Care Home: Eastbourne Avenue

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Prince Bishop Court
• Park View (15)
• Craigmore House
• 1 Lanark Close

What the care home does well People who move into the home have a thorough assessment of their needs. The information is used to plan the care they require in recorded care plans. These plans are detailed and show what the person can do independently and the help they need from staff. Service users speak very highly of the standard of care provided. Comments include "I`m very happy with the care I receive", "I am always well cared for here". All feel they are treated with respect and that staff observe their privacy and dignity. Arrangements are in place to access a range of health care professionals. All receive prompt medical attention to meet their health care needs. Trained staff deal with medication appropriately. Service users are consulted about the social activities, events and outings that are provided. The location of the home allows service users to make good use of local community facilities. Individuals are encouraged to be as independent and active as possible. They make informed choices and decisions about their lives and lead the lifestyle they prefer. All said they liked the food. Any complaints received about the service are dealt with professionally and in a timely manner. Service users and relatives know how to make a complaint and feel confident any concerns will be acted upon. There are procedures in place to protect vulnerable adults from harm. Staff are trained in preventing abuse to keep service users safe. The home is clean and comfortable and kept to a good standard. Suitable staffing levels are provided to meet service users needs. New staff are carefully recruited to make sure service users are protected. Staff receive regular training in topics that are relevant. Over 50% of care staff have achieved care qualifications. There are good systems to get the views of service users and relatives and to develop the quality of the service. The home has also got, The Investors in People Award. Service users have their personal finances safeguarded. The health safety and welfare of service users is promoted. What has improved since the last inspection? The manager and staff have worked hard to ensure that all the requirements and recommendations from the last inspection visit have been met. The home now has a registered manager, who is appropriately qualified to manage the service. What the care home could do better: To safeguard the service users welfare, it is essential that all care plans and risk assessments are discussed, agreed and signed by each service users representative. The menus should include alternatives and choice`s available, and include supper options. This will ensure that service users know that a choice is always available. To safeguard service users health and wellbeing, all toilets should be fitted with paper hand towel dispencers. CARE HOME ADULTS 18-65 Eastbourne Avenue 285-289 Eastbourne Avenue Gateshead Tyne and Wear NE8 4NN Lead Inspector Jim Lamb Key Unannounced Inspection 22nd September 2008 09:30 Eastbourne Avenue DS0000069991.V372173.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 Eastbourne Avenue DS0000069991.V372173.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. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastbourne Avenue Address 285-289 Eastbourne Avenue Gateshead Tyne and Wear NE8 4NN 0191 4206368 01661 824458 eastgary@aol.com 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) Ashdown Care Homes Limited Mrs Pauline Hughes Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Eastbourne Avenue DS0000069991.V372173.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 folowing gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning Disability - Code LD, maximum number of places: 7 The maximum number of service users who can be accommodated is 7. Date of last inspection 22nd October 2007 Brief Description of the Service: Eastbourne Avenue is a care home, providing personal care for up to seven people with a learning disability related need. Nursing care is not provided, but District, Learning Disability and Psychiatric Nursing services can be arranged where necessary. It is an adapted, terraced care home with accommodation provided over two floors. The first floor is accessed by a flight of stairs, and there is stepped access into the home and on the ground floor. This means the home would not be suitable for a person with a physical disability. There is a small paved garden to the front, and an enclosed yard to the rear of the home. The home is situated within walking distance of central Gateshead, Saltwell park, and is near to local public transport links and a wide range of local facilities, including a health centre, a library, leisure centre, shops, pubs and places of worship. The fees charged here are between £327.50 and £1,147.82 per person per week (2008/09) Eastbourne Avenue DS0000069991.V372173.R01.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 that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve consistency. Some requirements from previous reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that the people who use the service are not being put at significant risk of harm. In future if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 22/09/08. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, and the manager. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 6 What the service does well: People who move into the home have a thorough assessment of their needs. The information is used to plan the care they require in recorded care plans. These plans are detailed and show what the person can do independently and the help they need from staff. Service users speak very highly of the standard of care provided. Comments include “I’m very happy with the care I receive”, “I am always well cared for here”. All feel they are treated with respect and that staff observe their privacy and dignity. Arrangements are in place to access a range of health care professionals. All receive prompt medical attention to meet their health care needs. Trained staff deal with medication appropriately. Service users are consulted about the social activities, events and outings that are provided. The location of the home allows service users to make good use of local community facilities. Individuals are encouraged to be as independent and active as possible. They make informed choices and decisions about their lives and lead the lifestyle they prefer. All said they liked the food. Any complaints received about the service are dealt with professionally and in a timely manner. Service users and relatives know how to make a complaint and feel confident any concerns will be acted upon. There are procedures in place to protect vulnerable adults from harm. Staff are trained in preventing abuse to keep service users safe. The home is clean and comfortable and kept to a good standard. Suitable staffing levels are provided to meet service users needs. New staff are carefully recruited to make sure service users are protected. Staff receive regular training in topics that are relevant. Over 50 of care staff have achieved care qualifications. There are good systems to get the views of service users and relatives and to develop the quality of the service. The home has also got, The Investors in People Award. Service users have their personal finances safeguarded. The health safety and welfare of service users is promoted. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 7 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. Eastbourne Avenue DS0000069991.V372173.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 Eastbourne Avenue DS0000069991.V372173.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): 1 2 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are properly assessed and are provided with enough information about the service to enable them to make a choice about where they want to live. EVIDENCE: The care records for two service users were examined. These showed that the manager makes sure that a full assessment of a new service users needs is carried out by the person’s social worker before they come into the home. The manager also carries out her own assessment, to be doubly sure that the home can meet all of the new person’s needs. More detailed assessments are carried out once the new service user has come into the home. These include assessments of risk; of nutritional needs; of social needs; of moving and handling needs and of behavioural needs. A dependency rating scale is also completed. As a result of all these levels of assessment, the manager can clearly demonstrate that all her service users are in a home that can give them the care that they need. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 10 All are provided with a contract explaining the homes terms and conditions, and fees. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care of the service users is met and there is good multi disciplinary working taking place. EVIDENCE: There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. There are advocacy arrangements, as well as family input to represent service users. One service user meets up with his advocate every Monday. Care plans are drawn up with service users and their relatives. Plans are amended and reviewed every six months, or more frequently if needed. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 12 Staff were observed to demonstrate their skill in communication during the inspection, and were observed to discuss and explain routines and activities with service users, irrespective of their communication needs. Service users are asked and allowed to make decisions affecting day-to-day choices and about the activities they participate in. Service users and staff discuss routines in the home, and service users have been able to make choices about décor schemes, trips out, personal purchases and holidays. There are regular house meetings between staff and service users. The way people communicate is also outlined within each person’s care plan. These follow a standardised format. This includes an overview or summary of each person’s needs, strengths and areas of risk. The plans are person centred, and they clearly relate specifically to each persons individual needs. Each of these has monitoring, evaluation and review notes written up. Closely linked to care planning arrangements are risk assessments. Areas of risk are documented within each person’s care file, including assessments relating to activities out of the home and behaviours that may challenge the service. Current and additional control measures are documented, and this is then reviewed. It is advised that all care plans and risk assessments are agreed and signed by each service users representative. There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. The service users confirmed that their privacy and dignity are respected at all times. All were very positive about the care that they received, and they spoke highly of the staff. Service users’ said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. One said, “This is my home, and the staff take care of me, we go out to lots of places. My favourite place is the disco in Washington. Another said, “The staff are kind, and we are always dancing and singing together, we have lots of fun”. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are offered a good quality lifestyle, which includes social contact, activities and choice. EVIDENCE: Each service user has a social skills assessment carried out. This is reviewed and updated on a regular basis. All service users participate in this process. Service users are supported and encouraged to be in control of their own lives, to enjoy their own interests and hobbies, inside and outside of the home. Several attend a day centre during the week, and others attend college courses. Three evenings a week the service users go out with staff to the pub, or for a meal, or to the cinema. All service users are supported to maintain very close links with their families. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 14 They can choose who they want to see and when. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided each day. The menus have been drawn up with the help of the service users and they are varied and well balanced. The menu’s, need to be more detailed, to include alternative choices available, the type vegetables to accompany meals, and supper options. All staff has had accredited food hygiene training. All those spoken to said that the meals were very good and that they were always offered a choice. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users health care needs are taken seriously, and they have their personal care needs met in the way that they prefer. EVIDENCE: People using the service are given sensitive personal support by the staff, which promotes each individual’s independence, dignity, privacy and choice. Each person has an individual health assessment of his or her personal needs, and has a care/goal plan in place to meet those needs. Privacy is given a high priority. Health plans are reviewed and amended as necessary. All service users have access to a wide range of health care professionals. Each person has his or her own ‘Personal Health Information’ file. This contains professional health assessments, correspondence, and records of contacts with health professionals. It demonstrated that all aspects of a person’s physical and mental health are taken seriously and are properly met. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 16 Medicines are ordered weekly, and these are delivered in blister packs. The Medication Administration Records were checked. The system used was found to be completed to a good standard, with no gaps, and the codes used properly. Medicines are safely stored. All staff has had training on how to use the medication system. They have also had external ‘Safe Handling of Medicines’ training. No controlled drugs are used, should this change there are appropriate policies and procedures in place. Currently no service users have the capacity to manage their own medication. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. 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. The home has a good, clear, user-friendly complaint and protection system, service users are safe and their views are listened to and acted upon. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the homes investigation and response. The procedure is written using a pictorial format that ensures service users fully understand its contents. Two service users said that staff listened to their concerns and always dealt with them fairly. The home keeps a record of complaints. The home has a Whistle Blowing policy, the Local Authorities Vulnerable Adults procedures, and a copy of the Department of Health’s document, “NO SECRETS”. Staff are aware of these procedures and have easy access to them. During the last twelve months there has been one complaint received, this involved conflict between two service users, this was investigated and was appropriately resolved. Safeguarding adults training is ongoing for all staff. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 18 Service users can deposit cash for safekeeping and records are kept of accounts. A sample of personal finances records was examined. Transactions were appropriately recorded. There was plenty of evidence of personal spending. Receipts are obtained for purchases and numbered to crossreference to the transaction. Weekly checks of balances and cash are carried out. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 24 25 26 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. The home provides a comfortable, clean, safe and pleasant environment for those living there. EVIDENCE: The home was clean, well decorated and well maintained. The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. There are plans in place to build a conservatory to the rear of the home. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 20 Service users can see visitors in private in their own rooms. Furnishings and fittings throughout the home were domestic in design and in good condition. Lighting was bright and domestic in design. All doors have privacy locks. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. All bedrooms are highly personalised, comfortable and nicely decorated. Two bedrooms have very spacious en-suite facilities. Communal toilets should be fitted with paper hand towel dispensers. This will help to avoid cross infection and safeguard the health of the service users. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The staff monitors water temperatures. The home was clean and free from offensive odours. The laundry facilities are well organised. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good match of well-qualified staff, who are appropriately recruited and supervised and who offer consistency of care within the home. EVIDENCE: Staff levels on the day of the inspection met the agreed level. The required numbers of staff were on duty: 4 staff between 8am and 5pm with 2/3 staff between 5pm and 10am. I staff is on sleep-in duty from 10pm and 8am. The manager is supernumerary to the rota. All staff were over 18 years of age and those left in charge were at least 21. The training needs of the staff are identified in supervision and appraisal sessions. The homes training programme meets the National Training Organisation requirements for the first six months. Staff receive at least three days paid training each year. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 22 The service has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. The service has a good staff training and development programme in place. All statutory training was up to date and 50 of the staff team has completed NVQ level 2/3. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported by the organisation in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities, and service users best interests being promoted. EVIDENCE: The manager has the appropriate qualifications, experience and skills necessary to manage the service. Staff were clear about their responsibilities, and they all had excellent knowledge of the service users care needs. Service users are told when inspections take place and there are copies of reports available for relatives and others to see. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 24 A quality system is in place to monitor the quality of the service provided. This involves gaining feedback from service users, relatives and professionals involved with the home. The outcomes are published in the service users guide, and made available to all prospective service users. The home also has an annual development plan. There is a health and safety policy and a range of associated procedures. Staff receive training in health and safety and safe working practices (fire safety, moving and handling, first aid, food hygiene, and infection control). Servicing and maintenance agreements are in place for facilities and equipment. All fire safety checks; tests and instructions to staff are conducted at the required frequency and recorded. Water storage tanks, gas and electrics are checked annually. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 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 3 27 2 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA17 YA6 YA27 Good Practice Recommendations The menus must include all alternatives available, the type of vegetables to be accompanied with meals, and all supper options. Individual care plans and risk assessments should be discussed, agreed and then signed by service users representatives. To avoid cross infection, all toilets must be fitted with paper hand towel dispensers. Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Eastbourne Avenue DS0000069991.V372173.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!