Care Home: Greenacres

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What the care home does well People receive good standards of care from a settled and well-trained staff team who understand their needs well. They commented that, "staff are kind and helpful" and one said, "I can do what I want and am treated well". A relative said that the home is "a wonderful place to live". People are encouraged to make their own decisions and choices. This enables people to have control over their own lives and to live their lives as they choose. A good range of activities is on offer so that people can take part in things they enjoy doing and are involved in the local community. People`s health care needs are well met. This means people can get support straight away when they need it to help them stay well. Staff support people to maintain contact with their family and friends. This helps people to maintain their relationships with others who are important to them. The home has a welcoming, relaxed and friendly atmosphere. This helps people to feel comfortable, safe and calm. The home is well managed in the best interests of the people who live there. People feel that the manager is "approachable" and feel confident that she would act on any their concerns. This helps people to feel safe and reassured that they will be properly looked after. People have regular meetings with staff and this enables them to be involved in decisions that are made about the home. What has improved since the last inspection? The home now has a greenhouse and lighting has been fitted to the back of the garden. This enables people to have more opportunity to sit out and do outside activities in an evening. Staff have followed some advice from a health professional so that they are more aware of how they can maintain one particular person`s dignity in a better way. What the care home could do better: Better more accurate information could be obtained before people move into the home so that staff are clear about what the person`s needs are, any risks that are known about the person and actions that they need to take to minimise any risks. The area that has been affected by the damage to the water tank could be redecorated to make it more pleasant to look at for people for people who live at the home. CARE HOME ADULTS 18-65 Greenacres 62 Harrogate Road Ripon North Yorkshire HG4 1SZ Lead Inspector David White Unannounced Inspection 6th November 2007 09:30 Greenacres DS0000007875.V348993.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 Greenacres DS0000007875.V348993.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. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenacres Address 62 Harrogate Road Ripon North Yorkshire HG4 1SZ 01765 606151 01765 606151 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) info@st-annes.org.uk St Anne’s Community Services Mrs Jennifer Hanrahan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 5 Service Users with Learning Disabilities some or all of whom may be over 65 21 November 2006 Date of last inspection Brief Description of the Service: Greenacres is a care home registered by St Annes Community services to provide personal care and accommodation for up to five adults with learning disabilities, some or all of whom may be aged over 65 years. The home consists of a detached dormer bungalow located on a busy road on the outskirts of the market town of Ripon. Community facilities including shops and cafes are within walking distance. Each of the five bedrooms is for single accommodation, two of which have en-suite facilities. Four of these are situated on the ground floor; the fifth is on the first floor. Whilst the home does not have a passenger or stair lift, all areas are accessible to those residents currently living there. There are well-maintained garden areas to the front and rear of the home with level access to the rear and hard standing for parking to the front. Current information about services provided at Greenacres in the form of a Statement of Purpose, service user guide and the most recent inspection report published by the Commission for Social Care Inspection are available by contacting the home. At the time of the site visit on 6th November 2007 the fees for the home were £724.12 per week and did not include costs for hairdressing, chiropody and toiletries. The home has a Statement of Purpose that explains the aims, objectives and philosophies of the home and this is available in alternative easy read and picture formats. The most recent inspection report is made available to anyone who wishes to see it. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the manager on an Annual Quality Assurance Assessment questionnaire. Comment cards returned from four people who live at the home and a health care professional who has contact with the home. Telephone contact with a relative. We went to the home without telling them that we were going to visit. This report follows the visit that took place on the 6th November 2007. The visit lasted for 5 hours with 4 hours preparation time. Time was spent talking to and observing the activities of three people who live at the home, two members of the care staff, the manager and looking at some documents. This helped in gaining an insight into what life is like for people living in the home. The manager was available throughout the inspection and the findings were discussed with her at the end of the site visit. What the service does well: People receive good standards of care from a settled and well-trained staff team who understand their needs well. They commented that, “staff are kind and helpful” and one said, “I can do what I want and am treated well”. A relative said that the home is “a wonderful place to live”. People are encouraged to make their own decisions and choices. This enables people to have control over their own lives and to live their lives as they choose. A good range of activities is on offer so that people can take part in things they enjoy doing and are involved in the local community. People’s health care needs are well met. This means people can get support straight away when they need it to help them stay well. Staff support people to maintain contact with their family and friends. This helps people to maintain their relationships with others who are important to them. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 6 The home has a welcoming, relaxed and friendly atmosphere. This helps people to feel comfortable, safe and calm. The home is well managed in the best interests of the people who live there. People feel that the manager is “approachable” and feel confident that she would act on any their concerns. This helps people to feel safe and reassured that they will be properly looked after. People have regular meetings with staff and this enables them to be involved in decisions that are made about the home. 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. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People receive information about the home to support them in making decisions about whether they wish to live there. The pre-admission assessment procedures need to be improved so that important information about people’s needs is always known before people start living at the home. This will help in making sure that staff know what they have to do in order to support people and protect their interests. EVIDENCE: The home provides a range of information explaining what care and services are on offer there and this information is available in alternative formats for people who have communication difficulties. Copies of the service user guide are given to each person who lives at the home. Since the previous inspection visit there has been one new admission to the home. This person was admitted to the home as an emergency admission. At the time of admission information had been received from the person’s care manager about the person’s assessed needs. Also prior to the person’s Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 9 admission a meeting had been arranged to discuss the person’s suitability. However, once the person has been admitted other information was made available to staff that they were not previously aware of including possible risks to the person. Some of the information they were given was inaccurate and left staff feeling unclear as to what actions they needed to take in particular situations. The manager said that in future she would make sure that thorough pre-admission procedures would be followed for all new admissions including emergency ones to prevent a re-occurrence of the recent situation. Greenacres DS0000007875.V348993.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): 6, 7 and 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People are encouraged to make choices about how they live their lives and this is supported by good care planning documentation that takes into account any risks to people. EVIDENCE: Each person has a person centred plan which places emphasis on how each person prefers to be supported in meeting his or her aims and objectives. This takes into account personal choices about how people choose their daily routines and includes information such as their personal care needs, how best to communicate with the person, the people who are most important to them in their lives, their hobbies and interests and food likes and dislikes. The care plans are in simple language and are easy to follow and provide staff with good information about how best to meet the person’s needs in a way that enables them to be independent. Care plan reviews take place on a regular basis with Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 11 the involvement of the person, their relatives and relevant others who are involved in their care. The reviews focus on the strengths of the individual and their future aims and goals. In one case a person’s needs had changed so an alternative more appropriate placement was found. People said that they are encouraged to be independent and to make their own decisions and this could be observed at the time of the site visit. A range of individual risk assessments is in place to promote people’s independence and safety. The assessments include information about why decisions have been made where people could be restricted in what they can do and these are agreed with the person. The risk assessments set out clear specific guidance as to what staff are to do if particular situations arise so that appropriate measures can be taken to protect people. Risk assessments are reviewed regularly to make sure that any changing needs are identified and acted on. Daily records are well detailed and reflect how choices and decisions are made and these are up to date and accurately reflect the cares that are being given. The home has a key worker system so that people receive support on an individual basis and people said that they meet regularly with their key worker to discuss their care and records are kept of these meetings. The home has informal handover periods so that information about people is passed on between shift changes and there is a communication book to keep staff informed about any changes to care. In people’s care records there is evidence to show that people are made aware of their rights and access advocacy services for support with this. Greenacres DS0000007875.V348993.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): 12, 13, 15, 16 and 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People enjoy a lifestyle to suit their needs and have involvement with the local community. EVIDENCE: Each person has an activity diary that is used to keep records of the activities they have been involved in and feedback from this. People were seen to be attending local activities at the time of the site visit. One person attends a local college and certificates in this person’s bedroom show their achievements from this. Other people like being involved in local community activities. One person said they enjoy their involvement with the Salvation Army and another was going to a tea dance. Two people regularly attend the local church so that their spiritual needs can be met. One person commented that they had enjoyed a holiday abroad earlier this year and two other people had been on holiday to Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 13 Blackpool. The home has a vehicle to assist people with their transport needs and people have bus passes to enable them to be able to access local areas independently. Relatives and friends can visit at any time and can be seen in private. At the time of the site visit one person was seen going out with their friend and commented that they regularly see their family. People have a varied diet and there is always an alternative meal available if people do not like what is on offer. Staff meet up with people on a weekly basis to plan for the next week’s menu. Mealtimes were observed to be relaxed and are staggered to accommodate people’s individual needs and preferences. People commented that they “like the food” and “we can have snacks between meals at any time”. Greenacres DS0000007875.V348993.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): 18, 19 and 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People receive good personal support and have their health care needs well met. EVIDENCE: Each person’s personal plan describes how support is to be given. People said that support is provided in private and in the way they prefer. A survey returned by a health professional stated that they had given some advice to staff on how to protect a person’s dignity and that this advice had been acted on. Staff addressed people by their preferred names and knocked on doors before entering people’s bedrooms. Some people choose to have keys for their bedroom whilst others do not and this is clearly recorded to show how decisions have been made. Surveys returned by people who live at the home all said that they feel they are treated well. Every person has a General Practitioner (GP) and access to dental, optical and chiropody services. Referrals are made to specialist services as and when Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 15 required and staff support people in attending appointments. Health care information in the care records is well recorded so that staff know why people have attended appointments and actions that need to be taken from these. This helps in making sure that everyone is aware of the person’s health needs and how these are to be met. Each person has a detailed health assessment and regular reviews with his or her GP. One person is currently in hospital and is receiving regular visits from staff and people who live at the home. Staff are supporting another person to visit a relative who is in hospital. There are good medication systems in place. Proper arrangements are in place for the administration and storage of medication and all the medication records were accurate and up to date. Staff who administer medication have received the appropriate training. The GP carries out regular reviews of people’s medication to look at whether any changes to treatment need to be made. The home has a medication sheet that provides information to staff about what the medication is being used for and possible side effects from taking it. This helps in making sure that staff can identify any possible problems at an early stage. Greenacres DS0000007875.V348993.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): 22 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Systems are in place to make sure that any concerns are properly addressed to safeguard people from possible harm. EVIDENCE: The home has a detailed complaints procedure that is available in easy read and pictorial formats. All the people who returned surveys knew whom they would need to speak to if they were unhappy. People said that carers listen to them and act on what they say and have confidence that the manager would address their concerns properly. Most people are able to verbalise any concerns and staff said that they would be able to detect if someone was dissatisfied through observation of their behaviour if someone was unable to verbalise their feelings. Individual and house meetings are held between people living at the home and staff so that issues can be identified quickly and acted on. People who attend local services are also given a leaflet that they can take with them to express any concerns about the home if they do not wish to discuss this directly with the staff at the home. Staff receive up to date training on how to recognise abuse, and the action that they need to take if it happens. All spoken with were clear about their responsibilities and said that they would report any concerns immediately. This Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 17 helps in making sure people are kept safe if situations arise that affect their safety. Individual risk assessments have been carried out to identify risks and management plans are in place to minimise any risks to people. The financial arrangements for managing people’s monies were satisfactory. Each person has their own bank account and some monies are kept on their behalf by the home. These monies are kept separately and are securely stored. Records are well maintained of any incoming and outgoing monies so that people can account for their monies. One person keeps their own monies and has locked facilities in his bedroom to enable him to do this safely. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People are living in a comfortable and safe environment that is suitable for their needs. EVIDENCE: The home has a relaxed, calm and welcoming environment. Each person has their own bedroom that is personalised and there are bathroom and toilet facilities that are easily accessible to people on both floors. Aids and adaptations are appropriate in meeting people’s needs. The garden area at the back of the house has an area where people can sit outside if they choose to do so. People said that they “like living at the home” and a relative said, “the home is a wonderful place to live”. Surveys returned by people living at the home indicated that the home was kept clean and tidy and this could be observed at the time of the site visit. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 19 Since the last inspection visit the home has acquired a greenhouse and external lighting has been fitted in the back garden to improve the lighting if people wish to spend time in the garden on an evening. The home is planning to have the external paintwork re-decorated in green at the request of the people living there and there are plans to extend the car parking area. At the time of the site visit the water tank had broken and was about to be replaced. Whilst this had not affected the heating or water supply to the home, some damage had been caused to the paintwork and décor because of water leakage. This should be addressed so that the appearance of this area is more pleasant for people living at the home and others who visit. There are separate laundry facilities where staff attend to people’s personal clothing and bedding. Staff follow procedures to reduce any risk of infection and receive training on infection control. Hot water temperatures are regularly monitored and any problems are referred to the maintenance team. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 20 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 and 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People are receiving a good standard of care from a settled staff team who are well trained to meet the needs of the people who use the service. EVIDENCE: People said that there is enough staff on duty at all times and the staffing levels on the staff rosters supported this. The recent transfer of a member of staff from another home means that the home now has a full complement of staff. The home has a settled and conscientious staff team and staff sickness levels are extremely low. This helps to create good staff morale and enables people at the home to receive consistent good standards of care from a staff team who know their needs well. No new staff have been appointed since the previous inspection visit. In the past all the necessary pre-employment checks have been undertaken so that only suitable people are employed at the home. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 21 The staff receive a range of training to support them in doing their jobs. All staff have completed the National Vocational Programme (NVQ) level 3 and undertake other training that is appropriate to the needs of the people living at the home including issues around equality and diversity. Staff said “the company is good at providing training” and feel that this helps in developing their knowledge and skills in meeting people’s needs. People living at the home said that staff had a “good understanding” of their needs and this view was supported by a health professional who visits the home. Each member of staff has a record of individual training and supervision that they have undertaken. Staff meetings are also regularly held to enable staff to be involved in decision-making about the running of the home. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 22 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 and 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home is well managed in the best interests of people who live at the home and their health and safety is well protected. EVIDENCE: The manager is very experienced in running the home and has completed a management qualification to enhance her leadership and management skills. She is also undertaking other training to further develop her skills. The manager provides strong leadership and staff said they feel well supported. Both staff and people at the home described her as “approachable” Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 23 and “open to new ideas” and the manager demonstrated these qualities throughout the site visit. The views of people living at the home, relatives and others who have contact with the service are gathered through the use of questionnaires. A sample of returned questionnaires was seen and these provided positive comments about the quality of the care and services on offer. People living at the home and staff who work there are involved in “making it happen” and “taking part” in meetings so that their views can be shared and discussed at organisational level. The service manager undertakes monthly quality audits of the home and produces a report on the findings and actions that needed to be taken from these. Health and safety checks and records are kept well up to date. A fire risk assessment of the premises has been carried out in consultation with the fire authority and regular checks and training are undertaken to maintain fire safety. Systems are in place for monitoring and recording hot water temperatures throughout the home and a water management company had visited the home and found the arrangements for the storage of water to be satisfactory. All staff have regular health and safety training and this is regularly updated so that staff are aware of up to date safe working practices. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 24 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 1 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 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 3 X 3 X X 3 X Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 25 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 Standard YA2 Regulation 17 (1) (a) & (1) (b) Timescale for action Current and accurate information 06/12/07 must be obtained from all available sources prior to people being admitted into the home. This will enable staff to have up to date information about the person’s needs so that they know what care is needed and actions to be taken to minimise any possible risks to people. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations The area of the home that has been affected by the recent damage to the water tank should be re-decorated so that it looks more pleasant for the people living in the home and others who visit. Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Greenacres DS0000007875.V348993.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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