Inspection on 05/12/06 for White Lodge

This inspection was carried out on 5th December 2006.

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

White Lodge 04/12/08

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 White Lodge 1 Mowbray Road South Shields Tyne And Wear NE33 3DH Lead Inspector Mr Lee Bennett Unannounced Inspection 5 and 6 December 2006 12:00 th th White Lodge DS0000068425.V322225.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 White Lodge DS0000068425.V322225.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. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Lodge Address 1 Mowbray Road South Shields Tyne And Wear NE33 3DH 0191 455 3108 0191 455 3108 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) Saint John of God Care Services Mrs Brenda Brown Care Home 7 Category(ies) of Learning disability (7) registration, with number of places White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15th February 2006. Brief Description of the Service: White Lodge is a care home providing personal care for up to seven people with a learning disability. Nursing care is not provided, but District Nursing services can be arranged where necessary. It is an adapted terraced house with level access on the ground floor, lift access to the first floor bedrooms and access by stairs to the second floor. The home is therefore not wholly accessible for people with a physical disability or frailty. En-suite facilities are provided in some bedrooms and there is a communal bathroom and separate shower facility. There is a garden to the front of the home and enclosed yard to the rear. The home is situated a short distance from South Shields town centre, and is close to local bus and metro services. The home is situated near to a range of local facilities, such as doctors’ surgery, pubs, shops and places of worship. The fees charged at the home are £699.09 per week. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over two days in December 2006 and was a scheduled unannounced inspection. The inspection included a separate look at a pre inspection questionnaire and comment cards received from service users relatives and representatives. The care experienced by a sample of service users was ‘case tracked’ (this is where the inspector focuses on the service provided for individual service users) and time was spent chatting with service users and observing life in the home. Some service users find it difficult to speak easily and make their views clearly known. Therefore the way staff work with them was observed as part of the site visit. The inspector was shown around the home, and a sample of staffing and service users’ records was inspected. Service users, a visitor, the acting manager and other staff were spoken with. Questionnaires were also received from service users and their relatives. The judgements made are based on the evidence available to the inspector during the inspection and from the information received before and during the site visit. What the service does well: There is a relaxed atmosphere in the home, and service users and staff get on well. Staff in the home work well to help and encourage service users to access community services and facilities. There is a minibus available to help service users to get out and about. Staff will also assist service users to speak up for themselves and have a good rapport with them. Relatives and visitors are made welcome in the home, are able to visit in private, kept up to date about service users progress, and are satisfied with the overall care provided. Service users needs are clearly detailed, and their records kept up to date. Staff have a good understanding of service users needs. Comments received from service users and relatives included: • • • • “I am very happy now that I am here at White Lodge and everything here is good. Life here is very good. Very caring and excellent staff. “Good friends, very happy home, great food and plenty of activities inside and outside the home.” “I’m happy here, I’m enjoying it.” DS0000068425.V322225.R01.S.doc Version 5.2 Page 6 White Lodge • “Mrs B. Brown is a very capable and caring manager.” The home’s owners make sure the accommodation is kept at a high standard through regular cleaning, decoration and maintenance. Staff recruitment checks include references and Criminal Records checks. These help to ensure safe recruitment practices are in place. Staff also receive regular, structured supervisions (meetings with their manager), which allow them to discuss issues relevant to service users and themselves. It also means that the staff team is well managed, and that their work meets service users’ requirements first and is focused on their needs. The homes owners have a clear policy on equal opportunities. This relates to both care practice and staffing issues. For example, staff recruitment is in part governed by equal opportunities principles, and the staff team vary in age, cultural and gender background. 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. White Lodge DS0000068425.V322225.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 White Lodge DS0000068425.V322225.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 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed before their admission to the home and are also periodically re-assessed to a good standard thereafter. This can help ensure that the service can be planned in a way that meets service users needs and wishes. The home is able to meet the range of service users’ diverse needs to a good standard. EVIDENCE: No new service users have moved to the home since the last inspection. However, the care the care of some service users was ‘case tracked’. Of the case files examined it was evident that their needs are subject to periodic review and re-assessment. Following such an assessment plans of care and risk assessments are developed by ‘key workers’. These mirror the needs observed by the inspector. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 9 The needs of each service user are detailed within their personal case files, and they also detail the action taken to meet these needs and progress made. Staff received training and guidance relevant to the majority of service users specific, diverse and specialist needs, such as those relating to epilepsy, and medication. Further advice is available from specialists within the Social Services and from the Community Learning Disability Team. Those people who commented are satisfied with the overall care provide at White Lodge. White Lodge DS0000068425.V322225.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care plans are in place, and reflect their observed needs (including their cultural needs and personal preference) to a good level, but need to be prioritised to ensure they are used effectively. Effective care planning can offer guidance to care staff regarding care practice and ensure consistency where necessary. Service users are, as far as is practicable, consulted on and participate in the life of the home to a good level. This can help in the development of an inclusive service for those living there. Service users are supported to take risks within a planned framework, irrespective of their age, gender or disability. This can help ensure their independence is promoted, balanced against a judgement about any risks involved. This can also help promote an awareness of safety to a good level and ensure equality of access to community facilities and activities. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 11 EVIDENCE: Each service user has a personalised care plan file, developed by their key worker, that covers a broad range of need areas. These are linked to regular monitoring of some areas such as epilepsy, personal care, diet, weight and activities, and are then periodically reviewed and subsequently updated. Each service user attends a review, where their wishes can be discussed. A summary overview has been developed, to offer a pen picture of each service user and their needs. Individual care plans are then developed to guide the practice of staff. This documentation highlights each service users’ abilities, strengths, and preferences, as well as areas of need. Staff are also able to comment on and describe service users’ strengths, abilities and needs. For the two service users ‘case tracked’ they several duplicated types of care plan documents, and it is recommended that these are streamlined and prioritised to reduce unnecessary paperwork and make the files easier to work with. Fewer, but more detailed care plans that highlight specific, and if necessary staged goals to achieve these, can reduce unnecessary paperwork and ensure key needs are monitored regularly. Care plans are signed by service users to provide evidence of their agreement and understanding. They also include picture formats to help aid understanding and discussion. Those service users asked were able to give examples of how they make decisions affecting day to day choices and decisions, about their lives, and the way the home is run. This was observed during a discussion about holiday plans for next year. Service users and staff will discuss routines in the home, and service users have been able to make choices about décor schemes, trips out and personal purchases. Other people involved in service user’s care indicated that they are both kept informed of important matters affecting them, and that where they are not able to make decisions, they are consulted about their care. Areas of risk are also documented within each service users’ care file, including assessments relating to activities out of the home, behaviours that may challenge the service, and the use of equipment. This can contribute to staff having guidance to enable service users to access community facilities without being placed at undue risk of harm. A model is used, whereby each risk area is identified, who or what may be harmed is noted, current and additional control measures are documented, and this is then reviewed. White Lodge DS0000068425.V322225.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, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are assisted, to an excellent degree, to lead active and fulfilling lifestyles by having a regular community presence, and by accessing a range of community facilities. This will assist in them leading a full and enjoyable life. Service users are supported to maintain their personal relationships and friendships, to a good level, which helps them to keep in touch, and be involved in family life. Service users rights are respected and routines in the home are flexible to a good level. This can help to promote a flexible service that encourages and promotes service users’ choices and preferences. Service users are offered and receive a varied, wholesome, nutritious and wellpresented menu. This can contribute to their general health and wellbeing. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 13 EVIDENCE: Service users explained to the inspector some of the activities they take part in and that are planned for the future, which include going to a day centre, attending college courses, going shopping and having various trips out. Other activities participated in include bowls, art sessions, discos, manicure evenings, trips to the shops and to the pub. On the first day of the inspection two service users were being supported to go shopping in the town centre, and another service user was spending time with his brother. Others were attending local day services operated by the local Council. A variety of relationships exist within and beyond the home. These are outlined within care plans, and should there be any concerns or needs in this area, plans of care have been developed to guide staffs’ practice. Staff have received training in respect of equal opportunities, and human rights awareness forms part of staffs’ NVQ work. The rights and obligations of service users are, in part, expressed and outlined within their residency agreement. Service users responsibilities towards one another, and in their conduct towards staff members are also outlined in their care plans. Some service users are able to clearly voice their opinions and views formally through care planning reviews and the house meetings, and can exercise independence and control in the planning and evaluation of activities. Others find it difficult to communicate clearly and staff have to be observant to their mood, behaviour and expressions. Service users have a range of dietary needs, which are outlined within their care plans. Staffs’ practice reflects the guidance and risk assessments provided. There is a record kept of the meals planned and provided. Meals are normally taken within the dining room, which is often at the centre of activity in the home. White Lodge DS0000068425.V322225.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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support appropriate to their needs and preferences, to a good standard, which can help to ensure their privacy and dignity is respected. Service users health care needs are identified and arrangements are made to help ensure they are promoted and met to a good degree. Medication arrangements are appropriate for the needs of service users, and are managed in a good and safe manner. EVIDENCE: The service users living at White Lodge have their personal care needs outlined within their case files. Their needs are supported and met, where appropriate, in private, and they are encouraged to be independent where possible. Care staff are able to demonstrate, through discussion and observed practice, a good understanding of service users’ needs. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 15 Regular access to primary and secondary health care services, such as GP and psychiatric services, occupational therapy and the dentist, is supported. Contact with health care professionals is documented within the service users care records. Locked storage has been installed for service users’ medications, with internal and external medicines stored separately from one another. Printed administration records are kept, and a sample signature list is maintained to identify what staff were responsible for each medication administration. Due to their levels of need, service users are not able to administer their own medicines, and designated staff therefore assist in this area. Staff at the home have undergone training in relation to medication administration. A stock check was undertaken for a sample of medications held in the home. This was concluded successfully, with stocks held corresponding to those recorded. White Lodge DS0000068425.V322225.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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ views are listened to and acted upon to a good level. This can help contribute to a service user centred service. Steps are taken to help ensure that service users are protected from abuse, neglect and self-harm in a good manner. EVIDENCE: A complaints procedure is available within the home, and informs service users that they can contact the Commission if they wish regarding complaints. A record of complaints and suggestions is maintained, and none have been documented over that past year. None have been referred to the Commission. Service users are aware of who to speak to within the home should they be unhappy about the service they receive. Staff have, in the past, received training from the local Adult Protection Coordinator, which will help to explain the role of adult protection, and to offer guidance to staff. The care provider has also provided guidance material to staff for use within the home. Both the home’s own and the local authorities adult protection procedures are available in the home, should staff need guidance in this area. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from good, well maintained, homely, safe and clean accommodation. This can help promote a positive image for service users, and ensure they remain comfortable and safe. Service users bedrooms are furnished to a good standard. This can contribute to their comfort during their stay at the home. EVIDENCE: White Lodge is an adapted, end-terraced property, and provides accommodation across three floors. Access into the home and between the floors is by stairs, with a lift providing access between the ground and first floors. Some parts of the home are therefore unsuitable for service users with a physical disability. Communal areas consist of two lounge areas, and a separate dining room. Domestic style furnishings and fittings are provided, White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 18 and decoration schemes have been developed in consultation with service users. Bedrooms have been decorated and furnished in a domestic manner and a regular, planned cycle of cleaning is implemented. Domestic type laundry facilities are provided, and a shared bath is available on the first floor and a shower on the second floor. Two bedrooms have en-suite bathing facilities. The temperature of the shared bath was close to a safe and comfortable 43oC level. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported, to a good level, by an effective staff team, deployed in good numbers. This can help ensure their needs are safety met. An excellent number of staff have obtained qualifications in care. Service users are supported by competent staff who have received good training, relevant to their roles, the purpose of the home and the majority of service users’ needs. This can ensure that service users are supported in a safe manner by staff who have an understanding of these needs. Service users are protected by the home’s recruitment policy and practices, which can help ensure unsuitable candidates do not gain employment in the home. These are implemented to a good standard. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 20 EVIDENCE: Some service users at White Lodge are able to meet many of their needs independently, with staff support needed when accessing community facilities, with catering, medication and some aspects of personal care. There is always at least two members of staff present within the home, with additional staff present to assist with various activities and appointments, both during the day and evening. Staffing levels are detailed within a staffing rota, which is available for inspection. Staff are supported by an ‘on-call’ arrangement, whereby they can contact a designated experienced staff member for advice and additional support if necessary. The examination of a sample of staff records and confirmation by the manager indicated that staff are only employed in the home after sufficient background checks have been carried out, which help determine their suitability to carry out their role. These checks include the receipt of a Criminal Records Bureau ‘disclosure’, two written references, and confirmation of physical fitness. Staff receive a range of training, relevant to the needs of service users, health and safety, and to care in general. Specialist support to help a service user with specific dietary needs has been provided, with ongoing support available as necessary. The manager keeps clear records of the training staff have received, which can assist in the planning of future training for the staff team. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well managed home. Quality assurance systems seek the views of service users and their representatives to a good degree, which can help ensure the service remains focused on their needs and aspirations. Those records required by regulation are well maintained and available for inspection, to a good standard. This can help staff demonstrate how service users rights and best interests are safeguarded. The home is, to a good standard, free from hazards to service users. This can contribute to the health, welfare and security of service users. EVIDENCE: White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 22 The registered manager has worked for many years within care settings, receives regular training and has worked to attain qualifications in both management and care. The home operates a robust self- monitoring system using the Regulation 26 visits carried out by their external managers that are comprehensive, look at all aspects of the home, and make sure the residents are cared for properly. Due to the nature and size of the home the staff talk to the residents and visitors at all times and there is an open atmosphere that encourages them to let their views be known. The residents hold a meeting every six weeks so that they can tell the staff how they feel and talk about concerns and about the way the house is run as a group. Families are also invited to these meetings that are organised by the staff and also used as a social occasion. Staff hold separate meetings once every six weeks to share issues and talk about how they can improve the care they give to the residents. These meetings are recorded clearly and used to develop plans for the future of the home and development for the residents. Questionnaires are also sent to families on a regular basis asking for their views to see if the home can change things to improve the care given to residents. Service user and staffing related records are written, maintained and stored within the home. Guidance as to what records are required is outlined within the Care Homes Regulation 2001. At the time of the inspection there were no observed hazards. There is a health and safety policy available to guide staff, and various risk assessments have been developed, both to enable service users to be independent, but also to ensure care and working practices are undertaken in a safe manner. Health and safety checks are also undertaken regularly, including an audit of the building, fire safety checks and instruction, and regular water temperature tests. White Lodge DS0000068425.V322225.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 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 4 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 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations The registered manager should review care-planning files to reduce the level of duplication. White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South of Tyne Area Office St Nicholas Building St Nicholas Street Newcastle NE1 1NB 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 White Lodge DS0000068425.V322225.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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