Inspection on 08/08/07 for Yew Bank

This inspection was carried out on 8th August 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

Yew Bank 07/12/09

Yew Bank 11/01/07

Yew Bank 08/02/06

Yew Bank 02/08/05

Yew Bank 31/01/05

Yew Bank 15/06/04

Yew Bank 01/03/04

Yew Bank 05/11/03

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Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Yew Bank 19 Huckleberry Close Purley on Thames Reading Berkshire RG8 8EH Lead Inspector Julie Willis Unannounced Inspection 8 August 2007 09:35 th 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 Yew Bank DS0000011170.V339599.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. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Yew Bank Address 19 Huckleberry Close Purley on Thames Reading Berkshire RG8 8EH 01189 439461 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) Purley Park Trust Limited Mrs Bernadetta Johnson Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2007 Brief Description of the Service: Yew Bank is one of eight separate units within the Purley Park Trust estate. The unit accommodates five male adults with a learning disability, in a pleasant unit providing each service user with their own individualised bedroom. Communal accommodation consists of a shared lounge/kitchen/dining area, with comfortable furnishings, bathroom and toilets. The staff work together with service users on various aspects of the day-to-day running of the unit. Service users are currently charged between £605 and £633 per week. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspection took place on Wednesday 8th August 2007 between 9.35 am and 3.30 pm. and covered all the standards for younger adults. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as social workers, doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met three of the residents that told the inspector how happy they were living in Yew Bank. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. The inspector gave feedback about her findings to the homes Care Manager – Alison Parfitt and Operations Manager – Rachel King at the end of inspection. There were no legal requirements made as a result of this inspection and no outstanding requirements from the previous inspection in January 2007. The Commission has received no information concerning complaints or safeguarding adult’s incidents since the last inspection. What the service does well: This is a well run home where residents are happy with the care they are given. Yew Bank offers residents a comfortable place to live. Being set within a sheltered village community means that residents are free to roam in safety and can come and go at will. Residents say that they like living at the home, which is comfortable and clean. They have their own rooms which are decorated and furnished to their own choice and liking. The residents live very busy lives and are offered a wide range of activities both within and outside Purley Park. Residents are very involved with the community and regularly use local facilities. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 6 The home is very good at making sure residents can say what they like to do and they are always given a choice. Written records are good and help staff to know what care residents need. Residents say the staff are “kind and helpful” The staff work well together to make sure that residents are happy and content. The staff team are well trained and supported. 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. Yew Bank DS0000011170.V339599.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 Yew Bank DS0000011170.V339599.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): Standard2 Quality in this outcome area is good. People are fully assessed prior to admission to ensure the home will be able to effectively meet the users need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although there have been no new admissions to the home for a number of years it was evident from discussions with staff and from examination of records that people were fully assessed prior to their admission to the home. The home has a comprehensive admissions policy in place, which details the holistic assessment that will take place prior to a new residents admission. The Organisation understands the need to fully involve the person to be admitted, their families, advocates and a multi-disciplinary team of professionals. Yew Bank DS0000011170.V339599.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 9 Quality in this outcome area is excellent. People using this service are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations, goals and lifestyle choices of people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From examination and case tracking of 2 peoples care it was evident that the records were up-to-date and well documented. It was clear that the staff team have tried to involve people that use the service in the care plan process from the outset and their input was clearly recorded in the care files. Each resident had an essential lifestyle plan, which had been produced in a user-friendly pictorial format. All information contained in the document had been agreed with the resident and was sufficiently detailed to provide staff with the information needed to provide quality care. Residents personal programs and goals had been jointly agreed between staff and people using the service and appeared realistic and achievable. It was Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 10 evident that the home positively encourages people to develop independence and to learn life skills. This has led to a degree of risk taking. Residents of Yew Bank have freedom to roam in Purley Park complex and regularly visit their friends in other neighbouring homes. The inspector met residents in the grounds who said, “I always visit my friends and have a cup of tea”. People are supported to take risks as part of their everyday life style. All risks have been fully assessed and guidelines have been put in place to minimise the risk to people using the service. Any limitations on freedom that had resulted from the risk assessments had been agreed and set with the individual resident. People are fully supported to make decisions about their every day lives and have the opportunity to choose when to visit town and use local services and facilities. A number of residents regularly stay with their family for weekends or longer periods of time. People are encouraged to make new friendships and to develop meaningful personal relationships. All of the residents are supported to manage their own finances and to make choices about how to spend their money. All of the residents are encouraged to take an annual holiday and to attend days out. One resident told the inspector that they had been to Wales for a holiday with friends and had particularly enjoyed recent visits to the London Eye and ‘Pangbourne Working Mans Club’. The home regularly meets with residents to ascertain their personal wishes in relation to all aspects of their lives. Examination of the minutes of resident’s meetings evidence that the meetings are resident focused and provide an opportunity for residents to express their personal choice and preference. From the feedback from CSCI surveys and discussion with residents it was clear that residents are very happy living at the home. One resident said, “I like living here with my friends”; “staff are kind and helpful” Yew Bank DS0000011170.V339599.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. People that use the service take part in activities that provide opportunity for personal, practical and emotional development and are encouraged to be part of the local community. People are provided with a menu that is nourishing, varied and meets their individual and cultural need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It is evident that the home positively promotes residents rights to live a normal and meaningful life. The homes operational policies and procedures promote service users rights to be involved in decisions that affect the running of the home. Residents confirm that they feel part of the local community and are encouraged to make new friends and contacts outside the confines of the home. Several residents visit family members at regular intervals and/or are supported to keep in telephone contact. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 12 The residents of Yew Bank are part of the local community and are avid churchgoers. All of the residents go to church each Sunday and spend time at a local ‘Bible Class’ each week. At the time of inspection two residents were out for the day at work. They are in paid employment at ‘Trunkwell Thrive’ where they engage in horticultural pursuits. They had been provided with a packed lunch of their choice to take with them. Residents are free to roam unhindered in Purley Park complex and three residents returned to the home for lunch during the inspection. One resident told the inspector that he enjoyed visiting the on-site clubhouse for disco’s and parties and another said that they went to the horticultural therapy centre during the morning as part of their scheduled activities. Residents are involved with the shopping, cooking, cleaning and laundry activities in the home and this is a well-documented part of each residents care plan. The home provides a nourishing menu, which meets the needs of residents. Residents are provided with choice and variety and are regularly consulted about the menus, which they help to prepare and cook. The menu is provided in colour picture format and service user confirmed that they choose what will be on the menu each week. One resident said, “I like cooking and will help to make tea”. Yew Bank DS0000011170.V339599.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 18, 19, 20 Quality in this outcome area is good. Peoples physical and personal support needs are well met at this home and medication is dealt with safely and appropriately by well-trained and competent staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Systems are in place to ensure residents receive the personal and healthcare support that they need to remain fit and healthy. From examination of care records it is evident that resident’s physical and personal care needs are well met by the home and that resident’s personal wishes and preferences are respected and fully documented in the care plans. All care and support provided to individuals is well documented in the daily records. The staff ensure that personal support is provided flexibly, consistently and in response to the changing needs of residents. All residents are supported to remain independent by showering and bathing in privacy except where staff supervision is deemed essential for the maintenance of resident safety such as for those residents with epilepsy. Comprehensive risk assessments underpin how each resident is individually supported and are reviewed at frequent intervals. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 14 Residents told the inspector that their care is provided in a manner, which maintains their right to dignity, privacy, independence and choice. Residents have freedom to choose what they do and when they do it and any restrictions or limitations are agreed as part of their on-going care plan. Aids and equipment are provided to encourage maximum levels of independence and specialist advice and support is sought when necessary. People are supported to visit healthcare professionals for routine appointments and to attend these supported only minimally by staff. The staff of the home are aware of the importance of routine health screening and proactively encourage residents to attend their appointments. The home has in place a robust medication policy, procedure and practice guidance. Staff are aware of their responsibilities in relation to the safe administration of medication and have been properly trained. None of the current residents self medicate. The system used for the safe administration of medication is the Nomad system. This system reduces the likelihood of medication error and provides an accurate record of administration. At the time of inspection the member of staff on duty said that they were not medication assessed and would not be dispensing medication to the residents. The inspector was informed that the complex operates a system whereby two trained staff from another home would medicate residents of Yew Bank when needed. Yew Bank DS0000011170.V339599.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22, 23 Quality in this outcome area is good. The residents are safe and protected by the policies and practices within the home and residents views and comments are listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an easily accessed complaints procedure, which has been produced in easy to read pictorial format. Each resident has been provided with a copy of the homes Service Users Guide that contains details of the complaint process and time scales for action. A copy of the easy read version is in each residents care file. One resident told the inspector that he knew how to make a complaint but had never had to make one. He said that he would talk to the staff that would “make things better”. Examination of staff training records indicated that all staff receive training in the protection of vulnerable adults and are made aware of their responsibilities in relation to whistle blowing. Protection of Adults is a core module in staff induction and foundation training and National Vocational Qualifications at levels 2, 3 & 4. The home has a copy of the ‘Safeguarding Adults’ strategy and staff demonstrated awareness of its content and how to respond to suspected abuse. All staff have received the necessary training to protect users of the service from harm. There have been no complaints or safeguarding issues at this home since the last inspection. People at the home confirmed that they felt “safe” living at Yew Bank. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 16 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): Standards 24 & 30 Quality in this outcome area is excellent. The home is comfortably furnished and pleasantly decorated providing a homely environment for the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home evidenced that the home was clean and hygienic throughout. Communal areas were spacious, light and airy and pleasantly furnished and decorated. The home is appropriate to the resident’s lifestyle and is homely, clean and comfortable. The home has been redecorated throughout in the past year and a new dining table and chairs; new sofa, new carpets and new blinds have been fitted in the kitchen, dining room and lounge. A new washing machine and drier have recently been purchased for the laundry. The staff team are mindful of the need to involve residents with the choice of decoration and furnishings in the home. Bedrooms have been decorated to the residents own particular colour choice and theme. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 17 The gardens are extensive and are extremely well kept and well used by residents. Residents are encouraged to see it as their own home and may invite friends to visit whenever they like. The home is situated in a complex of other homes in a small village community. On site is a clubroom, which is used for meetings, parties and community events and a horticultural therapy centre, which is well used by residents. Residents told the inspector that they liked living at the home. One resident said, “I like living at Yew Bank it’s the best home here, everyone is friendly” Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 18 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): Standards 32, 34, 35 Quality in this outcome area is good. The residents benefit from being cared for by properly recruited and trained staff in sufficient numbers to effectively meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a robust and well-developed recruitment procedure that ensures the safety and protection of residents. Residents are positively encouraged to participate in the recruitment process and take part in the interviews of prospective employees. Examination of the staff recruitment and training files for 2 workers at the home evidenced that staff were appropriately recruited, inducted and trained. All necessary checks are carried out on staff to ensure that they possess the necessary attributes to care effectively for users. Records were well kept and met the required standard. One resident said that they thought that the staff were “nice, helpful and good staff”. Observation of practice and discussion with staff on duty confirmed that staff had built an excellent rapport with the residents and knew their needs well. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 19 Staff confirmed that they have the opportunity to express their opinions openly in staff meetings and staff handovers. They say that they are provided with plenty of opportunity to express concerns, share information and to feel included and involved in the way the service is delivered. Each month a complex wide meeting is held, where issues of mutual interest are discussed and plans are made for the future. The minutes taken at these meetings evidenced that they were resident focused at all times. Staff are offered opportunities to gain professional qualifications to further enhance their knowledge and skills. Several staff had already achieved a National Vocational Qualification at Level 2, 3 and 4 and a number of staff were nearing completion. The inspector met the newly appointed Training Manager and discussed the training available to staff. There was evidence that all staff are provided with refresher training in core skills at regular intervals, including fire safety awareness, first aid, medication, safeguarding adults, health & safety, first aid, manual handling and infection control to ensure the residents safety. The Organisation has an in-house training team that are certificated trainers in various core skill areas. The trainers carry out most of the refresher training in the home. Throughout the inspection the staff were able to demonstrate that they have the necessary skills and experience to effectively meet the needs of people in their care. There approach was consistent, professional and based on establishing and maintaining users independence and autonomy. Staff supported and enabled service users to maximise their quality of life, to take risks and to make appropriate decisions. Residents have confidence in the way that the staff care for them. They made comments to the inspector such as “staff are really nice here”, “there is always someone to go to when I need help” and “I really like them especially my key worker”. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 20 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): Standards 37, 39, 42 Quality in this outcome area is good. The home is safe and well managed by a competent team leader and professional staff team. The home seeks and focuses on the views of its residents on an on-going basis. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff on duty were able to confirm that the Team Leader/Acting Manager of the home is experienced and competent and runs the home in an enthusiastic, open and transparent way. The Team Leader is currently nearing completion of an NVQ 4 and Registered Managers Award following which the Organisation will register him with the CSCI as Manager. The Operations Manager and Care Manager are daily visitors to the home and are supporting the Acting Manager in his work role. The quality assurance system has recently been reviewed. Members of the ‘board’ are taking it in turns to carry out Regulation 26 visits in each home and Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 21 have received relevant training so that they are more focused on the outcomes for service users. In addition questionnaires have been sent to professionals, carers and residents to monitor satisfaction with the service. The questionnaire results will be collated by senior management and will help the service to measure its success in meeting its stated aims and objectives. Residents confirm that they feel management is approachable and will listen to their views, comments and suggestions and will act upon them appropriately. This was evidenced in ‘Residents Meeting Minutes’ and in the daily records. Examination of a number of health & safety records indicated that all necessary checks and servicing of equipment is routinely undertaken to safeguard the health and welfare of people using the service. Unnecessary risks to residents are identified using a comprehensive risk assessment. So far as possible the risks are reduced or eliminated by putting in place effective guidelines, policies and procedures. Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 22 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 3 ENVIRONMENT Standard No Score 24 4 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 4 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 4 13 4 14 x 15 4 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 Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Yew Bank DS0000011170.V339599.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 - 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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