Care Home: 18 Clive Street

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What the care home does well People who live in this home live in a homely and comfortable environment, which is maintained to high standards and kept clean and fresh. They are encouraged to get involved in tasks around the home, according to their abilities. They are encouraged by staff to develop a range of social interests outside the home and they have regular holidays. People`s health needs are met and there are good records of the appointments they have attended. There are good arrangements for storing medication and for giving people the correct doses. The staff are good at working with other professionals and helping the people who live in the home to get the necessary help and care. The staff provide nutritious food which meets the needs of the people who live in the home and suits their preferences. The staff team are well trained and put their training into practice. The records are detailed and up to date. They are stored in a safe place. There are good systems for monitoring the quality of care provided and these take account of the views of the people who live in the home and their visitors. What has improved since the last inspection? Several areas have been decorated and bedrooms have new furniture. The care plans are more detailed and have been reviewed regularly. Risk assessments have been carried out on the home and a range of activities. There are better records of the food which people eat so that staff can be sure that the food is suitable for peoples needs.There are better arrangements for the storage and handling of medicines. There are better records of residents` finances. Staff have received training in a range of areas so that they can provide better care. The recruitment procedures have been changed to provide better protection for the people who live in the home. CARE HOME ADULTS 18-65 18 Clive Street West Bromwich West Midlands B71 1LH Lead Inspector Chris Lancashire Key Unannounced Inspection 15th July 2008 9:30am 18 Clive Street DS0000004861.V368305.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 18 Clive Street DS0000004861.V368305.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. 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 18 Clive Street Address West Bromwich West Midlands B71 1LH 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) 0121 553 7251 Calanmill Caring Services Millicent Bedworth Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd July 2007 Brief Description of the Service: 18 Clive Street provides a homely and caring environment for three adults with learning disabilities. It is situated in a residential area of West Bromwich within walking distance of many local amenities. The Home was set up in order to provide care specifically for the three people living there. The Registered Provider states that it is unlikely that any new people will be admitted should any future vacancies arise. The house is rented from the Local Authority and is well maintained and communal areas consist of lounge, dining room, kitchen and garden. There are toilet facilities on the ground and first floors and well maintained gardens to the front and rear of the home. 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. What the service does well: What has improved since the last inspection? Several areas have been decorated and bedrooms have new furniture. The care plans are more detailed and have been reviewed regularly. Risk assessments have been carried out on the home and a range of activities. There are better records of the food which people eat so that staff can be sure that the food is suitable for peoples needs. 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 6 There are better arrangements for the storage and handling of medicines. There are better records of residents’ finances. Staff have received training in a range of areas so that they can provide better care. The recruitment procedures have been changed to provide better protection for the people who live in the home. 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. 18 Clive Street DS0000004861.V368305.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 18 Clive Street DS0000004861.V368305.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. Quality in this outcome area is good. People’s needs are assessed so that staff can provide suitable care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are no vacancies at the home which has remained occupied by the existing residents since it opened in 1996. The manager has in the past told us that as the home was set up specifically for the existing residents it is unlikely that she would seek to admit anyone else should a vacancy occur. We saw up to date records of the needs of the people who live in the home and these have been used to draw up the care plans, which tell staff how to care for each person. The assessments include details which have been provided by other professionals, such as health needs and they also show the choices which the people who live in the home have made about their lives. The staff showed that they knew what each person needed in terms of care. 18 Clive Street DS0000004861.V368305.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): 6,7,9. Quality in this outcome area is good. The people who live in this home are helped to make decisions about their lives and supported to take risks to develop their skills. Their needs and choices are reflected in their personal care plans so that staff know how to provide care which meets their needs and respects their preferences. However, the staff need to keep better records of how people have made their choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at the case files for each person who lives in this home. We saw that they were more detailed than they had been in the past. They contained details of the people’s needs in different areas of their lives, such as personal care, living skills, activities, health needs, nutrition, falls, continence and sleep pattern. They provide instructions for staff in these areas, although from discussion with staff, it was clear that they know the people who live in the home very well and are aware of their needs, likes and dislikes. The files also 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 10 contain lists of the people’s clothing and other possessions and these are updated twice a year. The staff were able to describe how each person had been involved in making decisions about their care. They described people being offered choices of pictures or items and pointing to the one they wanted. They described how they knew from expressions or words what each person preferred doing. However, these methods are not recorded and the deputy manager plans to make sure that there are records about the ways in which choices have been made and people have been involved in planning their care. There are risk assessments which include the risks which various activities and daily living tasks pose to each person in the home. The staff try to give people opportunities to develop skills and take reasonable risks. For example, people help in the kitchen and they go on shopping trips with the staff. 18 Clive Street DS0000004861.V368305.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): 12,13,15,16,17 Quality in this outcome area is good. The people who live in this home are helped to develop their skills and relationships in the home and community and to follow interests of their choice. They are provided with a healthy diet which suits their needs and preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We found an activity programme on each person’s file. These showed that people go to day centres, on trips to places such as Dudley zoo and on regular holidays for several weeks each year, in a caravan. They also enjoy going to the local casino and we saw photographs of people on their nights out. Staff told us that the people are part of their local community and are well known as regulars in the casino, the shops and the library. Two people go to day centres four days each week and they take part in various activities. 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 12 Visitors are made welcome in the home at any time. Staff help the people who live there to keep up relationships with friends and relatives who are important to them. They described visits which had taken place and we found that these had been recorded in the daily notes. We saw that residents are given choices with regard to their daily routines. Staff told us that people choose when they get up and go to bed and the daily records backed this up. Bedroom doors and bathrooms have been fitted with locks to provide people with privacy. People take part in daily living tasks in the home, depending on their level of ability and fitness and there are records of people vacuuming, cooking, washing up and doing laundry, taking responsibility for their own clothes. The staff prepare meals according to what the people who live in the home prefer to eat, bearing in mind the need to provide a healthy and balanced diet. We saw fresh fruit which, staff confirmed, is always available. The deputy manager told us that she had just completed a nutrition course. On the day of the inspection, the manager was taking food to the hospital as the person who was in there preferred the food from the home. We saw good stocks of food which was varied and nutritious. Staff described how people choose their meals by being involved in the shopping trips and pointing at items which they like. We saw records of the food which people had eaten. These show that everyone at the home eats at least five portions of fruit and vegetables each day. 18 Clive Street DS0000004861.V368305.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): 18,19,20 Quality in this outcome area is good. The people who live in this home receive support and care in the way they prefer and need. Their health needs are met and they are protected by the home’s policies and practices regarding medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We saw records of the personal help which staff provide to the people in the plans. The plans show the amount of help which people need and want. For example, in one plan it says that staff should run the bath for one person, but they can wash themselves. There is one male resident but the home does not employ any male staff. We discussed this with the manager and deputy, who said that, at the moment, staff do not need to provide intimate care, but if they did, they would discuss this with the person concerned and, if needed, would try to recruit male staff. The records of this person’s reviews show that he has been asked on a regular basis if he would like make staff and has indicated that he does not. 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 14 We saw that staff have continued to make improvements in the records of healthcare appointments. There are details of residents’ attendance at chiropodists, dentists, opticians and specialist clinics. Staff have recorded when people have refused to attend appointments and staff showed that they understand the action which they need to take depending on who the appointment is with. For example, if it were a routine eye appointment and the person appeared to have no difficulties with their sight, then the risk of missing this appointment would be less than the risks of missing an appointment with a specialist doctor when the person had a known condition which needed regular review. Staff check the weight of the people in the home on a regular basis and they have used the services of a dietician when it has appeared that someone is having difficulties in receiving the right diet. We saw healthcare plans on files and staff have made appointments for people to have full health checks with the health facilitator at the local General Practitioner’s surgery, so that they can be screened for some conditions. We looked at medication systems and found that improvements have taken place. All of the staff have received training in the safe handling of medication. The medicines are now stored in a different location, which is safe. There are good records of the medicines in the home and we found no gaps in the medication administration record (MAR) sheets. There is a policy, with written instructions for staff about medicine which has been bought from the pharmacy. This has been agreed by the doctor. 18 Clive Street DS0000004861.V368305.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): Quality in this outcome area is good. The people who live in this home are protected from harm and their views are listened to and acted on. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We saw a detailed complaints system which is openly displayed in the dining room. It is also included in the home’s Statement of Purpose. The staff described the action which they would take if anyone made a complaint and the manager said that she is always available if people want to talk to her. The records show that there are regular visitors to the home. These are health professionals, people from social services and friends and families. Staff said that they try to create an open atmosphere so that any visitor would be able to bring matters to their attention if they saw something which needed to be changed. Staff also explained the signs and behaviour of each person in the home when they are not happy with what is happening and described the action which they would take. This is important because the people who live in this home are not likely to make formal complaints about their care, but they may display behaviour which shows that they want something to change. No complaints have been received about this service since the last inspection visit. Since we last visited all staff have undertaken training in vulnerable adult protection. There is a policy about adult protection and this has been 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 16 updated. Staff described the action they would take if they suspected that someone was being harmed or was at risk. The insistence by staff that a person was taken to hospital when emergency services were reluctant to do so shows that the staff are very aware of changes in the mood and behaviour of the people in their care when all is not well. This person was found to have a serious illness. There have been improvements in the records of how people’s money is managed. All of the people who live in this home need some support in accessing and managing their monies and there are now better records of how this is carried out. The manager has held meetings with the placing authorities to agree and sort out and agree the arrangements regarding finances for each person who lives in the home. We checked the money which is looked after by the home for one person and this balanced against what was recorded. Staff sign to show when money has been taken out and what it has been spent on. There are receipts when possible. 18 Clive Street DS0000004861.V368305.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, 30. Quality in this outcome area is good. The people who live in this home have a homely, comfortable and safe environment, which is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We toured the building and saw that the whole house is decorated and maintained to high standards in a homely way. All areas are bright and clean, with no unpleasant odours. Since the last visit, the bedrooms have been decorated and each person chose their own colour scheme and furnishings. Some furniture has been replaced, including a bed. The bedrooms contain a range of personal possessions and are very individual in style. There are two handrails on the stairs; the manager told us that no other aids and adaptations are required at present as the people who use them are fully mobile. However, we discussed the possibility that, in the future, as people 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 18 age, their mobility may decrease and they may not be able to negotiate stairs. The manager and staff are aware of this and said that they consider the future and know that they may need to make changes if people are to continue to live in the home. The lounge and the dining room/office have been decorated and a new settee and chairs have been ordered. There is a caged bird in the office and staff said that his is popular with the people who live in the home. Staff spend the night in the lounge, which is not an ideal situation, but there are no other rooms and they confirmed that this is an acceptable arrangement for them. The bathroom has a bath with an overhead shower. It is homely and not institutional. As the people who live in the home age, it may become necessary to consider fitting more accessible washing facilities. There is no separate laundry with the washing machine being installed in the kitchen, but a risk assessment has been carried out and staff take care to follow procedures which cut down the risk of contamination by making sure that they do not wash and cook at the same time and they bring washing to the machine in suitable containers. There is a small wash hand basin in the kitchen with a supply of liquid soap and paper towels. Staff use disposable gloves and aprons when there is a risk of contamination. There is a neat and well maintained garden at the front of the house and a larger back garden. This is tidy, with grass, flower beds and a sitting area. 18 Clive Street DS0000004861.V368305.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): 32,34,35,36 Quality in this outcome area is good. The people who live in this home have their needs met by a small, competent team of staff who are supervised and receive suitable training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a small team of the manager, the deputy and a carer. They all carry out a range of tasks and this creates a homely atmosphere for the people who live there. The staff hold level 3 NVQ qualifications. The deputy has level 4 in care and is undertaking level 4 in management. They have all attended various courses during the past year, including nutrition, food hygiene, fire training, infection control, first aid, Health and Safety, manual handling, mental health and understanding the mental capacity act. All of the staff are female and as has already been mentioned in this report, the manager will continue to review the need for male staff to meet people’s needs. We looked at recruitment records and found that there have been no new members of the team since the last inspection. For the staff who are employed, the manager had taken up references and checked the staff through 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 20 the Criminal Records Bureau. The deputy explained that she has changed the recruitment and selection process so that it is now more thorough and includes a health declaration and checks with referees. We also discussed her plans to renew checks and to ask people to make regular declarations that they have not offended between checks. These measures will mean that the people who live in the home will be better protected by the recruitment and selection procedure. The home has a formal induction system for new staff and this meets the requirements. All staff have training assessments and plans for the coming year. The records are well organised. There is a system for the supervision of staff and this is carried out. However, there is also ongoing informal supervision as the staff work very closely together and share information and tell each other what they are doing and what they plan to do each day. All staff told us that they feel well supported by each other and they work well as a team. This means that the people who live in the home are treated in a consistent way by staff who are happy in their work. 18 Clive Street DS0000004861.V368305.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): 37,39,42. The quality in this outcome area is good. The people who live in this home are protected by the arrangements for managing the home, monitoring the quality of care and checking equipment, so that their health, safety and welfare is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs. Bedworth is both the registered proprietor and manager. She set up the home in 1996 specifically to provide care for the three residents who are currently accommodated. She is dedicated to providing a homely environment where people are well cared for and feel loved and she works flexible and long hours to make sure that she provides and oversees the care so that people’s 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 22 needs are met. For example, on the day of the inspection, she had been at the hospital because she knew that the person who had been admitted would be anxious without a familiar face and she also recognised that health professionals do not always have the necessary communication skills when working with people with specific needs in this area. She returned to the home to fetch food for the person’s lunch so that she would not need to eat unfamiliar hospital food and she returned to the hospital later because she wanted to make sure that the staff would be able to administer the correct medication at the correct time. She has recognised that she does not have the expertise to create and maintain the ever increasing range of risk assessments, plans and records which are now required to support the care and provide evidence that it is being delivered in the correct way. Her main skills are in providing day to day care and advocating on behalf of people who live in the home to make sure that they get the best care from the range of other professionals who provide services to them. She has recruited a deputy manager with experience in managing residential homes. She has developed the care planning system and reviewed and updated most of the paperwork so that it now meets the requirements. She supports the manager well and they work well as a team to ensure that people get the required care, which is then recorded and monitored. There is now a quality assurance system in place, which the deputy plans to develop further. This includes questionnaires which are sent to people who have dealings with the home, including relatives and professionals. There are questionnaires for the people who live in the home and these are filled in at their day centres, with help from the staff there, in case they want to say something which they would not want to say directly to staff at the home. The responses to questionnaires are positive and contain comments such as, ‘always appreciative of how quickly we are notified of any changes in residential treatment regimes’, ‘First class home, well run’ and ‘don’t think it can get any better – best there is’. One person who responded added an extra column after ‘good’ and called it ‘excellent’ and ticked all the boxes in that column. The records show that there are regular checks on safety in the home, for example, the electrical appliances and the fire safety equipment. There is a fire risk assessment and the manager has consulted the fire officer and agreed with him that rechargeable torches are suitable for use as emergency lighting. There is a safe place for storing chemicals used for cleaning and the deputy has a folder with the details of the risk assessments and measures which need to be taken if anyone comes into contact with these without being properly protected. Staff carry out monthly water tests and every tap is run on a daily basis to reduce the risk of salmonella. Staff are trained in fist aid and there is a suitable book for recording accidents. 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 3 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 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 24 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. 2 Refer to Standard YA7 YA18 Good Practice Recommendations Keep more detailed records so that they show how people have been provided with choice and how they have indicated their preferences. Continue to review the need for male staff so that the home can continue to meet the needs of the people who live there. 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 18 Clive Street DS0000004861.V368305.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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