Care Home: Roy Kinnear House

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What the care home does well People are happy living at the home. They are well cared for and are supported to lead individual lives. The staff work with other professionals to make sure people stay healthy. The staff support people so that they can enjoy personal care and feel valued and have a good self image. The staff know people well and know about their needs, likes and wishes. People have varied lives and do different activities in and out of the home. The staff are well trained and supported. The service is well managed with plans for future development. What has improved since the last inspection? The service has worked hard to do all the things that we have asked them to do. They have met the requirements we made and have plans for continuingRoy Kinnear HouseDS0000038036.V378348.R01.S.docVersion 5.3to improve. The people who live at the home have benefited from these changes and the service runs more efficiently. People have tried new things and have been given more opportunities to have control over their lives and the things they do. One person has successfully moved to the home and has settled in well. The way in which staff are supported and trained has improved and the information they have about their roles and responsibilities is better. This has meant that they give people better and more consistent care. What the care home could do better: The manager has plans to continue to improve the service and look at how the needs and wishes of the people living there can be met. The staff should continue to support people to create their own plans of care and to more activities and things that they enjoy. The organisation should make the improvements to the building that will give people more space and will create a better kitchen area. Key inspection report CARE HOME ADULTS 18-65 Roy Kinnear House 289 Waldegrave Road Twickenham Middlesex TW1 4SU Lead Inspector Sandy Patrick Key Unannounced Inspection 2 December 2009 09:30 nd Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Roy Kinnear House Address 289 Waldegrave Road Twickenham Middlesex TW1 4SU 020 7405 1234 020 7405 4171 roykinnear@btconnect.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Roy Kinnear Charitable Foundation Manager post vacant Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th March 2009 Brief Description of the Service: Roy Kinnear House provides accommodation and personal care for up to eight residents who have severe learning and physical disabilities. The home provides nursing and residential care, where a qualified nurse is on duty at all times. The home is situated in a residential road in Twickenham and is purpose built. Three of the bedrooms have patio doors leading onto an attractive and wellmaintained garden. The lounge also opens onto the garden. The home is situated close to local shops and amenities. Placement fees are calculated according to need and are agreed by the home and the placing authority. The current fees range from £1,775 - £3,137 per week. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. As part of the inspection we made an unannounced visit to the home on the 2nd December 2009. We met people who live there, staff on duty, some visitors and the manager. We looked at records and the environment and we observed how people were cared for and supported. We wrote to people who live at the home, their representatives, staff and other professionals and asked them to complete surveys about their experiences. We asked the manager to complete a quality self assessment (AQAA). We looked at all the other information we have received about the home since the last inspection. Some of the things people told us about Roy Kinnear House were: ‘The staff genuinely care and have big hearts’. ‘They provide mostly one to one care and are friendly and fun’. ‘I am treated with respect and dignity and I am given choices’. What the service does well: What has improved since the last inspection? The service has worked hard to do all the things that we have asked them to do. They have met the requirements we made and have plans for continuing Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 6 to improve. The people who live at the home have benefited from these changes and the service runs more efficiently. People have tried new things and have been given more opportunities to have control over their lives and the things they do. One person has successfully moved to the home and has settled in well. The way in which staff are supported and trained has improved and the information they have about their roles and responsibilities is better. This has meant that they give people better and more consistent care. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 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 Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the information that they need to help them make a decision about moving to the home. Their needs are assessed to make sure the home is the right place for them. EVIDENCE: There is information to help tell people about the home and the services on offer there. One person has moved to the home since the last inspection. The manager told us that she and other staff had visited the person before they moved to the home and met them and their family. The person had also visited Roy Kinnear House to make sure they felt it was the right place for them. We saw that information about the person’s needs had been gathered as part of an assessment. This included information from others who knew the person well. We saw that, a few weeks after the person had moved to Roy Kinnear House, they and other important people in their life had met to discuss whether they were happy at the home and whether the home could meet their needs. This review had been recorded and we saw that action was taken to address any Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 9 concerns any one had. The staff had created a care plan for the person before they moved to the home and had reviewed and updated this as they got to know them better. There are contracts, including the terms and conditions of residency, between the Roy Kinnear Foundation and the local authorities who fund the places of the people who live at the home. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs recorded in a plan which explains what the staff need to do to support them. People are supported to make choices about their lives and are well informed. EVIDENCE: Everyone who lives at the home has their needs recorded in a care plan. These are well designed and give clear and up to date information about each person’s different needs and the things that the staff should do to support them. We saw that care plans were reviewed and updated regularly. The staff have also worked with people to create a plan which is more meaningful to them and includes photographs and pictures which represent the important things in their lives and the things that they need. The manager told us that they hope to use the computer to create even more meaningful plans which people who live at the home will help create and will be able to access Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 11 whenever they want. The staff have worked hard in this area to find out about each person and what their wishes and likes are and to make sure these are reflected in the care they receive. People who live at the home have different communication needs and some people find it hard to make their choices and needs known to others. The staff know each person well, and, through their work, talking with others who know the person and by watching for their reaction to different situations they try to make sure they support each person the way they would want. The manager has organised for regular meetings for everyone who lives at the home to keep them informed about what is happening. Each person has a plan of weekly activities and the staff tell them what they are doing and what is happening each day. The manager told us that a local advocacy group had started to offer support to people who live at the home. Everybody has a key member of care staff and a key nurse who coordinate their care and support and make sure they have everything they need. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 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): This is what people staying in this care home experience: 11, 12, 13, 14, 15, 16 & 17 People using the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to have varied lives and to try new things. They are encourage to make choices and participate in daily life at the home. Their families and friends are valued and they are supported to be part of the local community. EVIDENCE: The atmosphere at the home was calm and pleasant. People were being supported to take part in activities, prepare meals and to eat. There was Christmas music and decorations and everyone was friendly and polite to each other. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 13 Relatives and staff told us that there had been more activities and that people had tried new things. One relative said, ‘they increasingly provide activities and outings and are looking for new ways to live life to the full’. Over the past year people who live at the home have tried new things and more activities have been organised. Each person has a plan of the things that they will do each day. These include meeting their personal needs and interests and participating at group activities both within and outside of the home. People have started to use the community more and regularly go shopping, use the local college, go to places of worship and go out to the hairdresser. One person has a part time job at a local nursery. There are records of local events, activities and community services and facilities so that the staff can find out information about different events people might like to take part in. The home welcomes visitors and relatives and loved ones are encouraged to take part in caring for people if they wish. One relative told us, ‘cooperation with parents is excellent and it is a nice place for siblings to visit’. The cooking facilities in the home are limited as there is no separate kitchen or oven. However, the staff have created menus which are varied and nutritionally balanced. They use a steamer to prepare healthy meals. We saw that people who live at the home are involved in preparing food and are supported to make choices about what they eat. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to stay well and healthy. EVIDENCE: One relative told us, ‘they keep the young adults clean and comfortable’. Personal care needs are recorded in care plans. These reflect about the importance of giving people care in the way they have chosen. Therefore preferences for particular toiletries, timing and staff are recorded. Baths, hair and nail care and massage are seen as an important activity to be enjoyed and to benefit people’s wellbeing, not just as a functional task and the staff take time to make sure people get the support they need and enjoy. Everyone at the home is registered with a local GP. The manager told us that the doctor is very supportive and works closely with the staff to make sure people get the medical support they need. The staff also work closely with other health professionals who offer support and training to help meet people’s Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 15 various health needs. The manager told us that the staff had a good working relationship with all these professionals and followed their advice and guidance. We saw that information from health care professionals was incorporated into care plans and that the staff followed their advice to make sure people stayed healthy. We saw that people’s health and individual conditions and needs were monitored daily by staff. Trained staff administer medication and make sure records are up to date, clear and accurate. There is an appropriate medication procedure. We saw that medication was stored appropriately and that records were accurate and clear. We saw staff supporting people to take their medication and they did so appropriately. Health professionals who contacted us told us that the staff worked well with them and listened to their advice. Some of the things they said were, ‘the staff recognise the need to follow eating and drinking guidelines’, ‘the staff undertake our training and work hard to have a professional relationship with the local health team’, ‘sometimes the staff need to communicate more with each other’, ‘we have observed a real improvement in their ability to manage risk’, ‘they have very much improved over the last year’ and ‘they look after the residents as individuals and provide dignity’. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are able to make a complaint and know that this will be investigated appropriately. There are procedures in place to keep people safe from harm. EVIDENCE: There is an appropriate complaints procedure and a record of all complaints and investigation into these. There are procedures on whistle blowing and protection and the home has a copy of the local authority safeguarding procedure. The staff have had relevant training in this area and showed us that they understood these procedures. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, clean and well maintained environment. Their quality of life may improve if proposed changes to the environment take place. EVIDENCE: Since our last inspection there have been improvements to the environment, including some decoration and new floors in communal areas. There is a heated cabin in the garden which people call the space magic room. This is set up with special mood lighting, other sensory equipment, a large TV screen and computer with special features designed for the people who live at the home. People can use this room independently with staff and there are also organised activities and regular sessions where people use the room and equipment as part of a group. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 18 The kitchen area and the staff office are included within the main lounge. This makes the communal space more cluttered. There are no proper cooking facilities, no hob top or oven. The fridges and freezers take up what used to be floor space in the lounge. The kitchen area including worktops and sink take up space in the lounge. The staff office, including cupboards, records, work desks and chairs are all within the lounge. Many of the people who live at the home use wheelchairs and other large equipment. The space in the lounge is not sufficient for people to use this comfortably. The manager told us that there are plans to improve the environment including equipping all bedrooms with ceiling track hoists. We saw that there are plans to extend the building to create more space and better kitchen facilities. The organisation is fund raising so that they can go ahead with these plans which would benefit the people who live at the home. The home was clean and tidy throughout on the day of our visit. There is a housekeeper who works every day. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by staff who have been appropriately recruited and have the training, support and supervision they need. EVIDENCE: The staff told us that they had the support and training they needed. They said that they had regular meetings with the manager. Some of the things the staff said were, ‘the training is good’, ‘we always put residents first’ and ‘the current manager is trying her best and I have learnt a lot from her’. There have not been many staff changes since the last inspection. The manager told us that this has been a positive thing for the home and made sure people have a consistent approach. The manager has improved the way in which staff communicate with each other to make sure everyone knows what is going on and what they need to do. There are well used communication books and diaries, regular meetings Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 20 for all staff and additional meetings for senior and night staff. The staff handover information through a short discussion and a record of events whenever there is a changeover in which staff are on duty. There is a written plan for each day which tells the staff what duties they are allocated to do. The manager has given everyone guidance on the roles and responsibilities of different jobs at the home. There is a clear management structure. The staff are supported to undertake NVQ qualifications. The manager and deputy manager are undertaking a management NVQ, and other staff have either completed or are undertaking other NVQs. There is a record of training the staff have undertaken. This shows when training refreshers are needed. We saw that all staff had undertaken training in food hygiene, first aid, safeguarding and other important areas that help them to understand their role better and to keep people safe and well. The nursing staff have had additional clinical training from the local community nurse. All staff have regular planned individual supervision meetings with their manager to reflect on their practice and discuss concerns and training needed. There are appropriate procedures for recruiting staff including interviews and opportunities to meet the people who live at the home. We saw that staff files included reference and criminal record checks prior to them starting work. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a service which is well managed. The quality of the service is monitored and plans are in place for continuous improvement. EVIDENCE: People told us that they liked the manager and found her approachable. They told us that they felt she had introduced some positive changes to the home. We saw that the manager had done the things that we asked her to do at the last inspection. One person said, ‘the manager has improved the service greatly over the last year and she is very good’. Another person said, ‘she concentrates on the small things that improve people’s lives as well as the Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 22 general things that make the service better’. And another person said, ‘our manager makes things better and is very hard working’. The manager has been in post for almost a year. She is appropriately experienced and is undertaking a relevant management qualification. She has started the process of applying to be registered with the Care Quality Commission. The manager told us that the organisation’s board of trustees were supportive. She told us that they had a range of skills and experiences which they used to help provide a better service for the people living at the home. The board of trustees take part in quality visits to the home. They undertake monthly inspections and help create an action plan of things that need to be done. They also meet regularly with the manager to review the service. They talk to people who live at the home and members of staff as part of their quality checks. The manager told us that she meets regularly with relatives and talks to them about their wishes and views. The organisation has plans for how they want to develop the service in the future. These improvements include changes to the environment and using computers to make more interactive care plans. The London Borough of Richmond visit the home to make quality checks and create an action plan for improvements. The manager told us that this was useful. Records are neatly organised and kept up to date. People have private arrangements to manage their own money and have their own appointees. However, small amounts of cash are held at the home and are used for everyday purchases. We saw that there were appropriate systems to keep this money safe and to make sure regular checks were made on cash balances and records. We saw that receipts of purchases were kept and that balances were correct. There is a fire risk assessment and we saw evidence of regular checks made on fire safety. There are regular fire drills. We saw that staff undertake regular checks on health and safety and record where action is needed to address any concerns. We saw that electrical appliances, gas and water safety and other equipment had been checked and these were safe to use. Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 23 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 3 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 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 3 X X 3 X Version 5.3 Page 24 Roy Kinnear House DS0000038036.V378348.R01.S.doc Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA37 Regulation 9 Requirement Timescale for action The Manager must submit an 31/01/10 application to be registered with the CQC. Requirement 31/05/09 restated as not fully met. 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 YA24 Good Practice Recommendations The organisation should consider re-situating the nurse station to ensure confidentiality. The organisation should consider installing a hob and oven. The organisation should make sure there is sufficient storage space. 2. 3. YA28 YA24 Roy Kinnear House DS0000038036.V378348.R01.S.doc Version 5.3 Page 25 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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