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Care Home: Courthill House

  • Court Hill Chipstead Surrey CR5 3NQ
  • Tel: 01737557442
  • Fax:

Courthill House is a pleasant purpose built two storey residential home for up to ten people. It is situated in a residential area, close to a main road, Chipstead railway station and local shops. Resident`s bedrooms are single rooms and are provided on both floors. There are a variety of communal spaces, consisting of two sitting rooms, one dining room and an activity room. Access to the first floor is by lift and stairs. The home has a large enclosed garden, situated to the rear of the property. There is off-street parking for several cars at the front of the property. The home accommodates ten adult service users with a learning disability and the home can accommodate one service user with dementia related needs. The current weekly fees £1,352.34. This does not include additional costs such as; aromatherapy £6.00, hairdressing, holidays and outings.

  • Latitude: 51.311000823975
    Longitude: -0.17200000584126
  • Manager: Mr Padmasiri Parakrama Warnakula
  • UK
  • Total Capacity: 10
  • Type: Care home only
  • Provider: Surrey and Borders Partnership NHS Trust
  • Ownership: National Health Service
  • Care Home ID: 5060
Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 20th February 2008. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

For extracts, read the latest CQC inspection for Courthill House.

What the care home does well Assessment documentation is in place to ensure the individual needs of the people how use the service can be met. Comprehensive risk assessments are completed to assist the people who live at Westwinds to be able to participate in daily life with confidence. Individuals are encouraged by staff to participate in activities both within the home and the local community, which enables them to exercise choice and control over their lives. Meals are varied with individual choices and preferences, ensuring that the people who use the service receive a balanced diet. The staff have investigated ways in which they can support cultural and religious differences within the people resident at then home. Physical and health care is offered in the way service users prefer. People who use the service have access to a complaints system that enables them and their families to raise concerns. What has improved since the last inspection? The home has updated the `Statement of Purpose` and now includes details of arrangements for dealing with complaints. The programme of activities has been reviewed and individuals `identified needs` are now recorded on their care plans to ensure suitable opportunities both inside and outside of the home are available. The staffing arrangements have been reviewed to ensure that at all times sufficient numbers of trained and experienced staff are available to meet the service users assessed care needs. The manager and staff have undertaken training to ensure that institutionalised attitudes are examined and that all service users are treated in a manner that respects their privacy and dignity. What the care home could do better: There is only one area where the service must improve its practices the general environment of the home is poor. The condition of the walls on the first floor corridor was very poor and the, lighting has been identified as being inadequate.The kitchen is of a poor quality the worktops are badly damaged and pitted the cupboards are of an inferior construction and the room is in need of an extensive deep clean. CARE HOME ADULTS 18-65 Courthill House Court Hill Chipstead Surrey CR5 3NQ Lead Inspector Kenneth Dunn Unannounced Inspection 20th February 2008 09:30 Courthill House DS0000013617.V357847.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 Courthill House DS0000013617.V357847.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. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Courthill House Address Court Hill Chipstead Surrey CR5 3NQ 01737 557442 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) Surrey and Borders Partnership NHS Trust Mr Padmasiri Parakrama Warnakula Care Home 10 Category(ies) of Dementia (1), Learning disability (10), Physical registration, with number disability (2) of places Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Out of the 10 beds registered for learning disability (LD) up to 2 (two) may have an additional physical disability (PD). Out of the 10 beds registered for learning disability (LD) one may have dementia (DE) 27th February 2007 Date of last inspection Brief Description of the Service: Courthill House is a pleasant purpose built two storey residential home for up to ten people. It is situated in a residential area, close to a main road, Chipstead railway station and local shops. Resident’s bedrooms are single rooms and are provided on both floors. There are a variety of communal spaces, consisting of two sitting rooms, one dining room and an activity room. Access to the first floor is by lift and stairs. The home has a large enclosed garden, situated to the rear of the property. There is off-street parking for several cars at the front of the property. The home accommodates ten adult service users with a learning disability and the home can accommodate one service user with dementia related needs. The current weekly fees £1,352.34. This does not include additional costs such as; aromatherapy £6.00, hairdressing, holidays and outings. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced ‘Key Inspection’. The registered manager represented the service. The inspector arrived at the service at 09.30 and was in the home for three and a half hours. It took into account detailed information provided by the homes manager, and any information that CSCI has received about the service since the last inspection. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Documents sampled during the inspection included the care/person centred plans, daily records and risk assessments, medication procedures, staff recruitment folders, staff training records, and health and safety records. The home has submitted the Annual Quality Assurance Assessment (AQAA) prior to the inspection, some details of which have been added to the report. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. From the evidence seen by the inspector and comments received, the inspector considers that the home would be able to provide a service to meet the needs of individuals who have diverse religious, racial or cultural needs. In addition the inspector used a process of observation called SOFI to evaluate how the people who use the service engage with one and other and the staff when they are being supported this was carried out during the morning activities and the residents leisure time. The inspector would like to thank the residents in the home and the staff for their time, assistance and hospitality during this inspection. The quality rating for this service is 2 star, this means the people who use this service experience good quality outcomes. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: There is only one area where the service must improve its practices the general environment of the home is poor. The condition of the walls on the first floor corridor was very poor and the, lighting has been identified as being inadequate. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 7 The kitchen is of a poor quality the worktops are badly damaged and pitted the cupboards are of an inferior construction and the room is in need of an extensive deep clean. 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. Courthill House DS0000013617.V357847.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 Courthill House DS0000013617.V357847.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 & 2 were assessed during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of purpose has been developed and designed to provide clear and detailed information about the service. The homes admission and assessment procedures ensure that the needs of the people who use this service are appropriately identified and met. EVIDENCE: In line with a requirement from the previous inspection report (27th February 2007) the statement of purpose has been reviewed and updated (review date January 2008). The document contains all relevant information about the care home and the service to enable a person to make a decision about using the service or not. The inspector was advised that there have been no admissions to the home since the last inspection, however a member of staff stated that the service had stated to assess a potential new resident to take over the vacancy in the home. Staff spoken to during the site visit stated that the policies for the admission of a new resident would be fully actioned to determine that the Courthill House could meet the needs of the individual. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9 were assessed during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use this service are provided with a care plan, which is individual and highlights their needs and goals. Individuals are supported to make decisions about their lives with assistance. A full range of risk assessment has been completed to safeguard the residents. EVIDENCE: The inspector sampled care plans for three people who use the service. Each individual has a completed care plan which was person centred in approach and based on full needs assessment including personal care, health and emotional needs, communication, safety and social skills. Individual plans were of a good standard with clear priorities and objectives recorded. Clear support plans were in place for routines, strengths and need lists clearly defining individual preferences for example favourite community and leisure activities, preferred diet and routine tasks. It was evident that plans were regularly reviewed with annual, six monthly and where appropriate more regular monthly or even weekly reviews recorded. There is a key worker Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 11 system in place and two members of staff spoken to were aware of the care plans and their involvement in the review processes. Plans were agreed and signed and where this was not possible this was recorded in their plan. The people who use the service are invited to their reviews and are supported to be active in the process. A wide range of comprehensive risk plans were completed including personal care such a bathing, health, self help skills. Some individuals have emotional difficulties, which could lead to possible aggression to other with clear plans and management guidelines in place. Risk plans are bought to the attention of staff and are signed by them with regular reviews completed. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 15, 16 & 17 were assessed during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service benefit from the provision of a range of appropriate activities and leisure options. The staff group provide a good support system to enable the individual to access the local community. Rights and responsibilities are upheld and respected. Meals provided appeared well balanced and nutritious. EVIDENCE: The service offers the people who live there a wide range of activities. It was clear that activities were tailored to suit individual needs and preferences. An activity plan was available for each individual. Three activity plans were sampled there was evidence of regular reviews being undertaken and showed that the individual at Courthill House were offered a diverse choice of activities to engage in. One member of staff stated that the activities that are offered in house are flexible and spontaneous. The activity planner stated that the majority of residents should be engaged in general chores within the house, however as Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 13 the morning progressed this changed and a very enthusiastic music group developed. The staff were seen to fully support and encourage individuals to participate in the group. The SOFI observation focussed on the morning activities. During this time the people who use the service were seen to be engaged in a variety of activities the main activity of the morning was the music group where the residents were observed to be very willing participants within the group. One individual who while not participating within the group was fully engaged in the music and was supported to be part of the group when he wanted and to retire and listen on the side line when he indicated that he had had enough. The completed Annual Quality Assurance Assessment offers a clear picture of the types and styles of community activities that are encouraged for the people who use this service, they include shopping, local hairdresser, visits to the theatre, trips to the local library and trips out. In addition the people who use this service can access aromatherapy sessions that are held once a week. Contact with relatives is encouraged and the people who use this service are fully supported to maintain contact with their friends and families. The staff on duty stated that they would endeavour to maintain contact with families where they are known. A random sample of three individual files demonstrated that families are encouraged and supported to participate in all aspect of the life of the people who live at the home. A detailed record is maintained of family impute and contact. The inspector was informed that two members of the staff team had recently completed an Intensive Interaction training course. The course has been designerd to assist staff to develop appropriate working relationships and to advance the skills of people with learning disabilities. One person who had completed the course stated that it “helps you to recognise the diversity amongst a group and to revaluate their individual needs culturally, ethnically and religiously and to ensure that they are being met and supported effectively”. Staff informed the inspector that specialist advice had been sought to assist the home with the dietary needs of the people who use the service. The menus have been designed to offer well rounded and nutritious meals in order to maintain the health and well-being of the individual who live at Courthill House. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 14 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): Standards 18,19 & 20 were assessed during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that the people who use this service receive personal support in the way they prefer and that their physical and health needs are well met. The people who use this service are protected by the homes medication administration procedures. EVIDENCE: The people who use this service all have an up to date Health Action Plan to meet their personal health needs, this document consists of previously known medical history, current medication information, diet requirement, blood test and vaccinations history. The Health Action Plans are developed in conjunction with other health care professional who have input into the health needs of the each individual these included, the physiotherapist, optician, dietician and dentist. All medication is stored in a locked cupboard and reviewed by the people who use this service own GP. The homes Medication administration practices were examined. Procedures were in place including a copy of the Royal Society Pharmaceutical Guidelines. Protocols were in place for service users receiving “As required” medication. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 15 Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 were assessed during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaint procedure in place was accessible and well written, however in respect of the people who use this service understanding of the process it would be impossible to assess, due the levels of their disabilities. The staff team had received training in safeguarding vulnerable adults. EVIDENCE: The complaint procedure had been produced in a pictorial format. There is a pictorial poster available to keep people aware of what is abuse and where and how it may occur. Records sampled indicated that there have been no complaints made since the last inspection. The Commission for Social Care Inspection was informed of an issue resulting in a safeguarding adult’s strategies meeting 21/09/07, effective measures were actioned in order to effectively safeguard the people who use the service. There is a clearly written safeguarding adults procedure and a copy of the local authority safeguarding adults from abuse policy was available. The contact details for the local authority Social Care Team was also displayed. All staff have attended in the Safe guarding adults training. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 & 30 were assessed during this visit. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. This home is comfortable and provides an acceptable standard of accommodation. Overall the home would benefit considerably by the introduction of a robust maintance and refurbishment programme. The home was however safe and with the acceptation of the kitchen was clean and hygienic. EVIDENCE: The people who live at the service have a relatively pleasant, homely and comfortable home. Individual rooms have been furnished and personalised to a high standard to reflect the individuality of the occupant. There is a lift that enables access the bedrooms on the first floor. The general maintance of the home is not of a good standard specifically the hallways on the first floor and the kitchen. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 18 The first floor hallways require redecorating and refurbishing, the paintwork is badly damaged and the carpet is stained and marked and the lighting is insufficient for the needs of the residents. The kitchen was in a poor state the work surface were badly marked and pitted and in one place a large area had been burnt trough and exposed the wooden base. The kick boards below one section of the base units had been removed and as a result this area was very dirty and contained food waste and scraps, the entire room was in need of a deep clean. A requirement has been made please refer to page 21 of this report. The design and layout of bedroom furniture is two rooms have made it difficult to access the wall mounted light switches; to operate them you must put your hands behind the wardrobes, which could be a potential health and safety risk. A recommendation has been made please refer to page 22 of this report. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 & 35 were assessed during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use this service benefit from staffing levels that meet the current their needs. Individuals living at the service are fully protected by the homes recruitment policy and procedures. Staff are trained and competent to do their jobs. EVIDENCE: The senior member of staff on duty provided copies of duty rotas to the inspector, which indicated that adequate staffing levels are maintained in the service. The service has over 50 of its staff trained to National Vocational Qualification level 2 in care with some staff about to start the level 3 in care qualification. Five members of staff records were sampled. Each member of staff has their own training record in place and it was evident that staff have received mandatory training in safeguarding adults, fire, food handling, food hygiene manual handling, health and safety, first aid and managing medication. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 20 The staff personal files that were sampled were maintained an adequate order and contained the required information. POVA first checks are carried out and enhanced police checks are completed. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 & 42 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that the people who use the service benefit from a home, which is well run, and serves their best interests. The health safety and welfare of service uses is protected. EVIDENCE: The registered manager provides management stability, leadership and direction to the staff team. The manager is in the process of completing a Registered Manager Award and is aware of his role and responsibilities. Further evidence confirmed the home had a management structure with clear lines of communication and accountability and during discussions a member of staff stated ‘‘the manager is attempting to make changes for the better”. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 22 The home had a policy on quality assurance and used questionnaires to obtain feedback about the home from the people who use the service, relatives and other stakeholders. A review of records was conducted unfortunately the survey was not available at the home for information. Further evidence indicated the provider carried out regular Regulation 26 (monitoring visits) with appropriate management action taken to safeguard the welfare of the home. The home had a policy on health and safety and staff have training in health and safety, fire safety, basic food hygiene and first aid. Further evidence confirmed the home had a current gas safety certificate and service inspection reports for fire equipment, small portable appliances and emergency lighting. Observations confirmed the kitchen appeared clean and hygienic with fridge and freezer temperatures within normal limits to promote food safety. The home had information about health and safety displayed in the home and a policy on COSHH (Control of Substances Hazardous to Health) to promote safety. Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 1 25 X 26 X 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 32 33 34 35 36 3 3 X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 39 40 41 42 43 3 X 3 X X 3 X Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. 2. Standard YA24 YA30 Regulation 23(2)(a, b & d) 16(2)(j) 23(5) Requirement Timescale for action 20/04/08 The registered provider must ensure that all areas of the home are maintained to a good level. The registered provider must 20/04/08 ensure that all areas of the home are clean and free from potential health hazards. An environmental risk assessment must be completed regarding the condition of hygiene of the kitchen. 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 Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Courthill House DS0000013617.V357847.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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