Care Home: Richards House

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What the care home does well A lot of care and thought was taken in making sure Richards House was the right place for a new resident. Prior to admission residents` health, social and psychological care needs are assessed by the acting manager. The assessment information is then used to form the basis for a plan of care. Care files seen were organised, easy to read and provided good detail with regard to individual care needs. Through discussion and observation it was evident that residents were treated respectfully and the home ensures good standards of privacy and dignity.During our discussion with the residents the following was commented on the staff at the home: "The manager and staff provide me with excellent care and support" and "All the staff treat the residents with respect and give a high standard of care". The staff have a good knowledge and understanding of the needs of people who are staying at the home, so they are able to provide appropriate care and support for the residents. The residents` personal and health care needs were being met. All of the residents felt well cared for and if they were ill, an appointment is made with a GP. The home is pleasantly decorated and areas viewed were clean and well furnished. Residents interviewed were pleased with the general maintenance and cleanliness of the building. Bedrooms had personal items and a number of residents commented on how homely the whole place was. There was a small team of staff, who were enthusiastic, motivated and very well trained. What has improved since the last inspection? The training programme now includes all temporary workers who may be in the home from time to time. CARE HOME ADULTS 18-65 Richards House 23 Townley Street Middleton Manchester Greater Manchester M24 1AT Lead Inspector Bernard Tracey Unannounced Inspection 17th April 2008 09:00 Richards House DS0000025534.V361957.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 Richards House DS0000025534.V361957.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. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richards House Address 23 Townley Street Middleton Manchester Greater Manchester M24 1AT 0161 653 4662 0161 653 4662 Jennifer.Leach@turning-point.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Turning Point Vacant Care Home 5 Category(ies) of Past or present alcohol dependence (5), Past or registration, with number present drug dependence (2) of places Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 5 service users to include: up to 5 service users in the category of A (Alcohol dependent) under 65 years of age; up to 2 service users in the category of D (Drug dependent) under 65 years of age. The service should employ a suitably qualified and experienced manager who is registered with the CSCI. 8th May 2007 2. Date of last inspection Brief Description of the Service: The service, which is run by the national charity, Turning Point, aims to provide a supportive substance free environment where residents can examine their lives to date, reach a greater understanding of their substance misuse and develop ways of achieving changes. The residential project comprises the main ‘first-stage’ house at 23 Townley Street which provides five places. There are also two ‘second-stage’ properties within walking distance of Richards House. All properties are located close to the centre of Middleton, and provide good access to transport links, shopping areas and leisure facilities. Referrals are accepted from all areas of the United Kingdom and service users’ duration of stay is usually between 6 and 12 months, depending on available funding. The most recent report from the Commission of Social Care Inspection was available in the reception area. Further information on Turning Point can be accessed through their website on www.turning-point.co.uk. The current weekly fee at April 2008 is £399.00. Richards House DS0000025534.V361957.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 3 stars. This means the people who use this service experience excellent quality outcomes. We (the Commission of Social Care Inspection) undertook a key inspection, which included an unannounced visit to the home. The staff at the home did not know the visit was going to take place. The manager was asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. We spent five hours at the home. During this time, we looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to three residents and a volunteer, as well as speaking to three staff, including the acting manager. We have not received any complaints about the service. What the service does well: A lot of care and thought was taken in making sure Richards House was the right place for a new resident. Prior to admission residents’ health, social and psychological care needs are assessed by the acting manager. The assessment information is then used to form the basis for a plan of care. Care files seen were organised, easy to read and provided good detail with regard to individual care needs. Through discussion and observation it was evident that residents were treated respectfully and the home ensures good standards of privacy and dignity. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 6 During our discussion with the residents the following was commented on the staff at the home: “The manager and staff provide me with excellent care and support” and “All the staff treat the residents with respect and give a high standard of care”. The staff have a good knowledge and understanding of the needs of people who are staying at the home, so they are able to provide appropriate care and support for the residents. The residents’ personal and health care needs were being met. All of the residents felt well cared for and if they were ill, an appointment is made with a GP. The home is pleasantly decorated and areas viewed were clean and well furnished. Residents interviewed were pleased with the general maintenance and cleanliness of the building. Bedrooms had personal items and a number of residents commented on how homely the whole place was. There was a small team of staff, who were enthusiastic, motivated and very well trained. 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. Richards House DS0000025534.V361957.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 Richards House DS0000025534.V361957.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): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Detailed assessments are undertaken before people come into to the home and information is provided to people so they can feel confident that their needs can be met. EVIDENCE: Richards House focuses on short term rehabilitation of people with alcohol and drug dependency. Clear procedures and practices are followed from the point of a new referral to the home so that the needs of the individual are properly assessed. This makes certain that needs of each person moving into the home can be met. Nobody moves into the home without first agreeing to the move. service users spoken with confirmed this. Three Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 9 The preferred practice of the service is to invite prospective new people to the home, to discuss and explain the purpose of the service, to show them around and introduce them to the other people who live there. A Service User Guide is also provided to the person. This practice also allows staff in the home to undertake a preliminary assessment of care needs with the new person and enables the prospective new person to decide on the suitability of the service for them. On the day of admission to the home an induction programme is gone through with the new person and this includes agreeing a plan of care, explaining the rules and the terms and conditions of staying at Richards House. Care files seen on this visit included records of the induction process followed with new admissions in the home and signed agreements to several things, such as the confidentiality policy, the License Agreement which included house rules; facilities and services and a furniture inventory; and the complaint procedure. The acting manager said that the service was open to all people, regardless of ethnicity or cultural background, so long as they had a alcohol or drug related dependency problem and wished to get well. The person in charge did say that it was quite rare that they received referrals for people with diverse ethnic and cultural backgrounds. Richards House DS0000025534.V361957.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. Staff worked in positive ways with residents, ensuring that agreement was reached about support needs and personal goal plans, so that residents were kept safe and treated as responsible individuals. Residents are involved in making and agreeing their care plans so they know what support they will receive. EVIDENCE: We looked at three care files, which all had up to date care plans. These contained an extensive amount of personalised and very detailed information about residents’ goals, both short and long term, and their care needs. Resident involvement was clearly reflected through the formal inclusion of their views. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 11 Due to placements being on a relatively short-term basis, for example, three to nine months, the plans are generally reviewed on a monthly basis to ensure that information is up to date and accurate. An up to date copy is then forwarded to the funding authority with regards to the resident’s progress. Care plan and associated documents had been signed by the residents to evidence their agreement. During a group discussion with the three people who were resident when we visited we were told by one resident that she has developed the care plan in conjunction with her key worker, time has been taken with her key worker exploring what support needs she has and areas of risk, which may result in relapse or be a consequence of relapse. Strategies have then been explored to minimise the risks. The completion of other documents, such as consent to information being shared, behavioural policy agreement, self-medication, confidentiality and licence agreement, continues to be held on file. Information is held securely within the staff office and is easily accessible to staff. Additional records are completed in relation to progress reports. These outline what residents have done throughout the day, as well as notes from the 1:1 sessions, therefore providing information which could be used for monitoring progress. Residents were encouraged to take positive risks as part of an ordinary, independent lifestyle. Comprehensive risk assessments were in place, with clear, up to date guidance regarding how to reduce and manage risks. Where any restriction was imposed, this was discussed with the resident and care team and recorded in the care plan. Richards House DS0000025534.V361957.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. Through the provision of a range of educational, occupational and social activities, residents were actively supported to live meaningful lives. EVIDENCE: The three residents presently accommodated in the Project provided us with details of how their individual care plan addressed their needs in relation to educational, social and occupational activities. They told us that they found that group work and one-to-one meetings with staff were very helpful. This helped them to look at their lifestyle and how they could move towards a better understanding of their motives, so that they could make changes to benefit themselves in the future. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 13 Staff offer one to one support and consultations. They provide guidance regarding leisure, occupation, housing and benefits but direct the residents to the appropriate professionals or resources for them to sort things out for themselves. A number of different leaflets are available for the residents to help themselves to in order to obtain the appropriate advice. The Annual Quality Assurance Audit (AQAA) gave us examples of links with Pathways and Shaw Trust who can provide funding for people on sickness related benefits. A range of educational opportunities are available. One resident said she was undertaking the computer Driving Test theory whilst at the Project. Others have access to courses providing training to enable them to work on building sites, covering Health and Safety issues that is funded by a training provider, EASE. Leisure activities are arranged, recently a rounders match has taken place and one resident related his involvement in the inter Project football tournament. Once a month there is a social in the home, which incorporates a business section to discuss the running of the Project, and a nominated representative feeds proposals from this meeting back to the next staff meeting. Residents were actively involved in the home’s domestic routines, with a range of opportunities to maintain and develop practical life skills. The residents spoken with said that they did not always feel like eating, particularly a full cooked meal. However, there is a wide range of snack food available, such as yoghurts, sandwiches and beans on toast, so they are able to help themselves to something that they feel like at the time. One resident said “they have been like a family, cooking in the kitchen together and having a good laugh.” The same resident said that their appetite has increased as the weeks have gone on and felt it was also due to the social event of preparing a meal and eating together. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Staff provide sensitive and flexible support to the service users according to their assessed needs. There is a safe system to make sure that residents receive their medicines as prescribed. EVIDENCE: Relationships between staff and residents seemed warm, friendly, caring and respectful. Staff treated residents with courtesy and supported them to make choices. Residents felt staff listened to them and treated them well. One resident said “the staff have been there whenever I have needed them.” Both male and female staff worked at the home. The staff team were knowledgeable about and very sensitive to each resident’s individual personal support needs. Support provided was flexible and age appropriate, with residents being supported and encouraged to access community based services. Files examined continued to show residents’ physical and mental health were being closely monitored, with regular health care checks undertaken. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 15 Prompt and appropriate specialist healthcare advice had been sought when residents had become unwell, particularly for those with more complex health problems. In the AQAA the acting manager told us that service users are encouraged to take responsibility for their health care needs with the support from staff. Any areas of risk are identified in the service user’s care plan and risk assessment. Service users are encouraged to register with a local GP if they are out of the area and staff will support them to do this. Service uses are encouraged to contact their GP in the first instance if they have any health problems, the details of which are recorded on their file. Service users are encouraged to maintain and be responsible for their medication, however in certain circumstances, due to risk factors, service users may agree to having their medication kept in the office and picking this up from staff as they require it. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home has an effective complaints procedure so residents know their concerns will be listened to and acted upon. Staff received training about protection of adults to make sure that residents are protected from possible harm and abuse. EVIDENCE: The Commission for Social Care Inspection had not had cause to investigate any complaints at the home since the last inspection. No protection investigations been undertaken. The manager was knowledgeable about protection issues and Turning Point had their own Code of Conduct that is linked to the General Social Care Council’s Code of Practice. A clear, detailed formal complaints procedure, displayed in the home and provided to each resident, supported the home’s open culture, where residents were encouraged to express their views, either informally or in regular residents’ meetings. Residents felt staff listened to them and were clear who to talk to if they were unhappy or had any concerns. One resident said, “the member of staff on duty will stop what they are doing if you need to talk with them; they are patient and appear to be knowledgeable about how we might be feeling.” Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 17 Staff understood the importance of listening to residents’ concerns and how to respond to any issues that were raised. Records examined show that all of the staff have received training in the protection of vulnerable adults. Staff spoken with said they had training in understanding what abuse was and what to do if they suspected abuse. Records were available of staff training. Staff also confirmed they had undertaken NVQ training and this also included information and training in abuse. Richards House DS0000025534.V361957.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, 25, 28, 29 & 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 well maintained so that residents live in safe and comfortable surroundings. EVIDENCE: Richards House has been tastefully decorated making all of the rooms bright, clean and homely. The home presented as clean and free from unpleasant smells and the fabrics and furnishings were of good quality. In the AQAA the acting manager informed us that staff carry out a weekly bedroom check and also a monthly house keeping check to identify any areas of concern. They also carry out monthly checks to reduce risk of Legionella as well as weekly fire checks. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 19 Turning Point facilitates quarterly health and safety meetings where a staff member will attend. Turning Point also has a property department who support the project in ensuring that the environment is safe. All prospective service users are offered a single bedroom which contains all the furniture which is required and service users are also encouraged to bring personal items and items of furniture if they so choose. All bedrooms are lockable and service users are provided with a key, however staff do have a master key to open all rooms, if it was felt that this was necessary if there was a health and safety risk. All toilets and bathrooms at the project are also lockable. Arrangements were in place to refurbish the kitchen and dining area. The residents spoken to were very pleased with their individual rooms and one said that they had “brought in a number of personal possessions, to make it feel more homely”. One resident said that they were really pleased with their room and the privacy that they could get if they wished by having the freedom to go in there when they wanted. There is now a no smoking policy within the house and a smoking area had been made in the small back garden. The manager said this change had been more successful than she thought it would be and there have been no complaints since its introduction. The residents could also spend time in the ground floor lounge, dining kitchen and basement therapy/quiet room. Richards House DS0000025534.V361957.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 good. This judgement has been made using available evidence, including a visit to this service. The staff team had the skills and expertise to ensure residents were well supported and their needs were met. EVIDENCE: The staff group has the skills and management support it needs to ensure that residents receive good care. There is a comprehensive recruitment policy and procedure and when two staff files were checked, it was evident that the manager follows the procedure and ensures the interview process, CRB checks, written references, health checks and past work history are all obtained and seen to be satisfactory before the person starts work in the Project. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 21 Turning Point provided mandatory training in health and safety, food hygiene, moving/handling, first aid, administration of medication and adult protection training. From checking the files for two of the staff, it was identified they had attended such courses. The different staff had undertaken, in addition, other training, such as managing challenging behaviour. A copy of training matrix was examined to confirm this training had been undertaken. The acting manager has completed training in alternative therapies and provided access to these therapies during 1:1 sessions. All the staff said they had the opportunity to sit down with a more senior person to talk about their work, their training and about the philosophy of the home. Richards House DS0000025534.V361957.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 Project is run in the best interests of the clients, is well managed, with good quality assurance and monitoring systems in place to improve the service to residents. EVIDENCE: The management team worked very well together, with a clear sense of direction and leadership and an excellent approach to researching and applying national and local initiatives and legislation. Working practices in the home were based upon good practice, with thought clearly given to supporting and respecting residents in a sensitive and enabling manner. Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 23 The home was run in an open, inclusive way, with staff and resident involvement encouraged and facilitated through staff and resident meetings, resident participation in staff meetings. In addition, residents also took part in regular surveys. The home sought residents’ views regarding two areas – how satisfied they were with their care and life at Richards House, and how well they were doing with regard to mental wellbeing and the achievement of their personal goals. The views of residents’ families and visiting professionals, GPs, social workers, community nurses were also sought. The acting manager has recently applied to the Commission of Social Care Inspection for registration as manager and is awaiting a decision. Turning Point had a comprehensive health and safety manual in place, which was held in the office and easily accessible to all the staff working there. A named health and safety representative ensured that regular safety checks were undertaken throughout the building. We undertook a random sample of maintenance checks and found to be satisfactory. Richards House DS0000025534.V361957.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 3 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 4 4 4 X x LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 3 17 4 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 X 4 X X 3 X Richards House DS0000025534.V361957.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 Richards House DS0000025534.V361957.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Richards House DS0000025534.V361957.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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