept for possible future reference. One carer stated that she had undertaken the homes recruitment process and confirmed that references and criminal record bureau checks were acquired prior to stating work at this home. Information received from the provider prior to this inspection showed that there are guidelines relating to the recruitment of staff. Previous inspection has found that each worker in the home has been given the General Social Care councils pack relating to the registration of care workers and the philosophy of the Care Council for all social care homes. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 21 The homes training plan was received by the commission and found to be up to date. The training record identified the registered manager and those care workers who had undertaken statutory training in 2006 and 2007. The homes training profile evidenced that the home has nineteen staff with two having completed NVQ training level 2 and two completing level 3. Nine other cares are currently undertaking NVQ training level 2. One carer said that she was employed on the 10/04/06 and has completed the homes induction training and TOPPS induction (National Training Organisation for Social Care). She has undertaken fire procedures, Prader Willi Syndrome training, health and safety and basic food hygiene. She was also able to demonstrate a clear understanding of her role and responsibilities. The Mill House DS0000002455.V324123.R02.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents are protected by good health and safety and quality assurance systems. Resident’s who live in this home benefit from the leadership and management of the home. EVIDENCE: The manager has worked for this company for six years and has achieved the registered managers award and NVQ level 4 in care. She has an open door approach to both residents and staff who require support and guidance. A social worker stated that this is one of the best homes that I have ever worked with and also enjoy good communications with the home. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 23 The manager keeps the commission informed of any absences and who would carry out her duties in the home. Resident’s questionnaires were seen and are used on a regular basis to seek their views on a wide range of issues. There was a positive outcome from residents with residents either being very satisfied or satisfied to good for most outcomes. The commission has received the manager’s annual service revue report available to all stakeholders detailing the changes that had been made over the past year and some of the targets for the following year. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence that fire alarm, fire drills and emergency lighting checks are carried out. Staff also receive fire training as part of the homes initial training and as a regular training event. The homes self-assessment shows that ‘policies and procedures are read and signed by staff and that they inform practice’. Certificates were available showing that; gas safety inspections have been carried out, electrical wiring checks, and portable electrical equipment checks. Risk assessments are also available for all window restrictors fitted on the first floor. The Mill House DS0000002455.V324123.R02.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 2 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 x 4 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 X 4 x X 3 X The Mill House DS0000002455.V324123.R02.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 YA2 Regulation 14 Requirement The provider must assess the care needs of a service user by a suitably qualified or trained person. Timescale for action 12/03/07 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. Refer to Standard YA24 Good Practice Recommendations The provider should give consideration to refurbishing the utility room. The Mill House DS0000002455.V324123.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 The Mill House DS0000002455.V324123.R02.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. 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