Care Home: Bowley Close, 5

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What the care home does well Residents receive good quality care at this home. There is careful consideration of the residents` cultural needs and this is built into the daily life of the home. The home has worked with health care colleagues to develop effective communication tools to use with residents. Staff and the Registered Manager have shown a commitment to assisting the residents to lead fulfilling lives. Positive feedback was received from a range of sources about the attention that the home has paid to residents` health care needs. Medication is well managed. Staff are well supported and supervised. What has improved since the last inspection? The home now has a manager who is registered under the Care Standards Act. This has meant that there is a person in overall charge of the home, he has been judged fit and competent for the role. Although there are still vacancies on the staff team it is now more stable, and less use of temporary staff to provide care. This means that residents benefit by being cared for by people who know their needs and with whom they are familiar. The Registered Manager provided assurances that the vacant posts are to be filled. Some repairs have been undertaken to the kitchen, a decision about whether a new kitchen will be fitted is expected soon. Food, which has been frozen after the date of purchase, is now labelled with the date of freezing. This means that food is now stored safely. What the care home could do better: One requirement is made, that is that the four vacant care staff posts be recruited to. The Registered Manager recognises that the residents would benefit from female care staff being available at night-time, and from staff who reflect the cultural background of two of the residents. CARE HOME ADULTS 18-65 Bowley Close, 5 Farquhar Road London SE19 1SS Lead Inspector Ms Alison Pritchard Key Unannounced Inspection 12th March 2008 11:30 Bowley Close, 5 DS0000007064.V360690.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 Bowley Close, 5 DS0000007064.V360690.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. Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bowley Close, 5 Address Farquhar Road London SE19 1SS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company Name of registered manager Type of registration No. of places registered (if applicable) 0208 670 8662 0208 299 8598 5Bowley@choicesupport.org.uk www.choicesupport.org.uk Choice Support Philip Henry Peter O`Hare Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only - Code 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 - Code LD The maximum number of service users who can be accommodated is: 4 24th July 2006 Date of last inspection Brief Description of the Service: The aims and objectives of the home are to provide support and accommodation to four adults with learning and physical disabilities who may have little or no verbal communication skills. It is a purpose built bungalow located in a cul de sac close to the centre of Crystal Palace. It opened in 1989. There are several other care homes grouped together in the close, all of which are managed by Choice Support. The home aims to provide a comfortable, homely atmosphere in a safe and clean environment. The home is close to local facilities such as shops, cafes, pubs, a park and a sports centre. Public transport routes are also close by. The close is situated off the side of a steep hill, making pedestrian travel for wheelchair users and people with limited mobility difficult. At the time of the inspection there was one vacancy in the home. Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out over one day in mid March 2008. The inspection methods included discussion with staff and the Registered Manager; observation of care practice; a tour of the building; inspection of files and a range of records and policy documents. Relatives, staff and involved professionals were sent survey forms so that they could contribute to the inspection process if they wished. We are grateful for the contributions received. The CSCI has access to information gathered through notifications from the home. A document called an ‘Annual Quality Assurance Assessment’ (AQAA) was completed by the Registered Manager of the home and returned to the inspector. It provides information from the Registered Manager about how the home is addressing the National Minimum Standards along with factual information about the operation of the home. All of this information has been taken into account in compiling this report. The Registered Manager, residents and staff facilitated the inspection visit. They were helpful and courteous throughout the process. What the service does well: What has improved since the last inspection? The home now has a manager who is registered under the Care Standards Act. This has meant that there is a person in overall charge of the home, he has been judged fit and competent for the role. Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 6 Although there are still vacancies on the staff team it is now more stable, and less use of temporary staff to provide care. This means that residents benefit by being cared for by people who know their needs and with whom they are familiar. The Registered Manager provided assurances that the vacant posts are to be filled. Some repairs have been undertaken to the kitchen, a decision about whether a new kitchen will be fitted is expected soon. Food, which has been frozen after the date of purchase, is now labelled with the date of freezing. This means that food is now stored safely. 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. Bowley Close, 5 DS0000007064.V360690.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 Bowley Close, 5 DS0000007064.V360690.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): 1, 2, 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and procedures for admission ensure that both the home and the potential resident have enough information to decide whether it would be an appropriate place for the person to live. EVIDENCE: There have been no new admissions to the home for some time and none are planned. Each of the current residents has an individual service user guide which uses photographs and symbols to make it accessible. The Registered Manager said that staff have spent time going through the documents with the residents. The admission policy of Choice Support includes provision for introductory visits to take place. The policy of the managing organisation is for social work assessments to be obtained prior to admission and for placements to be subject to a twelve week trial period. Bowley Close, 5 DS0000007064.V360690.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, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans reflect residents’ goals which are drawn up whenever possible with the involvement of relatives and advocates. EVIDENCE: Choice Support uses a person centred model for care planning. A key worker co-ordinates the process with the guidance of the Registered Manager. There are guidelines in place to clarify the goals for each resident and to ensure that staff work consistently. The guidelines have been reviewed recently. Risk assessments had been reviewed recently and they were seen to be relevant for the residents and their activities. Records are kept of residents participation in activities which are geared towards the achievement of their goals. Placement reviews were scheduled to take place soon after the inspection visit. Feedback received from a placing authority was that the home prepares well for the reviews and supplies the required information. The residents need the help of other people to make sure that their needs are taken into account and their best interests promoted. Advocates and relatives Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 10 are involved with the residents and are invited to participate in decisions of importance to the resident. The managing organisation has links with a service called ‘Customer Watch’ which is a forum through which people with learning disabilities can express their views on the services provided through Choice Support (Southwark). This ensures that the opinions of service users generally are included in the overall planning of the organisation. Choice Support has recently employed a service user involvement manager. Residents’ personal information is stored with due regard for confidentiality. Choice Support is registered under the Data Protection Act and there is a confidentiality policy to ensure that staff handle residents’ personal information with care. Bowley Close, 5 DS0000007064.V360690.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 excellent. This judgement has been made using available evidence including a visit to this service. The residents benefit from a range of community and home based activities. There is good consideration of residents’ cultural and spiritual needs. The residents enjoy meals which take into account their nutritional and cultural needs. EVIDENCE: The home has made considerable efforts to ensure that the residents lead active lives which reflect their interests and cultural backgrounds. Choice Support has employed a ‘service user involvement worker’ who shares his cultural background with two of the residents of this home. His input has been valuable in developing the interests of these two residents and also assisting the third resident to have more access to the community, something which has been difficult as a result of behavioural challenges. A speech and language therapist has worked with the home to develop tools to use as part of a planned programme of community activities. The community activities in which the residents are involved include attending a Pop In club; bike riding (using bikes adapted for people with disabilities); Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 12 attending Church; going to a specialist culturally appropriate day centre; shopping and going to local pubs and restaurants. The location of the home, at the bottom of a steep hill, has limited the extent to which residents have been involved in the community. This is being addressed through a plan to find alternative housing for the residents. At home the residents have a range of interests, including watching wrestling on television; playing the organ; listening to music; looking at magazines; sensory toys and having a massage from a visiting aromatherapist. They also have the chance to take part in household tasks and develop skills such as sandwich making and washing up. During the inspection a resident was helped to vacuum the floor, he looked very happy while doing the activity, laughing and smiling throughout. Two of the residents have been on holiday in the last year and the venues were appropriate for their needs. The rota is planned to take into account the residents’ activities and, whenever possible, to ensure that a driver is available to drive the Motability car. Residents are supported to keep in touch with their families and friends. The home has gathered information about the residents’ family histories from these contacts to better understand the residents’ backgrounds. In situations where the families are no longer in touch efforts are made to re-establish contact. In the home staff talked to and about residents respectfully. When the inspector was shown residents’ bedrooms the staff member informed the residents hat this was to take place. The routines of the home are flexible, so that residents can join in activities or choose not to do so. A comment received from a professional was that the home ‘recognise service users as individuals with rights’ and also stated that they had seen a resident thrive and feel valued as a result of this. The menu reflects the residents’ backgrounds. Pictorial tools are being developed to help the residents to make choices about the food they eat. Fresh items are included in the choices offered to residents and staff are aware of their preferences. Bowley Close, 5 DS0000007064.V360690.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 excellent. This judgement has been made using available evidence including a visit to this service. The residents benefit from careful attention to their health care needs. The residents’ needs are well documented and the home has close liaison with health care professionals to ensure that they have access to expert advice. The advice received is built into the care routines. EVIDENCE: Observation and feedback from health care professionals showed that personal care is provided sensitively and residents’ privacy is observed. The staff showed awareness of residents’ dignity, for example a resident was assisted to change her clothes when they were stained. The staff team is made up of women and men as is the resident group. At night time there is just one member of staff on waking night duty and the two members of staff who cover this shift are male. This means that appropriate person care cannot be provided for the female resident. The Registered Manager recognises that this is inappropriate and stated that he would like to fill one of the night time posts with a female worker. Each of the residents has a health action plan which describes their health care needs and preventive health issues. The plans were drawn up in consultation with the GP surgery. The home has worked well with health care professionals Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 14 in order to address the range of residents’ health care needs. There is regular contact with the GP, the dentist and members of a multi-disciplinary health care team which specialises in providing care for people with learning disabilities. This has had positive outcomes for residents so that people with a range of expertise have contributed to their addressing their health care needs. The home keeps in touch with the GP and will seek advice appropriately about residents’ health. Contact with the GP has been by telephone and e-mail. As the home does not have an internet link this can only take place when the Registered Manager goes to the Choice Support office. Communication with a range of involved professionals would be enhanced by the availability of e-mail in the home. When a resident needs to have a complex and invasive procedure undertaken the appropriate processes are followed, including holding ‘best interests’ meetings so that proper consideration is taken of the residents’ needs. Feedback about the way the home looks after residents health was very positive. It included the comments: • ‘clients’ health care is exemplary and very well looked after’. • ‘I feel they do a difficult job well.’ • ‘they provide a good caring service.’ Medication stocks and administration records were checked along with the storage facilities. None of the residents is able to look after their own medication. The storage is safe, secure and suitable for the purpose. Appropriate details of the medications prescribed, their purpose and potential side effects are kept in the medication file. Staff demonstrated knowledge of the medications and why they are prescribed. Medication reviews have been undertaken. There are very good systems and procedures in place for the safe management of medication. Bowley Close, 5 DS0000007064.V360690.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): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and safeguarding policies and procedures contribute to the protection of residents. EVIDENCE: The complaints procedure of Choice Support meets the required standards and includes details of the timescales within which issues will be investigated. The Annual Report issued by Choice Support includes information that the organisation has conducted a thorough review of their policies, procedures and training to ensure that they are aimed at the protection of people who use their range of services. Choice Support introduced a new ‘safeguarding adults policy and procedure’ in March 2007. The judgement of the CSCI is that this is a thorough document, which is clearly written, and links all the aspects of safeguarding. The policy also introduces a new initiative of an internal protection committee. It is judged that this demonstrates that Choice Support is actively working to improve processes and practice. Staff are given copies of the safeguarding and whistle blowing policies and procedures. There was information that showed that they are confident in using the policies. The Registered manager has undertaken training in how to provide safeguarding training. Staff members will receive training in safeguarding issues in 2008 and thereafter every two years. Residents’ finances are checked regularly by the Registered Manager and periodically subject to further checks and auditing by the Service Manager of the home. Bowley Close, 5 DS0000007064.V360690.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): 24, 25, 28, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from a clean and homely environment. EVIDENCE: The home is located in a purpose built bungalow which is accessible to all of the residents. The building was cleaned to a good standard. The communal space consists of a living room / dining room which is adequate in size for the numbers and needs of residents. The room is decorated in a homely manner with photographs, plants and pictures. Some areas of the home are in need of redecoration and arrangements are being made for this to be carried out. It was noted at the last inspection that some repairs were needed to the kitchen, these have been carried out, and the home is awaiting confirmation that a new kitchen will be fitted. Each of the bedrooms is decorated in a manner which reflects the resident’s culture and interests. Photographs of people important to the residents are displayed in each of the rooms. There is a shower room and a bathroom in the home. There are three WCs available, one of which is close to the communal areas and the others close to the bedrooms. Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 17 One of the bedrooms is currently unoccupied and there are no plans to admit another resident. We were told that it is planned to develop the room as a sensory facility and the residents will benefit from this. There is a garden to the rear of the home and this has some garden furniture and barbecue equipment available. Bowley Close, 5 DS0000007064.V360690.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): 32, 33, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although there are vacancies on the staff team, efforts are made to ensure that the use of temporary staff does not adversely affect the residents. Staff are appropriately trained, supported and supervised, this helps them to provide a good service for the residents. EVIDENCE: The rota is planned to take into account residents’ activities so that the support they need is available. The staff team consists of, in addition to the Registered Manager, an Assistant Manager and five support workers, one of whom is part time. There are four vacancies for support staff on the team, these tend to be worked by members of the permanent staff team working additional shifts and other members of the Choice Support bank staff team. Efforts are made to ensure that the temporary staff are familiar to the residents and with their needs. While the commitment on behalf of the permanent staff team is admirable, this can only be a short term solution. The Registered Manager acknowledged that over the last year there has been a high level of staff turnover and was able to identify the reasons for this. He anticipates that the team will now be more stable. He intends to recruit to the vacant posts on the team and hopes to target new members who will more closely reflect the residents’ cultural backgrounds. As noted at standard 18 Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 19 above ideally female staff will be available at night time to provide appropriate personal care for the female resident. On the day of the inspection visit two members of the permanent team were working additional shifts. There were two members of staff on duty between 9am and 10pm and overnight one member of staff was awake and on duty in the home. Outside office hours there is an on-call system through which staff have access to advice. The Registered Manager was working between approximately 10am and 5pm, and he covered some care duties as well as office-based work. Five staff have achieved NVQ 2 or above and one member of staff is currently studying towards the qualification. This meets the standard required. Additional training undertaken by the team includes mandatory courses including manual handling; safeguarding adults issues; first aid; food hygiene; medication; health and safety and fire safety. Staff confirmed that they are provided with training which is relevant to their role, keeps them up to date with new ways of working and helps them to meet the needs of the residents. Confirmation was given that the recruitment procedure includes appropriate references and checks including enhanced CRB checks. Staff confirmed that these checks were conducted prior to them beginning work at the home. Records were not inspected on this occasion but arrangements are being made to do so. Staff confirmed that they receive supervision at approximately six weekly intervals and that advice is available in between these times. Team meetings are also a source of advice. One member of staff said that the team works well together and others commented that communication within the team is effective. Bowley Close, 5 DS0000007064.V360690.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): 37, 38, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. Residents’ views are included as part of the quality assurance systems. Regular checks of health and safety systems ensure that residents are safe. EVIDENCE: The Registered Manager is appropriately qualified and experienced for the role. He has achieved the Registered Managers Award and is working towards NVQ level 4. The management style in the home is open and was described by a member of staff as ‘helpful and supportive.’ There are a number of ways that Choice Support incorporate the views of residents and other stake holders in their quality assurance systems. Managers from other Choice Support service make visits to the home and complete reports of the visits. They include input from staff, observations of residents experience of life in the home and suggestions for improvement. Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 21 The Directors, Managers and Trustees of Choice Support meet regularly with representatives of service users who sit on a ‘service user forum’. They are involved with reviews of policies and procedures and two people with learning disabilities are part of the organisation’s Quality Assurance sub-committee. A Values Into Action (VIA) have conducted a survey on behalf of Choice Support to assess the quality of their services. Quarterly reports are made to the local authority which funds the residents’ placements and these are another tool to monitor the quality of the service they receive. Health and safety matters are well managed. A selection of records was sampled. There is a fire risk assessment which has been reviewed, drills are carried out quarterly and the fire alarms are tested weekly. Lifting equipment, including the bath chair, hoist and weighing chair was serviced in October 2007. Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 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 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 4 X 3 4 3 X X 3 X Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA33 Regulation 18(1)(a) Timescale for action The Registered Person must 01/06/08 ensure that the vacant posts are recruited to. The schedule for recruitment must be forwarded to the Commission. Requirement 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 Bowley Close, 5 DS0000007064.V360690.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Bowley Close, 5 DS0000007064.V360690.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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