Inspection on 20/09/06 for Thingwall Lane, 28

This inspection was carried out on 20th September 2006.

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

The inspector found 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

Thingwall Lane, 28 28/02/06

Thingwall Lane, 28 14/11/05

Thingwall Lane, 28 18/01/05

Thingwall Lane, 28 04/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Thingwall Lane, 28 28 Thingwall Lane Liverpool Merseyside L14 7NX Lead Inspector Mrs Janet Marshall Unannounced Inspection 20th September 2006 10:00 Thingwall Lane, 28 DS0000021487.V300987.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 Thingwall Lane, 28 DS0000021487.V300987.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. Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thingwall Lane, 28 Address 28 Thingwall Lane Liverpool Merseyside L14 7NX 0151-228-0824 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.c-i-c.co.uk. Community Integrated Care Miss Suzanne Walton Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to Include up to 2 (LD) The service should at all times have a suitably qualified and experienced manager who has been approved by the Commission for Social Care Inspection 28th February 2006 Date of last inspection Brief Description of the Service: 28 Thingwall lane is operated by the organisation C.I.C. Maritime Housing own the building and act in the capacity of Landlord. The service provides support and care to two service users with severe learning disabilities and challenging behaviour. The home is situated on the border of the borough of Knowsley and Liverpool. It is within easy reach of a local esplanade of shops and local pubs. The home is domestic in character and fits in well to the surrounding community. Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The visit was unannounced and took place over one day for a total of 6 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified within the main body of the report, were inspected during this inspection visit. During the site visit the requirements and recommendations from the last inspection report were discussed and checked with the manager. Two of them have been fully met. Those that have not been met have been raised again as part of this report in addition to one other statutory requirement and a good practice recommendation identified during this inspection visit. The inspection was positive and evidenced that most of the National Minimum standards for the service have been met or exceeded. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included a selection of residents care plans, daily diaries, medical notes, medication and records, staff rotas and certificates of health and safety checks. One resident was “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live at the home and how that person’s needs are being met. A pre - inspection questionnaire, which was sent out to the home was completed in good detail by the manager and returned prior to the inspection. Discussion took place with the manager and two staff. Both residents were met with. The nature of the disability of the residents is such that it was not always possible to obtain direct views about their experiences. Information held at the Commission for Social Care and Inspection office, the pre - inspection questionnaire, comments made during interviews, observations made and records examined during the visit have been used towards measuring standards for the purpose of this report. What the service does well: The service has developed excellent care plans for each person. Care plans, which are reviewed and updated at regular intervals reflect the needs, aspirations and goals of the individual and aim to develop the person’s life. Staff provide residents with appropriate assistance so that they are able to communicate choices and make decisions as part of an independent lifestyle. The service is good at encouraging and supporting residents to maintain fulfilling lifestyles in and outside of the home. Resident’s personal and healthcare support is well monitored and recorded to ensure their physical, mental and emotional well being. Residents and staff benefit from a manager who is open and positive. Thingwall Lane, 28 DS0000021487.V300987.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. Thingwall Lane, 28 DS0000021487.V300987.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 Thingwall Lane, 28 DS0000021487.V300987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The service ensures that prospective residents needs are fully assessed so that the home can be sure of meeting the person’s needs. EVIDENCE: There have been no new residents admitted to the home since the last inspection. Available at the home were a number of policies and procedures, which aim to ensure that people make a positive choice about living there. Policies included introductory and trial visits and needs assessments. Thingwall Lane, 28 DS0000021487.V300987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The service encourages residents to make choices and take responsible risks as part of an independent lifestyle. EVIDENCE: A detailed individual care plan was available for both residents. Case tracking showed that they were developed on the basis of assessments made. Both care plans were well presented and covered all aspects of the person’s personal and social support and healthcare needs including, communication, medication, behaviour management and financial support. There was evidence that both care plans have recently been reviewed and updated. The manager explained that a review of the whole care plan takes place every six months with the involvement of the resident/representative, key workers and social workers. A document called care package check is completed following reviews and identifies changes made to the care plan. Records that were seen evidenced this. During discussion a member of staff explained in good detail the purpose of care plans and how they use them on a daily basis to support residents. Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 10 Both residents have limited verbal communication skills, however they are supported to communicate by use of other methods for example, gestures, sounds, and body language and by use of picture cards. Viewed at the home was a book which contained picture cards which staff explained are used to assist residents to make choices about the food that they eat. Information about each persons preferred means of communication was detailed in their care plans. During the visit staff were seen communicating effectively with residents they were seen offering residents choices and encouraging them to make decisions about things such as food and activities. For safety reasons there are certain restrictions placed on residents for example access without support to certain parts of the home and outside. There are also instances when some decisions and choices have to be made for residents by others. Restrictions placed upon people and choices, which need to be made by others and the reasons why, were recorded in each person’s plan of care. Risk assessments were part of each persons care plan. They have been carried out for tasks and activities which residents are involved in that are likely to pose a risk to them. Risk assessments that were seen identified potential risks and hazards and detailed the action that staff need to take so that residents are able to take risks safely as part of an independent lifestyle. Risk assessments that were viewed showed that they have recently been reviewed and updated. Thingwall Lane, 28 DS0000021487.V300987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents are encouraged and supported to live active and healthy lifestyles. EVIDENCE: Each persons care plan provided a good amount of information about their preferred activities. One resident has been supported by staff to access a work placement. Discussion with the manager and examination of records showed that staff have helped the resident to find out about and take up this opportunity. Discussion with the manager and staff and information provided in the preinspection questionnaire evidenced that residents are supported to be part of and participate in the local community. Recreational and leisure activities that residents are involved in both inside the home and in the community include art, cookery, music, gardening beauty therapy. Daily records which are kept for each resident showed that they have been supported to take part in indoor and outdoor activities that they prefer and which are set out in their plans of care. Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 12 Lunch was served during the inspection. Staff were observed assisting one resident at lunchtime. They provided assistance in a sensitive and flexible way. The meal was unrushed and relaxed. Due to limitations residents are not involved in the preparation of food, all meals are prepared by staff. Care plans provide staff with details of residents likes and dislikes with regard to food. Picture cards, which were available in the kitchen, are used by staff to assist residents to make choices about food and drinks. The dining room, which looks out onto the back garden, was bright and cheery. The kitchen was equipped with domestic style appliances. On the day of the visit staff were seen offering residents drinks and snacks outside of usual meal times. Food stores that were examined were well stocked with fresh frozen and dried goods. Thingwall Lane, 28 DS0000021487.V300987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents are provided with appropriate personal and healthcare support. EVIDENCE: Care plans provided a good level of information about the type and level of personal and healthcare support that each person requires. In addition to the main care plans were daily schedules, which provided summaries of each persons preferred routines including personal care. Information was available in a way, which ensures residents privacy, dignity and independence. This was also evidenced on observation when staff were seen providing personal support for one resident. Staff treated the resident with respect by ensuring that the care was carried out in private and in accordance with their plan of care. During discussion staff showed a good understanding about the main principles of care the following comments supported this: “When assisting residents with personal care it is important to make sure doors and blinds are shut”. “I always chat with residents when helping them”. “I encourage residents to do whatever they can for themselves” “I always make sure that residents are covered when receiving personal care”. “It is important to ask people what they want and to tell them what you are doing”. Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 14 Within each persons care plan was a health action plan, which clearly set out the persons healthcare, needs and procedures that are in place to address them. Records within this section showed that residents are offered minimum annual checks and that their health regularly reviewed and monitored and dealt with appropriately. As well as visits to primary healthcare services such as dentist, opticians and doctors residents are also supported to attend specialist services. Records detailing the visits were available in good detail as was information about specialist health care needs and requirements. The plans also address other health issues, which are important in maintaining the persons physical, mental and emotional well being such as sleeping, moods, exercise and weight. Health plans provided good information about how residents communicate when they are unwell or in pain. These are particularly important for residents that have limited verbal communication skills. A record of medication received and leaving the home was seen. Medication was stored securly. Medication and medication administration records were examined. They were in good order. A policy for the safe handling and administration of medication was availble at the home. The manager said that medication is only administered by staff that have completed medication awareness training. However, a member of staff stated the training they received was very basic and that they would benefit from further training in this subject. Thingwall Lane, 28 DS0000021487.V300987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents are protected by the homes procedures for responding to concerns and complaints, however, residents are at risk because staff are not fully aware about how to respond to suspicion or evidence of abuse. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection. Information provided in the pre-inspection questionnaire and discussion with the manager evidenced that there have been no complaints made at the home in the last 12 months. A complaints procedure which was viewed at the home included good information about the stages and timescales involved in the process so that residents and other people are clear about how to make a complaint if they wish to. Discussion with the manager and staff showed that they are confident about telling somebody if they were uphappy and that something would be done. The following comments supported this: “I know about the complaints procedure and would be confident about talking to somebody if I was unhappy about something” “I am happy to tell the truth” “I know I would be listend to” A copy of the local authorities protection of vulnerable adults procedure was avaialbe at the home. Staff spoken with were unable to describe confidently what action they would take if they suspected or evidenced a resident being abused. They confirmed Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 16 that they had not completed up to date protection of vulnerable adults training. Arrangements must be made, by training or by other means, so that all staff that work at the home know how to respond to suspicion or evidence of abuse or neglect. Thingwall Lane, 28 DS0000021487.V300987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. In the main residents benefit from a comfortable and safe environment. EVIDENCE: The pre- inspection questionnaire shows that there have been no changes made to the environment since the last inspection. The home is a well presented semi-detached house in a popular residential area of Liverpool. There are gardens to the front and back of the property, which were well maintained. The home is located close to shops, pubs and other community facilities including public transport links. The relationships with neighbours were reported as being good. A tour of the home took place. All areas including resident’s bedrooms were decorated and furnished to a good standard. Personal items such as photographs, ornaments, TVs and music systems were displayed around the home. A number of requirements have been given as part of this report for the environment. These are identified below and must be addressed as described to ensure the complete comfort and dignity of the residents: • Marks on walls and woodwork in the kitchen should be repaired and repainted. Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 18 • • • A chair in the lounge, which was badly stained, must be cleaned or replaced. The bathroom floor which smelt needs to be replaced. The seal around the bath which was damaged and discoloured needs replacing All areas of the home were clean and tidy at the time of the visit. The preinspection questionnaire detailed policies and procedures relating to the environment which are available at the home including, infection control cleaning routines. Thingwall Lane, 28 DS0000021487.V300987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents benefit from a staff team that have good qualities, however residents are at risk because some staff do not feel completely competent in some areas of their work. EVIDENCE: Discussion with the manager and details provided in the pre-inspection questionnaire showed that there has been no new staff employed at the home since the last inspection. An equal opportunities policy and procedures was available at the home. Records viewed and information in the pre - inspection questionnaire show that the home recruit staff from based on equal opportunities. At the time of the visit there were two support workers and the manager on duty. These staffing levels appeared appropriate to the needs of the residents. Copies of staffing rotas which were provided with the pre – inspection questionnaire were examined and showed that there are sufficient staff on duty at all times throughout the day and the night. Staff spoken with stated that they were happy with the staffing levels at the home. At intervals throughout the visit staff were seen interacting well with residents. They were flexible and positive in their approach and appeared to have a good Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 20 understanding of the needs of the residents. Discussion with staff showed that they are interested, motivated and committed to their work. Comments made by staff which supported this included: “I love my job”. “I enjoy learning new skills”. “The residents come first”. “It is important to have a good understanding of the needs of the residents”. “Our focus is always on the residents” A selection of staff personnel and training files were examined during this visit. They included all the required information to show that the home operates a robust recruitment procedure. During discussion a member of staff described the recruitment process that she went through. It included a completing an application form, an interview and police and reference checks. The member of staff confirmed that she took part in an induction programme during the first part of her employment. During discussion two members of staff confirmed that they have completed training including fire awareness, food hygiene and health and safety. Other training completed by staff, which was detailed in the pre- inspection, includes first aid, adult abuse and National Vocational Qualifications in care levels 2 and 3. During discussion a number of staff stated that they do not feel completely competent in some areas of their work and that they would benefit from further training. It is therefore a recommendation of this report that the manager carries out for all staff an assessment of their training and development needs to identify future training. Thingwall Lane, 28 DS0000021487.V300987.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The home is well managed to the benefit of the residents and staff. EVIDENCE: Examination of records and discussion with the manager, Suzanne O’Connor, showed that she is competent and experienced. Mrs O’Connor has an open and positive management approach this was observed during the visit and supported by the following comments made by staff: “The manager is very good” “She always takes time to explain things” “The home is run very well” “The manager is fair and definitely approachable”. “She always puts the residents first”. Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 22 Discussion with Mrs O’Connor evidenced that she undertakes regular training and development to update her knowledge, skills and competence while managing the home. Since the last inspection the manager has developed surveys as part of the homes quality monitoring system. Residents, relatives and advocates are invited to complete surveys, which gives them the opportunity to put forward their views and make comments about aspects of the home for example, the manager and staff, the quality and choice of food, and the environment. The manager explained that the results of the surveys would be used to monitor the quality of the service. Also As part of the homes quality assurance process and in accordance with Regulation 26 of the Care Homes Regulations a representative for the home visits the premises monthly. They interview residents and staff, check records and inspect the environment. It is important that this is done to check the standard of care in the home. Following the visit a report detailing the visit is written. Records show that the visits and reports are being carried out each month as required. The health safety and welfare of residents are well protected this was supported by a comprehensive set of policies and procedures, which were detailed in the pre-inspection questionnaire and available at the home. Information provided in the pre-inspection questionnaire and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. Thingwall Lane, 28 DS0000021487.V300987.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 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 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 3 X Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 24 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. Standard YA30 Regulation 23(2)(b) 16 (2)(k) Requirement The floor and the grouting to the wall tiles in the bathroom must be replaced. The chair in the lounge must be cleaned or replaced. Timescale for action 30/11/06 2. YA32 18(1)(i) Arrangements must be made for 30/11/06 all staff to receive training appropriate to the work that they perform. 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 YA35 YA24 Good Practice Recommendations A training needs assessment should be carried out for all staff to identify future training. The walls and woodwork in the kitchen should be re painted. Thingwall Lane, 28 DS0000021487.V300987.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 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 Thingwall Lane, 28 DS0000021487.V300987.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. 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