Latest Inspection
This is the latest available inspection report for this service, carried out on 15th May 2008. CSCI found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Mellor House.
What the care home does well There were no requirements made as a result of this inspection and no issues or areas for improvement identified.Staff know residents well and can detect signs of dissatisfaction, through observations of their behaviours and act promptly to deal with any dissatisfaction. Residents are supported and assisted in all aspects of their daily lives and receive the medical treatments that they need. People living in the home have access to a wide range of activities including college courses, day centre activities and local community clubs, pubs and trips to the seafront or shopping in Southend. Two residents enjoy horse riding and attend on a weekly basis. When at home residents may spend their time as they choose and there are books and games available. Residents live in a well maintained and comfortable home and there is an ongoing programme for maintenance and improvement. Resident`s families are consulted regularly and their views are taken into account in the management of the home. Concerns and complaints are dealt with in accordance with the homes policies and procedures and staff are trained and supported in ensuring that residents are safeguarded from harm. Staff working at the home are trained and supported so that they can provide the best possible care and support to residents. What has improved since the last inspection? The requirements identified at the last inspection have been met and the manager continues to make improvements to the home taking into consideration the needs and wishes of residents and the views of relatives. CARE HOME ADULTS 18-65
Mellor House 80 Station Road Westcliff On Sea Essex SS0 7RQ Lead Inspector
Carolyn Delaney Unannounced Inspection 15th May 2008 11:00 Mellor House DS0000015510.V364647.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 Mellor House DS0000015510.V364647.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. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Mellor House Address 80 Station Road Westcliff On Sea Essex SS0 7RQ 01702 437350 01702 346042 h3m043walton@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) Manager post vacant Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 31st May 2007 Brief Description of the Service: Mellor House is a purpose-built home providing 24-hour residential care for up to eight adults with profound complex physical and learning disabilities. The home is situated within a residential area of Westcliff on Sea and is close to the towns of Southend and Leigh on Sea with views of the sea. There are good public transport links to the area and a railway station is within close walking distance to the home. Springboard Housing Association owns the home, and MENCAP provide the care. The monthly fees, range from £1031. 39 to £1082.71 per week. There are eight spacious single bedrooms with hand washing facilities all located on the ground floor. Assisted bathrooms are located within easy location to the bedrooms. There is a large lounge and dining room available. The kitchen is large and wheelchair accessible. A number of areas within the home have been refurbished and this includes the lounge, hallway and kitchen. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Quality Rating for this service is 2 stars. This means the people who use this service experience good quality outcomes.
This was a routine unannounced inspection. The inspection visit was carried out on 15th May 2008 between the hours of 11.00 and 18.30. As part of the inspection process staff and relatives were spoken with to obtain their views about the home. Recorded information about residents, including assessment documents, care plans and risk assessments were examined. Staff were observed when providing general support to residents and these observations were used to help make judgement about the care and support that individuals receive. Records in respect of staff employed in the home were examined to help determine whether staff were recruited robustly, trained and supported, and employed in sufficient numbers to meet the needs of people living in the home. Other records in respect of how complaints are received and managed, how the home is maintained and managed were also examined as part of the inspection process. In addition, the information provided to us by the manager such as notifications of occurrences in the home including injury, admission to hospital or the death of a resident were reviewed as part of the inspection planning process to help us identify any areas of good or poor practices which may affect residents. The manager also provided us with their Annual Quality Assurance Assessment (AQAA). This is used by the proprietor to self assess how well they are meeting outcomes for people living in the home. This information was used in to plan the inspection and referred to throughout the inspection visit. A brief tour of the building including resident’s’ bedrooms, communal spaces such as the lounge, dining rooms and bathrooms was undertaken. Other areas including the laundry and kitchen were also view. What the service does well:
There were no requirements made as a result of this inspection and no issues or areas for improvement identified. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 6 Staff know residents well and can detect signs of dissatisfaction, through observations of their behaviours and act promptly to deal with any dissatisfaction. Residents are supported and assisted in all aspects of their daily lives and receive the medical treatments that they need. People living in the home have access to a wide range of activities including college courses, day centre activities and local community clubs, pubs and trips to the seafront or shopping in Southend. Two residents enjoy horse riding and attend on a weekly basis. When at home residents may spend their time as they choose and there are books and games available. Residents live in a well maintained and comfortable home and there is an ongoing programme for maintenance and improvement. Resident’s families are consulted regularly and their views are taken into account in the management of the home. Concerns and complaints are dealt with in accordance with the homes policies and procedures and staff are trained and supported in ensuring that residents are safeguarded from harm. Staff working at the home are trained and supported so that they can provide the best possible care and support to residents. What has improved since the last inspection? What they could do better:
There were no areas for improvement identified during this inspection. Please contact the provider for advice of actions taken in response to this
Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 7 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. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are assured their needs will be met due to the thorough assessment process. EVIDENCE: There have been no new admissions to the home since the last inspection. This was confirmed during the inspection visit by checking admission dates for people living in the home. The manager told us in the AQAA that there is a comprehensive needs led assessment carried out for each person which includes information obtained where possible form the individual, their families and other people who are important to them and health and social care professionals who are involved in the persons care. Assessments, which had been carried out for residents living in the home, were comprehensive and written in a way, which included individual’s capabilities and reflected their likes and dislikes. None of the residents living in the home at the time of the inspection were capable of telling us of their experience of moving into the home. Relatives who were spoken with said that residents had moved in many years ago and so could not comment on the current process. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 10 Staff receive training in respect of providing support and enabling people who have physical disabilities and /or learning disabilities. Staff were observed to provide support in a sensitive and positive manner and staff who were spoken with could demonstrate that they knew residents well and that they knew how to support and care for their individual needs. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s individual needs are well met and they can make choices about their daily lives. EVIDENCE: The manager told us in the AQAA of the improvements made since the last inspection in respect of promoting residents individual choices when providing care and support to meet their assessed needs. Improvements included the development of more suitable risk assessments and regular review of these. All residents have a detailed plan developed by staff, which clearly describes the care, and support each individual needs and how staff are to provide this support. The care plans for two of the eight people living at the home were examined during the inspection. There was detailed information recorded about person’s preferences, daily routines and their likes and dislikes. This information was obtained through liaising with residents relatives and observations made by staff. Information was recorded in the care plans about how both residents like to spend their time and the things they like to do.
Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 12 Information was reviewed and amended regularly as resident’s wishes or needs changed. Each of the four relatives who were spoken with said that they were involved in reviewing care with staff. One person said that ‘there have been much improvements in how residents are looked after since the new manager started work in the home’. Another relative said that ‘staff try very hard to understand residents needs and work hard to make residents happy.’ People living in the home could not tell us about their goals or the care and support they receive and they rely upon their relatives to make big or important decisions about their lives. Relatives have the opportunity to meet with staff and the homes manager regularly to discuss these. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Mellor House experience a lifestyle, which suits their individual preferences and capabilities. EVIDENCE: In the AQAA the manager told us how staff at the home support residents in having access to the community and participate in activities according to their individual needs and wishes. Staff record residents preference for activities in their care plans and include any details of specific support residents may need in order to access and participate in these activities. At the time of the inspection one resident was attending courses at the local adult education college. Another was attending music school. In addition residents have the opportunity to go to clubs, discos, bowling, go out for meals etc. Residents attend a local day centre each weekday. The manager and staff
Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 14 feel that residents would benefit from one day at the home to allow them to visit family and friends or just to spend some time in the home. Some residents go horse riding and have therapeutic massage on a weekly basis, which they seem to enjoy. Staff in the home cook meals for residents. On the evening of the inspection residents had pork stir-fry and some residents had sandwiches of their choice, which they all appeared to enjoy. Residents need support at mealtimes and staff were available to help residents and to ensure that they have suitable utensils. Residents are given suitable time to have their meals. Menus are planned in advance and staff judge residents behaviour and reaction to foods to determine whether residents like the food and from this staff can plan menus with meals, which residents enjoy. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Mellor House have their personal and healthcare needs met in a way, which reflects their preferences. EVIDENCE: Each resident has a care plan, which describes their health and personal care needs and how staff are to provide the required care and support. In addition there is a healthcare plan for each resident, which includes contact details for the health and medical professionals involved in residents care. Residents have access to regular routine health checks and have 6 monthly medication reviews. There was concise information recorded in respect of managing medical conditions such as epilepsy, stomach ulcers etc as well as supporting residents with mobility, poor sight and communication. There were detailed care plans for residents describing how staff support each person in maintaining personal hygiene. These plans included information as to how residents like to be cared for such as whether they preferred bath or shower etc.
Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 16 All care plans were reviewed regularly by staff and amended where there were changes to resident’s needs or the care and support they need. Residents who were seen on the day of the inspection looked well cared for and were clean and appropriately clothed. Staff were observed to interact with residents in a very positive way and there was a happy atmosphere in the home with lots of communication between staff and residents. People living in the home are not capable of retaining control of their medicines and rely on staff to ensure that they receive medication prescribed as part of their treatment. Residents cannot consent to medication however staff know residents and can tell if residents do not wish to take their medication. Staff said that this is not usually a problem and that residents usually take medication well if it they can see it and it is given with food such as yoghurt. Where this practice is employed it is clearly recorded in the residents care plan. Staff receive regular training updates in respect of the safe storage and administration of medicines. The Medication Administration Records (MAR) for each resident were examined and these were well maintained and staff sign to indicate that they have administered medication. In addition there is information recorded in respect of the medication prescribed for residents, which details the reason for its use and any possible side effects. Resident’s medication is reviewed regularly by their general practitioners and staff liaise with doctors and relatives if there are any problems or changes to a residents treatment. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are dealt with appropriately and people living in Mellor House are safeguarded from harm. EVIDENCE: The manager told us in the AQAA that all complaints are investigated in accordance with MENCAP’s policy and procedure. Records in respect of complaints received were viewed during the inspection visit. Records indicated that there had been one complaint received since the last inspection. The homes manager had carried out a full investigation and a response had been sent to the complainant in accordance with policy. It was positive to note that following the complaint that changes had been made to the residents care plan so as to help ensure that there would not be a reoccurrence of the issues raised in the complaint. People living in the home are not capable of making complaints. Staff observe residents behaviour and record how residents react to situations to help them determine if residents are unhappy. Staff also record residents likes and dislikes so that they can build up a picture of each individuals preferences and so that staff can act in a way which will minimise dissatisfaction. Three members of staff who were spoken with confirmed that they were aware of what to do if they received complaints from relatives or if they noted any dissatisfaction in residents by their behaviours. Staff were observed to interact in a very positive way with residents and staff who were spoken with could demonstrate that they knew residents well and knew when they were unhappy.
Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 18 Relatives who were spoken with confirmed that they have the opportunity to attend meetings every three months where they can discuss any issues. All staff are recruited robustly and they receive regular training in respect of safeguarding people who live in the home from abuse harm and neglect. Staff who were spoken with confirmed that they had attended the training provided by Southend Borough Council safeguarding unit. Staff could also demonstrate that were ware of what to do in the event of witnessing or suspecting any mistreatment of residents. There have been no safeguarding alerts raised in respect of Mellor House since the last inspection. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 19 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe homely and clean environment which is suited to their individual and collective needs. EVIDENCE: Mellor house is a purpose built home, which provides suitable personal and communal space for residents. A tour of the premises was undertaken during the inspection. Resident’s bedrooms, which were viewed, were large, bright and clean. Resident’s bedrooms were decorated nicely and personalised according to the occupant’s tastes. Some residents have televisions and music systems in their bedrooms. Residents have access to a sensory room which the manager said a number of people appear to enjoy. The manager said that she was planning the refurbishment of the lounge area so as to provide areas where residents can enjoy spending time as they choose. For example one resident enjoys watching motor sport and the
Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 20 manager has purchased a large screen television for one area of the room where this resident spends time. Residents have access to a bright dining room, which was due to be redecorated later this year. At the time of the inspection some work was being undertaken in the garden area so as to improve access for residents. Residents enjoy spending time outside when the weather is good. There are two bathrooms and management are considering the possibility of developing one area into a wet room, which would be more suited to the needs of residents. During the day the home was noted to be clean and free from unpleasant odours. Residents have access to all communal areas and the manager’s office. Residents could not comment on their environment however they seemed to be comfortable and happy in their surroundings. Relatives who spoke with the inspector said that the home is clean and comfortable. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 21 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their needs met by a team of competent and skilled staff. EVIDENCE: The manager told us in the AQAA of some of the issues in recruiting staff as some staff had left the homes employment since the last inspection. In order to minimise the effect of this on residents the manager uses a team of staff from a local recruitment agency who know the residents well and also staff from Mencap’s relief bank staff. The staff rotas were examined and these indicated that staff have appropriate days off during the week and that they do not work excessive hours without time off. There is a robust policy for recruiting staff to work in the home. The manager told us that interviews are carried out over the course of a day and that candidates are observed in their interaction with residents and resident’s reaction. This is done so as to help ensure that people employed at the home will be suitable and that residents like staff. The staff recruitment files for three staff who had been recently employed at the home were examined. All of the
Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 22 checks as required to determine the suitability of each individual including satisfactory references from previous employers and Criminal Record Bureau (CRB) disclosures had been carried out before a person was offered employment at the home. It was very positive to note that the manager validates all references by contacting referees. This helps to ensure that staff have the suited to work with residents. Three staff who were spoken with confirmed that they undertook a period of induction when they commenced work at the home. This gives all new staff time to familiarise themselves with the homes policies, procedures and practices and the needs of residents. There is an ongoing training and development programme for staff, which includes training in respect of managing aggression, communicating with residents, dealing with epilepsy, infection control, fire safety, risk assessment etc. Staff who were spoken with said that they feel that they receive training to enable them to care for residents. One member of staff said that they felt that ‘residents were very well cared for’. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mellor House is well managed and residents and their relative’s opinions are considered and used in improving the service. EVIDENCE: The manager told us in the AQAA that the home is well managed and that there is a dedicated staff team. She told us that happy residents evidence this and satisfied residents. Relatives who were spoken with said that there have been improvements in communication in recent months and that they are regularly given the opportunity to meet with the manager so as to air their views and be kept informed on what is going on in the home. One person said that their relative ‘is happy there and staff know how to care for them’
Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 24 The manager has National Vocational Qualification level 4 and the Registered Managers Award and plans to submit her application to the Commission so as to be registered as manager. There are clear lines of communication and accountability within the home and the manager has an open approach to management of the home. The home is well maintained and regular checks are carried out with respect to fire detection and safety equipment, gas and electrical installations and all equipment in the home. The manager employs local tradesmen to deal with any repairs and has provision within her budget for the maintenance of the home. Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 4 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 X 3 Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Mellor House DS0000015510.V364647.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Regional Office Mortlock House Vision Park Histon Cambridge CB4 9ZX 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
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