Care Home: 351 Maidstone Road

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What the care home does well We observed some good support with staff offering choices and person centred support. Staff speak calmly, encouragingly and respectfully to service users. New staff complete an induction based on learning disabilities so they have some underpinning knowledge about peoples needs. People are having support to achieve their personal goals and aspirations. Plans of support are in place so staff know how to support people. Risks are identified and managed in a way that does not restrict people but enables them to take part. There are detailed plans to show what support people need with their personal and health care. Staff work closely with health professionals to make sure that peoples health needs are met. Most of the staff have a National Vocational Qualification in care. People said they have a good social life and have the support they need to access the community. People have support to plan and book their individual holidays. What has improved since the last inspection? The requirement and recommendation made at the last inspection has been met. There is a new manager who is registered with us. This means that he has gone through and passed the fit person process. E learning has been introduced by the company for staff as a flexible learning tool that staff can complete at work or at home. Staff have training in subjects like person centred planning, active support, positive behaviour support and intensive interaction. This means they have the skills to give the right support. The manager is improving the information about the home. This means that prospective service users will have some meaningful user friendly information to help them decide about moving in.351 Maidstone RoadDS0000061864.V376717.R01.S.docVersion 5.2The monitoring of health and safety has improved. The manager has organised the system with a named member of staff taking responsibility for making and recording audits and checks. One person had support to move rooms as they were being disturbed by traffic noise. They said they are much happier in their new room. What the care home could do better: There are no requirements or recommendations contained in this report. Key inspection report CARE HOME ADULTS 18-65 351 Maidstone Road Wigmore Gillingham Kent ME8 0HU Lead Inspector Kim Rogers Key Unannounced Inspection 7th August 2009 08:50a 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 351 Maidstone Road Address Wigmore Gillingham Kent ME8 0HU 01225 444596 01634 388513 maidstone.road@robinia.co.uk 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) The Robinia Care Group Ltd Mr Raymond Ashton Care Home 7 Category(ies) of Learning disability (0) registration, with number of places 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 7. Date of last inspection 11th August 2008 Brief Description of the Service: 351 Maidstone Road (the service) is registered to provide accommodation and personal care for up to seven people who have a learning disability. The house is detached with accommodation arranged on both the ground and the first floor. All of the bedrooms are for single occupancy. Most of them have a private wash hand basin, toilet and shower. There is parking to the front of the house and a large private garden to the rear. The premises are located in a residential area and are a mile or so from Rainham town centre. There is ready access to public transport. The service has its own vehicle. The Registered Provider gives a variety of information to prospective people who might want to move in. The fee range for this service is about £1,500 to £2,000 per week. For more information about the fees and services please contact the Provider. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key inspection of the service which includes an unannounced site visit. This means that we assessed the Key Minimum Standards. The last Key inspection of this service was 11/08/08. Copies of inspection reports are available from the Provider or can be viewed on our website. We spoke to people who use the service. We spoke to staff and the manager and sampled various records. We made observations and had a look around the home. We looked at the Annual Quality Assurance Assessment or AQAA. The manager completed this and it gives good information about how the home has improved, what could be better and how they intend to improve further. We looked at any notifications from the home about accidents and incidents. We sent surveys to people who use the service and other stakeholders. People told us what they think about the home. We received 3 surveys from service users and 4 from staff. All made positive comments about the service. Staff said, We have a good staff team Well done to the manager and team leaders for making so many improvements There has been a massive improvement in the home since new management. Service users are positive and appear much happier. Service users said, I like living here It is a very nice home We found that outcomes for people in some areas are good and in other areas outcomes for people are excellent. We found that the home provides a good service. People using the service experience good quality outcomes 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The requirement and recommendation made at the last inspection has been met. There is a new manager who is registered with us. This means that he has gone through and passed the fit person process. E learning has been introduced by the company for staff as a flexible learning tool that staff can complete at work or at home. Staff have training in subjects like person centred planning, active support, positive behaviour support and intensive interaction. This means they have the skills to give the right support. The manager is improving the information about the home. This means that prospective service users will have some meaningful user friendly information to help them decide about moving in. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 7 The monitoring of health and safety has improved. The manager has organised the system with a named member of staff taking responsibility for making and recording audits and checks. One person had support to move rooms as they were being disturbed by traffic noise. They said they are much happier in their new room. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 8 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 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is information available about the service. Person centred assessments are carried out to establish what support people need and want. EVIDENCE: We found that there is some information about the home. This is produced in large print with symbols and has some photographs. This means that prospective service users have some information to help them decide about moving in. The AQAA says they plan to make the information about the home more user friendly. The manager is developing a user friendly welcome pack. We found that a person centred assessment is used to assess people’s needs and aspirations. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 10 The manager said he carries out assessments with people to make sure that the home can meet the person’s needs. We could not test this as no one has moved in since the last inspection. The manager said that current service users meet prospective residents and have a say about who moves in. He said that compatibility is considered as it is important for people to get on. The manager said that people are welcome to visit the home and have a look around. Trial stays are organised so people can see what it is like to live at 351 Maidstone Road. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the support they need to achieve their goals. Risks are supported and managed so that people are not unnecessarily restricted. People have the support they need with communication. EVIDENCE: We found that each person has a service user plan. This details the person’s needs and aspirations for the future. We found plans to be clearly written and up to date. Plans are person centred in that people have been fully involved in their development and are involved in writing and reviewing plans. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 12 The plans tell you about the persons background and about the life they have had and about the life they would like to have in the future. The support needed is also recorded so staff know what to do to support peoples needs and goals. We found that plans are produced in a way that is meaningful to people so they can keep track of the progress towards their goals. People told us about their goals and about staff supporting them to achieve. Each person has a key worker who they choose. Key workers review plans with people. We found that cultural needs are recorded and supported. We found that potential risks are identified and assessed. This is done with the person and usually the manager and the person’s key worker. We found that risk assessments do not restrict people but enable them to take part. We found that risk assessments are regularly reviewed with the service user by the manager and key worker. This means that any change in need or new risks can be identified more quickly. We found that the way people prefer to communicate is recorded in individual plans. This is detailed and clear so staff know how to communicate effectively with people. This means that people have support to make choices and decisions. We observed staff communicating effectively with service users. Staff were patient. We observed staff offering choices to people including what they would like to eat, what they would like to drink and how they would like to spend their day. We found that the environment supports communication. For example a menu is on display so people know what the meal choices are. We found that people have to ask who will be on duty. The manager said that he could introduce a system so people can find out who will on duty for themselves rather than having to ask staff. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 13 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): This is what people staying in this care home experience: 12, 13, 15, 16 and 17 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the opportunity to take part in a range of activities and feel part of the community. People have support to keep in touch with their family and friends. Everyone is involved in planning and preparing meals. EVIDENCE: We found that there are opportunities for people to take part in various activities, in house and in the community. This includes opportunities for leisure and life long learning. People said that they have enough to do and especially enjoy trips out like shopping. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 14 One person said they especially enjoy going to college. There is a vehicle that staff can drive to access the community. One person said they use their bus pass on public transport also. The AQAA says they are planning to organize more weekend activities. Service users have had support to plan and book their holidays that are all individual. We found that relationships are supported. People have the support they need to keep in touch with and visit family and friends. We found that service users are involved in planning and preparing meals and all go food shopping. There is free access to the kitchen and everyone is involved in cooking with people making their own breakfast and lunch. A service user said they enjoy taking part and do lots of cooking at home. We found that food likes and dislikes are recorded in individual plans. We found that special diets are supported and nutrition and weight is monitored. We found that there are snacks like fruit and drinks readily available so people can help them selves when they are hungry or thirsty. We found that service users are supported to be involved in things like the housework and cooking. This gives people the opportunity to take part, be involved and increase their skills. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the support they need with personal and health care. Medication practice is safe and person lead. EVIDENCE: We found that the support people need with their personal care is recorded in detail. This means that staff know how people prefer to be supported. We observed staff encouraging service users with personal care in a sensitive and discreet manner. We found that the support people need with their health is recorded in individual plans. Each person has a health action plan that shows staff what they need to do to support people to remain healthy and well. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 16 We found that the home works with health professionals to make sure people have the support they need to remain well and healthy. People said they have the support they need to keep healthy. Staff have training in areas related to health so they can give people the support they need. People have the support they need to attend health related appointments. Records of the outcomes of appointments are kept and changes made to the service user plan when needed. There are monitoring records completed by staff that highlights any changes so staff can act quickly when necessary. We looked at the storage of medication and found it to be safe. The manager said he is talking to service users about having more control of their medication through assessment and support plans. One service user said they think this is a good idea. We found that staff have training before they are allowed to administer medication. We found that regular competency assessments are carried out by the manager to make sure staff are still safe to administer medication to people. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know their complaints will be listened to and acted on. People are protected from harm and abuse. EVIDENCE: We found that there is a complaints procedure. This has large text, pictures and some symbols to make it user friendly. This is displayed in the home. Service users meet up every week to talk about the service. We found that people have confidence to speak out and make complaints. People said that staff will sort out their complaints. The Commission has had no complaints about the home since the last inspection. The AQAA shows that the manager has received and dealt with some complaints. For more information please contact the provider. We found that there are policies about how people are safeguarded from harm and abuse. Staff and the manager have training in how to recognise and respond to abuse. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 18 We found that staff have training in how to support problem behaviour in a positive way. We found that people have positive behaviour support plans showing things like triggers and distraction techniques. This means that staff have the guidance they need to support people in a positive way. People said they feel safe living at Maidstone Road. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and well maintained. EVIDENCE: We found that the home is clean and smells fresh. Service users confirmed this in the surveys we received. We found that each person has their own room which are personalised so look individual. One person showed us their bedroom and said they are happy with their room. A bathroom with WC is close to bedrooms. There is also a separate WC on the ground floor. Bedrooms have en suite facilities. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 20 There is a large lounge, dining room and separate kitchen. At the rear is a large garden that is screened by mature trees. There is a vegetable plot and activities like swing ball for people to use. Some parts of the home have been redecorated since the last inspection. The AQAA says that more redecoration is planned as well as some new carpets and furniture. There are restrictions on access to the garden and laundry. The manager said that this restriction has been made in peoples best interests. He agreed to keep this under review and to ensure that it is the least restrictive option available. Everyone has a key to their room. Service users said that they are supported to take part in the housework including the laundry and cleaning. This means that people have the support they need to be involved. The office has been moved to a spare ground floor bedroom as recommended at the last inspection. This means that the office space does not impact on service users communal space and that confidentiality can be better maintained. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough trained staff to meet peoples needs. Recruitment checks are robust protecting service users. EVIDENCE: We found that there are enough staff to meet peoples needs. The manager said that extra staff can be called on when needed. The manager has made changes to the shift pattern that staff work so opportunities for service users are not restricted. The manager said that all staff are up to date with the required mandatory training and most of the staff have an National Vocational Qualification in care. Staff have training related to peoples needs including person centred planning, active support and positive behaviour support. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 22 The company has introduced e learning for staff. This requires staff to use a computer to read about a topic and answer some questions about it to check they understand. There is a computer at the home so staff can complete modules while at work or staff can work on this at home. The manager can keep track on which staff might need refresher training or more support. New staff complete an induction based on learning disabilities. This means they cover the underpinning knowledge they need. Staff said in the surveys we received that they have the training and support they need to do a good job. Staff said they feel there is enough staff. We observed staff encouraging people to do things for them selves and supporting people in a positive way. A service user said they like all of the staff. Recruitment checks are carried out on new staff before they start work at the home. The AQAA and staff surveys confirm this. This protects service users. Service users are involved in meeting and interviewing prospective staff so they have a say about who may potentially support them. The home is currently fully staffed with some long standing staff who know service users well. We found that staff have one to one meetings regularly with a line manager. There is opportunity for staff to attend regular staff meetings. This means that staff can have discussions about the service and have some coaching and mentoring. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and peoples health and safety is protected. People know that their views and opinions will be listened to and acted on. EVIDENCE: Since the last inspection there is a new manager at the home. The manager is registered with us. This means that he has passed the fit person process. The manager spoke with knowledge and understanding of service users needs. He 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 24 is knowledgeable about recent legislation and is a trainer in the subject of the Mental Capacity Act. The manager has the qualifications required by the Minimum Standards and has several years experience in working with people with learning disabilities. The four staff surveys we received said that the manager is supportive. All four staff surveys said positive things about the management of the home. One survey said well done to the manager and team leaders for making so many improvements. Another said there have been massive improvements since the manager took over. A service user said that Ray is a good manager. The manager completed the Annual Quality Assurance Assessment, AQAA. The AQAA is well completed and gives detailed information about how the home has improved and how they intend to improve further. The AQAA gives good information about how they promote and support issues relating to equality and diversity and how the home is good value for money. The AQAA shows that the manager has identified barriers to improvement and has plans of how to overcome these barriers so that the service still improves. The AQAA shows that the required health and safety checks are carried out on the premises and equipment. Staff have training in areas relating to health and safety which protects service users. The AQAA shows that they use of range of ways to seek people’s views about the service. Service users meet up weekly to talk about the service. Surveys are sent out to people like care managers and relatives. This means they have the opportunity to give their views about the service. There are systems in place to check the quality of service including monthly visits by an area manager. Changes have been made based on peoples views like having more one to one outings and activities. Individual holiday choices and other goals like living more independently have been supported. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 25 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 3 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 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 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 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 26 351 Maidstone Road DS0000061864.V376717.R01.S.doc 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 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 27 Care Quality Commission Care Quality Commission South East Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 351 Maidstone Road DS0000061864.V376717.R01.S.doc Version 5.2 Page 28 - 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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