Care Home: Peel and Sumachs House

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What the care home does well The service provides an individual lifestyle for each of the people living there. The staff team were very enthusiastic about their work and were observed to actively support people making choices about their lives. The people who spoke with us were motivated about the positive changes that had occurred in their life and had a plan for the future. One survey responded stated that `the home always provides well planned and appropriate support always endeavouring to make positive changes if possible`. The atmosphere in the home is very relaxed and we observed the informal relationships between the people who live at the home and the staff team. One comment received from a relative was `care and support is excellent provided by staff who my relative likes`. There was a sense of teamwork between all parties and an understanding of working toward identified goals. What has improved since the last inspection? The appointed manager has now been formally registered. The wooden gate has now been replaced. What the care home could do better: We discussed with the manager how health action planning could benefit the people living at the home. The manager will be making enquiries with the local learning disability team about this. No requirements have been made following this inspection. CARE HOME ADULTS 18-65 Peel and Sumachs House 26 - 27 Old Weston Road Flax Bourton North Somerset BS48 1UL Lead Inspector Nicola Hill Unannounced Inspection 20th November 2007 10:00 Peel and Sumachs House DS0000065503.V351839.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 Peel and Sumachs House DS0000065503.V351839.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. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Peel and Sumachs House Address 26 - 27 Old Weston Road Flax Bourton North Somerset BS48 1UL 0117 9077200 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) www.brandontrust.org The Brandon Trust Mrs Tina Curtis Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Peel and Sumachs House DS0000065503.V351839.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 Two service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 5. Date of last inspection 21st December 2006 Brief Description of the Service: Peel and Sumachs are an interim service for people with learning disabilities. Both homes provide supportive environments for people with moderate to more extensive levels of need. The homes are divided into flats to enabling service users a greater degree of independence whilst being able to access support from the staff team. The service is funded through the NHS. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection took place with the manager Tina Curtis and involved those people living in the home who wished to be included. We were also able to speak with several members of staff who were on duty during the visit. We examined records pertaining to the support and development of the people using the service and focussed on the outcomes of the service for them. The service completed and returned the AQAA and surveys were sent to people who use the service and their relatives. Peel House and Sumachs has been assessed as providing an excellent level of service. What the service does well: What has improved since the last inspection? The appointed manager has now been formally registered. The wooden gate has now been replaced. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 6 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. Peel and Sumachs House DS0000065503.V351839.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 Peel and Sumachs House DS0000065503.V351839.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): 2,3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has developed a comprehensive Statement of Purpose and Service User Guide, which is very specific to the resident group and considers the different styles of accommodation, support, and specialist services required to meet the needs of people who use services. EVIDENCE: The home has reviewed the Statement of Purpose for Peel and Sumachs as they made an application to the Commission for variation in the service provision. This took place in July 2007, the change in service provision related to the number of waking night staff on duty and a review of the conditions of registration for the home. The conditions now allow for admissions to the home, and the registration for the home has been extended to accommodate the relocation programme for the people currently living at Peel and Sumachs. We discussed with the manager the admission that had taken place in August 2007 and the process that was undertaken to ensure that person could be accommodated successfully alongside the people who live at the home. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 9 We discussed that there was a wide age difference between the people living at the home permanently and the person who used the home for respite. The manager was able to discuss and demonstrate to us the difficulties that were encountered when trying to obtain information about the person and their support needs, as it was apparent that the information supplied by the placing authority was insufficient. The manager was unable to meet the person prior to them moving to Peel House, as would normally be the practice, as it was an emergency situation. We were able to read the care documentation held at the home for this person. This demonstrated that the personal support had been planned so that the lifestyle choices the staff observed the person was making were facilitated. The manager stated that the impact that the temporary resident had on the people living at the home on a permanent basis had caused difficulties and raised anxiety levels. The manager felt that following this experience further admissions to Peel House were unlikely. The manager discussed with us her concerns that the people currently living in the home do not have a clear contract or statement of terms and conditions. This is because of the funding situation for these people, which originates from the NHS. As the placements at Peel and Sumachs are of a temporary nature when people move on to permanent accommodation they will have financial assessments and contracts. Peel and Sumachs House DS0000065503.V351839.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 excellent. This judgement has been made using available evidence including a visit to this service. The key principle of the home is that people using the service are in control of their lives and they direct the service. Staff are fully committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible. People using the service make their own informed decisions and have the right to take risks in their daily lives. EVIDENCE: We looked at the individual planning for life folders and the day-to-day care plans and risk assessments for all four people living at the home. We noted that the information contained within these documents was very detailed and that risk assessments demonstrated that the home supports people to take responsible risks to explore different opportunities within their lives. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 11 For example, some of the people living within the service do not have awareness about their need to be safe when using transport. In order that people can go out into the community and access facilities on a regular basis the home produce a risk assessment with suitable control measures in place i.e. use of a Houdini harness, to ensure that the people can travel safely. We discussed how people make decisions about their lives and how staff support them with their decision-making. We were able to see that people have PATH assessments, which clearly identify the goals and aspirations of the individual. We noted that these were undertaken in 2006 and needed to be reviewed. We discussed this with the manager and highlighted some aspirations for two of the people using the service. We were able to read within the care file that progress has been made with achieving these aspirations, for example, one person was able to access the kitchen on a regular basis, and were able to safely prepare snacks and drinks. For another person, there was a process in place whereby they were supported on a gradual basis to change behaviour to meet their goal. While these were clearly written and documented we were unable to obtain an overall picture of how well the staff had supported people to gain confidence and develop their own personal skills over the course of the past year. The end goal of the people was evident for some people whilst for others, verbal evidence from staff was the only confirmation of how people had changed. We discussed with the manager and two of the senior home support workers how they could best capture this information and give a fuller picture of the developmental work that had occurred in the home to benefit the people who live there. It is important to recognise what has been successful and what has worked less well for future development work and also to enable both the people who use the service and the staff to reflect on how they have been working. This could be recorded as part of the monthly summaries and this information can be supported by evidence from other professionals such as the advocates. Peel and Sumachs House DS0000065503.V351839.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 excellent. This judgement has been made using available evidence including a visit to this service. Central to the home’s aims and objectives is the promotion of the individual’s right to live an ordinary and meaningful life, both in the home and in the community appropriate to their peer group, and to enjoy all the rights and responsibilities of citizenship. The home understands the importance of enabling people to achieve their goals, follow their interests and be integrated into community life and leisure activities in a way that is directed by the person using the service. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 13 EVIDENCE: As part of a site visit to the home we were able to tour both Peel House and Sumachs. The tour gave an indication of how people are supported with very individual lifestyle needs and choices. For example, we were able to see that people who use the service have their own space and have designated areas in which other people living at the home are not allowed. This promotes a sense of ownership and individuality as personal items can be left around the home, and personal choices about decoration etc can be made. The ultimate goal for three of the people currently in residence is that they will be living in the community supported by people they choose to work with them. In order to support the personal choices of the people using the service, all of them have an advocate with whom they meet regularly. We were able to read the reports from the advocates about what communication that had taken place about future life developments and what people wished to happen. This is an example of good practice and reflects the underpinning values of the Valuing People white paper. Working alongside the staff team and people living at Peel and Sumachss House is a Project Manager who has been actively seeking alternative accommodation to suit the preferences of the people living at the home. For one person this has meant that there lifelong ambition of living in Bristol nearer to their family but independently, has been met, currently the trust are in the process of purchasing a property and arranging for a care package to support the person to move away from institutional care. When we spoke to the person involved they were able to confirm that this has been their choice and that they were excited by the move. We also discussed how this would improve the relationship with their family, as they would be nearer to them. We were shown new items purchased by this person in preparation for their new home. We spoke with the people living in the home about the arrangements of the accommodation at Peel House. They confirmed that they had separate rooms to use and that is what they preferred as this meant they were able to have people they chose to have, come and visit them and that the personal items could be left around safely. We discussed with the staff team how well people are able to access the community. Peel and Sumachs House had access to minibuses and had staff that were able to drive the buses. It is the aim of the home to ensure that people are able to get out as much as possible and to do the things they wish to do be that shopping, for lunch, or going to a football match. We were shown a picture evidence of people going away on holiday and the staff had collated picture collages on the computer to demonstrate the wider choices that had been made available to people. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 14 People living at Peel and Sumachs house are offered the opportunity to take part in leisure activities, educational activities and the home support workers are able to support people on short breaks. People living here also have dedicated day care hours, which are set to the timetable of the day-care service that only provides a service in office hours. We discussed with the manager that this timetable might not suit the individual. She was able to state that for the future, funding for day care should be included within the establishment staffing budget to allow greater flexibility. The manager was able to demonstrate that she used additional staff on evenings and weekends so that the people using the service can get out into the community at any time. We were able to observe throughout the site visit that the people who live there were in and out of the house attending different activities or appointments throughout the day. One person was able to tell us that they were going to visit their family that evening. The advocates at the home work very closely with staff team and the people who live there so that they support people to take informed decisions. The menu at the home is designed to suit the individual; people are offered choices which take into account their activity for the day and the season. People are supported to make their own hot drinks and snacks if possible, and this is part of the developmental process towards independence. Peel and Sumachs House DS0000065503.V351839.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 excellent. This judgement has been made using available evidence including a visit to this service. The team are aware that the way in which support is given is a key issue for people. Individual plans clearly record their personal and healthcare needs and detail how they will be delivered. EVIDENCE: The personal care support at the home is gender specific and the management work to ensure that the staff gender mix always reflects the personal preferences of the people using the service. Generally people are self caring and require prompts rather than direct care. If someone is unwell then there is staff support available to them. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 16 Since the last inspection there has been no change in the way the home accesses primary health care services on behalf of people who use the service. The home continues to benefit from the support of the local mental health and learning disabilities teams as well as the consultant psychiatrists who are accessed for expert advice. Regular reviews for CPA are held with the people living at the home as applicable. One person is waiting for treatment and the manager and staff team have been proactive by arranging multidisciplinary team reviews to plan a successful hospital admission. This has involved meeting with the hospital staff and identifying areas of risk and putting into place the control measures to reduce the risk. The meetings have included an advocate to speak for the person using the service, and have addressed the issues of the person’s capacity to agree to the treatment. We discussed the implementation of health action plans which may or may not be appropriate to the residents at the home; the necessity for a HAP will need to be linked to people’s personal preferences and skills. There is a unit dosage medication system in use at the home; the records and stock levels of ‘when required’ medication were checked and found to be correct. Peel and Sumachs House DS0000065503.V351839.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 excellent. This judgement has been made using available evidence including a visit to this service. All complaints made and the actions taken in response to them are fully recorded. A review of the number and nature of complaints made is used as part of the quality assurance procedures in use at the service. EVIDENCE: The Trust has a clear complaints procedure which is accessible to the people using the service. People are supported to raise any concerns or issues through their key worker or by the advocates appointed for them. The majority of the people living at the home also have relatives who are able to raise issues on peoples behalf. All of the people living at the home are able to communicate so that staff will be aware if they are unhappy. We looked at the complaints record and were able to see that two complaints had been recorded both of which had been upheld. The staff at the home have all attended abuse awareness training as part of their induction process, this is supported by attendance at Safeguarding Adults training which is updated on a regular basis. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 18 The people who live at Peel and Sumachs are very vulnerable and can display difficult behaviour because of this vulnerability. We discussed with the manager and the home support workers how they respond to difficult situations. We were able to read within the care planning that if behaviour escalates following the ABC assessment, then physical interventions have been identified and agreed within the multidisciplinary team, and with advocates and the people who use the service to deescalate and control the situation. This may mean that people receive when required medication which may be of a sedative nature, or that the identified physical intervention technique is used. The home are aware that when physical intervention is used then the commissioner should be notified by the regulation 37 process. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a very pleasant, safe place to live the bedrooms and communal rooms are larger than the national minimum standard. EVIDENCE: Peel House and Sumachs were originally two large houses that have been converted and refurbished to a good standard and provides a comfortable home for the people who live there. The accommodation has been arranged to provide individual facilities with communal areas in Peel House only. We toured both houses and observed that it was clean and tidy. The people using the service are encouraged to personalise the home and use as their own personal space. Use of these facilities is intended on a temporary basis only. Peel and Sumachs House DS0000065503.V351839.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): 32,34,35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service has plentiful staff available at all times to support the needs, activities and aspirations of the people using the service in an individualised and person centred way. The service is innovative and shows a high level of awareness of staffing levels needed. EVIDENCE: On arrival to the home we were greeted by the staff on duty that were thorough in their checking of our identity before granting admission. The senior support worker on duty at Peel House ensured that as a visitor we were made aware of the fire evacuation procedure, as well as signing the visitor’s book. This is good practice and demonstrated that the staff member was confident in their role and their responsibilities toward the people living at the home. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 21 All of the staff that spoke with us during the site visit were confident about their work with the people living at Peel House and Sumachs, and were enthusiastic about the goals people had achieved. Through discussion with us it was evident that they had attended training to develop their skills and to support their work at the home. The Trust conference was taking place at the same time as the site visit and several staff had attended sessions they felt would be pertinent to their work. One of the senior support workers had been awarded their NVQ 3 certificate at the conference and then had return to the home. We discussed with staff and confirmed from the training records, that all staff new to the Trust complete LDAF and then have the opportunity to work toward the NVQ in care. The manager had arranged for the majority of staff to have this opportunity. We were also able to read that staff had taken training courses, which specifically related to their work e.g. training in autism. The statutory training for all staff was up to date and this included the Positive Response Training, however, some of the training records were incomplete. The manager advised us that these would be updated when the staff next attended a supervision session. During the discussions, staff confirmed that there is a structure in the home that allows for team meetings, and day to day support through shift handover sessions. When there are incidents at the home the staff are given one to one debriefing sessions. Staff stated that they felt the strengths of the home were that the team worked closely together and were supportive of each other. The quality and quantity of training that was provided was recognised as being integral to providing a quality service for the people who live at Peel House and Sumachs. Peel and Sumachs House DS0000065503.V351839.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): 37,39,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered manager has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of ‘best practice’ operational systems. EVIDENCE: The Commission has registered Tina Curtis as the manager for Peel House and Sumachs; she is an experienced manager and has worked within the Trust for several years. We observed that the interactions between her and the staff team were good with an open style of management. Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 23 She is also directly involved in the care and support to people who use the service, and has a good understanding of their needs. The relationship between the management and the people who use the service was observed to be informal with people accessing the office areas. The manager was able to demonstrate how the Trust monitors the quality of the service provided to the people who live at the home. She has recently completed the Commissions’ Annual Quality Assurance Assessment and used the Trust’s quality standards to assess the service. In addition to this she produces a yearly action plan, which is intended to improve the experience of using the service for the people who live there. We discussed the value of the service questionnaires sent by the Commission, as only one person was able to complete this independently but had declined to do so. It was acknowledged that opinions of the people using the service would be difficult to obtain, especially by people visiting who do not have a relationship with the people at the home. However, all of the people currently living at the home have advocates, and the manager is accessible to them. The last inspection did not highlight any areas of concern relating to the implementation of health and safety at the home. We were able to read from the information provided that risk assessments and control measures to maintain a safe environment for both staff and people using the service are in place. Peel and Sumachs House DS0000065503.V351839.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 3 3 3 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 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT 3Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 25 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. 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 Peel and Sumachs House DS0000065503.V351839.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office 4th Floor, 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. Extracts may not be used or reproduced without the express permission of CSCI Peel and Sumachs House DS0000065503.V351839.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. 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