Care Home: Park View

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What the care home does well Park View offers a comfortable home with a high level of care for up to nine residents who have a learning disability. The home is very good at assessing service users needs, and only offers a place when it can be sure these can be met. A detailed written plan of care is prepared, based on the assessment. The home is good at assessing what risks there may be for the service user and planning to make sure these are minimised. As service users needs may often change, these plans are kept under regular review. The home is good at involving the service users in decision made about the way in which care is offered. One service user said: `I am always asked about things.` The home is particularly good at handling the care needs of service users who may have challenging behaviour, and works hard to ensure that service users are kept safe. Health care professionals are consulted for advice on how to provide the best care. One health care professional said: `The staff at Park view are very good and offer a high level of support.` Service users are supported to lead fulfilling and interesting lives. Staff ask service users what their interests are and efforts are made to ensure that there are opportunities to get involved in hobbies, educational activities or jobs. Service users get involved in choosing menus and the home promotes a healthy eating plan. The staff place the service users at the centre of all planning for care. This is evident in the way service users are supported with their daily lives, their health care needs, the way their medication is handled, in how they are consulted about all areas of their lives and in how content they say they are to live at Park View. What has improved since the last inspection? What the care home could do better: The manager has identified some areas of further possible improvement. There are plans for a statement of purpose to be in a user- friendly format, and also for the service user guide, which is offered in user-friendly format at present to be also produced in standard format. The manager plans to involved service users in the recruitment of staff. There are plans for further staff training in the administration of medication. Staff are to have access to Learning Disability Award Framework training and staff are working towards NVQ 2 or above in care. The management of the home has identified all the above areas. This inspection has generated no requirements. CARE HOME ADULTS 18-65 Park View 61 Northstead Manor Drive Scarborough North Yorkshire YO12 6AF Lead Inspector Karen Ritson Unannounced Inspection 6th November 2007 09:30 Park View DS0000065531.V349910.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 Park View DS0000065531.V349910.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. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Address 61 Northstead Manor Drive Scarborough North Yorkshire YO12 6AF 01723 361555 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) parkview@milewood.co.uk Milewood Healthcare Limited Mrs Veronica Kelly Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD 2. The maximum number of service users who can be accommodated is 9. Date of last inspection Brief Description of the Service: Park View is a detached three-story property in the Peasholm area of Scarborough, North Yorkshire. The house is located close to local shops, Peasholm park, the North Bay and Marine Parade. The home is registered to accommodate up to 9 adults who have a Learning Disability. Information about the services the home provides are made available to prospective clients and/or their representatives and to placing authorities though the provision of a written Statement of Purpose and Service Users Guide and through CSCI reports. At the time of this report the range of fees are from £1209.87 to £2600.00 a week. Additional charges may be made for client’s personal toilet requisites, hairdressing, chiropody, eye care and dental treatment as is required. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection for this service took 12 hours. This includes time spent gathering information and examining documentation before and after an unannounced site visit and in writing the report. The site visit took place on 06/11/07 between 09:30am and 2pm. Information for this inspection was gathered from the following: • • • • • • • • • • A tour of the premises Observations of care throughout the day of the site visit. Speaking with service users. Speaking with the manager and deputy. Case tracking service users on the day of the site visit. Looking at information provided by the manager in the Annual Quality Assurance Self Assessment form. (AQAA) Notifications sent to the commission from the home since the last inspection. Examining policies, procedures and records kept at the home. Examining information regarding the home on the file kept by CSCI. Considering comments made by relatives, health care and social services staff. All key standards were looked at during this inspection. The manager and deputy were present throughout the day of the site visit. What the service does well: Park View offers a comfortable home with a high level of care for up to nine residents who have a learning disability. The home is very good at assessing service users needs, and only offers a place when it can be sure these can be met. A detailed written plan of care is prepared, based on the assessment. The home is good at assessing what risks there may be for the service user and planning to make sure these are minimised. As service users needs may often change, these plans are kept under regular review. The home is good at involving the service users in decision made about the way in which care is offered. One service user said: ’I am always asked about things.’ The home is particularly good at handling the care needs of service users who may have challenging behaviour, and works hard to ensure that service users are kept safe. Health care professionals are consulted for advice on how to provide the best care. One health care professional said: ‘The staff at Park view are very good and offer a high level of support.’ Service users are supported to lead fulfilling and interesting lives. Staff ask service users what their interests are and efforts are made to ensure that there are opportunities to get involved in hobbies, educational activities or jobs. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 6 Service users get involved in choosing menus and the home promotes a healthy eating plan. The staff place the service users at the centre of all planning for care. This is evident in the way service users are supported with their daily lives, their health care needs, the way their medication is handled, in how they are consulted about all areas of their lives and in how content they say they are to live at Park View. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience excellent quality outcomes in this area. People who may use the service and their representatives have the information needed to choose a home which will meet their needs; their needs are very well assessed. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Assessment documentation is extremely thorough and includes a preadmission form with detailed information about the care needs of each individual and a person centred profile. This means the home is clear about whether it can meet the needs of service users prior to offering a place. Service users are encouraged to visit the home before making a decision about admission, and their care needs are considered carefully alongside those of the other service users living at the home. Risk is considered and all restrictions are well documented along with strategies for reducing risk where possible. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 9 The assessment considers the required assistance from health care professionals and the needs and wishes of the service user, family members or others involved in the care of the person. This ensures that the person and the network of people important to that person have all been consulted, which creates the best opportunity for current and anticipated care needs to be met. A health care professional said: ‘The manager and staff have the skills to know if Park View is the right place for a person.’ Park View DS0000065531.V349910.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 and 9 People who use the service experience excellent quality outcomes in this area. Individuals are closely involved in decisions about their lives, and play an active role in planning the care and support they receive. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The manager develops a plan in consultation with each service user. This includes every area of each person’s life and considers current and anticipated care needs where necessary. There are detailed procedures for those service users who may be aggressive or cause harm. These focus on positive behaviour, strengths and capacity. Diary notes show when these strategies have been used and there is detailed consideration of the extent to which these have been successful. The plans are updated to take account of changing Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 11 responses. This is done with the knowledge of the service user and only after suitable consultation in which the service user is encouraged to comment upon what they feel might be the best way forward. This ensures that the service user is involved in the planning of care. The home employs detailed management tools to assist with planning support, such as charts to map behaviour patterns, sleep and activity monitoring forms and detailed daily reports. Some, for whom this is helpful, have a pictorial person centred plan completed by them with assistance as required. This includes information given by the service user on choices, lifestyle preferences, privacy, how they wish to be treated, personal appearance and other areas of care. This ensures that the home has detailed information from the service user, which is used to form the plan. The home has a key worker system, which provides each individual with a specific person who knows his or her needs particularly well. Having said this, all staff said they had got to know the service users well as this is a small home with a very good staff to service user ratio. The service users know who is involved in their care and they are consulted about health care and other professional support. They have access to advocacy if they wish and are helped to understand medical conditions or the need for medical interventions. All service users choices are recorded. Those who have capacity, manage their own finances, and assistance is offered when needed. This promotes independence. Service users are encouraged to live as full as life as possible, according to their choice, where risks are identified and minimised. A service user said: ‘I get the help I need to do the things I want.’ A senior Health Care professional commented that staff at Park View know their residents very well indeed. The staff telephone whenever there is an issue requiring advice and in his experience they act appropriately on what is suggested. He said the risk assessments are very good and that the home has understood the needs of (one particular) service user extremely well, offering just the right balance of freedom and control to allow this person to continue to live at Park View safely. Park View DS0000065531.V349910.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): 12,13,14,15,16 and 17 People who use the service experience excellent quality outcomes in this area. They are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations and more. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The staff help service users take part in fulfilling activities, education or jobs as appropriate. Evidence for this was seen on care plans and in daily notes. It was also evident on the day of inspection that most of the service users had outings arranged where each one was accompanied on a one to one basis with a care worker. Service users said they had opportunities to go out every day if Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 13 they wished and that they were helped to pursue their interests. The home can offer this support because it has a very high ratio of staff to service users. Most of the time there are six or seven staff on duty to nine service users. Some service users require two to one staffing and at times three to one. Notes showed that this required ratio, though very high, was achieved. One service user spoke enthusiastically about a trip to Blackpool, another had been to Scotland, others had stayed in a caravan in Whitby. Service users either go in a group or individually, as they prefer. The home has two company vehicles. These are used for taking service user out to college, to the library, to ‘Blue Riband’ (a work placement), and other outings as planned. Some service users have jobs; others are following or planning college courses such as aromatherapy, French language, computing, beauty therapy or dressmaking. Other service users spoke of enjoying activities in the home such as painting, watching videos, listening to music, or simply going out for a walk along the sea wall. Staff were clearly very knowledgeable about the opportunities available in the area to allow service users to become involved in the community and to follow their interests. Family and friendship links are promoted and service users said they receive support to keep in touch with those they care about. Those who have capacity are encouraged to become involved in the daily routines of living such as cleaning, shopping and laundry. Service users said that their privacy was respected and that staff would always knock on the door and would not come in if entry were refused, unless there was a problem. All the service users spoken to said they enjoyed the meals, that they were involved in choosing menus and that they would help with shopping sometimes. Menus showed that individual preferences were taken into consideration and that a good balance had been achieved between choice and best nutrition. Service users are also offered the opportunity to go out to cafes and restaurants either with staff or on their own. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 People who use the service experience good quality outcomes in this area. The health and personal care that people receive is closely based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Service users indicated they received good personal care support from staff in the way which was preferable to them. Their daily routines could be flexible within the risk assessment framework in their care plan. Evidence was available on file of service users choosing their own clothes or hairdressing. One service user spoke about shopping all day at the designer outlet and really enjoying the day out with her key worker. One person said that she was impressed with the way in which staff provided a structure for her relative. She added that the home encouraged flexible routines but well understood that too much flexibility was detrimental for her relative. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 15 Care plans and daily notes also showed that service users were supported to have their healthcare needs met. One health care professional said: ‘Staff always attend meetings and are well informed about the care needs of the person they are there to represent. A carer will always accompany each service user to outpatient appointments and I have confidence that whatever is said is communicated to the rest of the staff team.’ Another health care professional said: ‘This is a very professional outfit.’ The home ensures that service users receive appropriate health care and that information is well communicated amongst staff. Health care needs are detailed in care plans and information is regularly updated. One service user said that a member of staff helped with understanding what the GP said. Medication is kept stored, administered and is returned according to policy and procedure. Controlled drugs are appropriately handled. Staff who administer medication have received training in safe handling of medication. More training is planned so that a greater proportion of staff are able to administer medication. This approach protects service users health. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. Service users complaints are listened to and acted on, they are consulted about their care and their safety is well protected. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home has a suitable complaints procedure and policy. Service users said the staff would listen to them if they had any complaint and would do something about it. The manager said she took complaints seriously and staff said that all complaints are investigated. Staff have received comprehensive training in keeping service users and themselves safe. There has been one safeguarding referral since the last inspection. The manager reported this to all relevant authorities and a member of staff was suspended from duty whilst the matter is being investigated. The investigation is not yet completed. Staff have received training on dealing with challenging behaviour both generally and specific to individual care needs. One health care professional said: ‘They manage challenging behaviour extremely well. Some of the service users have had several placements break down before moving to Park View, largely Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 17 due to staff in previous homes not being able to get to grips with the particular challenging behaviour. This home really understands what is needed.’ A relative said: ‘The staff have the ability to keep an eye on what is going on in the home without being intrusive or making people on edge. They recognise the signs and stop a lot of difficult situations by being there and sorting it out quickly.’ A staff member said: ‘I have absolute confidence in the other staff. We all know what works with each individual person, and challenging behaviour is well managed in my opinion. We get a lot of support from one another.’ Another relative said: ‘This is the first placement where the staff really understand why (my relative) gets so upset and aggressive. They respect him even when his behaviour can be hard to deal with. None of the staff have ever been abrupt or sworn at him which has happened in other homes, and believe me, he would tell me if they had.’ This ensures service users are protected and their needs are understood. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: A tour of the premises showed that improvements have been made to the environment since the last inspection. The home is well decorated, with new dining furniture, a non-slip floor has been fitted to the kitchen and the home has a plan to convert a garage into a skills –for- independent- living kitchen. Rooms are individually decorated to service users taste. Service users spoken to said they liked their rooms, and had been involved in planning and choosing decoration. One family member said the wardrobe could be bigger, and that a Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 19 double bed would be ideal but in general the décor was suitable. The carpet has been changed in the lounge. The manager stated that the outbuilding should be removed to give better access to the garden area. The laundry meets the needs of the service users and on the day of the site visit a new washing machine was awaiting installation. All service users indicated that their clothes were well cared for. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 People who use the service experience good quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. They are well recruited. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Staff are well recruited according to policy and procedure. The home plans to involve service users in the recruitment of staff In future. All staff receive detailed induction and foundation training in which health, safety and protection are emphasised. LDAF training is planned for all staff. Fewer than 50 of staff have achieved NVQ at level 2 or above, however, 3 staff have this qualification and all are in the process of completing the course. Service users commented that the staff were supportive. One service user said: ‘They know all about what I need.’ Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 21 A relative said: ‘I don’t know what training they have, but they certainly know what to do to make sure (the service users) are well cared for.’ Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a competent manager. This ensures the home is well run. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The manager is working towards the Registered Manager’s Award and plans to complete NVQ level 4 to a planned timetable. Staff, service users and others all made positive comments about her ability to manage the home. One relative said: Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 23 ‘Veronica gives a strong lead. She seems very fair with staff but there is a definite leadership structure, which I think works well.’ A health care professional said: ‘Mrs Kelly is a good manager; her staff work well for her and understand the need to follow her lead. The deputy is also very helpful and reliable.’ A member of staff said: ‘I feel very confident in the way the home is managed.’ The home has developed a quality assurance system, where service users and other are surveyed. The surveys are discussed in team meetings and shared with service users. The results are incorporated into the annual business plan. Service users are kept safe by the health and safety practice and policies at the home. The home has an up to date fire risk assessment, and complies with the requirements of the local fire authority. Staff are trained in safe working practices and risk assessments are carried out for all safe working practices. This ensures service users welfare is protected. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 4 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 2 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 x 3 x x 3 x Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA32 50 of staff should have NVQ to level 2 or above. Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Park View DS0000065531.V349910.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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