Care Home: Meadowcroft

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What the care home does well The people who spoke about their visits to Meadowcroft, whether for regular or occasional stays, all said they enjoyed the time and one person said `It`s a holiday here.` Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 6One relative told us that `Meadowcroft is an excellent respite care home and hopefully it will...remain in business for many years to come.` The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. The pre-admission assessments are thorough and make sure the home can meet people`s needs. The people who stay at the home, and their visitors, all made positive comments about the personal and healthcare and support they receive. People said the staff listen to them and act on what they say. The care and support plans reflect each individual`s preferences and needs. It was clear during the inspection that the staff know and understand each person and do everything they can to support people`s individual needs. People`s right to make individual choices is respected and supported. People are involved in making decisions about the way the home is run, and the management and staff make sure their views are central to any decisions. There is an excellent activities programme with plenty of variety and something for everyone to enjoy. People`s cultural and spiritual needs are understood and met. We were told that the meals are very good and there is always an alternative to the dishes on the menu, if people wish. People said they know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. They said they would either speak to the manager or discuss their concerns with their family or the staff. The home is clean and fresh throughout and the layout is suitable for its purpose. The recruitment procedures are thorough, making sure that the staff who are appointed are safe and suitable to work with the people who will stay at the home. The staff are well qualified, with the majority having achieved a National Vocational Qualification in care. What has improved since the last inspection? All the requirements from the last inspection have now been met. The medication administration system is now organised better and the records are clear and accurate. Since the last inspection visit there has been some refurbishment work to parts of the house, including the main kitchen. Improved infection control procedures for handling soiled linen have been put in place. What the care home could do better: In order to make sure staff have the training they need to do their job, they should all have up to date training in all relevant areas of care practice. The manager of the home has been in post for over 12 months but has not registered with us. We will be writing to the manager and the provider about this and asking the manager to submit an application for registration to us. This will provide a stable management structure and continuity for people staying at the home and staff. CARE HOMES FOR OLDER PEOPLE Meadowcroft 289 Rooley Lane Bradford BD5 8LG Lead Inspector Liz Cuddington Unannounced Inspection 10:30 4 February 2009 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Meadowcroft DS0000033608.V373897.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowcroft Address 289 Rooley Lane Bradford BD5 8LG 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) 01274 733561 01274 725574 tahir.mahmood@bradford.gov.uk City of Bradford Metropolitan District Council Department of Social Services Post vacant Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (2) of places Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th March 2007 Brief Description of the Service: Meadowcroft is a purpose built care home operated by Bradford Metropolitan District Council. It is situated approximately three miles from the City centre and is located close to a Social Services area office. There are no amenities nearby and although there is a bus service along the main road, it is a good walk down to the home. There is limited parking available for visitors at the front of the building. The accommodation is on the ground floor in single rooms. There is a light and airy dining area, which is also used for activities. There are several smaller lounges and a conservatory. One of the lounges is for people who wish to smoke and has a suitable extraction system fitted. The home offers care and support for people who need a period of rehabilitation, usually following an illness or operation. There is a ‘gym’ and small assessment kitchen for their use. The home offers regular respite care for people who live in their own homes, as well as temporary accommodation for people who may be having independent living adaptations made to their homes. The home also provides permanent care for one person and regular day care for a small number of people. Meadowcroft DS0000033608.V373897.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 3 stars. This means the people who use this service experience excellent quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that 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. The current weekly charge for respite is between £102.90 and £435.68. This charge does not include any personal expenses. The purpose of this inspection was to assess the quality of the care and support received by people at Meadowcroft. The visit to the home was carried out over one day by one inspector. Since the last inspection in March 2007, one adult protection issue has been raised with us, and Social Services’ Safeguarding team. This has been resolved satisfactorily. The methods used to gather information included conversations with people at the home, their visitors and the staff, looking at care plans and examining other records. Four members of staff and five people who go to stay at the home returned questionnaires to us and we also received the home’s self-assessment questionnaire before the inspection visit. These questionnaires provide valuable information to help us form a judgement about the quality of the care and support the home provides. We would like to thank the people who were staying at Meadowcroft when we visited, their visitors and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: The people who spoke about their visits to Meadowcroft, whether for regular or occasional stays, all said they enjoyed the time and one person said ‘It’s a holiday here.’ Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 6 One relative told us that ‘Meadowcroft is an excellent respite care home and hopefully it will…remain in business for many years to come.’ The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. The pre-admission assessments are thorough and make sure the home can meet people’s needs. The people who stay at the home, and their visitors, all made positive comments about the personal and healthcare and support they receive. People said the staff listen to them and act on what they say. The care and support plans reflect each individual’s preferences and needs. It was clear during the inspection that the staff know and understand each person and do everything they can to support people’s individual needs. People’s right to make individual choices is respected and supported. People are involved in making decisions about the way the home is run, and the management and staff make sure their views are central to any decisions. There is an excellent activities programme with plenty of variety and something for everyone to enjoy. People’s cultural and spiritual needs are understood and met. We were told that the meals are very good and there is always an alternative to the dishes on the menu, if people wish. People said they know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. They said they would either speak to the manager or discuss their concerns with their family or the staff. The home is clean and fresh throughout and the layout is suitable for its purpose. The recruitment procedures are thorough, making sure that the staff who are appointed are safe and suitable to work with the people who will stay at the home. The staff are well qualified, with the majority having achieved a National Vocational Qualification in care. Meadowcroft DS0000033608.V373897.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. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 6 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 assessed before they are admitted to the home, to make sure their needs can be met. EVIDENCE: People said that they were given enough information about the home before deciding to go there. Senior members of staff carry out the pre-admission assessments. For people who would benefit from a period of rehabilitation these assessments take place after a referral from healthcare staff, such as physiotherapists. If someone is considering a respite stay, the home’s staff will either visit the person in their own home or, where possible, the staff encourage people and their families to visit and talk to the people who already use the home’s Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 10 facilities, and the staff. The home invites them to come and spend time there, share a meal and maybe take part in the days activities. This means that the home can get to know the persons needs and the individual has the information he or she needs to make a decision. These assessment procedures form the basis for the individual plan of care and support. Social Services’ and Health Authority assessments are also taken into account when assessing people’s needs and developing initial care and support plans. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are met. People are protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: We looked at three care plans, to make sure that peoples health and personal care needs are being met in the way each person prefers. The plans cover each area of the individuals care and support needs and show any areas where the person’s health or well-being may be at risk. They contain enough information to guide staff in how to care for and support each person. People said the staff are kind and helpful. The staff approach to people is very calm, friendly and relaxed. Our observations also confirmed that the staff Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 12 understand peoples care needs. One person said that the ‘Staff at Meadowcroft have always been extremely helpful and caring.’ Everyone we spoke to said the care and support they receive is of a good standard. Peoples relatives also said they are very happy with the care offered. One person said that the staff do what people want in the way they prefer. They said they are very satisfied with the care and support they receive. One person said the staff are ‘Excellent’ and everyone said the staff are always available when they need them. Detailed medical records are kept showing, for example, when the GP visited and the outcome, as well as any further healthcare support that is needed. The GP we spoke to during the visit said that people seem to get the care and support they need and felt that staff are competent to work with people who are staying at Meadowcroft for rehabilitation. People receive the medical and healthcare support they need and any concerns about people’s health are followed up. One person said that they can leave their relative at Meadowcroft during their holidays knowing they are in ‘…safe hands’. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. For security, the medicine cabinet was locked during the time between giving each person their medication. Some of the medicines are supplied in a monitored dosage system, but some is received in the original packaging. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. The records of amounts received, administered and in stock of medicines that are supplied in their original packaging were also accurate. The medication administration system is well organised, the records are clear and accurate and regular audits are carried out. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. Peoples relatives confirmed this. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a wide and varied range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. EVIDENCE: The home has now employed an activities co-ordinator who works either four of five days each week. On the day of our visit there were five different activities for people to choose from during the morning and afternoon. They included a word puzzle, quizzes and a reminiscence session with lots of photos of old Bradford, which generated considerable discussion about people’s lives and their memories. Many people enjoyed having a hand massage during the afternoon and the coordinator said that people had also found having an Indian head massage very relaxing when she had offered that. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 14 The staff are all involved in the day’s activities and in the evening, after tea, the staff organised games of dominoes or cards for people who wanted to take part. The dining room was decorated for Valentine’s Day. The co-ordinator had already prepared red rose table decorations and a chocolate fountain and there was a special menu printed out on beautifully decorated cards. The activities co-ordinator says she tries to celebrate all the events and festivals of the year. The previous event had been to celebrate the Chinese New Year and the activities storeroom was full of the decorations and other items used for religious festivals from all faiths, as well as the pagan events such as Hallowe’en. Everybody who commented said that there is always plenty going on and the whole atmosphere of the home was one of lively interaction between the people who were staying there, their visitors and the staff. On the day of our visit many people stayed in the main dining room for a large part of the day, chatting and joining in the activities. Visitors came freely and everyone was made very welcome. The menus have been re-designed to improve the nutritional balance and cut down on unnecessary waste. The times at which meals are served is now under review and any changes will be in line with what people say they prefer. People said the meals are lovely and they certainly looked and smelt appetising. The dining tables were all laid with pretty cloths and a small tray of condiments and looked most attractive. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 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 aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Most staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. Staff said they know what to do if anyone has concerns. The relatives said the home responds appropriately to any concerns. People said they know what to do if they have a concern or complaint, one person said they would see the person in charge. Everyone said they had information about the complaints procedure. As Meadowcroft is owned and run by Bradford MBC, they follow the Social Services’ complaints procedure. When people go home they are asked to complete a questionnaire and any comments people make are recorded and acted upon. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 16 Newly employed staff are made aware of the home’s whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. Not all of the care staff have had adult protection training yet, although further training is planned. All the appropriate policies and procedures are in place to guide staff. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 25 & 26 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 provides a safe, comfortable, attractive and well-maintained environment. EVIDENCE: The home is clean and generally well maintained and everyone we spoke to said the home is always kept fresh and clean. One person said that ‘Meadowcroft is always spotless everywhere.’ The rooms are comfortably furnished and have a welcoming feel. There are sufficient, accessible toilets and bathrooms throughout the house. Staff are employed to help look after the maintenance of the house and grounds. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 18 Since the last inspection visit there has been some refurbishment work to parts of the house, including the main kitchen. The lounges and dining rooms are comfortably furnished and the home has a warm and welcoming atmosphere. One of the lounges is for the use of people who wish to smoke and has recently had an improved extraction system fitted. There is seating outside for people to use in the better weather. There is also an attractive conservatory. The main dining room is very light and airy and many people spend time there, talking to friends and taking part in the day’s activities. The laundry is well organised and staff make sure that peoples personal clothing, as well as bedding and towels, are properly cared for. Improved infection control procedures for handling soiled linen have been put in place. Protective gloves and aprons are available for staff to use, as part of the home’s infection control measures. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 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. Sufficient staff are employed to meet peoples needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require, to be able to meet peoples needs. EVIDENCE: The staff rotas, and peoples comments, confirmed our observations that there are enough staff on duty to meet peoples care needs. One person who uses the home’s services said that ‘The staff are superb.’ All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 20 There is plenty of training available for staff. All the staff said the training is good and keeps them up to date and the home keeps good records of staff training. The training planned for 2009 includes a certificated course in medicines administration. Staff have completed training that includes the Mental Capacity Act, moving and handling and safeguarding. Looking at the staff training records it appears that many staff have done very little training other than the mandatory health and safety courses and some of their training was taken several years ago. The home hopes to improve this through the use of electronic learning. All new care staff complete induction training, which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking a National Vocational Qualification (NVQ) course. In addition staff attend training courses covering all areas of the general principles of care. Except for the two trainees, all of the eighteen care staff have achieved an NVQ level 2 in care. The trainee care assistants are currently taking the award. Some of the staff are working towards achieving the level 3 qualification. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 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 safe and well managed, in the best interests of the people who live there. EVIDENCE: The manager has been in post for around twelve months. He is well qualified and has the experience he needs to manage the home effectively. However he is not registered with us and therefore must apply for registration without delay. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 22 The records, and the staff, confirmed that all the staff have regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers and plan further improvements. These include a ‘suggestion box’, feedback questionnaires and regular meetings for the people who use the service and carers, as well as regular staff meetings. Peoples personal information is stored securely. Where the home helps people to manage their personal finances, accurate records are kept of all transactions and all monies are securely stored. The homes policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. The fire safety checks are carried out regularly and staff have had the necessary training and practice fire drills. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The homes kitchen was awarded four stars out of a possible five, following their most recent inspection by an Environmental Health Officer. We were told that the home has completed all the work that was requested. When we looked, the kitchen was clean, tidy and hygienic. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 24 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. Refer to Standard OP30 OP31 Good Practice Recommendations In order to make sure staff have the skills they need to do their job, up to date training in all relevant areas of care practice should be provided. In order to provide a stable management structure, Bradford Social Services need to appoint a permanent manager to the post and apply for them to be registered with us. Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 25 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 Meadowcroft DS0000033608.V373897.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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