Inspection on 20/07/07 for The Poplars

This inspection was carried out on 20th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Poplars 26/06/08

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Poplars, The 225 The Poplars Arbury Road Nuneaton Warwickshire CV10 7NE Lead Inspector Justine Poulton Unannounced Inspection 20th July 2007 08:30p Poplars, The DS0000068557.V341280.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 Poplars, The DS0000068557.V341280.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. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Poplars, The Address 225 The Poplars Arbury Road Nuneaton Warwickshire CV10 7NE 0247 6370415 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) Coventry and Warwickshire Partnership Trust Mr Marc Russell Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can provide care and accommodation for 4 service users under the age of 65 for reasons of learning disability. 14 June 2006 Date of last inspection Brief Description of the Service: The Poplars is registered as a care home that provides accommodation and care for four adults, aged 18 - 65 years, with learning and physical disabilities. The home has recently reregistered under Coventry and Warwickshire Partnership Trust and is staffed 24 hours a day. The building is modern, single storey and purpose-built, set in a small close just off a main road. There is an entrance lobby and hallway, kitchen, utility room, large bathroom, staff sleeping room/office, four service users bedrooms and an integral lounge/dining room. There is an adequate sized garden with a patio area and furniture that is accessed through doors leading from the lounge/dining room. The home is within walking distance of local shops. Nuneaton town centre is approximately 2 miles away. A regular bus service provides access to the town centre and local railway station. The home has a vehicle, adapted to meet the needs of wheelchair users for transporting residents to various activities. Coventry and Warwickshire Primary Care Trust (NWPCT) provides service users with all personal care services including day care. Information regarding funding was not available for this inspection. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first key inspection of this service following reregistration with Coventry and Warwickshire Partnership Trust. The inspection was carried out to establish the outcomes for people living in the home, and to confirm whether they are protected from harm. Identified key standards were looked at. The pre fieldwork inspection record was completed, as well as a site visit to the home, during which time service users, staff and the manager were spoken with. One completed survey was received from relatives and carers. Two people were identified for close examination by reading their care plans, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’ where evidence is matched to outcomes for service users. Records, policies and procedures were examined and the environment was looked at. All of the people who live in the home were in for all or part of the inspection. The inspector would like to thank the service users, manager and staff for their hospitality and co-operation during the inspection. What the service does well: The home presented with a very relaxed atmosphere. Staff appeared confident and competent in their roles, and were careful to ensure that peoples needs and wants were met. Risk assessments enable people to take meaningful risks in a safe manner. People are supported to make decisions about their lives on a daily basis by staff who work to ensure that they are able to recognise and interpret peoples limited verbal and non verbal communication skills. Day services provided in house ensure that people are supported to participate in their interests, hobbies and leisure pursuits. These are varied and reflective of individual likes and dislikes. The involvement of families and friends is important to people, and is encouraged by the home. A clean, tidy and well stocked domestic kitchen enables people to choose from a range of meal options. Support with any special diets and assistance with eating is provided as required. Individual personal care needs are met sensitively and discreetly by staff in line with peoples assessed needs. Their health and wellbeing is also generally promoted via attendance at routine and more specialized healthcare appointments as necessary. Medication is managed safely on their behalf. The home has both a complaints policy and an adult protection policy in place. Staff were aware of how people with limited verbal communication make their needs known. At the time of this inspection no complaints had been received Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 6 by us. Staff were aware of their responsibilities regarding adult abuse, and were undertaking training provided by the Warwickshire vulnerable adult committee. The home presented as comfortable and clean. It was decorated nicely with modern furniture and soft furnishings throughout. Staff numbers were satisfactory on the day of the inspection. Training undertaken by the staff team ensures that a competent and sufficiently knowledgeable team supports the people who live in the home. Health and safety is managed effectively within the home. 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. Poplars, The DS0000068557.V341280.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 Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Quality in this outcome area is good. Suitable and appropriate information to help prospective residents (and their representatives) to decide if the home is the kind of place they would like to live in is available. Updating as indicated will ensure that all of the information provided is current. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This is the first inspection of this service following registration with us under Coventry and Warwickshire Partnership Trust. The home has actually been in existence for a considerable number of years however, with a stable resident group. The homes Statement of Purpose was looked at as part of the inspection. This document identified the types and levels of service that could be offered to specific user groups, however it required reviewing and updating to reflect the new service provider and Commission for Social Care Inspection details. This was discussed with the providers service manager during the inspection who undertook to ensure that the document was brought up to date. As there have been no new service users admitted recently the pre assessment process was not examined as part of this inspection. Poplars, The DS0000068557.V341280.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): 6, 7, 9 Quality in this outcome area is adequate. Outcomes for service users are good, however peoples care plans were in different formats and at different stages of completion leading to confusion, making it difficult to ascertain the levels of support required. Risk assessments that support people to live full lives in a safe manner are in place. This judgement has been made using available evidence including a visit to the service. EVIDENCE: As part of this inspection two people were chosen for case tracking purposes. All of their care planning, health, medication, daily diaries and day service documentation were looked at. Care and support information relating to the people being case tracked was available, however the care plans were somewhat confused as new formats had been introduced and information was in the process of being transferred into them. The service manager said that the absence of the homes manager and some shortages in staff had resulted in this taking much longer than intended however. This was discussed with the Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 10 service manager and temporary manager who were both aware of the situation, and demonstrated that they were taking positive steps with the staff team to move this issue forward. During the inspection it was noted that the staff on duty were fully aware of each persons individual needs, and were able to explain what they were doing with people and why. All of the people using the service had very limited or no verbal communication. It was noted that the staff on duty were able to interpret their individual communication methods to ascertain what they were saying, however, and were able to help people with making decisions about their lives. For example one person clearly indicated that he did not want any one too close to him, whilst another indicated that he did not want anything to eat or drink when offered. Each person had risk assessments specific to their needs available. These were detailed and informative and enabled people to take risks pertinent to themselves in a safe manner. Poplars, The DS0000068557.V341280.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): 12, 13, 15, 16, 17 Quality in this outcome area is good. People are offered a variety of age, peer and culturally appropriate activities that make best use of in house and community facilities. Relationships with families and friends are promoted. A healthy, nutritious diet is provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All four of the people resident in the home have their day service provided in house. Each person has a separate daytime activities file. Separate day staff are also employed over and above the care team to provide this service. The day service is provided over 5 days per week, however there were also timetables in place fro activities during the evenings and weekends for people to participate in. These timetables also detailed specific 1 – 1 time for each person that would be spent with one of their keyworkers. Examples of day service activities participated in include gardening, art, cooking, swimming, shopping and lunch out. Each activity was recorded and dated with comments Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 12 by the day service staff about whether each person participated, and demonstrated enjoyment or dislike. There were also photo’s of people participating in the activities within their day services file. Suggested activities for the evenings and weekends included going to the theatre, going to see live bands playing, visiting family and painting. It was possible to cross reference theses activities offered and participated in through records within individual daily diaries. As previously recorded, the people resident in the home have very limited or no verbal communication. Staff are therefore relied on to assist and support with maintaining personal relationships with relatives and friends. These relationships are seen as being of prime importance by the home, and are facilitated as appropriate. The home has a large domestic kitchen which was clean and tidy on the day of the inspection. It was well stocked with plenty of fresh produce available as well as frozen and tinned foods. Menus are planned on a weekly basis around what staff know the people living in the home like to eat, whilst ensuring a healthy well balanced diet. Guidelines provided by the dietician regarding special diets and food presentation are also taken into consideration. . Staff spoken with said that people are encouraged to get involved in the preparation of their meals through being in the kitchen to observe, smell and taste. Records within peoples daily diaries confirmed this. The necessary food hygiene and safety records and checks were in place. Poplars, The DS0000068557.V341280.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): 18, 19, 20 Quality in this outcome area is good. People who live in the home receive personal support in line with their assessed needs. Their healthcare needs are generally monitored and addressed. Medication is managed safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As recorded earlier in this report, care and support information relating to the people being case tracked was available, however the care plans were somewhat confused due to the cross over between old formats and newly introduced ones. Having said this however, information regarding peoples personal care and support needs was available in the files looked at. Information about preferred routines and methods of support were detailed and ensured that staff are able to provide the necessary levels of assistance as directed by their assessed needs. This is information was clearly dated and reviewed. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 14 Information available within the personal files looked at confirmed that people are supported with their healthcare appointments such as the dentist and chiropodist at the recommended intervals. In one file the last recorded date for an opticians appointment was in June 2004, however this persons care plan states “annual” visits to the opticians are required. GP appointments and medication reviews were recorded. There was also information available to confirm the involvement of specialist healthcare professionals such as a dietician, physiotherapist, wheelchair clinic and consultant psychiatrist. None of the people living in the home currently administer their own medication. Instead they rely on the staff team to undertake this for them. Medication is provided by Boots, in a mixture of blister packs, bottles and packets, and is accompanied by medication administration record charts. The medication records for the two people being followed for case tracking purposes were checked and provided no cause for concern at the time of the inspection. Necessary protocols for medication administration such as if it is pushed away, or the use of a nebulizer were in place. Also documents called “my medication record” which detailed current medication, the quantity and frequency were in place. Staff advised that they are not allowed to administer medication to people until they have completed training in this. A list of specimen signatures and initials for all staff trained in medication administration was available within the medication file. During the inspection all of the people living in the home went out. When the medication keys were requested by the inspector, it was discovered that they had been taken out by a staff member who was with the residents. This was discussed with the service manager and temporary manager at the time, who assured that it was a mistake, and were able to show the protocol for handing keys over between staff in the home. The keys were returned immediately following a telephone call to the staff. It was also noted that the tablet count undertaken did not tally with the homes record. It was advised that this was because individuals medication had been taken out with them as they were going to be out over lunch. This was not recorded anywhere however. Again this was discussed during the inspection and a recommendation for a booking out sheet for medication taken out of the building was made. Poplars, The DS0000068557.V341280.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): 22, 23 Quality in this area is good. The homes policies of complaints and protection from abuse ensure that people’s views are listened to and acted upon, and that they are safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a service user friendly version of the organisations complaints procedure available to the people who live there. The survey received from relatives indicated that they were unaware of how to make a complaint, but commented that they had no concerns about the care provided and were sure that an appropriate response would be made should they have any in the future. As recorded earlier, the people living in this home have very limited or no verbal communication. It was apparent from watching the staff with them that the staff were able to interpret the non verbal clues that people were giving to indicate that they were unhappy with something, and respond appropriately. No complaints were recorded within the homes log. This was confirmed in the Annual Quality Assurance Assessment completed by the homes service manager. Similarly we have received no complaints since the home was registered with the new provider. The home also has a policy and procedure in place for the protection of vulnerable adults from abuse. Staff were currently undertaking training in this area via vulnerable adult workbooks provided by Warwickshire Vulnerable Adults committee. Once completed these workbooks get returned to the Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 16 committee for verification. Staff spoken with were knowledgeable about abuse and were able to say what they would do should abuse be suspected or disclosed. It was not possible to audit people’s personal monies on this occasion, as they had taken it out with them. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. The appearance of this home creates a pleasant, comfortable and homely environment that is well maintained. The home presents as clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Poplars is a modern, single storey, purpose-built bungalow, set in a small close just off a main road. There is an entrance lobby and hallway, kitchen, utility room, large bathroom, staff sleeping room/office, four service users bedrooms and an integral lounge/dining room. There is an adequate sized garden with a patio area and furniture that is accessed through doors leading from the lounge/dining room. The décor throughout the home was good, with good quality soft furnishings and modern furniture. Peoples’ bedrooms were seen to be decorated to individual taste with plenty of personalisation in the form of pictures, photos, ornaments and colours. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 18 The home has a separate utility room that is set away from the kitchen. Personal protective clothing was available for staff to use. On the day of the inspection the home was clean and tidy. A faint odour was apparent on arrival at the home, however people were in the process of getting up and laundry was being transported to the laundry room. This had disappeared by the time everyone was ready to go out and the washing was in process. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. People who live in this home benefit from sufficient numbers of competent, knowledgeable staff. Recruitment practices ensure that they are safeguarded from potential harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided in the Annual Quality Assurance Assessment states that the home employs 16 staff including the manager, in a mixture of full and part time hours. On the morning of the inspection there were two care staff and two day care staff on duty. Those spoken with indicated that this was fewer than normal due to sickness, which was why the day care staff were assisting with supporting people to get up, dressed and have their breakfast before going out for the morning. The service manager said that the home was currently recruiting and had had an exceptional number of responses and applications to their recent advertisements. Three staff files were looked at to ascertain whether recruitment practices were robust and safeguarded the people living in the home. Their files contained all of the necessary documentation including a criminal record check and two Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 20 written references, with the exception of one, which only had one reference in it. This was brought to the attention of the service manager during the inspection, who undertook to look into it. This confirmed that on the whole, a thorough recruitment process that protects the people living in the home is undertaken. Training records for all staff were available in the home. Those looked at confirmed that they are up to date with their mandatory training, with a rolling programme of refresher training in place. Information provided in the Annual Quality Assurance Assessment states that eight permanent staff members have achieved NVQ II or above, with a further three working towards it. Staff spoken with during the inspection confirmed that they have completed the Learning Disability Awards Framework induction and foundation programme, or are currently working towards it. Other training provided for staff includes infection control, epilepsy and Cornwall Awareness. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. The temporary management systems in place at the home ensures that the people that live there benefit from a well run service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection the registered manager of the home was off work ill. The service manager advised that this may become a long term illness, but were awaiting further information. In the managers absence the home was being run by the Team Leader, and overseen by a competent and experienced manager from another of the organisations services. Staff spoken with were positive about the current management situation in the home, and good relationships between this manager, the service manager, people who live in the home and the staff were seen. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 22 The home has a quality audit plan in place for 2007. Questionnaires have been sent out to relatives, staff and other professionals who have links with the home, and were in the process of being returned. The covering manager said that once these had been received by a set date the information would be collated and a report generated from the responses which would include an action plan. It was advised that the people living in the home had not been given questionnaires as their communication abilities made it difficult to ascertain meaningful answers about the quality of the service they receive. Throughout the inspection however they responded to questions asked by various means that included smiling and nodding and gestures, that they were happy. It is therefore recommended that the provision of easy, accessible surveys based around their individual methods of communication be looked into. In addition the quality of the service provided is monitored via monthly provider visits as required by regulation 26 and a monthly quality monitoring checklist that the manager completes, and peer audits which are undertaken by other managers from the organisation. Regular staff meetings are also held. A sample of maintenance records that included the gas safety certificate, portable appliance testing, fire safety records, the control of substances hazardous to health and generic risk assessments confirmed that these are all undertaken at the required intervals or in place, thus maintaining the health and safety of all who live in, work or visit the home. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations It is recommended that quality surveys based around the service users individual methods of communication be looked into. Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Poplars, The DS0000068557.V341280.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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