Care Home: 22 Sandown Road

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What the care home does well The outcome of the unannounced inspection was of the manager and staff working well to deliver an excellent service that benefits the residents living at 22 Sandown Road. The key National Minimum Standards have been more than met. Management and staff were enthusiastic with all aspects of their work and they obviously enjoyed caring for the resident group. Recording systems in the home were up to date and gave all relevant information about personal and health care needs and how those needs would be met. The home offered residents a wide range of activities, ranging from horse riding, bowling, hydro pool, going to the pub, theatre and cinema as well as outings to various places. Residents had opportunities to go on holidays in this country and abroad. The home provided a pleasant, comfortable and homely environment that was well maintained. The rapport between staff and residents was observed as residents had limited communication abilities. Residents were very relaxed with staff and staff knew what residents were trying to tell them. Staff were seen treating residents with respect. Staff supported residents with making choices and having a lifestyle that was appropriate for each person who lived at the home.Staff were assisted and encouraged to complete basic and additional training; to improve upon their knowledge and skills when caring for the residents who live at the home. What has improved since the last inspection? The home had developed a staff mentor role where a nominated member of staff, who was qualified to National Vocational Qualification Level 3, supported and guided other staff with supporting residents. All staff had successfully gained a qualification to at least National Vocational Qualification Level 2. There had been improvements to policies and procedures and managing resident`s medicines. What the care home could do better: Some of the sitting room furniture that was worn and torn needed to be replaced, the manager had already ordered new furniture and the home is waiting for it to be delivered. The scuffed paintwork needed to be painted, the manager was making arrangements to have the home redecorated. CARE HOME ADULTS 18-65 22 Sandown Road Billingham Stockton-on-Tees TS23 2BQ Lead Inspector Brenda Grant Key Unannounced Inspection 11th May 2007 11:00 22 Sandown Road DS0000068420.V339595.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 22 Sandown Road DS0000068420.V339595.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. 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 22 Sandown Road Address Billingham Stockton-on-Tees TS23 2BQ 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) 01642 365377 01642 360988 kaywaite@sjogcareservices.org.uk www.sjog.co.uk Saint John of God Care Services Mrs Kay Mildred Waite Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2006 Brief Description of the Service: 22 Sandown Road is a single storey, bungalow style care home providing residential care, without nursing, for nine adults who have Learning Disabilities. The communal areas of the home are: a spacious lounge, a large dining room, a quiet lounge and a sensory room. There is domestic style kitchen and laundry that are available to residents, depending on residents skills and abilities. All accommodation within the home is for single occupancy. One bedroom has an en-suite facility with shower, toilet and hand wash basin. There are communal baths, showers and toilets around the home. Bedrooms are personalised for the individual needs of residents. The gardens are accessible to residents; there is a designated patio area with a pot plants and seating. The entrance to the home also has pot plants and hanging baskets giving a welcoming first impression. The home is located near to Billingham town centre where there are shops and leisure facilities. Nearby there are churches and pubs. A bus route, to Middlesbrough and Stockton, is close to the home. 22 Sandown Road have a minibus and a people carrier to use as transport for the residents. On the date of this inspection the fees at 22 Sandown Road ranged from £946.43 to £2803.43 per week. 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced inspection. We assessed the information from: the Annual Quality Assurance Assessment and we carried out two unannounced visits to the home. The visits took place over two days, six hours in total. Discussion took place with staff, the Human Resources Manager and the registered manager. Residents had verbal communication difficulties therefore we observed how they interacted with staff and the home’s environment. We looked around the home and gardens as well as examining a number of records which included; residents and staff files, health and safety and maintenance checks, complaints and compliments and minutes from staff and residents meetings. The findings from the inspection were of the manager and staff creating a homely atmosphere and making every effort to meet the needs of individual residents. What the service does well: The outcome of the unannounced inspection was of the manager and staff working well to deliver an excellent service that benefits the residents living at 22 Sandown Road. The key National Minimum Standards have been more than met. Management and staff were enthusiastic with all aspects of their work and they obviously enjoyed caring for the resident group. Recording systems in the home were up to date and gave all relevant information about personal and health care needs and how those needs would be met. The home offered residents a wide range of activities, ranging from horse riding, bowling, hydro pool, going to the pub, theatre and cinema as well as outings to various places. Residents had opportunities to go on holidays in this country and abroad. The home provided a pleasant, comfortable and homely environment that was well maintained. The rapport between staff and residents was observed as residents had limited communication abilities. Residents were very relaxed with staff and staff knew what residents were trying to tell them. Staff were seen treating residents with respect. Staff supported residents with making choices and having a lifestyle that was appropriate for each person who lived at the home. 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 6 Staff were assisted and encouraged to complete basic and additional training; to improve upon their knowledge and skills when caring for the residents who live at the home. 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. 22 Sandown Road DS0000068420.V339595.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 22 Sandown Road DS0000068420.V339595.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including two visits to this service. Standard 2 Resident’s individual aspirations and needs are assessed before they are admitted to the home. EVIDENCE: Resident’s files included documentation of a full needs assessment that had been completed before the resident was admitted to the home. Those involved with the assessment process were; the potential resident, the person’s family, care manager and the manager of the home. The assessments gave details of the person’s needs, so that it could be determined if those needs would be met by the home. Potential residents and their families had the opportunity to visit 22 Sandown Road, to have a look around the home and meet staff and residents. The manager and staff encouraged potential residents to have many visits before admission. The visits included having meals and staying overnight. After the first visit, the home made up a file, to record what happened during those initial visits. The record also included the person’s views or, where there was no communication, how they interacted with staff, residents and the home’s environment. Family members and care manager’s views were also recorded. 22 Sandown Road DS0000068420.V339595.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including two visits to this service. Standards: 6, 7 & 9 The home had individual Care Plans, for each resident, which were regularly reviewed. The plans also included Risk Assessments that gave details for how risks were managed. Resident’s files informed how they were supported and assisted with individual needs and choices. EVIDENCE: A sample of Care Plans, called Individual Life Plans, was examined. They gave details of resident’s needs, capabilities and general information about resident’s lifestyle and likes and dislikes. Residents were unable to participate with the Care Plans but views from the resident’s family, care manager, key worker and if necessary an external advocate were recorded. Each resident had a number of Risk Assessments, to protect the resident’s vulnerability. The manager said, “Additional Risk Assessments had to be completed, depending on the type of activities residents wanted to do”. The plans and Risk 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 10 Assessments had been reviewed at least every year or when there were changes to the resident’s needs. Care Plans and Risk Assessments were seen to be appropriately stored in a lockable cabinet in the office. Residents attended day centres most days but they were offered a ‘community day’ each week. That was when residents had the opportunity have a day, being supported by the home’s staff, to take part in any activity they liked or just to have a quiet day at home. It was the resident’s choice, for what they wanted to do during the ‘community day’. Staff said residents were supported with making decisions, such as: choosing holidays, going on various activities and outings, shopping and anything the resident wished to do. The home kept a record of all that information. 22 Sandown Road DS0000068420.V339595.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including two visits to this service. Standards: 12, 13, 15, 16 & 17 Staff appropriately supported and cared for residents. Residents were offered choices of daily activities and residents could live their lives as they wished. Residents were encouraged to have a varied and healthy diet and mealtimes were enjoyable. EVIDENCE: The manager said, residents were encouraged and supported with their planned activities and there were also times when the home arranged extra activities and outings. Resident’s files included a record of the activities. Residents were assisted with attending day centres, going out into the local community and taking part in social events. One the day of the second inspection ‘site’ visit, one resident excitedly told us s/he was, “going to a 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 12 party”. S/he was to be supported, by the home’s staff, to go to a concert that was held at the neighbouring day centre. The home had two vehicles available for resident’s use, a ‘people carrier’ and a mini bus that could transport people in wheelchairs. On the day of the second inspection ‘site’ visit, one resident was assisted with going to a leisure centre to have a ‘hydro’ pool activity. Other activities residents enjoyed were: horse riding, bowling, theatre, cinema, going to the pub for a meal, shopping, discos and visits to places of interest. Staff said they helped residents to keep in contact with family and friends and families were regularly kept informed about their relative. Families and friends were encouraged to visit the home and they were offered the option of accompanying their relative on ‘community days’ and holidays. Holidays were to various places such as: America, Europe, Ireland and the Lake District, the destination would be determined by what the resident enjoyed doing. There was a wide variety of food offered to residents and special diets, likes and dislikes were catered for. That information was recorded in resident’s Care Plans. The home had ‘food picture books’, so that residents could be informed of the food that was to be offered to them. In the kitchen there was a good choice of fresh fruit and vegetables, frozen, tinned and dried food. Kitchen records were satisfactory for: food served to residents, a cleaning rota and fridge, freezer and food temperatures. Staff had completed food hygiene awareness training. 22 Sandown Road DS0000068420.V339595.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including two visits to this service. Standards: 18, 19 & 20 There was satisfactory support for health and personal care and there was suitable management of resident’s medication. EVIDENCE: Staff made sure resident’s personal care needs were carried out in a sensitive and correct manner. All requirements, for personal support, were recorded in Care Plans and Risk Assessments. Equipment was provided, to assist staff with resident’s personal care and staff had completed training for using the equipment. Each resident had a key worker, that was a member of staff who was nominated to a resident, to make sure resident’s rooms were well looked after and that resident’s interests were taken notice of. Key workers were rotated to different residents approximately every six months, so that residents would not become too reliant on one member of staff. Resident’s key workers made sure health care issues were dealt with promptly. The home kept records for all health care matters. The records contained details of appointments and they included the outcome of the appointments. 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 14 The manager said, when it was required, health care professionals and specialists readily gave support to individual residents. The Medication Administration Records and the controlled drugs record were examined. Records had signatures of the staff who had administered or witnessed medicines had been taken by the residents. There were no residents who had been assessed as able to control their own medicines. Staff had completed training for managing and administering medication. One senior support worker had completed a college course, for managing medicines, s/he was planning to improve the medication systems of the home. The manager said, “A member of the management team was always ‘on-call’ to give advice to staff if it was needed”. There was a satisfactory lockable facility for storing all medicines. 22 Sandown Road DS0000068420.V339595.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 excellent. This judgement has been made using available evidence including two visits to this service. Standards 22 & 23 Resident’s families were confident their views were listened to and residents were protected from abuse, neglect and harm. EVIDENCE: The home had a satisfactory Complaints Procedure. Staff were aware of the procedure and the Annual Quality Assurance Assessment informed, “All resident’s families are aware of the Complaints Procedure”. Since the last inspection there had been no complaints but the home had received two letters that compliment the management and staff of the home. Comments in the letters included, “You don’t know how much this means to us, to go home and have peace of mind you give us through the care you give ……. (resident’s name)” and “You are a wonderful bunch”. The home had a copy of the Department of Health Guidelines, ‘No Secrets’, which was for safeguarding adults. Staff files confirmed staff had completed ‘No Secrets’ training and all staff had signed a confidentiality agreement on the first day of their employment. The home had plans for all staff to complete further training for protecting vulnerable adults. Staff, spoken with, said, they were aware of the procedures if there was an allegation of abuse. 22 Sandown Road DS0000068420.V339595.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): Quality in this outcome area is good. This judgement has been made using available evidence including two visits to this service. Standards: 24 & 30 The home environment was homely, comfortable and safe and repairs and maintenance work was carried out. The home was clean, hygienic and free from offensive odours. EVIDENCE: Since the last inspection two bedrooms had been redecorated and new flooring had been laid. There was a new carpet in a hallway. The home was generally nicely decorated but there were some places where walls, door frames and furniture had been scuffed by wheelchairs. The manager said, “New furniture had been ordered and there were plans to have most of the home redecorated”. The garden areas were seen to be well maintained. There were hanging baskets and flower pots around the home. The garden, at the back of the 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 17 home, had a patio area that was enclosed by a small fence. There was seating, a trampoline and a swing for resident’s use. The manager said, “We have lovely bar-b-cues outside when the weather is nice”. The home had large communal rooms, residents were seen to be freely moving around and all areas were accessible to residents in wheelchairs. The home was comfortable, airy, clean and free from offensive odours. A domestic had been employed, to keep the home clean. S/he had successfully completed a National Vocational Qualification Level 2 for cleaning. 22 Sandown Road DS0000068420.V339595.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including two visits to this service. Standards: 32, 34 & 35 Residents were protected and supported by the home’s recruitment procedures and staff were appropriately trained to care for the residents at the home. EVIDENCE: Staff files contained records that confirmed staff had completed the required basic training. The home had made arrangements for staff to update their training, such as training for: fire awareness, manual handling, food hygiene and first aid. A senior support worker was planning to go on a course for infection control, to find out if there was any extra information that needed to be passed on to staff, in addition to the infection control procedures of the food hygiene and first aid training. Staff said, the management of the home encouraged staff to further their skills and knowledge through providing access to training courses. It is an exceptional achievement that all staff had successfully completed the National Vocational Qualification Level 2. Four staff, who had completed Level 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 19 3 of the qualification, were mentors for other staff. Mentors had been introduced since the last inspection. They were experienced members of staff who coached, supported and gave guidance to other staff. Staff said, they had completed extra training specifically for caring of the people living at the home and more training had been arranged. The manager said, staff’s one to one supervision and annual appraisals sometimes highlighted where staff needed some extra training. Residents were supported and protected by the home’s recruitment policy. Staff files, at the home, did not have copies of passports and birth certificates. The Human Resources Manager said, that information was kept at the organisation’s main office. The Annual Quality Assurance Assessment informed, “The organisation has an in-depth recruitment process and staff are not cleared to start until we receive Criminal Records Bureau checks, two references and medical clearance”. A support worker said, after s/he had been recruited “I did the induction training and for about two weeks I shadowed (observed) an experienced support worker”. It was only after an initial period that new staff were counted in with the numbers of staff on duty. The support worker said, “Everybody works as a team ”. Residents benefited from the home having a stable staff group. When there was a change of staff, the staff who were about to leave the home gave a thorough ‘hand-over’ of information to the staff who were coming on duty. That was so that the new ‘shift’ staff would know what had been happening at the home and to give them an update about the residents. The home kept a record of ‘handover’ details so that staff could refer to it if they were unsure what had been said. 22 Sandown Road DS0000068420.V339595.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including two visits to this service. Standards: 37, 39 & 42 Residents benefited from a well run home and they were included with developments and changes that took place. The health, safety and welfare of residents and staff were promoted and protected. EVIDENCE: The manager had satisfactory qualifications and experience to manage a care home for adults. Staff said they thought the home was well run. A senior support worker informed, “All staff have some kind of responsibility”. Staff, on a rota basis, were designated to be in control of the running of the home. This gave staff experience of having responsibility and to gain an understanding 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 21 about the management systems of the service. The manager and senior support workers watched over and monitored how this took place. The Annual Quality Assurance Assessment informed, “The organisation does an annual quality questionnaire and acts on improvements specified”. Questionnaires gave relatives an opportunity to comment on the service. From all of the information gathered, the manager developed an annual plan that took account of people’s views. The Annual Quality Assurance Assessment informed, “The responses from the questionnaires are very positive, people using this service seem happy and content with the service provided”. There were regular staff and residents meetings. Resident’s meetings were where key workers presented views of their nominated residents. All meetings were recorded and showed everyone had the opportunity to comment about the service. A number of health and safety records were examined. Records for: accidents, fire, electrical, water and equipment confirmed there were regular monitoring checks and maintenance work carried out. 22 Sandown Road DS0000068420.V339595.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 4 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 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 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 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 x 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23 Requirement The scuffed paintwork must be redecorated. The worn and torn furniture in the sitting room must be replaced. To keep the home in a good state of repair The staff files must contain copies of birth certificates and passports, to ensure the identity of persons employed at the home. Timescale for action 30/09/07 2. YA34 17 31/10/07 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 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 22 Sandown Road DS0000068420.V339595.R01.S.doc Version 5.2 Page 25 - 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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