Care Home: National Autistic Society (Gillitts Road)

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What the care home does well What has improved since the last inspection? Improvements are being made in a range of areas. The files relating to each person are being reorganised to ensure that relevant information is easily accessible. At the same time, the information within them is being reviewed to ensure that it is up to date. Action has been taken to ensure that people are involved in decisions about their lives. An advocate visits the home every week to ensure that people`s rights are protected. Action is also being taken to ensure that people`s personal support & healthcare needs are met. Staff members have identified that a person who finds it difficult to tolerate clothes will accept dungarees, thus helping to protect his dignity. Community nursing services have started to undertake assessments of people`s physical health. Medication profiles have been completed, detailing possible side effects and setting out the reasons for the use of PRN (as required) medication & homely remedies. The home has developed two sensory rooms, one of which is designed for activity and the other for relaxation. The introduction of a self-contained flat has been completed, enabling up to two people to further develop their living skills. A kitchenette facility is also available in both houses. Action has been taken to minimise the impact of the high use of agency staff upon the care received by people who use the service. Familiar staff members are used wherever possible. Any new member of agency staff is required to shadow a shift before they work at the home. What the care home could do better: A number of the improvements identified above are ongoing and will require further work to achieve the desired outcomes. The high use of agency staff remains a concern, as this could potentially affect the consistency of the care received by people who use the service. At the time of the visit, a number of medicines, which are either controlled drugs or are treated as such, were stored in a safe. The registered person must ensure that arrangements for the storage of controlled drugs comply with The Misuse of Drugs (Amendment) Regulations 2007. The views of people who have an interest in the service, such as social workers, community nurses & doctors, should be obtained and the results of all surveys should be published. CARE HOME ADULTS 18-65 National Autistic Society (Gillitts Road) Gillitts Road Wellingborough Northants NN8 2HX Lead Inspector Martin Hefferman Unannounced Inspection 7th July 2008 10:40 National Autistic Society (Gillitts Road) DS0000012863.V368105.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 National Autistic Society (Gillitts Road) DS0000012863.V368105.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. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service National Autistic Society (Gillitts Road) Address Gillitts Road Wellingborough Northants NN8 2HX 01933 275525 01933 275524 kevin.bacon@nas.org.uk 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) The National Autistic Society Kevin Bacon Care Home 12 Category(ies) of Learning disability (12) registration, with number of places National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All service users have a diagnosis of an Autistic Spectrum Disorder. The home may only admit service users aged 18-45. The total number of service users must not exceed twelve. Date of last inspection 24th July 2007 Brief Description of the Service: National Autistic Society (Gillitts Road) is registered to provide care for up to twelve people with learning disabilities. The home is situated approximately a mile from Wellingborough town centre, with easy access to local community facilities and services. People who use the service live in two purpose built five bedroom houses and a two bedroom ‘flat’. All of the accommodation is within the same building but each unit is self-contained and has its own entrance. Access to the first floor in both houses is via stairs - there is no lift. People who live at Gillitts Road have access to pleasant enclosed garden areas to the rear of the property. The home admits people with Autistic Spectrum Disorders and related conditions who have a high level of dependency. The people who live in one of the houses often suffer from behaviour that is challenging to staff. At the time of the inspection, fees ranged from £1973 to £3597 a week. Information about the home can be obtained from the registered manager or through the National Autistic Society. National Autistic Society (Gillitts Road) DS0000012863.V368105.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. A visit to the home took place on 7th July 2008, lasting approximately six and a half hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two people who use the service and tracking the care they receive through review of their records, discussion with care staff and observation of care practices. The people who live at the home have Autistic Spectrum Disorders and limited communication skills. It was not possible to ascertain their views and as a result, part of the visit was spent observing practice in both houses. The inspection also took account of all information received since the date of the last visit, including the annual quality assurance assessment (a self assessment form completed by the manager). Comment cards were received from five members of staff. What the service does well: The people who live at Gillitts Road enjoy active and varied lifestyles. Staff members assess each person’s apparent level of happiness whilst undertaking different activities and the results are used to review individual plans. Risk assessments are clear & comprehensive, setting out the measures to be taken to minimise each risk and detailing the level of risk both before and after action is taken. An analysis is completed of all incidents that occur to enable any patterns to be identified and action taken to minimise their reoccurrence. The wellbeing of people who use the service is enhanced by living in clean & comfortable surroundings. Pictures have been painted onto the walls in communal areas, making the environment more attractive. Bedrooms are personalised, with decisions taken on décor and furnishings dependent upon individual needs. Staff members receive training which is relevant to their role, helps them to understand & meet the individual needs of people who use the service and keeps them up to date with new ways of working. When asked what the home does well, the comments of staff members included the following: ‘Supply relevant training for people working with ASD (Autistic Spectrum Disorder). Care for / cater for people with ASD’; ‘Provide activities & events for service users’; ‘Promotes autism & service user rights’; National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 6 ‘Caters to the needs of adults with ASD. Provides lot of information in relation to ASD. Runs training courses frequently to keep the staff updated’. What has improved since the last inspection? What they could do better: A number of the improvements identified above are ongoing and will require further work to achieve the desired outcomes. The high use of agency staff remains a concern, as this could potentially affect the consistency of the care received by people who use the service. At the time of the visit, a number of medicines, which are either controlled drugs or are treated as such, were stored in a safe. The registered person must ensure that arrangements for the storage of controlled drugs comply with The Misuse of Drugs (Amendment) Regulations 2007. The views of people who have an interest in the service, such as social workers, community nurses & doctors, should be obtained and the results of all surveys should be published. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 7 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. National Autistic Society (Gillitts Road) DS0000012863.V368105.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 National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. Assessment practices are effective, ensuring that the needs of people who use the service are identified before they move in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information about the home is available in both a standard written and an ‘easy read’ format. The latter is illustrated with pictures. The registered manager stated that he is looking into the possibility of producing information about the home in other formats, which may be more meaningful to some of the people who live there. One of the people who were chosen for the purposes of case tracking had moved to Gillitts Road since the date of the last inspection. A copy of an assessment completed by staff from the home appeared comprehensive, covering issues such as communication, mental & physical health, nutrition, personal care, race & culture, education, vocation and leisure. Copies of assessments completed by health & social care professionals were also available for the people whose records were inspected. National Autistic Society (Gillitts Road) DS0000012863.V368105.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 & 9 Quality in this outcome area is good. Improvements are being made to record keeping practices to ensure that staff members have easy access to the information they require to meet individual needs. Action has also been taken to ensure that people are involved in decisions about their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual plans were available for the people who were chosen for the purposes of case tracking. The deputy manager stated that each person’s files are being reorganised to ensure that relevant information is easily accessible. One of the files that were inspected had been reviewed whilst the second had yet to be fully completed. Out of date information in the latter had been filed on top of more recent documents, increasing the risk of staff referring to the wrong information. This issue was brought to the attention of the registered manager. A person-centred plan was available for one of the people whose records were inspected. This set out the person’s like & dislikes, their aspirations and the relationships that are important to them. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 11 Risk assessments have been completed on a range of issues. They appear clear & comprehensive, setting out the measures to be taken to minimise each risk and detailing the level of risk both before and after action is taken. The people who live at Gillitts Road require assistance with the management of their finances. Records have been kept of the money spent by each person and receipts are available. A weekly check is undertaken of the balances remaining. There have been two thefts from the home since the date of the last inspection, the second of which involved a substantial amount of money belonging to people who live there. An investigation by the National Autistic Society found that the staff involved had failed to follow relevant procedures. The Society have reimbursed the people who use the service for the money lost and have strengthened procedures relating to the handling of money. An advocate visits the home every week and is involved in decisions affecting the people who live there. Staff members were observed to offer choice to people. In one instance, this involved a staff member presenting objects relating to different activities until the preferred option was identified. National Autistic Society (Gillitts Road) DS0000012863.V368105.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 & 17 Quality in this outcome area is good. The wellbeing of people who live at Gillitts Road is promoted through their involvement in active and varied lifestyles. Their individual needs for activity and relaxation are recognised and responded to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live at Gillitts Road attend a day service run by the National Autistic Society in Northampton. Records indicate that activities are tailored to suit individual interests. One of the people who were chosen for the purposes of case tracking is thought to enjoy walking and had been to a nearby park. Other people had been swimming. Staff members assess each person’s apparent level of happiness whilst undertaking different activities and the results are used to review individual plans. Daily programmes are displayed in the home, using symbols where appropriate. Upon their return from day services, people were able to relax or to participate in activity. Several people appeared to enjoy listening to music whilst others completed puzzles, went to nearby shops or sat in the garden. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 13 Records indicate that some of the people who live at Gillitts Road had attended a carnival held in Wellingborough over the weekend preceding our visit. Since the date of the last inspection, the home has developed two sensory rooms, one in each house. One of the rooms is designed for activity and the other for relaxation. The registered manager stated that people who live in either house could access both rooms, depending on an assessment of their needs at the time. The introduction of a self-contained flat has been completed since the date of the last inspection, enabling up to two people to further develop their living skills. A kitchenette facility is also available in both houses. Records indicate that the people who live at Gillitts Road are in contact with their families. The registered manager stated that he is looking at ways in which to increase the involvement of relatives in the running of the home. Records indicate that people who live at Gillitts Road enjoy a varied diet. Information is available regarding individual likes, dislikes and dietary requirements. The home had sought the involvement of specialist services to ascertain the food preferences of one of the people whose records were inspected. National Autistic Society (Gillitts Road) DS0000012863.V368105.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 & 20 Quality in this outcome area is good. Action is being taken to ensure that people’s personal support & healthcare needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual plans detail the personal support each person requires and any preferences that have been identified relating to that care. Discussion with staff members and the registered manager indicated that since the date of the last inspection, it has been identified that a person who finds it difficult to tolerate clothes will accept dungarees, thus helping to protect his dignity. Individual plans set out details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. Records of appointments attended by the people whose records were inspected indicate that they are in contact with healthcare professionals. The deputy manager stated that she would ensure a dentist appointment was arranged for a person identified at the time of the visit, who had not been seen for over six months. Since the date of the last inspection, community nursing services have started to undertake assessments of people’s physical health. An analysis is completed by the home of all incidents that occur to enable any patterns to be identified and action taken to minimise their reoccurrence. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 15 The annual quality assurance assessment indicates that improvements have been made to medication arrangements at the home, including revised staff training, regular audits and a change of provider pharmacy. None of the people who were chosen for the purposes of case tracking manage their medication. Records of the medicines administered to people met relevant requirements. Medication profiles have been completed, detailing possible side effects. Profiles for the use of PRN (as required) medication & homely remedies set out the reasons to administer. A number of medicines, which are either controlled drugs or are treated as such, were stored in a safe. It was not clear at the time of the visit whether the safe met the revised regulations relating to the storage of controlled medication. National Autistic Society (Gillitts Road) DS0000012863.V368105.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 & 23 Quality in this outcome area is good. People who use the service are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Copies of the home’s complaints procedure are displayed in the hallways. The registered manager agreed to amend the procedure to reflect our change of address. The annual quality assurance assessment indicates that two complaints have been received during the past twelve months, one of which was upheld. The registered manager stated that the latest records relating to one of the complaints had been passed to a senior manager and so were not available at the time of the visit. Since the date of the last inspection, the National Autistic Society have obtained the services of an advocate, who visits the home every week. The home has policies and procedures on the protection of vulnerable adults and whistle blowing. Staff members confirmed that they have received training on the protection of vulnerable adults and indicated that they are aware of the action they should take in the event of an allegation or suspicion of abuse. Records indicate that six safeguarding adult referrals have been made since the date of the last inspection, the latest of which concerns theft of money belonging to people who use the service. The people concerned have since been reimbursed and procedures relating to the handling of money strengthened (See ‘Individual Needs & Choices’). National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 17 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. The wellbeing of people who use the service is enhanced by living in a clean & comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The areas of the home that were inspected were decorated and furnished to a satisfactory standard. They were clean and generally tidy. Bedrooms are personalised, with decisions taken on décor and furnishings dependent upon individual needs. A bedroom in the flat has been decorated in the favourite colour of the person living there. Pictures have been painted onto the walls in communal areas, making the environment more attractive. Since the date of the last inspection, kitchenette facilities have been introduced in both houses; dining areas have been partitioned off from lounges; floor coverings in a number of areas have been replaced; two sensory rooms have been developed & equipped; work on the flat has been completed; and garden areas have been improved. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 18 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. People who live at Gillitts Road are protected by the arrangements for the recruitment & training of permanent staff. Action has been taken to minimise the impact of the high use of agency staff upon the care received by people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who live at Gillitts Road appeared to enjoy a positive relationship with the staff on duty at the time of the visit. Records indicate that the use of agency staff remains high. The registered manager stated in the annual quality assurance assessment that ‘we always endeavour to use familiar staff wherever possible, and have agreements with the agencies that they deploy to us staff who know the service well, and who the service users know’. He reported that agency staff are required to shadow a shift before they work at the home. The staff members who were spoken to confirmed this to be the case. Information is held at the home about the qualifications & experience of each member of agency staff used. The annual quality assurance assessment indicates that all staff have had satisfactory pre-employment checks. Comment cards completed by staff members and the records that were inspected confirmed that appropriate checks had taken place. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 19 New members of staff complete Learning Disability Award Framework induction training. The annual quality assurance assessment indicates that thirteen of the twenty-two members of care staff have completed National Vocational Qualification level 2 or above and that two are working towards such an award. Records indicate that staff members have received training on issues such as fire safety, first aid, food hygiene, health & safety, medication and the protection of vulnerable adults. Staff members spoke positively about the training provided by the National Autistic Society. Those who completed comment cards indicated that they are given training which is relevant to their role, helps them to understand & meet the individual needs of the people who use the service and keeps them up to date with new ways of working. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 20 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. Improvements have been made to the overall running of the home, ensuring that people’s needs are met and that they are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An application for the registration of the manager has been approved since the date of the last inspection. He stated that he has recently completed a level four National Vocational Qualification and that he is due to undertake the Registered Managers’ Award. A deputy manager has recently been recruited and a senior member of staff from another service visits the home every week to provide advice & assistance. A survey has been sent to the families of people who live at the home. Completed copies were available at the time of the visit. The registered manager stated that a survey form had also been developed for people who live at Gillitts Road but that this had yet to be used. A recommendation has National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 21 been made that the views of other people with an interest in the home, such as social workers, community nurses & doctors, should be obtained and the results of all surveys should be published. Staff members have received training on a number of safe working practices (See ‘Staffing’). Records indicate that fire tests are carried out at the required frequency and that a fire drill had taken place in June 2008. The registered manager stated that a person who lives at the home had destroyed records of previous tests. Alternative arrangements have since been made for the storage of records. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 22 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 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 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 Requirement The registered person must ensure that arrangements for the storage of controlled drugs comply with The Misuse of Drugs (Amendment) Regulations 2007. Timescale for action 31/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA39 Good Practice Recommendations The views of people with an interest in the home, such as social workers, community nurses & doctors, should be obtained and the results of all surveys should be published. National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 National Autistic Society (Gillitts Road) DS0000012863.V368105.R01.S.doc Version 5.2 Page 25 - 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. 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