Care Home: School House

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What the care home does well The service has a Statement of Purpose and Service Users Guide in place; both documents were impressive in their content and format of pictorial details, thus enabling each person to understand the facilities available. We evidenced that the personal copy had been given to a person who uses the service. The service had an impressive assessment process including a projected time scale for the process. From the documents seen other professionals had been involved in assessments. We observed that a person who uses the service was well cared for and that they had options for daily routines. Our observations showed that a personDS0000073158.V376174.R02.S.docVersion 5.2using the service was well supported, very comfortable and satisfied with routines. The service had an impressive format for the plan of care and support required on a daily and long term basis, including pictorial documents. We were shown around the service including a person`s bedroom, furnishing and fittings were of a good quality. Arrangements were in place for meeting the health needs of any person living at the service. The service enables contact with friends and family relationships. The service had an extraordinary approach when planning or assisting people to understand any changes in routines. The service had constructed a four page folder including pictures about us and our role. This practice has enabled people to accept inspections without any distress or change routine. The manager has systems in place to ensure that the service is managed safely and in the best interest of those who use it. What has improved since the last inspection? This is a new registration and the first key inspection following the registration. What the care home could do better: This report makes no requirements or recommendations.DS0000073158.V376174.R02.S.docVersion 5.2 Key inspection report CARE HOME ADULTS 18-65 School House 2 Hawbush Road Leamore Walsall West Midlands WS3 1AG Lead Inspector Wendy Grainger Unannounced Inspection 7th July 2009 09:00 /07/09 DS0000073158.V376174.R02.S.doc Version 5.2 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. DS0000073158.V376174.R02.S.doc Version 5.2 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 DS0000073158.V376174.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service School House Address 2 Hawbush Road Leamore Walsall West Midlands WS3 1AG 0121 357 5049 0121 357 4711 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) Dignus Healthcare Miss Dania Cunningham Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000073158.V376174.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning Disability - Code LD (3) The maximum number of service users who can be accommodated is: 3 New Service Date of last inspection Brief Description of the Service: The service is located in a quiet location back from the busy main road into Walsall. The service is registered to provide care and support to three adults with a learning disability. The property is situated in front of a college. Car parking space is available at the front of the property. The rear garden which is screened off from the college offers decking and lawn area. The internal part of the service premises is modern, homely and tastefully decorated. Bedrooms were on two levels and offer en-suite facilities in each room. A well maintained kitchen/dining room and communal lounge are provided. The Statement of Purpose and Service Users Guide contained the current fees of £1.800 per week. Readers of the report may wish to contact the service for any current changes to the fees that may have occurred since the inspection. DS0000073158.V376174.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is Two Star. This means that people using the service experience good quality outcomes. This key inspection was the first inspection following the registration of the service in February 2009. The inspection was carried out by one inspector on the 7th July 2009 who used the National Minimum Standards for Care Homes for Younger Adults, (18-65) and the outcomes for people as a basis for the inspection. On arrival we were asked into the service by a person using the service. One of the providers, the registered care manager and one support staff were at the service when we arrived. Prior to the inspection we had sent to the service the Annual Quality Assurance Assessment (AQAA) this is a self- assessment tool, the completed document had been returned to us within the required time scale. The contents were detailed, comprehensive and provided an excellent overall picture of the service, aims and objectives proposed by the service. The document (AQAA) is a legal requirement and it enables the service to focus on how well outcomes are being met for people who use the service. It also gives us some numerical information about the service and staff. What the service does well: The service has a Statement of Purpose and Service Users Guide in place; both documents were impressive in their content and format of pictorial details, thus enabling each person to understand the facilities available. We evidenced that the personal copy had been given to a person who uses the service. The service had an impressive assessment process including a projected time scale for the process. From the documents seen other professionals had been involved in assessments. We observed that a person who uses the service was well cared for and that they had options for daily routines. Our observations showed that a person DS0000073158.V376174.R02.S.doc Version 5.2 Page 6 using the service was well supported, very comfortable and satisfied with routines. The service had an impressive format for the plan of care and support required on a daily and long term basis, including pictorial documents. We were shown around the service including a person’s bedroom, furnishing and fittings were of a good quality. Arrangements were in place for meeting the health needs of any person living at the service. The service enables contact with friends and family relationships. The service had an extraordinary approach when planning or assisting people to understand any changes in routines. The service had constructed a four page folder including pictures about us and our role. This practice has enabled people to accept inspections without any distress or change routine. The manager has systems in place to ensure that the service is managed safely and in the best interest of those who use it. What has improved since the last inspection? What they could do better: This report makes no requirements or recommendations. DS0000073158.V376174.R02.S.doc Version 5.2 Page 7 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. DS0000073158.V376174.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000073158.V376174.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to move into the service receive all the information that they require and they are fully assessed so that they can be assured the service can meet their needs. EVIDENCE: The next planned admission has been on going since May 2009. Management have met with this person, assessments have included both day and overnight stays. We saw items in this person’s bedroom ready for the ‘moving in’ day. Other professionals had been fully involved with the assessment of this person and a person who uses the service. We saw the assessment for the one person admitted to the service in February 2009. Potential referrals would involve the person, family, professional agencies including the medical profession. Peoples needs would be recognised and their personalities taken into account. The person admitted to the service in February 2009 had a long transitional period of ‘moving in’ including an DS0000073158.V376174.R02.S.doc Version 5.2 Page 10 overnight stay. The person had the choice of other services as shown by a social worker but chose this present environment. Records seen evidenced that, the staff team undertook regular visits to another facility to get to know the person and their preferred routines. We had access with the person’s agreement to their care plan, it was obvious to us that the person had been fully involved with the plan which had both writing and pictures. The person had signed each section in the plan including the psychological assessment review with the consultant. We observed during the inspection that the person was relaxed and comfortable with the staff and management. The person told us that they. ‘liked living at the service’. These admission processes mean that no person would be admitted to the service without this very in depth pre-assessment ensuring their needs can be met. DS0000073158.V376174.R02.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 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. Individuals are involved in decisions about their lives and take an active part in planning their care and support they require. EVIDENCE: The services completed AQAA told us that, ‘each person will have a full detailed care plan’ based on consultations with other professionals, and that they will be ‘tailor made’ The plan we saw had been signed by the person. There was evidence of an advocate as an independent person to make sure the persons needs are taken into consideration and met. The plan included likes and dislikes, and DS0000073158.V376174.R02.S.doc Version 5.2 Page 12 highlighted personal details such as, the person likes shopping for clothes. The service had an impressive format to enable the person to attend the local dentist. Explanation of what would happen had been given by completing a book format with writing and pictures. Reports told us that this process had reduced the persons anxiety immensely. There was evidence of the person’s social life style, with days out to the Botanical Gardens and Blackpool. Plans have been made to go to Devon later in the year for a week with two of the staff. Risk assessments include absconding, things that may upset the person and how to best assist the person. The initial six week review was pictorial and contained evidence by a signature from the person confirming their attendance. The company has another service and pictures seen evidenced that people from this service had visited this service, The School House. The person had served to these guests’ small cup cakes which they had cooked and decorated with support. The person has chosen not to go again to Ballroom dancing, but likes a disco with friends. This level of support and consultation ensures the person is involved in making a personal choice about their lifestyle. DS0000073158.V376174.R02.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12,13,15,16,17 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 using the service have every opportunity to experience a fulfilling lifestyle with support to meet their needs. EVIDENCE: The services completed AQAA told us that ‘a persons development was important to the service. They aim to find the means for personal growth’. We saw a very well documented social life plan that encourages access to the community. During our inspection the person went shopping with a member of the staff. One of the aims in the plan chosen by the person was to learn to skip. The person has attended the college for art, recently their course has DS0000073158.V376174.R02.S.doc Version 5.2 Page 14 changed to gardening, a small greenhouse and tomatoes were evidenced in the garden for use. One staff member has been to the local church to find out the times, and if there would be any interests for the person. The person to date has shown no interest in religion but the management will leave this on their plan in case they want to be involved in the future. We saw comments from a persons family ‘The opportunities offered in the last three months have astounded us’, ‘He has relaxed and tried different things’. The family were impressed with the manner in which the person managed a recent family funeral. We saw the work that the staff had talked through what happens at a funeral with the person to that they would know what to expect. We saw that each written section in the plan was supported with pictures. This type of commitment by the staff ensured that the person was comfortable with the experience. People will be encouraged to have a healthy diet, the person had been involved in the menu planning, and this will be extended to involve any other person being admitted to the service. The kitchen was well designed; equipment especially purchased in consideration of people’s safety for example’ the cooker goes cold immediately after use. Menus were based on the person’s choice. The person is encouraged to be part of the catering process, which they enjoy as pictorial evidence showed. Other daily skills would be promoted with the person being supported and encouraged in maintaining bedroom cleanliness. The person can be assured that their skills and development will be supported by the staff and manager. DS0000073158.V376174.R02.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. 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. The service meets the health and personal care needs of people using the service. EVIDENCE: The services completed AQAA told us that ‘all the staff are inducted on how to offer personal care in a manner that respects the persons dignity. People are supported with their medication’. We saw risk assessments in place, a protocol for the administration of medication, and the manner in which is was to be administered after consultation with the person. This was confirmed from records in that they are personally signed. Only staff that had been suitably inducted would assist in personal care. DS0000073158.V376174.R02.S.doc Version 5.2 Page 16 All the people will be registered with the local doctor, people will attend surgeries/clinics when necessary. We saw evidence of other professionals being involved in the health care of the person using the service including chiropody and optician. We spoke to the staff on duty who confirmed the AQAA information, and told us she had completed a distance learning medication training. Other staff had completed a one day course with the pharmacy. The manager told us that it was not possible to get more that one person on the distance learning course at any one time. We did not observe medication administered. We were shown and told by the person using the service that the locked cupboard in their room was for their personal medication. From the discussions with the manager we were satisfied that all the policies and protocols in place including training, storage and handling would protect the person for any medication abuse or error. We saw the medication administration record, which was current and completed with the person. We told the provider that she needs to provide within three months a controlled drugs cupboard and how this should be secured. DS0000073158.V376174.R02.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. 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 can be assured they will be listened to and safeguarded by the services procedures. EVIDENCE: The services completed AQAA told us that ‘the service’ has a clear complaints procedure which is available to people in alternative formats and that people were provided with a copy. This was confirmed, we saw that documents had been provided to a person using the service, information was also in the Service Users Guide and other information in the lounge. The complaints procedure is in easy read, pictorial and widget. There have been no complaints. The manager was confident that the people using the service would speak to their key worker or herself. People would be supported to write any concerns in their own words, appropriate recordings and action would then be taken. Staff confirmed that they had received training for the Protection of Vulnerable Adults, and the whistle blowing procedure as part of their induction, this training was also confirmed in a staff file we looked at. DS0000073158.V376174.R02.S.doc Version 5.2 Page 18 Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks are carried out prior to employment. This protects the people who use the service. Finances are audited monthly we checked the funds held on behalf and in agreement with the person using the service. Records we looked at were satisfactory. It is planned to open an account. There has been a problem obtaining a document to open an account with a bank, advice was suggested to overcome the problem. We saw in the persons care plan that they wish to become numerically skilled; this will be accomplished with the support of the college and service. DS0000073158.V376174.R02.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. 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. The design of the service enables people to live in a safe and comfortable environment which is well maintained. EVIDENCE: The services completed AQAA told us that ‘the service was light and decorated to a high specification with the needs of the people in mind’. A person using the service had been involved in ‘dressing the house’ in order to make it more homely. We looked around the premises with a person using the service who took us to their personal bedroom. The room was personalised to suit the person’s needs. DS0000073158.V376174.R02.S.doc Version 5.2 Page 20 The person has been provided with a key for the room. The bedroom had a good size en-suite with a specialist shower facility to ensure the safety of the person. Fixtures and fittings were of a good quality, each room had an alternative colour combination. Plans for a further admission identified that some personal electrical equipment and personal items had been placed in a bedroom ready for the person to move in. The person at the service is supported by the staff to ensure that their bedroom is clean and tidy. Located in a quiet road the service has access to the local shops, pub, and public transport into the town of Walsall or Bloxwich. The service is unidentifiable as a care facility and is in keeping with the community; this protects the privacy of the people who use the service. Car parking is at the front of the service, at the rear and screened from the college the garden has decking and a lawn. DS0000073158.V376174.R02.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 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 using the service can be assured they are safe and supported by a well trained and experienced staff team. EVIDENCE: The services completed AQAA told us that ‘the service has recruitment procedures in place to meet all necessary checks before commencing employment. Each member of the staff team are subject to a three month probationary period. Induction commences with a mentor’. That this information is correct as it was confirmed in the staff records and induction programme that we looked at. The services recruitment policy ensures that staff appointed are suitable this means that people who use the service are being protected. We saw interview records; training records and a lone working policy these processes all make the service a safer place. DS0000073158.V376174.R02.S.doc Version 5.2 Page 22 We looked at one staff file, the records identified that this person had a varied training programme and achievements including, National Vocational Qualification (NVQ) levels 2 and 3. Training received included; Counselling, Medication, Moving & Handling, Vulnerable Adult, Fire, First Aid, and Mental Capacity Act training. We also saw that this person was appropriately recruited the service had obtained required references, an application form and Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks had been completed. We also saw in the staff file a signed supervision agreement, records for this practice were evidenced in the same file. The service had an impressive training programme since its opening in February 2009 the majority of staff had completed were undertaking or waiting to enrol on courses to meet and benefit people using the service. The matrix for all staff training was current and on- going one person is undertaking her Masters in Psychology and hoping to bring this into her working role to benefit people using the service. At the time of our inspection we were told that a person using the service often sits in with the staff during their monthly meetings. This means that they can then be actively involved in decisions about the day to day running of the service. DS0000073158.V376174.R02.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 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 using the service are supported and safeguarded by competent management systems and the staff team. EVIDENCE: The services completed AQAA told us that ‘the registered manager holds a BA (hons) in special needs and inclusion studies’. DS0000073158.V376174.R02.S.doc Version 5.2 Page 24 The manager continues to undertake any training relevant to her role to enable her to ensure that with the policies, audit systems and supervision by the company that the service is being operated appropriately. She is to enrol for the National Vocational Qualification level 4. The service undertakes a quality assurance based on the Key Lines Regulatory Assessment (KLORA) and the National Minimum Standards, each tool was used to upgrade and benefit the service. We saw the records for the required Regulation 26 audits which include, medication audits. Questionnaires for feedback on the first six month’s for the service had been sent to professionals including, the community nurses, social workers and families. A person using the service has been given a questionnaire and will complete it with their advocate. We evidenced in the persons care plan a signed agreement for this advocacy input. Records we looked at told us that safe working practices were in place, records told us that the appropriate checks were being carried out including, fire and risk assessments, gas safety as well as weekly calibration checks on the water system. We evidenced that the person using the service signed the records as well as part of the weekly fire and emergency lighting tests. In the event of an emergency the service had full contingency plans in place with a snatch and grab bag with all the relevant details of local hotels and contact numbers. DS0000073158.V376174.R02.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 4 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 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 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x DS0000073158.V376174.R02.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000073158.V376174.R02.S.doc Version 5.2 Page 27 Care Quality Commission West Midlands Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Fax: 03000 616171 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. 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