Inspection on 26/05/09 for The Progress Project

This inspection was carried out on 26th May 2009.

CQC 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 CQC 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 Progress Project 15/09/08

The Progress Project 26/02/08

The Progress Project 06/09/06

The Progress Project 31/01/06

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Key inspection report CARE HOME ADULTS 18-65 The Progress Project 22 Winchester Road Worthing West Sussex BN11 4DH Lead Inspector Annie Taggart Unannounced Inspection 26th May 2009 09:30 The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Progress Project Address 22 Winchester Road Worthing West Sussex BN11 4DH 01903 233390 01903 208857 vanessa@sunkistgroup.co.uk 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) Hemmingrod Ltd trading as The Progress Project Mrs Vanessa Saunders Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0) of places The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: The category of service users be exclusively Mental Disorder including drug and alcohol problems, but excluding learning disability and dementia. The operation of the home is to be supervised by a qualified mental health professional. The maximum number of service users to be accommodated is 16. 2. 3. Date of last inspection 15th September 2008 Brief Description of the Service: The Progress Project is a care home registered to provide accommodation and personal care for up to sixteen residents with mental illnesses. Within this number residents with past or present alcohol and drug dependency may also be accommodated. The home is a detached two-storey property, which has been adapted and extended for its current use. The care home is situated in a residential area of Worthing, local shops and other amenities are within walking distance. Communal facilities include two lounges and dining room located on the ground floor. Private accommodation consists of seventeen single bedrooms and is located on the ground and first floors. There is ramp access into the care home. However, access to the first floor is via two staircases. There is a patio garden to the front of the premises and a courtyard to the rear, which are available for residents to use. The service is privately owned by Hemmingrod Ltd, trading as The Progress Project, the Responsible Individual is Mr. B. Schiavone and Vanessa Saunders is the Registered Manager. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 5 Current fees are from £795 per week The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. In preparation for this visit we looked at the last inspection report and the reports from two Random visits carried out since the last key inspection. An Annual Quality Assurance Assessment (AQAA) was sent to the manager for completion; this was returned in the given timescales and gave very comprehensive information about the services being offered in the home The unannounced inspection visit was carried out by Annie Taggart and Ann Peace at 9.30am on 26th May and the visit lasted for three and a half hours. During the visit we tracked the care plans and all supporting documentation such as daily records for the three service users currently living in the home and we looked at the system for administering and recording medication. We looked at evidence of activities and outings for people and saw menus and food records. Records for the running of the business including complaints, incidents and accidents, Regulation 26, Registered Provider’s visits and Regulation 37 reports, maintenance and fire records were also seen. The recruitment records for four new members of staff were tracked and all of the required documentation was in place. We spent time with the service users currently living in the home, either in their private bedrooms or in communal areas and they were very positive about the changes in the home. We also spoke to the staff on duty and to an NHS outreach worker who was visiting a Service User. The Registered Manager was not in the home but the Registered Provider Mr Schiavone came into the home for part of the visit. Feedback was given to the deputy manager. What the service does well: The people living in the home tell us that they are happy there and that they are receiving the support and guidance they need from the staff team. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 7 People have their individual needs and wishes recorded in a plan of care and have access to both good physical and mental healthcare support. There is evidence that the home is working with a range of healthcare professionals and that people’s medication is being well managed. Service users have access to a variety of social and educational opportunities; they can see their families and friends at any time and are offered a variety of home cooked meals. What has improved since the last inspection? What they could do better: In order to ensure the safety of both service users and the staff team the home must liaise with the Fire Service to ensure that staff fire training is carried out and kept up to date. The home should continue with the programme of maintenance and refurbishing and updating the environment. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 8 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 9 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 Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 and 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is clear information available about the services on offer in the home and an updated referral and assessment process has been put in place. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been reviewed and updated to reflect the services on offer in the home. There is a an updated referral criteria and a four stage assessment process in place that includes a self assessment, including risk assessments to be completed by the Service User or their representatives, an assessment carried out by the home, trial visits to ascertain compatibility with other Service Users and consultation with other professionals and families. As there have been no new people admitted since the last visit we did not see the process in use but saw evidence that the full pack had been sent out to a prospective Service User. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 and 9 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are clear and comprehensive care plans in place to guide the staff team to the needs and wishes of the people they are supporting. Risk assessment and risk management plans are recorded and care plans are kept under regular review. EVIDENCE: For each of the three Service Users currently living in the home there is a clear and comprehensive care plans in place to guide the staff team to the needs and wishes of each person. Care plans detailed areas such as personals care preferences, daily activity plans, emotional support needs, nutritional requirements and physical and mental healthcare needs. There is a clear system for identifying and managing risks by the use of a traffic light system. The risk assessments identify triggers and situations that might escalate the risks and clear guidelines, are in place to guide the staff team how to manage the risk, for example identifying and The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 12 highlighting mood changes. From looking at staff training records and talking to the staff on duty we saw that the staff team have now all attended training in the management of challenging behaviours. From looking at records we saw that care plans are regularly reviewed and updated and monthly key worker meetings give Service Users the opportunity to discuss any areas of concern they might have and make plans for the month ahead. Daily notes are completed by both day and night staff and those that we saw were written in clear and respectful language. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12 13 15 16 and 17 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are being supported to access a variety of activities and community outings; they are being supported to gain educational and emotional support and are offered a choice of home cooked meals. EVIDENCE: From looking at records and talking to Service Users we saw that there is a weekly activity plan in place for each service user and this is reviewed and updated at monthly key worker meetings. People access the local community independently or with staff and they told us that they went for walks, to see their friends and to use local pubs and café’s and one person said they regularly went to Brighton to visit friends. In-house groups are facilitated by an occupational therapist employed by the home and those on offer include a drug and alcohol recovery group, walking and rambling, newspapers and current affairs discussions and music appreciation. We were told by the occupational The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 14 therapist, that as there are only three Service Users currently in residence, there is a lot of one to one work being carried out with people. During the visit we saw that one person following their hobby of photography and we were told that they had some of their work displayed in the home and in the local community and another person was having a fishing trip planned with a mental health outreach worker who supports them in the community. A Service User told us, ‘ I am feeling much better at the moment because the staff team are supporting me in the right direction, I am working two days a week in a charity shop as a volunteer and I am working through an NVQ in information technology and administration. When I am finished I would like to get a job in an office’. Menus and food records showed that people are given a choice of fresh, home cooked meals and the menus had one person’s choice for each day. People are being supported to shop for food and cook meals for themselves and can make themselves drinks or snacks at any time. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home have access to good physical and mental healthcare support and medication is being well managed. EVIDENCE: Care plans include detailed guidance on how the staff team supports people’s physical and mental healthcare needs. People have access to their local surgery and are supported by key workers to make and keep appointments. People have regular reviews and blood tests carried out to support people in areas for example, with diabetes management and on the day of the visit we saw the person going out to attend an appointment. We saw that people also have access to dental and chiropody services and healthcare plans are regularly reviewed and updated. From looking at records and talking to Service Users we saw that people’s mental healthcare needs are being addressed and kept under review. People have access to mental healthcare professionals and we saw that detailed Community Psychiatric Nurse (CPN) reviews are carried out at least every six The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 16 months when future action plans are agreed with people. People are attending support groups such as Narcotics Anon and MIND and behavioural risk assessments identify when people’s health might be deteriorating and alert the staff team to how this might be identified and safely managed. There is a system for the management and administration of medication in place and a list of authorised medication handlers was displayed in the medication book. Medication Recording Sheets (MAR) were current and had no gaps in signing. For people who wish to self medicate there are risk assessments and agreements in place and we saw that for one person there is an agreed two weekly monitoring process recorded. An NHS outreach worker visiting a Service User told us, ‘the person I assist has a high level of support with their medication from the home, with regular prompts and two weekly drugs tests. The staff here are very supportive to him and he has a good rapport with them’. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and concerns are recorded and acted upon and the staff team have received training in protecting Service Users from risk of abuse or harm. EVIDENCE: The home has a complaints procedure a copy of which forms part of the Service User Guide and is also displayed in the home. The procedure needs to be updated to reflect the recent change in title of the Commission and the deputy manager in charge on the day of the visit said that she would ensure this was done. We saw that there is a system in place to record and investigate complaints, two complaints had recently been recorded and we saw that those had been investigated in the home’s given timescales, both had been upheld and outcomes fed back to complainants. There is also a suggestion and ‘moans and grumbles’ book in place and we saw that Service User’s concerns are also recorded and addressed at key worker meetings and house meetings. From looking at training records we saw that the staff team have attended training in safeguarding people from risk of abuse or harm and the people on The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 18 duty at the time of the visit were aware of their responsibilities and said that they would report any suspected abuse straight away. One Safeguarding alert and POVA referral, raised by the home and investigated by West Sussex County Council has not yet been resolved. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 26 27 and 30 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although some improvements have been made to the environment, there is still work to be completed to ensure that the home is fully meeting the required standards. EVIDENCE: There is a programme of redecoration and refurbishment underway in the home and we saw that some rooms such as the lounge, hallway and pool room had been recently redecorated and the lounge was clean and bright with comfortable furniture. Some other areas such as the kitchen are in need of updating and had ripped work surfaces, which although they had been cleaned, could be an infection control hazard. We were told by the Registered Provider, Mr Schiavone that work was to start in replacing the kitchen in two weeks time. A new large screen television has been purchased for the lounge and also a new BBQ has been purchased for the garden. The rear garden has The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 20 been improved and provides a comfortable and attractive sitting area and in order to reduce people congregating to the front of the home, the front garden has been designated as a ‘no smoking’ area. From looking at maintenance records we saw that no maintenance had been recorded as being carried out since the 5th May and that some areas such as a shower that was not working were waiting to be addressed. The deputy manager told us that the issues had been passed to a maintenance person and were waiting to be completed. We saw the private bedroom of one service user and saw that it was in an acceptable state of hygiene and had been personalised with the person’s belongings. One person was out so could not give us permission to enter their room and another person did not want their room seen, this was respected. Minutes of house meetings show that Service Users are consulted on redecoration of the home and can choose the colour their rooms are decorated in. Fire checks were regularly carried out and recorded but the fire training for night staff was out of date. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 34 and 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient numbers of staff on duty to meet the needs of the people currently living in the home, staff files show that robust recruitment processes are carried out and the staff team receive training relevant to their roles and responsibilities. EVIDENCE: From looking at staffing rotas and talking to Service Users we saw that there are sufficient staff on duty to meet the identified needs of the three people currently living in the home. On the early shift there were two staff with the occupational therapist coming on duty at 11am, two people in the afternoon and one waking night staff. The Registered Manager’s hours are in addition to the rota. We saw that for the previous day there had only been one staff member on each of the shifts and when we asked about this the deputy manager told us that this was because it had been a bank holiday and Service Users had been out and about all day socialising. We saw that staffing is flexible to meet people’s needs, an example being that the occupational The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 22 therapist had come on duty late in order to facilitate an evening activity for one Service User. The people living in the home were complimentary about the staff team describing them as ‘really good’, ‘very kind, and ‘they really help us’. We looked at the files of four people who had recently been recruited and saw that all of the required documentation was in place, including a current Criminal Bureau Check (CRB) and two references. There was evidence in work books that people receive an induction in line with the Common Induction Standard guidelines and there is also an in-house induction to introduce new staff to the policies, procedures and work practices in the home. Training records showed us that the staff team attend mandatory training and regular updates and this includes first aid, infection control and moving and handling and we saw that specialist training such as mental health awareness, the Mental Capacity Act and professional boundaries are also being accessed. A Requirement for all of the staff team to attend training in understanding and managing challenging behaviour has now been met and certificates are on file in the home. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 42 and 43 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally well managed and people have opportunities to feed back on the service being provided. Fire training for night staff must be updated and conditions of Registration fully met in respect of Regulation 26, Provider’s visits. EVIDENCE: The manager of the home has many years experience in managing care homes and holds the Registered Manager’s Award and is an NVQ assessor. Ms Saunders has recently been registered with the Commission and training files show that she continues to update her skills and experience. Both the staff on duty and Service Users in the home at the time of the visit were The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 24 complimentary about the way Ms Saunders manages the home describing her as ‘very accessible, friendly and supportive.’ From looking at records we saw that a quality assurance process had been carried out in October 2008 and this included surveys being sent to families and other people involved with the home and we saw that Service Users also have opportunities to give feedback on the service they are receiving during house meetings and at monthly key worker meetings. Since the last inspection visit, the home has decided that they will not hold or manage monies on behalf of service users and people are supported to do this independently or are assisted by families or legal representatives. There is evidence that the staff team receive regular supervision and support and records are kept on file in the home. As detailed in earlier parts of this report, fire training for night staff was out of date and for one person no date for fire training had been recorded. We discussed this with the deputy manager who agreed that some training was out of date but said that further training was now planned for the following week. A Requirement has been made for the home to liaise with the Fire Service to determine how, and at what intervals staff fire training is to be provided. A condition of the home’s registration, made on 3rd April 2009, following a First Tier Tribunal hearing is that ‘The operation of the home is to be supervised by a qualified mental health professional’. From letters kept on the management file in the home we saw that an agreement had been reached with an outside consultant to carry out the Regulation 26 Provider’s visits from May 2009. The visits for March and April were carried out by the directors of the company, Mr Schiavone and Mr Fawcus. The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 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 3 27 3 28 X 29 X 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 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 3 3 X X 2 2 Version 5.2 Page 26 The Progress Project DS0000064669.V373433.R01.S.doc 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 YA42 Standard Regulation 13 .4 (a) Requirement The Registered Manager must liaise with the Fire Service in order to ensure that the fire training for staff is carried out and is kept up to date. Timescale for action 25/06/09 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 The Progress Project DS0000064669.V373433.R01.S.doc Version 5.2 Page 27 Care Quality Commission Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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