Care Home: Holly Dyke

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What the care home does well The overall picture gained was that people living in the home were supported by a well-qualified staff team to live a life style of their choosing. The staff team have recently become more proactive at helping people to consider their options and some people are being supported to consider moving onto a less supported environment or a home of their own. People are supported to pursue their interests and hobbies and have a good social life where they are able to mix with their peers and maintain friendships. They regularly access the facilities and amenities of the local community. One person living in the home responded in their survey: "My care needs are always met and my privacy respected. They respond if I have any concerns about any problems that may arise. I am happy with the care service I receive at Hollydyke".Each person has a detailed healthcare plan and individual risk assessments to enable them to stay safe and well whilst leading normal lives. The health and safety monitoring in the home is carried out to particularly high standards ensuring the well being of people living and working at the home. What has improved since the last inspection? Walsingham have reviewed their recruitment procedure to allow staff to be recruited into vacancies in a more timely and succinct fashion. Permanent staffing levels have improved reducing the pressure on staff to cover shifts. The manager and staff now have a better understanding of how to safeguard people from harm or abuse, and the majority of staff have undergone training in this area. The care planning systems have improved to make them more individual to meeting the needs of people living in the home. These are being developed in a style termed "person centred", which when fully introduced will make care and support even more tailored to individuals specific needs. Most noticeably during this inspection was the move to help people to become more independent, for example in managing their own finances or health care or enabling people to move into their own house. This has involved more dedicated one to one time with people by keyworkers and has led to more dynamic care plans that have been individualised to good effect. What the care home could do better: While the manager carries out a lot measures to ensure the home is well run, a suggestion was made to put this into a format called a Quality Assurance System. This will help with monitoring and can be added to the homes Statement of Purpose to allow prospective new people to see all that goes on to make this a good home. CARE HOME ADULTS 18-65 Holly Dyke 19 Crummock Road Workingon Cumbria CA14 3RP Lead Inspector Liz Kelley Unannounced Inspection 26 August 2008 10:00 th Holly Dyke DS0000022677.V367694.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 Holly Dyke DS0000022677.V367694.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. Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holly Dyke Address 19 Crummock Road Workingon Cumbria CA14 3RP 01900 606170 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) crummockrd@walsingham.com www.walsingham.com Walsingham Ms Sarah Elizabeth Ritson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 15th August 2006 Date of last inspection Brief Description of the Service: Walsingham provides the services and care at Holly Dyke for six people who have a learning disability. The home is a detached dormer bungalow on the outskirts of Workington and blends in with other houses in the area. Car parking facilities are to the side of the home and there is a large enclosed garden area to the rear. There are six single occupancy bedrooms in the home and two of these are on the ground floor. The lounge and dining room, can be partitioned, kitchen and utility room are on the ground floor. The office is situated on the first floor and bathroom and toilet facilities are on both floors. The current scale of charges is £1333.48. Holly Dyke DS0000022677.V367694.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 star. This means the people who use this service experience good quality outcomes. This inspection visit took place over one day. We (Commission for Social Care Inspection, CSCI) spent time with people living in the home and talking to them about their experiences and how they like to be supported to live their lives. We also met with staff on duty and looked at records relating to the running of the home. We also sent out surveys as part of this inspection to get feedback from people living in the home, their relatives and representatives and other professionals involved with the home. Before the visit the manager completed an Annual Quality Assurance Assessment (AQAA), which provided information about all aspects of the running of the home. This included a self-assessment against the National Minimum Standards (NMS), recording what the home does well, what has improved and plans for the future. On the day of the visit four people where at home and the house had a lively and friendly atmosphere with people busy having lunch and spending time in their own rooms, and going out for walks. One person was at college and another was on holiday with two members of staff. What the service does well: The overall picture gained was that people living in the home were supported by a well-qualified staff team to live a life style of their choosing. The staff team have recently become more proactive at helping people to consider their options and some people are being supported to consider moving onto a less supported environment or a home of their own. People are supported to pursue their interests and hobbies and have a good social life where they are able to mix with their peers and maintain friendships. They regularly access the facilities and amenities of the local community. One person living in the home responded in their survey: “My care needs are always met and my privacy respected. They respond if I have any concerns about any problems that may arise. I am happy with the care service I receive at Hollydyke”. Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 6 Each person has a detailed healthcare plan and individual risk assessments to enable them to stay safe and well whilst leading normal lives. The health and safety monitoring in the home is carried out to particularly high standards ensuring the well being of people living and working at 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. Holly Dyke DS0000022677.V367694.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 Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s individual needs and preferences are assessed to ensure a suitable service can be provided. EVIDENCE: A statement of purpose clearly sets out the objectives and philosophy of the service, and provides good clear information about the home. The guide is precise in what the prospective resident can expect and gives a good detailed account of the quality of the accommodation, qualifications and experience of staff, and how to make a complaint. Good use of photographs makes the guide clear and user friendly. Clear information about contracts/terms and conditions, is available in a format appropriate to the individual resident, and their family. Staff spend time with prospective residents to ensure they understand the terms and conditions of the placement. These are also signed by the person or a representative. This is good practice in ensuring people are fully informed of their rights and obligations. Holly Dyke has not had any new people moving in for a number of years but the manager demonstrated that they are mindful of peoples needs to be constantly reassessed. The manager has recently arranged for people to be Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 9 reassessed by a socialworker in order to assist them in making future plans and decisions on where they would like to live and with whom. The organisation informed us that training is planned for managers in carrying out and assisting in assessments to ensure people are appropriately consulted and best matched to the resources of services in order that their needs can be met. Holly Dyke DS0000022677.V367694.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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are informative and reflect individual needs and choices, providing staff with valuable information to provide people with personalised support. EVIDENCE: People have care plans that are active documents and demonstrate the home’s careful monitoring of changing needs in order to ensure they can meet people’s needs. Care plans are in a style termed “Person Centred Plans” and staff use a variety of skills and ways to engage residents in planning their care and setting goals. Residents are involved through picture work, symbols, charts, and graphs and are encouraged to take ownership of their plans. And this is helped by plans being written in the first person and by the use of personal photographs. As one relative put it “They take the time to find out what makes each individual tick”. Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 11 They are regularly reviewed and kept up to date, involving residents, their families and their representatives. One person spoke about their care plan and described how they had set it up with staff help however felt “they were in charge” and during the inspection said to staff that they were ready to add another goal. They described how their plan had helped them to make significant personal growth and they had been very proud of their achievements. The home and the organisation are keen to involve residents in consultations and planning and a number of strategies are used to promote user involvement, for example through life skills groups and training, forums, and advocacy groups. The AQAA described these measures: Within Holly Dyke the service users are empowered to make their own choices and decisions. Service users are involved in staff recruitment and follow through to the initial review of staff members. The Service Users at Holly Dyke have regular meetings which they use to discuss issues within the home. The home has a business plan which is service user led and promotes the views of the service user group. To ensure people can live a life of their choosing assessments and care plans are cross-referenced to risk assessments to ensure people are safe. The assessments and care plans record information relating to personal care needs, health care, communication, medication, promoting independence and cultural needs. The areas assessed are wide ranging ensuring people are kept safe, while enjoying a fulfilling lifestyle of their choice. Plans also take into account capacity of the person to make an informed decision and the support required to do this. If a person is assessed as not able to make a certain type of decision the Mental Capacity Act guidelines are used and a “Best Interest” meeting is called with all relevant people to assist in drawing up a plan of action. This all ensures a personalised service is provided that responds to the diverse needs of people living in the home. Holly Dyke DS0000022677.V367694.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are well supported to pursue their interests and hobbies and have a good social life. EVIDENCE: People are supported to pursue their interests and hobbies and have a good social life where they are able to mix with their peers and maintain friendships. They are able to access the facilities and amenities of the local community. People follow interests and hobbies and go on regular holidays. The AQAA states: We have supported a service user to gain part time employment and achieve their goal of paid employment. One service user is actively taking part as a facilitator in the Carlisle Filo group. More independent Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 13 classes have been introduced to promote life skills and build confidence following Service User choice. People are supported to maintain and develop relationships, with relatives and friends. Some people are supported to visit their families. The home carries this out with sensitivity and respect of each family’s circumstances. Relatives who returned comment cards as part of this inspection all commented positively on the support their relative receives from the staff team. The person-centred plans show how staff support people to maintain important relationships. Meal and food arrangements also demonstrate how the staff team are encouraging choice and attempting to empower people to make healthy, informed choices. Menus are planned with residents on a weekly basis and a communal evening meal is encouraged. One person discussed how they were supported to be health conscious with both diet and exercise and they often enjoyed making healthy meals and doing baking. Holly Dyke DS0000022677.V367694.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each individual’s health and medication is carefully monitored ensuring that they have access to services that help to maintain good health. EVIDENCE: Based on discussions with people living in the home, and from written records, people receive appropriate support to access the health services they require. Staff have a good understanding of peoples healthcare needs and are managing complex healthcare issues. The staff team work positively with local health care professionals to offer a responsive and supportive approach in assisting people to maintain good health. Records on healthcare needs are well maintained and kept up-to-date, these are linked to care plans to alert staff on any changes, and include monitoring sheets for specific issues, such as monitoring epilepsy or changes in behaviour. Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 15 People are registered with a GP of their choice and have access to other members of the Primary Health Care team. Other checks such as opticians and dental checks are also recorded on Healthcare files. A GP comment card stated “I have always been impressed by the care the residents receive - caring attitude.” And a District Nurse said “service responds to the different needs of individuals” The staff team work to an efficient Medication Policy supported by procedures and practice guidelines. Staff follow robust systems to make sure that medication records are fully completed, contain required entries and are signed by staff. People are supported to self-medicate were possible in line with promoting independence. Staff have received Medication training. This promotes good practice to ensure safe standards are met. Holly Dyke DS0000022677.V367694.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have good knowledge and understanding of how to safe guard and protect people from abuse and promote their well-being. EVIDENCE: The service has a complaints procedure that is up to date, clearly written, and is easy to understand. It can be made available on request in a number of formats to enable anyone associated with the service to complain or make suggestions for improvement. People are encouraged to speak up at residents meetings or to their keyworker to try to resolve any issues before they become complaints. The policies and procedures relating to protection of individuals are clear and regularly reviewed and updated. Staff have received training on safe guarding issues and these matters are also raised in individual supervision and in team meetings. The service is clear when incidents need external input and who to refer the incident to for further investigation. This has been recently demonstrated through the staff team reporting incidents to social services and other appropriate bodies to allow a more objective view and input from a multidisciplinary team. Staff are trained in how to respond to verbal and physical aggression and this is outlined in the home’s Challenging Behaviour and Physical Interventions policies. Staff are aware and skilled in implementing individual behaviour Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 17 management plans. These are pro-active and focus on diversion and deescalation strategies, and by removing triggers for behaviours at an early stage. The ethos of the home is to promote positive handling of behaviours through this greater understanding of the person and individual triggers. This has been helped by good relationships and input from specialist social and health care professionals. Holly Dyke DS0000022677.V367694.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, homely and comfortable environment that match their lifestyle needs. EVIDENCE: The furnishings and decoration are of a good standard and homely in style. Resident’s individual bedrooms are of a good size and individualised to each person’s tastes and interests. The AQAA states: We have worked with the service users to create a comfortable and safe environment, which has been developed through service user choice and decisions. This includes decorating of living/dining room, hallway/landing area and individual bedrooms. On the day of inspection the home was orderly and clean, and is well maintained to ensure the safety and well being of people in the home. Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 19 The Home meets the requirements of the Fire and Environmental Health services. The manager has drawn up a maintenance and three year renewal programme to ensure that residents live in a safe and well maintain home. The AQAA states: Since our last inspection several service users bedrooms have been decorated in accordance with their requests. Arrangements are in place for the health and safety of people in the home and for their environment, guidelines are followed and records are kept upto date. The home seeks advice when needed regarding environmental matters through local authorities. The management and staff carry out health and safety audits each month with all problems reported and actioned. The home has an appointed Fire Warden and all fire fighting equipment and alarms are serviced annually. The organisation has recently carried out a full survey of the building with a view to future work required. Holly Dyke DS0000022677.V367694.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, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A core group of staff, with a good mix of skills, training, experience, age, and gender, provide specialist support that people living in the home are pleased with. EVIDENCE: Staff are clear regarding their role and what is expected of them. Relative comment cards stated that staff know what they are meant to do, and that they are able to meet the needs of their relatives. One stated that they felt staff had the right skills and experience to look after people “the staff seem to understand my relative as well as any member of my family. They provide a lot of support and care”. This leads to good levels of confidence and satisfaction from residents, relatives and professionals with the care that is delivered. “I feel the care home is exceptionally good” said one relative. The manager follows the recruitment procedures of Walsingham. The majority of the administration side of recruitment is carried out at a separate Head Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 21 Office but systems are in place to ensure the manager is kept fully informed. People living in the home are involved and supported in the selection and interview process and can have an influence on choosing the staff that support them. These are all good practices to ensure that residents are supported by a carefully selected and vetted staff team. A framework for supervisions and appraisals is in place, and these have been carried out to good standards; staff reported that these are helpful and they feel well supported by the manager and assistant managers. A file of a new member of staff was examined and this demonstrated a thorough induction into the home, its policies and procedures. This included a more intensive and frequent supervision programme and a shadowing period based on the individuals persons experience, confidence and competency, as measured by the manager. Staff training has had a higher profile recently with the manager keeping a training plan for the home. Staff interviewed were keen to gain new knowledge and skills that will assist them in supporting residents. Over three quarters of staff have a recognised care qualification- NVQ2 in Care and above. Staff also receive varied training to equip them with skills and knowledge to support residents. A rolling programme of training includes first aid, safe guarding, fire wardens, moving and handling, health and safety and physical intervention training. The staff team has had training in Person Centred Planning and in understanding the needs of people with autism, which they described as being very beneficial in their work and was demonstrated in the greater awareness of staff towards enabling people to reach their full potential. Holly Dyke DS0000022677.V367694.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from a home that is well-run by the manager, and by the systems of the organisation, which ensure that they are central, and their views are valued and acted upon. EVIDENCE: The manager promotes an open, positive and inclusive atmosphere in the home through a variety of ways, for example: regular staff meetings and supervision; regular residents meetings and frequent reviews and meeting with people to give them the opportunity to speak up. Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 23 The home is well managed by an experienced and competent manager, who in turn is supported by a committed staff team, who together run the home in the best interests of residents. Record keeping is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. The administration systems within the home were found to be up-to-date and in good order, ensuring the home was run in an efficient and safe manner. The health and safety monitoring in the home is carried out to particularly high standards with many of these responsibilities being delegated to an assistant manager. For example this person is the Fire Warden and carries out the drills and training for staff and residents, which is constantly varied to make it more interesting and meaningful with the use of DVDs. The Fire Risk Assessment was examined and done in a thorough manner, as was the assessment for determining the level of first aid training required by staff in the home. The manager monitors many areas of care practice, staff practice and the physical aspects of the running of the home to ensure that standards are maintained. It was recommended that this be pulled together into a Qaulity Assurance System and a summary incorporated into the homes Statement of Purpose to give an overview of how the quality of the service is montiored. All sections of the AQAA were completed and the information gives a reasonable picture of the current situation within the service. The evidence to support the comments made is satisfactory, although there are areas where more supporting evidence would have been useful to illustrate what the service has done in the last year, or how it is planning to improve. Holly Dyke DS0000022677.V367694.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 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 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 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 Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Holly Dyke DS0000022677.V367694.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Holly Dyke DS0000022677.V367694.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. 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!