Inspection on 19/06/07 for Wensley Street

This inspection was carried out on 19th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wensley Street 13/05/09

Wensley Street 19/01/06

Wensley Street 13/07/05

Wensley Street 23/03/05

Wensley Street 26/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Wensley Street 142 Wensley Street Sheffield South Yorkshire S4 8HN Lead Inspector Mrs Irene Ward Key Unannounced Inspection 19th June 2007 09:15 am Wensley Street DS0000003025.V319987.R03.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 Wensley Street DS0000003025.V319987.R03.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. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wensley Street Address 142 Wensley Street Sheffield South Yorkshire S4 8HN 0114 242 4359 0114 244 8418 iris.mcdonald@sct.nhs.uk None South Yorkshire Housing Association 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) Post vacant Care Home 30 Category(ies) of Learning disability (30) registration, with number of places Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User who has a learning disability but who is also over 65 can be accommodated on the ground floor. 19th January 2006 Date of last inspection Brief Description of the Service: Wensley Street is a care home providing personal care and accommodation for thirty people with learning disabilities. The home consists of six modern houses, each providing places for five people. The houses are clustered together. There is a large garden with a greenhouse and decked area with seating. Each house has a lounge/dinning area and kitchen. All bedrooms are single. There are two bedrooms on the ground floor and three on the first floor of each house. There is a shower on the first floor with a bathroom on the ground floor. The home aims to meet the needs of service users on an individual basis and encourages their independence. People vary in age from twenty-two years to over eighty years. As people have lived at Wensley Street for over 20 years. The home is situated near to shops at Firth Park and near to public transport. The weekly fees on 19th June 2007 are £298.00 and do not include costs for leisure, hairdressing, chiropody treatment, toiletries, activities, transport and clothes. This information was supplied to the Commission For Social Care Inspection via the pre-inspection questionnaire received on the 1st March 2007. Tenants/relatives and other interested parties are able to have access to inspection reports by requesting them from the home. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • • • A review of the information held on the homes file since its last inspection. Information submitted by the Registered Provider in the Pre Inspection Questionnaire. Surveys received from four people who use the service, four health and social care professionals and three staff. Five relatives were contacted by telephone. An unannounced visit by one inspector to the home lasting five hours. This visit included a tour of the premises; examination of records, observation of care practices and talking to people in three of the houses, care staff and management. Looking at two peoples care files in detail, and two others briefly. People who live at Wensley Street are known as tenants. • What the service does well: The staff at Wensley Street continues to provide a clean, warm and comfortable home for people to live in. The home provides excellent care for people and supports them to maintain their independence. Members of staff were observed to provide appropriate care when supporting people in maintaining their independence in daily tasks. One person said, “I like living here” another said, “ I am really happy here” and another person said, “Staff are all nice ”. Comments received via surveys sent to people who live at Wensley Street and, health and social care professionals were all positive. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 6 One GP and a care manager made positive comments via surveys sent to them such as “I have been working with people and carers at Wensley Street for 8 years. I am always impressed with the care and consideration that people are shown. I have learned a huge amount from them”. “ I have visited Wensley Street on numerous occasions over the last 20 years and have found the level of care and the support given to every individual extremely good”. Relatives when spoken to on the telephone made positive comments. One relative said, “Wensley Street is absolutely fantastic. The service is outstanding, head and shoulders above other services. They protect the rights of the tenants and are very kind, very vigilant, I am very impressed, and the care is consistent.” No requirements or recommendations have been made following this inspection. 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. Wensley Street DS0000003025.V319987.R03.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 Wensley Street DS0000003025.V319987.R03.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 and 5. People who use the service experience excellent quality outcomes in this area. People’s needs are properly assessed prior to admission, this makes sure Wensley Street is the right place for them to live. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The deputy manager confirmed that a service user guide would be sent to prospective tenants or their relatives when making an enquiry about the home if they had a vacancy. There have been no new admissions into home for sometime. However the deputy manager explained that if there was a vacancy the person would be given the opportunity to visit the home and stay for a meal or overnight or a weekend, whatever they felt comfortable with. The Quality Assurance officer will then visit once the person has moved in and provides them with more information which, includes a diversity statement, which recognises how diverse peoples needs are and also checks how they have settled in. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 9 The Statement of Purpose and the Service User Guide is to be updated to reflect what the service is able to provide when meeting peoples needs. Two people’s files were looked at. Both files held initial assessments, care plans and risk assessments. Each person had an individual statement of terms and conditions or contract, which had been agreed between the home and the tenant and held on their individual file. These documents are also available in a pictorial format so that the people who the service is intended for are able to read them. Pre-admission assessments are in place and held on people’s individual files. A care needs assessment from local authorities was also in place as they assess everyone before anyone moves into any of the houses. Wensley Street DS0000003025.V319987.R03.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 and 9. People who use the service experience excellent quality outcomes in this area. The care provided to people was good and encouraged them to make their own decisions about how they wanted to live their lives. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Whilst staff were supporting people during the day it was clear that they understood individuals needs. They supported people sensitively and supported people to make choices. People looked well cared for and made comments about the care they received. One person said, “I like living here” another said, “ I am really happy here” and another person said, “Staff are all nice ”. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 11 Two care plans were looked at in depth and two others briefly. These detailed how needs had been assessed and what actions were needed to meet the identified needs of people. Care plans seen were very detailed and had been completed with the individual person. The care plan file had also been designed with the individual person in mind so that they are able to recognise their own care plan. One had pictures of clocks and another had teddy bears. One person who lived in one of the houses was able to show the inspector a condensed version of their care plan in pictorial format on a computer they had in the quiet lounge. Another person who when asked how long they had lived there said to the staff member to look in their care plan as they could not remember. Care plans also detailed a persons likes and dislikes, history, health, self help skills, communication, work and leisure and so on. Individual risk assessments, which were clear and well detailed, had been carried out to promote independence and safety. The care plans contained detailed information about people, which helped staff to know about their preferences and about how they wished to live their life. Through discussion with the deputy manager and the contents of the care plans it was clear that people are able to make clear choices. Care plans are written with the individual person and reviewed regularly. People who live at Wensley Street are continually consulted on a regular basis about how the home runs and have the opportunities to voice their views. Clearly people living at Wensley Street are involved in all aspects of life in their home. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. People who use the service experience good quality outcomes in this area. People who use this service are able to make choices about their lifestyle and are supported by staff to carry these out. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People living at Wensley Street had regular opportunities to access age, peer and culturally appropriate activities. People have the opportunity to attend specialist day centres, college, community centres and luncheon clubs. They have also opportunities to pursue other interests outside of the home. A number of them enjoy going to the Gateway club. People also enjoy going out on trips, such as one person was going to Skegness for the day for their birthday. People also have the opportunity to go away on holidays, as one person was excited as they were going to Weymouth in July whilst another person said they were going to stay in a log cabin on the Norfolk Broads for their holiday. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 13 It was clear on the day of the site visit through the discussions with the manager and people who live at Wensley Street that they are given every opportunity in accessing community facilities. Observation of care practices in the houses shows that people living there are encouraged as much as possible to make their own decisions, although for some people this is more difficult due to their complex needs. People living in the houses feel that they are able to choose their daily routines as they wish and made comments that they are encouraged to be independent. One person said they enjoyed craftwork and painting. They also enjoyed baking bread in the bread maker for the other tenants in the house. At the previous inspection it was identified that people with high support needs had limited opportunities to access activities as they required 1:1 or in some cases 1:2 staff support and that the staffing levels were not always appropriate. The previous manager was in the process of attempting to secure extra staffing hours. This has been done and extra staff have now been employed. Everyone spoken to confirmed that they were encouraged and supported to maintain positive relationships with their families and friends. People confirmed that their relatives were welcome to visit them. One resident was supported to independently visit their relative on a regular basis. There was written daily records in peoples care plans on how people spend their days. Details about family, friends and significant events are recorded in the plans. Tenants meetings are well established and minutes of these meetings are taken. One person from each house attends the tenants meeting. The people living at Wensley Street have access to an advocate who acts on their behalf and called the User Involvement Co-ordinator. There are menus available on each of the houses. However people are able to choose at each mealtime what they would like to eat. This was evident when the inspector was in one house over the lunchtime period. Everyone was asked what they wanted to eat for lunch. Most choose sandwiches as they usually had something cooked for tea. Special diets are catered for such as diabetics and everyone is encouraged towards healthy eating. When asked people living a Wensley Street said that the food was good. Wensley Street DS0000003025.V319987.R03.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 and 20. People who use the service experience good quality outcomes in this area. People’s personal and healthcare is provided appropriately and sensitively according to individual needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff aimed to promote the independence of people living at Wensley Street and provide support in a sensitive manner. People’s preferences as to how they wished to be supported were recorded within individual care plans. Daily record entries reflected the care that was being provided. Each person had a GP and access to chiropody, dental and optical services and referrals were made to specialist services as appropriate. People who live at Wensley Street attend local hospitals such as the Northern General and the Royal Halmshire for all A & E (Accident and Emergency) and for most out patient appointments. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 15 The Nomad system is in place. Currently people who live in the houses are unable to self-medicate. There is a policy in place for the storage and administration of medication. The previous inspection identified some gaps on the records where staff had not signed when they had administrated medication. This had been addressed. The Medication Administration Records (MAR) were up to date and well maintained. All stock medication was securely stored in a locked cabinet in a locked cupboard in the individual houses. All staff that administer medication have undertaken accredited training. There were no controlled drugs held in any of the houses. One GP and a care manager made positive comments via surveys sent to them such as “I have been working with people and carers at Wensley Street for 8 years. I am always impressed with the care and consideration that people are shown. I have learned a huge amount from them”. “ I have visited Wensley Street on numerous occasions over the last 20 years and have found the level of care and the support given to every individual extremely good”. Wensley Street DS0000003025.V319987.R03.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 and 23 People who use the service experience excellent outcome in this area. People who use the service have access to an effective complaints procedure and are protected from harm. We have made this judgement using a range of evidence, including a visit to this service EVIDENCE: People who live in the houses are provided with a complaints procedure, which is produced in pictorial that is the format so that people understand how to make a complaint if they so wish. The complaints procedure is also summarised within the service user guide and people knew whom they needed to speak to if they had a complaint and felt confident that any concerns would be addressed properly. A complaints record is kept as required by the management of the service. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. All staff receives training in adult protection issues during induction and further training organised by the organisation. The recruitment procedure continues to be robust, and ensures that only suitable people are employed, which helps to safeguard people from abuse. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience good quality outcomes in this area. People live in a clean, comfortable and safe home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Wensley Street consists of six modern houses, each providing places for five people. The houses are clustered together around accessible pleasant green areas. There is a large garden with a greenhouse and decked area with seating. Each house has a lounge/dinning area and kitchen. All bedrooms are single. There are two bedrooms on the ground floor and three on the first floor. There is a shower on the first floor with a bathroom on the ground floor. Three of the houses were seen during this site visit. All of the houses visited were decorated to a good standard, well maintained and very clean with no odours. The communal areas such as lounges, kitchens and shower rooms were also well maintained. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 18 Six people showed the inspector their bedrooms, all rooms had been personalised with their various possessions such as CD players, television and items they had collected and made. Rooms have been decorated and furnished appropriate for their age and the décor and furnishings were to a good standard. One person said that they had chosen their own wallpaper with some help from staff. A range of maintenance checks is completed on a regular basis to make sure that the houses are safe and secure. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. People who use the service experience good quality outcomes in this area. Sufficient staffing levels, proper recruitment procedures and good staff training meant that people’s needs were met and their interests were safeguarded. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staffing levels were sufficient for meeting the needs of the people living at Wensley Street. The duty roster showed that there were eight members of staff on duty in a morning and afternoon, which includes management and ancillary staff. Staffing has recently been increased to an extra 6 staff and by 202.5 hrs per week. This makes sure that people’s social activities are not compromised. At night there are 5/6 members of staff on waking duties. The organisation operates an on-call service in case there is an emergency. Surveys were also sent to staff. When asked to comment what improvements could be made one said, “ If there were more staff then tenants could get out more” another commented “more staff, more money”. Surveys were retuned in March 2007, and since there return staffing has been increased. Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 20 The staff files of three members of the staff team were looked at including those of one recently appointed member of staff. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. Staff training records examined showed a good training programme. Staff have undertaken training in fire safety, first aid, medication, basic life support, food health and hygiene, protection of vulnerable adults and valuing diversity. Nine staff had completed the Learning Disability Award Framework, (LDAF) award, with four who are completing the training. This will give them a recognised induction into supporting the people who live at Wensley Street. Three staff holds National Vocational Qualification (NVQ) Level 3. Thirteen staff holds NVQ Level 2 with a further 4 completing this qualification. One staff member is carrying out the NVQ Assessors Award. The recently appointed manager is a registered nurse in Learning Disabilities and holds NVQ Level 4 Registered Managers Award. The new manager said that several tenants had been part of her interview process and that the people who live there interview all staff that applies for posts at Wensley Street. Staff receive regular supervision every two months if possible. All staff files seen contained a personal development plan for each member of staff. Staff meetings are held regularly and minutes of meetings are recorded. Records of supervision were seen on all of the staff files seen. Telephone calls were made to several relatives. One relative said, “Wensley Street is absolutely fantastic. The service is outstanding, head and shoulders above other services. They protect the rights of the tenants and are very kind, very vigilant, I am very impressed, and the care is consistent.” Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People who use the service experience excellent quality outcomes in this area. The people who live at Wensley Street benefit from a well managed home/houses in which their needs and wishes are put first. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Information provided from the pre-inspection questionnaire and the examination of selected health and safety documents show that regular checks to gas and fire safety equipment are regularly undertaken. The home has a good and effective management team in place. The ethos of the home is open and positive. Equality and Diversity issues are consistently given priority by the organisation and the management team who communicate a clear sense of direction, and are able to evidence a sound Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 22 understanding and application of ‘best practice’. People who live at Wensley Street, relatives and health and social care professionals all commented highly about the home. An accident book is maintained in line with the requirements of Data Protection. People’s finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded. Regular staff and tenants meetings are held. Quality Assurance systems are in place. The Quality Assurance Officer from South Yorkshire Housing visits monthly and randomly selects what to audit. A report is written, although the last report was completed in February 2007. The deputy manager said that further visits had taken place but reports had not been completed, as the person who had carried out the visits had been ill. The next surveys are to be sent out in July 2007 to people who live at Wensley Street. These were looked at and were very good. They were also in picture format. A Wensley Street Newsletter is produced for tenants every three months. Wensley Street DS0000003025.V319987.R03.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 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 3 3 3 X 4 X 3 X X 3 X Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wensley Street DS0000003025.V319987.R03.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wensley Street DS0000003025.V319987.R03.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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