Inspection on 15/02/07 for Theobald House

This inspection was carried out on 15th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Theobald House 05/11/08

Theobald House 18/01/06

Theobald House 19/08/05

Theobald House 28/02/05

Theobald House 27/05/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Theobald House 46 Dartmouth Avenue Bath Bath & N E Somerset BA2 1AT Lead Inspector Sarah Webb Key Unannounced Inspection 15th February 2007 09:30 Theobald House DS0000008181.V328626.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 Theobald House DS0000008181.V328626.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. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Theobald House Address 46 Dartmouth Avenue Bath Bath & N E Somerset BA2 1AT 01225 338567 01225 338567 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.dimensions-uk.org Dimensions (UK) Ltd Mrs Carol Christine Fryth Care Home 4 Category(ies) of Learning disability (4), Physical disability (2) registration, with number of places Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 4 persons aged 18 - 65 years requiring personal care only 18th January 2006 Date of last inspection Brief Description of the Service: Theobald House is a care home operated by Dimensions UK Ltd, an independent voluntary organisation, to accommodate up to four people - two with a learning disability and two with a learning and physical disability. The lease on the home has currently expired through Bath and North East Somerset Council and the organisation is currently seeking a new Registered Social Landlord to take over a new lease and management of the property. The home is situated in the Oldfield Park area of Bath in a quiet cul-de-sac. The home is within a five minutes walk of Moorland Road, which offers a range of facilities, with Bath city centre only a five-minute drive from the house. The house itself is modern in design and offers accommodation on two floors. There are six single bedrooms in total, two on the ground floor, one of which is equipped with a wash hand basin, and four on the first floor, two of which are used by two staff members who provide sleep-in cover. There are two communal lounge areas, and a dining room on the ground floor. The home provides sufficient bathrooms and toilets; the ground floor bathroom is equipped with a ceiling track hoist, and an adapted whirlpool bath facility. The home has specific equipment for service users accommodated based on an assessment of their individual need. There has been an ongoing issue concerning the reconfiguration of the building in order to provide a suitable environment and meet the assessed needs of 2 individuals. This is now on hold whilst the issue of the lease is resolved. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection with the focus on reviewing the progress of the requirements and recommendations from the unannounced visit in January 2006 and in assessing the key standards of the National Minimum Standards. The home has demonstrated compliance in meeting 5 requirements from the previous inspection. There is one requirement that is outstanding and this is related to the reconfiguration of the home in order to meet some individual needs of two residents. This is discussed in detail in the text of Standard 24. There have been no additional visits during this period. The home has been keeping the Commission for Social Care Inspection informed of incidents that affect the wellbeing of the individuals living at Theobald House. The inspection was conducted over 7 hours. One of the residents was being supported at the home whilst the remainder were attending a day service. Discussion was had with two members of staff who were helpful in assisting with the inspection. Discussion also took place with both the Regional Manager and Area Manager who visited the home due to the heating breaking down. Although the manager was unavailable on the day of this visit contact was made with her at a later date to feedback the findings of this inspection. The inspection process included viewing care records and other relevant documents required of a care home. What the service does well: Residents are supported through individualised care planning and staff are provided with comprehensive information in order to meet their assessed needs. Residents are well supported by staff to live a varied and fulfilling life in and out of the home. Residents benefit from a competent team who have a good understanding of individuals support needs. There is an open atmosphere within the home with staff supporting residents to communicate their wishes. Theobald House DS0000008181.V328626.R01.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. Theobald House DS0000008181.V328626.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 Theobald House DS0000008181.V328626.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): 2&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessed needs of residents are met to enable an effective admission and ongoing provision of care in line with contractual obligations. Residents benefit from written tenancy agreements stating the terms and conditions of the home. EVIDENCE: There have been no new residents admitted to the home since the last inspection. All four of the residents living at Theobald House have lived at the home for many years. Documentation in place evidenced that all residents are funded by the local authority and had been admitted to the home through the care management process. Residents care files held copies of placement reviews by funding authorities. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 9 A resident was observed being supported by a staff member who was caring and understanding. It was evident that staff have built good relationships with individuals and this was demonstrated through the staffs’ sensitive approach when residents and staff were together. Residents care plans identified that individuals changing needs are monitored through regular reviews and updates. Care files identified both assured tenancy agreements and occupancy agreements were held on behalf of residents stating the terms and conditions of their stay. Theobald House DS0000008181.V328626.R01.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 good. This judgement has been made using available evidence including a visit to this service. Residents care plans set out in detail the action needed to be taken by staff to ensure all aspects of their care needs are met; changing needs are monitored through regular review of care plans. Residents’ benefit from the staffs’ knowledge and understanding of individuals’ specific communication needs in order to recognise their wishes. The home has risk management procedures in place to ensure individuals are supported safely in taking risks. EVIDENCE: Residents care plans contained comprehensive information covering all aspects of individuals’ lifestyle, including profiles, daily routines and preferences, communication needs, mobility, health checks and risk assessments. This demonstrated how staff support the residents in meeting their care needs. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 11 The home operates a key working system whereby each resident has a named member of staff who plays a key role in co-ordinating the services they receive. Care files and daily running records identified that key workers monitor residents care regularly. Discussion with a member of staff identified that when acting on behalf of the residents the team has a good knowledge and awareness of individuals communication needs. Observation of a resident being supported by staff indicated that they understood the individuals preferences and responded appropriately. Residents care files also held well documented and comprehensive information regarding how residents communicate and express their emotions. Residents are supported to take risks safely; these were detailed written risk assessments that identified actions are taken to ensure the home is safe for residents and staff. Risk assessments also demonstrated residents are encouraged to live an independent and fulfilling life and take part in varying activities. Theobald House DS0000008181.V328626.R01.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, 14, 15, 16, & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to lead full and active lifestyles and are supported by staff to access leisure opportunities in the community. The home supports and maintains individuals with their family relationships. Residents’ rights are respected through the promotion of independence and the daily routines of the home. EVIDENCE: Examination of residents care files identified that residents have access to meaningful activities and differing opportunities in the community. Attendance at day services, trips to varying locations, meals out, cinema and attending local clubs are part of individuals’ lifestyle. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 13 Residents are offered individual holidays to suit their preferences and wishes. Since the last inspection, for one person this involved a stay in London with two staff. Daily records of their stay identified that this person enjoyed the experience of staying in a hotel and accessing tourist attractions. Current holidays for this year are in the process of being discussed with residents. A staff member said the home has good relationships with families and residents are supported with maintaining contact with their families. Two surveys received from families indicated that the staff meets the different needs of people and that the home “provides all the care and needs that are required.” An example was also given of how a resident is supported with their faith. None of the bedrooms are fitted with a lock; residents do not have keys to their bedrooms. One resident has a key to the front door and is encouraged to use this whenever they return to the house after a trip out with a staff member. Through observation and discussion with staff it was evident that residents are treated with respect and dignity. As previously recorded, staff have a good knowledge of the needs and preferences of individuals. Records of meals eaten by residents are maintained. The record of menus evidenced a balanced and nutritious diet based on a healthy eating philosophy. The main meal of the day is offered during the early evening. A midday snack was offered to a resident who chose to eat it away from the dining area. Fridge and freezer temperatures are recorded daily. Theobald House DS0000008181.V328626.R01.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. Residents are supported to lead healthy lifestyles with their healthcare and personal needs being monitored well. The home operates a robust medication system ensuring the safety of the residents. EVIDENCE: There was comprehensive information in individuals’ personal care plans identifying how staff support individuals with their physical care needs. Risk assessments had been reviewed in relation to bathing, mobility, and manual handling. There were written statements identifying that the home aims to support residents with their personal care with an appropriate staff of the same gender. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 15 A resident moves around the home crawling on their hands and knees. This has been risk assessed in order that they can continue to be independent safely. Examination of residents healthcare records identified that individuals’ physical and mental healthcare needs are being met through regular reviews of their medication; support from appropriate professionals from the Community Learning Disability Team also help to ensure their care needs are well met. Residents care records also included information that demonstrated individuals access GP, dentist, chiropodist and optician. Medical profiles seen identified current health needs and medication administered. The procedures for the administration, storage, and disposal of medication were looked at and explained by a staff member in order to monitor systems in place for handling medication. Ongoing medication is stored safely in a lockable cupboard. There are no residents who self medicate. There was a photograph of the resident maintained with each record to ensure medication is dispensed to the correct person. The medication administration charts were legible, up to date, and were signed by staff giving the medication. Up to date records were kept of all medication being received into the home. The home keeps a record of returned medication to the pharmacy. A requirement has been met for the home to keep separate supplies and records for staff in the taking of homely remedies. Training records identified that staff have completed medication competency reviews. Theobald House DS0000008181.V328626.R01.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. Residents benefit from robust systems for complaints and protection and can be confident that they will be listened to and that they will be protected from abuse. EVIDENCE: There home has an organisational complaints policy and procedure to follow in the event that a complaint is made. There had been no new complaints recorded since the last inspection. Due to residents not able to communicate their views verbally, both the staff and families advocate for individuals and care files identified that individuals make themselves understood through physical gestures, body language and vocalisations. The home has good relationships and ongoing communication with families. This helps ensure that staff would be told of any concerns that families may have regarding their relatives care. There are organisational policies and procedures in place relating to the issue of protection of vulnerable adults from abuse. All staff bar a new staff member had attended training for the protection of vulnerable adults. Discussion with this staff member indicated that they had also been booked to attend this training. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 17 Training records identified that some staff had received training in 2002; it would be good practice to update staff in this area to help to ensure that residents are safeguarded from the risk of harm or abuse. Financial records checked for 2 residents personal allowances were correct and consistent with balances kept. A requirement has been met to update a resident’s financial transactions. Examination of care files identified that there were guidelines and approaches in place for staff working with individuals relating to their behavioural aspects. These included recognition of stress and strategies for support. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although the overall environment for residents to live in is homely, clean and comfortable, the organisation is still failing to provide a suitable environment to meet the needs of an individual. EVIDENCE: The home is a detached two-storey property that is situated in the Oldfield Park area of Bath in a quiet cul-de-sac. The home is accessible to local amenities whilst Bath city centre is a short drive from the house. A staff member indicated that the heating in the home has been a problem for some time. Contractors have been called in previously and identified that a new heating system is needed. On the day of this visit the heating was not working and this was reported to the maintenance contactors by a staff member in order for repairs to be carried out. Portable storage heaters were delivered to the home and set up in all areas until the heating is repaired. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 19 Windows and patio doors have been replaced at the rear of the building, and individuals bedrooms have been decorated. The appearance of the tiles in a first floor bathroom gave the room a shabby look and are in need of being retiled. The exterior of the property was being decorated during this visit. Staff record all maintenance requirements through the ongoing communication book. Discussion was had with the manager recommending that all maintenance issues are logged separately in order to monitor action taken by both staff and the contractors. There has been no progress for the property to be extended and this impinges on the lifestyle of one specific resident whose bedroom is only 6.3 sq metres of usable floor space and which is not suitable for their needs. The resident does access other areas of the home safely and independently, but still needs a larger bedroom space to house their large television screen and touch screen computer. The resident has lived at the home for many years; it would not be acceptable for them to move to another home, as it is evident that they are happy, confident in their surroundings and supported well by the staff team. Their only area of need not being met is their bedroom space. For several years, requirements have not been met for both the provision of a suitable environment for this individual, and also another resident who also would benefit from a larger bedroom, and to keep the Commission informed of how the change in the reconfiguration of the home is to be implemented. Although during the past few years, the Commission has received plans, no timescales have been set. Discussion with the Regional Manager during this inspection identified that the property’s lease has expired with Bath and North East Somerset and the organisation are currently in the process of looking at agreements by tender, with a new Registered Social Landlord. It is anticipated that this will secure at least a 35-year lease on Theobald House. It is also hoped that this will be extended through approval from Bath and North East Somerset Council. It is evident that the extension of the property will not take place until these processes have been completed. This will be looked at during future inspections. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 34, & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from clarity of staff roles and responsibilities. Residents’ benefit from a competent staff team with their training needs well met and appropriate training offered in order to meet individuals’ needs. Residents benefit from robust recruitment procedures in place to protect service users. EVIDENCE: Since the last inspection a new staff member has been employed whilst another person is also in the process of undergoing the recruitment process. Discussion was had with the new staff member who described their recruitment process, part of which was completion of an application form with two references given, a police check and undergoing a formal interview. They also met the residents at the home and were interviewed by other residents in the organisation. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 21 Staffing records are kept at the organisations headquarters when some were looked at previously, in August 2006. The new staff member described their role as a support worker, and mandatory training attended during their induction period; that the staff were a supportive team with positive communication channels. Dimensions UK involve staff in changes taking place within the organisation, through involvement on steering groups and discussion with the house team. Training records identified that since the last inspection, staff have attended various courses such as risk assessment, autism, intensive interaction, and positive behavioural support. Five staff have achieved a qualification in National Vocational Qualification Level 3 whilst other staff are in the process. The deputy manager also has a Level 4 qualification. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and staff benefit from a clear sense of direction. There are procedures in place to seek the views of individuals through advocates, staff and families. There are procedures and protocols in place in order to ensure the health, safety and welfare of both residents and staff. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager is soon due to reduce her hours to 30 hour weekly. The Area Manager has previously informed the Commission of this change. There are alternative and sufficient arrangements in place in terms of the management of the home; the deputy manager has had previous managerial experience. Training records identified that the manager has attended various courses since the last inspection. These include consent workshop, autism, food hygiene, and listening and enabling. It was evident through discussion with staff that the manager communicates a clear message in directing the staff towards a holistic approach in supporting residents. Due to the manager not being available Standard 39 was not fully assessed. However it was evident that the home seeks the views of families through ongoing communication, and formal reviews of individuals care. There are health and safety procedures in place for staff and residents to follow to promote health and safety in the home. Training records indicated that staff have attended mandatory training in food hygiene, manual handling, and first aid. The home has met a requirement to review current fire safety procedures and risk assess individuals’ specific needs in the event of an outbreak of a fire. The fire safety log identified that a requirement has been met to ensure fire equipment is maintained on a consistent basis. Records also indicated that one staff member had not attended fire drills regularly; since this inspection, written notification from the manager evidenced that the staff member attended a drill immediately. The home needs to ensure compliance with new fire regulations. Documentation from an Environmental Health Food Hygiene Inspection indicated that the kitchen was clean and well run with good practices in place. Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 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 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X X X 3 X Theobald House DS0000008181.V328626.R01.S.doc Version 5.2 Page 25 YES 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. 2. Standard YA24 YA24 Regulation 23(2)(p) 23(2)(b) Requirement Repair the heating to the home. Retile first floor bathroom Timescale for action 18/02/07 30/06/07 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. 2. Refer to Standard YA23 YA24 Good Practice Recommendations Update those staff who received training in 2002 with their knowledge and understanding of the protection of vulnerable adults from abuse. Keep a separate record of all maintenance issues in order to monitor the outcome. 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