Care Home: Parikia Residential Care Home

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What the care home does well People are supported to meet their full potential and lead very fulfilling lives. The manager works hard to ensure people have real choice in their lives. Risk is understand and managed but not a barrier to achievement. He is extremely keen to provide a good service for people by ensuring staff are properly recrutied, well trained and supported. The quality of the service provided is under constant review. Staff, when asked what the home does best said: "Make sure that all individual needs are met and the workplace is kept to a high standard", "Provide care and activities for the service users according to their individual needs" and "Look after young people with disabilities and activities". The family of one person at the home described the manager as: "Clearly really dedicated to his job".". A social care professional described the way a recent admission was managed as: "Extremely professional". What has improved since the last inspection? Information about people is now kept more securely and in a confidential way. The standard of quality monitoring has much improved. It is recognised as an important part of the home`s management that will lead to continuing improvement. The record of staffing levels is now more comprehensive and shows that staff are available as people`s needs indicate. Health action plans and plans of when people`s behaviour is a challenge are now in use. These help inform staff how to meet people`s needs. All staff have now received training in how to safeguard vulnerable people from abuse. Safety concerns regarding the home environment have now been addressed. The standard of risk assesment has now improved. There is an ongoing programme of maintenence and renewal at the home which proviodes a more pleasant environment for people. CARE HOME ADULTS 18-65 Parikia Residential Care Home 70 Dawlish Road Teignmouth Devon TQ14 8TG Lead Inspector Anita Sutcliffe Unannounced Inspection 13 and 21 August 2008 10:00 th st Parikia Residential Care Home DS0000067447.V364077.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 Parikia Residential Care Home DS0000067447.V364077.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. Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parikia Residential Care Home Address 70 Dawlish Road Teignmouth Devon TQ14 8TG 01626 770189 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) parikia@onetel.net Mr Mark Brandwood Mrs Esther Brandwood Mr Simon Ellis-Robbins Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 16-45 years Date of last inspection 24/8/2007 Brief Description of the Service: Parikia is a large detached house on the main Teignmouth to Dawlish road, which is a bus route. The house is spacious, with large communal rooms and some good-sized bedrooms. All bedrooms are for single occupancy. There is a garden and a car parking area. Parikia can care for up to 12 younger adults with a learning disability but choose to care for a maximum of 10. This service is aimed at people who enjoy activities, who may need help with motivation, and who may wish to work towards independence. Health care needs are met by the local community services. The home is staffed 24 hours a day. Staff sleep in at night. Fees range from £710 to £1,450 per week, according to individual need. Prospective residents and their representatives are advised of the availability of inspection reports on the Commission for Social Care Inspection (CSCI)’s website, and given a copy if they are unable to access this. Parikia’s Service Users’ Guide is offered to potential new residents. Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. Information about the home has been collected towards this inspection since August 2007. The annual quality assurance assessment (AQAA) was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service such as now many people are resident and how many staff employed. This key inspection included two unannounced visits to Parikia. Surveys were sent to people who use the service and staff. Family and social care professionals were contacted. As part of the visit to the home we looked at all communal areas, and several bedrooms. We spoke with several people who use the service and observed staff going about their work. We looked at the care and support in detail that two people received, meeting with them and looking at their records. We looked at other records in less detail. We spoke with the registered manager and some staff. People who use the service may be described within this report as residents, clients or service users. What the service does well: People are supported to meet their full potential and lead very fulfilling lives. The manager works hard to ensure people have real choice in their lives. Risk is understand and managed but not a barrier to achievement. He is extremely keen to provide a good service for people by ensuring staff are properly recrutied, well trained and supported. The quality of the service provided is under constant review. Staff, when asked what the home does best said: “Make sure that all individual needs are met and the workplace is kept to a high standard”, “Provide care and activities for the service users according to their individual needs” and “Look after young people with disabilities and activities”. The family of one person at the home described the manager as: “Clearly really dedicated to his job”.”. A social care professional described the way a recent admission was managed as: “Extremely professional”. Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: We have made no requirements. However, we discussed things that could be done better: The language used by staff when recording information should be reviewed. Currently staff are making judgements, which indicate a disrespect for people and a poor understanding of how care and support should be delivered. Other than the records we did not find that to be the case. Where there is any restriction on people’s liberty, in this case restrictions on the use of the kitchen, this must be part of each person’s plan of care. Restriction must be avoided where possible; the needs of one person should not adversely affect the life of another. Health promotion in the form of ‘well man’ and ‘well woman’ checks, appropriate to the age and gender of people, should be available unless a reason for not doing so is identified and recorded. Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 7 The dining room décor should be reviewed as it is considered stark and institutional and it was not a comfortable space to be in. Staff should have the contact details for the Local Authority Safeguarding team available to them should they wish to disclose concerns about the home. 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. Parikia Residential Care Home DS0000067447.V364077.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 Parikia Residential Care Home DS0000067447.V364077.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, 3 & 4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People can be assured that the home will do all it can to ensure admission is handed in the person’s best interest. EVIDENCE: The three people who responded to surveys said they were asked if they wanted to move into the home and that they received enough information about the home to help them decide it it was the right place for them. We looked at how the most recent admission to the home had been handled. This invovled meeting them, reading records, talking to their family and care manager. It was confirmed that “loads” of information had been provided about the home. A social care professional said: “The admission went really well. They were very helpful and there was a good introduction to the home, which involved time spent meeting other residents and joining activities. The manager took specific time out to ‘get it right’. They were extremely professional, linked in with parents and met all the requests. Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 10 We saw that assessment records were detailed and from the outset there were measures in place to ensure safety and well being. Extra staff were made available until the person was more used to the home and the staff better understood their needs. Where staff were unsure about something they sought further information immediately. The newly admitted person was observed being included in events and conversation and appeared settled at the home. The manager reports that if a person is offered a place at the home feedback is sought during and after the move so the home can see if they could have done anything better. Parikia Residential Care Home DS0000067447.V364077.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, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The way care and support are planned ensures people are treated as individuals with rights and preferences. EVIDENCE: People said through survey that they make decisions about what they do each day and ‘can do what they want’. They also confirmed that care staff listen and act on what they say. We saw the methods used to explore people’s preferences and choices. They involve group and individual meetings. Where people have a limited ability to say what they want the manager is exploring new ways to help them. For example, one person will have a ‘bucket’ into which they put pictures of what they like or do not like. There are also group meetings to discuss things of importance, such as meals and activities. However, we found that the kitchen Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 12 is locked to people when staff are not in the area. This means that people cannot make themselves a drink or have snacks from the fridge if they wish, something people in their own home will take for granted. Because the kitchen is a danger to some, others have this restriction; it is not part of their planned care. This needs to be reviewed on an individual basis. We were shown plans of how people’s care and support are to be provided. They contained detailed assessments of any individual risk, goals to be achieved and the method for this. There is a ‘tool’ for scoring achievements against goals so that progress can be monitored. Plans were very detailed and mostly up to date. The care planning method is still a ‘work in progress’ as the manager looks for ways to further improve it. Staff said they are given information about the needs of people. One added how useful training in communication and the mental capacity act has helped them. We saw that people have a copy of their care plan and staff keep a separate copy securely for their use. Parikia Residential Care Home DS0000067447.V364077.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 excellent. This judgement has been made using available evidence including a visit to this service. People have the opportunity to lead very active and fulfilled lives at Parikia. EVIDENCE: At our first visit we found people preparing their carnival float and for the second they went out on a motor boat for the day. People have a wide range of activities available to them. These include: BBQ, regular visits to a social club, shopping, mountain biking, bowling, visiting the beach, walking and swimming. The home is very well equipped for activities; for example, there is an arts and craft room, sailing craft, mountain bikes and some people keep pets. People have their own computer equipment, television and things of interest in their rooms. Some have their own fridge and kettle for tea making. All have a yearly holiday. Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 14 Some people attend work, such as helping with garden and woodland tasks. People help improve the home environment itself and we saw on the weekly activity programme individual tasks such as: ‘Shower, shave and room tidy, ‘tidy the grounds’ and ‘laundry and dinner preparation’. We discussed ‘age appropriate’ social interests and relationships. The manager understands and supports relationships taking into account risk and consequences. People’s rights are upheld but the home understands its duty of care to protect. People are encouraged through group and individual meetings to make their preferences known. We saw records of how this is achieved. There is regular review and update. For example, following a meal people say whether they want that food again in the future. Meals are varied and sufficiently nutritious. We saw that some people like involvement with food preparation; one cooked a pasta dish and has a certificate in food preparation. Where diet is an issue staff support a healthy eating regime as part of planned care. Parikia Residential Care Home DS0000067447.V364077.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 can be assured that their wishes regarding personal and health care needs will be met and their health care needs addressed. EVIDENCE: We looked at care records and had discussion with staff and the manager. Each person is able to choose how, when and by whom they are given personal support and this is recorded in their plan of care. We saw that health action plans and challenging behaviour plans are now in place, these help to ensure staff work consistently. People are helped to access healthcare services, such as dentist, optician and general practitioner. Where people may not be able to communicate their health care needs staff are more vigilant in their monitoring so that medical conditions are not overlooked. For example, people may be regularly weighed. However, we asked about ‘well woman’ and ‘well man’ age appropriate health checks and found these had not been considered. The manager confirmed this Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 16 would be discussed with people’s general practitioner to find the most appropriate way forward. The home uses a monitored dosage system to admininster medicines. People are supported to manage their own if they wish to do so. We saw that the risk from this had been assessed, but could have contained a more adequate amount of detail. However, this is also part of the independence skills monitoring at the home. Staff receive training in the handling of medicines and we were satisfied that medicines are handled in the best interest of people who use the service. Parikia Residential Care Home DS0000067447.V364077.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. People are safe and any concerns or complaints will be listened to at Parikia. EVIDENCE: The manager says that the service has a complaints policy and procedure that are displayed, circulated to staff and distributed to advocates in the admissions pack Service User Guide. This was confirmed as true. Provision is made for appropriate advocacy if a person wishes to complain. The three people who responded to survey said they knew who to speak to if they were not happy, naming staff and their family. They also said they knew how to make a complaint, naming staff and the manager. They each said staff treat them well. The five staff who responded to survey said they knew what to do if a person/relative/advocate or friends had concerns about the home. A newly employed member of staff knew where the whistle blowing policy (how to alert any concerns about the home) was kept. However, we saw that the policy did not contain the contact details for the Local Authority Safeguarding team or the Commission. This information would help staff should they have concerns about the home. Staff receive training in how to safeguard the vulnerable people in their care and we saw that risks associated with that vulnerability were assessed and safety measures in place. Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 18 We saw that people were relaxed in the home and there have been no complaints or concerns raised about the home. Parikia Residential Care Home DS0000067447.V364077.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 adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and adequately maintained but parts lack a homely feel. EVIDENCE: Parikia has comfortable lounge space, a large cellar for arts, crafts and games and a kitchen. There is a large dining room but this not very homely, having ‘school style’ tables and a stark and uninviting appearance. The lounge area is more domestic in nature, containing sofas, TV, video and DVD unit. Bathrooms and toilets are in close proximity to the bedrooms and en suite facilites are being introduced in the home, in one case where this was requested prior to admission. There is continuing renovation at the home with redecorating of corridors and other shared spaces. Some areas still appear worn and tired. Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 20 We were told that all bedrooms are newly decorated and refurbished for all new residents. A recently admitted person was able to choose their preferred furniture and furnishings and she and her family are very pleased with her room. Each person is able to lock their room for privacy and rooms were very individual and personalised. There are large gardens, very much in use. The laundry is sufficient to meet the needs of the home. People said that the home is always clean and fresh. A cleaner is employed although people are encouraged to care for their own room. Staff have received training in infection control and the manager says that the home follows the guidelines of the Food Standards Agency so that hygienic standards are maintained. Parikia Residential Care Home DS0000067447.V364077.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. People are supported by a staff group that are properly recruited, trained and supported. EVIDENCE: People appeared very comfortable in the presence of staff and staff spoken with siad they were clear as to their roles and responsibilities. We watched staff interacting with people and saw they were able to divert the person’s attension when behaviour was becoming a challenge to others and they included all people in conversation. However, records produced by staff included comments such as: “Well behaved” and “No problem tonight” which are judgements they had made about people, not records of the care. We discussed tbis with the manager. Staff said that, for the most part, they were employed in sufficient numbers to meet people’s needs and we saw staff in sufficient numbers throughout the two visits. The manager reports that no agency staff have been employed in Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 22 the last year so there is a consistent staff working at the home. Staff said through survey that checks, such as your Criminal Record Bureau (CRB) and references, were completed before they started work. We looked at the recruitment records of two recently employed staff and found checks had been completed. This indicates that the vulnerable people at the home are protected from those who might be unsuitable to care for them. Five staff said through survey that their induction covered everything they needed to know to do the job well when they started. One staff interviewed said their induction was: “very thorough”. Staff felt their training was good. We looked at the staff training plan. It includes all necessary training to ensure health and safety, for example, first aid, fire safety and infection control. It also includes training specific to the needs of people at the home, for example, autism, total communication and breakaway techniques. The manager says that all staff are encouraged to achieve national vocational training to at least level 2, which is a measure of their competence. All employees are given an induction pack containing information including: terms of employment, employment handbook, Parikia Care Ethos Guidelines, the General Social Care Council Codes of Practice, the Department of Health No Secrets guidance document and advised on where to find other important information including: the Policies, Procedures and Protocols of the home and how to access Valuing People Support Team information. We saw there was good training information available to staff. Parikia Residential Care Home DS0000067447.V364077.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, 38, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from the ethos, leadership and management approach of the home. EVIDENCE: The Registered Manager, Simon Ellis-Robbins, has completed The Registered Managers Award and is completing NVQ Level 4 in Care, an indicator of competence. He is very enthusiastic about achievements at Parikia and has a good insite into the needs of people at the home. He says that the management style encourages openness and approachability and teamwork is achieved by providing support for staff, who in turn provide support for people at the home. We found this to be the case. He was keen to consider good practice recommendations. He undertakes his own research and is keen on Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 24 quality monitoring to promote good practice at the home. The information he provided about the home was detailed and very informative. Three staff said through survey that they always receive the support they need and two said they usually do. A newly recruited member of staff said she felt very supported. There is continuous attention paid to the quality of the service provided. The manager reports that “All interested parties are involved, including management, staff, residents, resident’s families and any other appropriate advocates. Information is gathered for review, improvement planned and feedback given to all parties for further review”. Which saw records which support this. The manager works hard to ensure people who use the service are able to make their opinion heard. However, there were aspects of quality monitoring which needed to be addressed, including staff recording of information. We saw no health and safety concerns at the home. Staff are trained in health and safety, policies and procedures were reviewed April 2008 and records indicate that equipment is serviced and maintained properly. Risk assessments are in place for safe working practices and individual risk assessments ensure risk to people is understood and safety measures in place. That for self handling of medicines needed a more detailed record. Parikia Residential Care Home DS0000067447.V364077.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 3 2 3 3 4 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 3 3 X X 3 X Parikia Residential Care Home DS0000067447.V364077.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 Parikia Residential Care Home DS0000067447.V364077.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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