Care Home: Deerhurst

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What the care home does well The philosophy of the Home is to provide person centred care for all residents. This means residents are receiving a service that treats them as unique individuals. Residents are cared for by sensitive staff who treat them with respect. Residents were observed being treated with kindness and consideration. Staff took time to help residents meet their needs, and also supported them to do as much for themselves as they could. Care Plans show how needs are met. Residents are provided with a well-balanced and varied diet. The environment is suited to the needs of confused and vulnerable residents; it is tastefully decorated and furnished in a homely style. What has improved since the last inspection? The philosophy of providing residents with person centred care has been put in place. This has lead to the overall standards of care becoming even better. The staff have done training courses on the principals of person centred care. CARE HOMES FOR OLDER PEOPLE Deerhurst 10 Deerhurst Soundwell South Glos BS15 1XH Lead Inspector Melanie Edwards Key Unannounced Inspection 26th March 2008 09:30 X10015.doc Version 1.40 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 Deerhurst DS0000020237.V359357.R02.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 Older People. 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. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Deerhurst Address 10 Deerhurst Soundwell South Glos BS15 1XH 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) 0117 9041170 0117 9041171 cburt@brunelcare.org.uk Brunelcare Mrs Lesley Theresa Hobbs Care Home 66 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (26), Old age, not falling within any other of places category (40) Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Manager must be a RN on part 1 or 12 of the NMC register Staffing notice dated 21/2/1997 and Amendment dated 29/4/05 applies May accommodate up to 26 persons aged 50 years and over with Dementia May accommodate up to 5 people over the age of 50 years with dementia on the Burden Trust Unit May accommodate up to 5 people over the age of 50 years with nursing care needs on the Henry Smith or Barbara Russell Units 9th February 2007 Date of last inspection Brief Description of the Service: Deerhurst is a purpose built home, registered in March 1997 and operated by Brunelcare. Mrs Lesley Hobbs is registered manager with the Commission for Social Care Inspection. The home is situated in a residential location, within a quiet cul-de-sac and is accessible to local shops, amenities and bus routes. The property provides bedroom and communal accommodation over two floors for sixty-six service users. Bedroom accommodation is provided in good-sized rooms with ensuite facilities (a toilet, sink and walk in shower). All areas of the home are accessible via two lifts. The home is divided into three units. The two units on the first floor provide general nursing care for service users and the third unit on the ground floor is specifically designated for people with dementia. Access to this area is by the use of an electronic keypad that offers protection to this group. Each unit has a lounge and dining room. There are a suitable number of bathrooms and toilets with adaptations to meet the care needs of service users. Appropriate equipment is provided for individual use, based on the personal and nursing care needs. The home has currently redeveloped the facilities, providing an additional six beds for service users with dementia. This was completed in April 2005. As a part of the redevelopment, a link corridor was built from one end of the building to the other, forming an enclosed garden area. The home is set in its own grounds with attractively maintained gardens. Car parking is available for several cars. Visitors are welcome in the home at any time. Fees range from £500 minimum to £700 per week, based on the assessed needs of the individual resident. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We, the (Commission) met thirty of the sixty-five residents who live at the Home. We also met a number of visitors. A number of residents are very confused as they have dementia and this makes it harder for them to express their views. We spent time observing residents and staff together. We joined a small group of residents for lunch, at their invitation. We met the registered manager, the deputy manager, two registered nurses; five care assistants and a chef. Residents were observed being assisted with their needs by staff. A selection of records relating to the day-to-day running and management of the Home were inspected. These included six care plans, six assessment records, medication records, staff duty records, supervision records, accident records, fire records, and menu plans. The majority of the environment was seen. The only areas that we did not see were a small number of bedrooms. The ‘AQAA’ (an annual quality assessment document that all Homes are required to complete) has been used to help form the judgments in the report. The Home was operating within the required conditions of registration set down by The Commission. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. Sue Fuller the Commission Pharmacist Inspector for the South West region carried out an inspection of medication standards in the Home. A copy of the report following her visit is available on request to the Commission. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are being well assessed. People can get the information they need to make a choice about whether to live at the Home. The Home does not provide intermediate care for residents. EVIDENCE: To find out how prospective residents and their representatives are helped to find out about the Home we looked at a copy of the service users guide and the statement of purpose. The Home is split into three separate units, and each unit has its own service users guide. Each service users guide explains the type of care, and service that is provided in that unit. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 9 Residents are given their own copy of the guide so they have information about life in the Home. The statement of purpose and the service users guides contain information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is also included. The complaints procedure is in each service users guide so residents know how to complain about the service. There are photographs of the Home, and photos of residents in each service users guide. There is a Brunelcare website that contains a range of helpful information about the service. We read six residents assessment records to find out how well residents’ needs are assessed. The assessment records were informative, and showed the residents range of physical, mental and social needs had been assessed. An assessment of residents level of confusion as a result of their dementia had also been carried out .The actions taken to support the person had also been recorded in the assessment records .The Home has tried to reflect person centred care principals in the way that the assessment records have been written. Specifically the assessments focus on the strengths of the person and what they are able to do for themselves. The Home does not provide intermediate care for residents. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care plans generally demonstrate well how needs are met. Residents health needs are well met. Residents are treated with respect and their privacy is upheld. EVIDENCE: The residents we met expressed a very high degree of satisfaction about how well their needs are met. Examples of comments made by residents included, `it’s first class I only have to ring my bell and they come ’, ‘nothing is too much trouble’, `the staff are lovely they will do anything for you’, `it’s a lovely home’, and `the staff do their best to help you ’. We read six residents’ care plans to find out how residents are supported to meet their needs. As already mentioned when writing about residents Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 11 assessments records, the staff try and write care plans in a person centred way. This means they try and focus on the strengths of each person, and write the care plans in a way that reflects the uniqueness of each resident. The care plans were informative and detailed how to meet the care needs of the person. The care plans stated what actions staff must follow to assist the resident to meet their needs. However one resident needs further information in their care plan. This is because their psychological needs have changed, and the person requires additional support from the staff, which was not fully reflected in their care plan. Care plans had been reviewed and updated regularly. This demonstrates residents’ needs are being monitored and kept under review. We saw good evidence in care plans that residents have been consulted with, to find out what their needs are. There was also a range of helpful information about the life history of each person and what matters to them, including important family and friends. There was supporting information in the care plans that demonstrated residents are well supported with their physical health care needs by the GP, the dentist, and the chiropodist. The Community Psychiatric Nurses also provided support and advise to residents about their mental health needs. The staff on duty assisted residents in a very polite and respectful manner. This was noticeable throughout the inspection .The staff assisted residents with their needs in a very courteous way. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a nutritious and well-cooked diet. Residents can take part in a variety of social and therapeutic activities that are suitable for their needs. Residents are supported to receive visits from family and friends. EVIDENCE: An activities facilitator is employed to facilitate a range of social and therapeutic activities with residents and also with the support of other staff. There is a range of social and therapeutic activities for residents. There is a copy of the timetable of social activities planned to take place on display. This helps to ensure residents are aware of current activities taking place. Activities that are planned for the near further include, weekly drives to the community, arts and crafts sessions, games, a visit from a therapeutic dog, musical afternoons, and gentle exercise classes. There are art works made by residents on display in the Home. There are also photographs of residents on various trips to pubs, coffee shops and to other Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 13 places in the Community. We saw a small group of residents go out for a day trip to a local garden centre and for a drive to Wells. There is a library with a range of books for residents to read. There is a therapy room that is used for relaxation sessions, aromatherapy sessions, and for hairdressing purposes. A number of residents received visits from their family and friends during the inspection. Visitors said that the staff are welcoming and friendly. Residents were observed having lunch with their visitors. The Home has a relaxed and flexible visiting policy this benefits residents as this means they can keep in contact with family and friends. A portion of the lunchtime meal was sampled with a small group of residents. This was a choice of homemade chicken and broccoli bake or fried fish in batter with potatoes, peas, and cauliflower followed by choices of deserts .The meal was tasty and nourishing and was well presented. All of the Residents commented very positively about the food served at the Home. We checked the menu to see if residents are provided with a well balanced diet .The meal options seen were nutritionally well balanced and varied. There are choices available each day, and staff ask residents what they wish to eat each day. Residents special diets are catered for, and there are a variety of special meals provided for residents who need them. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ complaints are responded to very well and are taken very seriously. Residents are satisfactorily protected from the risk of harm or abuse. EVIDENCE: The residents we met told us they see Mrs Hobbs regularly and she walks around the Home to see them. Residents said they could speak to her or to any of the staff about any concerns they may have. We saw Mrs Hobbs spending time with residents during the inspection. There have been two written complaints made since the last inspection. Mrs. Hobbs had dealt with both complaints promptly and thoroughly. There are regular residents meetings held .The minutes were seen of the last residents meeting. These show residents are well consulted in the Home and are given good opportunities to express any concerns or complaints they may have. Residents are given their own copy of the Homes complaints procedure. This helps to make sure residents have the information they need to make a complaint. The complaints procedure includes the up to date contact information for the Commission if a person wants to contact us directly Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 15 There is an up to date policy in place relating to the issue of protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse All staff do regular one day training courses run by Brunelcare trainers on understanding of the principle of the protection of vulnerable adults from abuse. The staff spoke knowledgably about the subject of abuse and how they protect residents in the Home. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,25,26.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a Home that is safe well maintained, and suitable for meeting the needs of residents. EVIDENCE: Deerhurst Care Home is a purpose built Care Home. The Home is located close to private houses, a short distance from local shops and nearby bus stops, making the Home part of the local community. The building is wheelchair accessible; and there is a passenger lift to get to the upper floor. The Home is designed around the needs of residents for whom it is intended. There are adaptations in place throughout the Home to assist people who may be disabled. A full time maintenance worker is employed to address general maintenance and they were observed carrying out their duties . Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 17 The environment is maintained to a good standard, and the standard of the fixtures and fittings are also high. We saw residents sitting in all of the communal areas, and in bedrooms. All Residents looked relaxed and comfortable in their surroundings. The service records were seen for the fire fighting equipment and for the lift. The records showed that external contractors had serviced equipment in the last twelve months. This demonstrates the Home is safe and well maintained. There are regular health and safety audits of the whole environment carried out. The records seen demonstrate that the environment is monitored and checked on a regular basis to ensure it is safe and well maintained for residents staff and visitors. The Home was clean, tidy and free from odours. The home is divided into three units. The Burden Trust unit is for people with dementia care needs. The unit is secured with a key padded entrance. The unit is on the ground floor and currently accommodates 26 people in single bedrooms, all with en-suite facilities. The other two units are on the first floor and can be accessed either via stairs or a passenger lift. Both the Henry Smith and Barbara Russell units accommodate 20 people each. Each of the three units has a lounge and dining area. The building is entered via automatic doors and there is an internal porch and entry to the home is by an intercom system. There are three garden areas for residents to use, two of which are made secure for residents who have Dementia. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by a sufficient number of competent trained staff. We could not inspect recruitment procedures on the day of the site visit. EVIDENCE: We checked the number of nursing and care staff to see if residents’ benefit from a sufficient number of staff to meet their needs. There is a minimum of three registered nurses on duty at all times and eleven care assistants in the morning, with eight care assistants and three registered nurses in the afternoon. At night there are two registered nurses and five care assistants on duty. There are additional staff members on duty on a regular basis, if needed to give extra support to residents both in and out of the Home. The number of staff on duty is above the legally required minimum staffing levels that are conditions of the Home’s registration. The manager works nine to five hours and the deputy manager works shifts alongside the registered nurses and care staff to ensure they are up to date with matters in the Home. We observed the staff helping residents with their care needs. Staff were warm and friendly in manner. We noticed that staff were very patient and sensitive in manner when they were helping residents. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 19 There are full time catering, domestic and laundry staff also employed although the number of these staff was not reviewed . There are staff who are trained up to work as internal trainers in the Home. Staff have also attended a range of relevant training outside of the Home. There are also outside speakers who come to the Home regularly and talk to staff about a range of relevant clinical and general issues relevant to residents’ needs . The relatives of residents are being encouraged to attend training on the principals of person centred care to help them better understand their relative’s health needs. The training records of two registered nurses and two care assistants were reviewed to see if registered nurses are keeping up to date with their clinical knowledge and practice. There was evidence that demonstrated registered nurses had attended clinical training sessions, and updating over the last twelve months. The care assistant’s records demonstrated staff had attended training sessions over the last six months. There is now a high number of staff in the Home who have National Vocational Qualifications . This includes care staff, catering staff and ancillary staff. Catering staff and ancillary staff have completed NVQ qualifications in subjects relevant to the work that they do. In discussion with registered nurses and the care staff the staff it was evident they have a good understanding and awareness of residents range of needs. Staff spoke positively about the commendable range of training and development opportunities that they are able to take part in. The recruitment practises of the Home were not inspected. Brunelcare keep staff employment records at its head office .We carry out regular check on staff files that are held there to see if recruitment practises are safe. On the last visit to the head office we were able to confirm that there are two written professional references taken up for all new staff prior to offering work at the Home. In addition, all staff undertake a Criminal Records Bureau check before commencing employment. These checks are a further safeguard for vulnerable residents. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a Home that is well run. Residents’ and staffs’ views actively taken into account by management. Residents staff, and visitors, health and safety is protected. EVIDENCE: Mrs Hobbs has been the manager of the Home for over twelve months .She is a registered nurse and she has many years of experience caring for people with a range of needs, and in running Care Homes. She is registered with us as the manager of the Home. This demonstrates she is fit and competent to be the manager. Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 21 The residents we met spoke very positively about Mrs Hobbs, the registered manager. Comments made by residents included, ‘She’s lovely and will do anything for you and is very kind’, ` and ‘she goes out of her way to help people’. Residents also said they would happily speak to Mrs Hobbs at anytime. We were told by a number of residents that Mrs Hobbs makes her presence known in the Home every day and she walks around the Home to see them. This helps demonstrates Mrs Hobbs keeps in daily touch with residents and staff. There are regular residents meetings held and all residents are invited. Residents are encouraged to set their own agenda and discuss what they feel matters in the day-to-day running of the Home. This should help residents keep up to date with the day-to-day running of the Home, and help ensure their views are listened to. Mrs Hobbs and the team have done a quality monitoring survey. Residents and their representatives, and relatives have been consulted about a range of matters in the home that they consider to be important. The environment looked satisfactorily maintained throughout. The Home carries out a health and safety audit of the whole environment on a regular basis. The document used to carry out the audits is detailed and aims to address health and safety areas throughout the Home. The kitchen was clean and tidy and in good order. All kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. There are health and safety policies for staff to follow to try and help ensure the safety of residents is maintained. All staff do regular health and safety training in range of areas including food hygiene, fire safety, and infection control. This helps ensure staff have a good understanding of health and safety principals and practises. Mrs. Hobbs and the senior staff told us that they support staff with regular one to one supervision sessions. The supervision records that we looked at demonstrated staff are being well supervised and supported. The administration manager takes responsibility for looking after residents finances if needed .We looked at three residents finance records which were up to date and generaly in order.There is a secure safe to keep residents money and valuables in . Deerhurst DS0000020237.V359357.R02.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Deerhurst DS0000020237.V359357.R02.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 OP7 Regulation 15(1) Requirement Ensure that the resident identified at the inspection has a care plan to support them with their psychological needs. Timescale for action 02/04/08 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 Deerhurst DS0000020237.V359357.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Deerhurst DS0000020237.V359357.R02.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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