Care Home: Springdale, 29

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What the care home does well Good information about the service is available in written, pictorial and on DVD to ensure that people thinking about coming to live at Springdale have enough information to make an informed decision. Person centred care plans provide good information for staff about individual needs and how these will be met. Changes are updated as they occur and there are good monitoring systems in place. Good risk assessments are in place to keep people safe.Springdale, 29DS0000000571.V377270.R01.S.docVersion 5.2People are supported to make choices about their routines and to have the opportunities to lead an active and rewarding life. The home is well maintained and is comfortably furnished so that people feel relaxed and settled in their home. Bedrooms are personalised to suit peoples` individual taste and interests. Good systems for record keeping are in place to safeguard people living in the home and staff. All staff have completed national qualifications in care and have completed other training to ensure that they meet the needs of the people living in the home. Emphasis is placed on ensuring that the training needs of staff members are identified on an individual basis. What has improved since the last inspection? Staffing hours have been increased since the last inspection and this means that there are more staff available to spend individual time with people living in the home. The kitchen ceiling has been replaced following the water damage that had occurred before the last inspection. The sitting room, dining room and kitchen have been redecorated since the last inspection. A new settee and chair provide comfortable seating in the sitting room. What the care home could do better: The garden would benefit from weeding, trimming of shrubs and regular cutting of the lawn to make it more attractive for people living in the home. Key inspection report CARE HOME ADULTS 18-65 Springdale, 29 29 Springdale Tweedmouth Berwick Upon Tweed Northumberland TD15 2DD Lead Inspector Anne Urwin Brown Key Unannounced Inspection 25th August 2009 08:00 Springdale, 29 DS0000000571.V377270.R01.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. Springdale, 29 DS0000000571.V377270.R01.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 Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springdale, 29 Address 29 Springdale Tweedmouth Berwick Upon Tweed Northumberland TD15 2DD 01289 - 302169 F/P 01289 302169 GM.E.NTAWNT.springdale@nhs.net 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) Northumberland, Tyne & Wear NHS Trust Ms Louise Donaldson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th August 2008 Brief Description of the Service: The service at Springdale is provided by Northgate and Prudhoe NHS Trust and offers care and support to three adults who have a learning disability. Springdale is a three bedroom, semi-detached property situated in a residential area in Tweedmouth, on the outskirts of Berwick upon Tweed. The property is rented from Berwick District Council. The accommodation is arranged on two floors and there is a small garden to the front of the property and a larger area to the rear. The Home is within walking distance of Berwick town centre and a range of local amenities. Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is 3 star – excellent service. This means that people using this service experience excellent quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 26 August 2008. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 25 August 2009 and six hours were spent at Springdale. During the visit we: • • • • • • Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: Good information about the service is available in written, pictorial and on DVD to ensure that people thinking about coming to live at Springdale have enough information to make an informed decision. Person centred care plans provide good information for staff about individual needs and how these will be met. Changes are updated as they occur and there are good monitoring systems in place. Good risk assessments are in place to keep people safe. Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 6 People are supported to make choices about their routines and to have the opportunities to lead an active and rewarding life. The home is well maintained and is comfortably furnished so that people feel relaxed and settled in their home. Bedrooms are personalised to suit peoples’ individual taste and interests. Good systems for record keeping are in place to safeguard people living in the home and staff. All staff have completed national qualifications in care and have completed other training to ensure that they meet the needs of the people living in the home. Emphasis is placed on ensuring that the training needs of staff members are identified on an individual basis. What has improved since the last inspection? 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. Springdale, 29 DS0000000571.V377270.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 Springdale, 29 DS0000000571.V377270.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 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. Good information is available about the service provided at Springdale and comprehensive assessments are undertaken to make sure that prospective service users’ needs and aspirations can be met. EVIDENCE: The home has developed a comprehensive statement of purpose and user guide that is specific to the service that is offered at Springdale. Clear information is provided about the specialist service provided at Springdale. There is emphasis placed on responding to individual needs for information and it is available in different formats that are accessible to service users. These include communication dictionaries, DVD, photographs, clip art pictures and leaflets. From talking to the manager and checking records kept it is evident that good systems are in place to ensure that a comprehensive needs assessment is undertaken before someone is admitted to the service. Records show that people are involved in the process of determining their needs. Before any admission is agreed careful consideration is given to the needs of the person Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 9 and the capacity of the home to meet their needs. No new admissions have been made since the last inspection, but there was evidence that the staff are aware of the need to support and encourage people to take an active part in the admission process. Springdale, 29 DS0000000571.V377270.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. 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. People living at Springdale are involved in decisions about their lives and good person centred plans and risk assessments show arrangements are in place to provide the care and support they need. EVIDENCE: Care plans are well developed and comprehensive with clear evidence that people are involved in the process as far as they are able. Each person has a care plan that is based on a full and detailed assessment of their individual needs and aspirations. Plans include reference to equality and diversity issues relevant to each person, individual strengths and preferences. Each plan is different and focussed on the individuality of the person and identifies the support provided by staff. There is evidence that good information is available about changing needs and support offered by staff is well recorded. Plans are Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 11 very clear and can be easily used by people who are not familiar with the individual to deliver a personalised and consistent person centred service. This does not happen at Springdale where there is a settled experienced staff team. The people using this service have limited ability to be able to be fully involved in planning their care, however there was good evidence from staff and records that their wishes are respected and taken into account. Peoples’ individual needs are well known to staff. Care plans are updated monthly. Copies of care management reviews were also on file for each of the service users. Staff were well informed about people’s needs and a key worker system is in place. Each person had comprehensive risk assessments in place that were well recorded and up to date. The service has a positive view towards risk assessments that focuses on supporting people to live the life they want to lead. Risk assessments are individualised and person centred. Any limitations on freedom, choice or facilities are in people’s best interests and these are well documented and agreed with the person and/or their representatives. Springdale, 29 DS0000000571.V377270.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): 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 are encouraged and supported to make choices about their lifestyle, and develop their life skills. Social, educational, cultural and recreational activities meet peoples’ needs and expectations. EVIDENCE: At Springdale staff encourage people to live an ordinary, meaningful life appropriate to their preferences in both the home and local community. Staff place an emphasis on the importance of enabling people to follow their own interests and to take an active part in life in the local community. Policies and procedures for staff at Springdale take account of the need to respect peoples’ Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 13 rights and their equality and diversity. People living at the home are able to enjoy full and stimulating lives that suit their preferences and routines. Each person has a weekly plan that identifies their activities for the week and staff support them to develop and maintain social, emotional, communication and independent living skills. People are encouraged to access local day services and other opportunities to develop social skills that are appropriate to their skills and interests. There are regular holidays planned for individuals to suit their individual needs. Outcomes for people are positive and this is evident from information in reviews attended by family members and care managers. Residents were relaxed and looked happy during the inspection. Staff were respectful towards residents and a good rapport existed. On the day of the inspection some people were shopping, one was going to the local day centre the other one was spending time in the house doing some household tasks. One person said she was looking forward to going out shopping to buy a purse. She also said that the staff were nice and she liked them. Visitors are always welcome at any time and links with family and friends are supported and encouraged. People living in the home are encouraged to help to plan, shop for food and help with preparation of meals or to do some baking. The manager said that she is able to ensure that the budget for food and other household items is adequate. Menus show that meals are well balanced and nutritious and are based on healthy eating principles. Alternatives are available for people so that there is a choice, although individual likes and dislikes are well known to staff. Particular dietary needs are identified within individual care plans. Springdale, 29 DS0000000571.V377270.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. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good arrangements are in place to ensure that the health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Individual plans provide good information about the support provided to each person living at Springdale. Staff had a good knowledge of peoples’ preferences and personal needs. Support is organised to suit each individual’s preferences and needs including help with washing and dressing, bathing and other activities. Specific staff training has been provided to ensure that staff are able to effectively meet individual needs. Records show that peoples’ health needs are identified and met. All service users are able to access specialist support from healthcare professionals as needed. Evidence was available that peoples’ health care needs are monitored and potential problems identified and treatment sought. Staff provide a good Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 15 level of personal support to service users in line with their needs and preferences. Levels of support are decided after assessments are carried out and these are reflected within care plans, which are reviewed regularly. Privacy and dignity is respected at all times. Staff are alert to changes in mood, behaviour or general well-being and understand how they should respond and take action. There are good procedures and policies in place to protect service users receiving medication. Arrangements for the administration of medicines protect people living in the home. Records are well maintained and arrangements for the storage of medicines are satisfactory. Staff training in administration of medicines has been provided for all staff. Springdale, 29 DS0000000571.V377270.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. 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 use the service are able to express their concerns and access an effective complaints procedure, and are protected from abuse. EVIDENCE: A good complaints procedure is in place that is clearly written and easy to understand. A pictorial format is available for people who are unable to read as well as a DVD for people to watch. People living in the home are made aware of how to express concerns and encouraged to put forward their views. At every person’s review meeting staff discuss the complaints procedure to ensure that everyone is reminded about how to express concerns or complaints. There have been no complaints since the last inspection. Good recording systems are in place for complaints. New staff are reminded of how people communicate their satisfaction or unhappiness and this information is also available in individual records. There have been no safeguarding referrals have been made since the last inspection. Clear policies and procedures are in place for safeguarding adults. Staff at the home demonstrated that they are aware of what the procedure is and how to respond. They have received appropriate training and staff records confirm this. Individual risk assessments protect residents from potential selfharm. Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 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, 25, 27, 28 & 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 home provides a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home is three bedroom semi-detached house in a residential area of Berwick. It is near to bus routes into the town centre. There are two floors and the home is domestic in style. The house is well maintained and decorated. Since the last inspection work on the kitchen ceiling has been completed and it has been redecorated. A new gas central heating system has been fitted to replace the existing coal fire system. Staff report that this is much more efficient and safer. Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 18 Bedrooms are personalised, comfortable and homely. There is fitted bedroom furniture for good storage. People have been involved in choosing colour schemes and furniture. The lounge has been redecorated and refurbished with a new carpet, chair and sofa. This provides a comfortable and relaxing environment. Furnishings and décor have been chosen to promote a homely, comfortable and safe environment, adhering to fire and safety regulations. People living in the home are involved in making choices about the décor and furnishings. An annual programme identifying redecoration priorities is in place. Systems are in place for ensuring maintenance is carried out without delay. The kitchen is well fitted and a washer and dryer is at one end of the room. There is a small garden to the front of the property and a larger area to the rear with seating available. The garden would benefit from some work to trim shrubs, weed and cut the grass and the manager said she had mentioned this to the estates manager. The home is clean and hygienic. The bathroom and toilet on the first floor is to be refitted. There is a toilet on the ground floor. There are no offensive odours. Bathing facilities provide privacy and meet service user’s individual needs. Infection control procedures are in place. Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 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): 33, 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. Sufficient trained and effective staff meet the needs of people living in the home. Good recruitment practices safeguard people at Springdale. EVIDENCE: Staffing levels are sufficient to meet the needs of the people living at Springdale. Since the last inspection there has been a temporary additional member of staff has been made available to support the existing staff group. This means that there is more flexibility for covering annual leave and sickness, for supporting people to have more individualised support. One person said that she really liked the staff. It was evident from observation during the inspection that a good rapport existed between the people living in the home and the staff. One staff member was concerned about the level of work for female staff in providing all personal care to the female residents. The manager said that everyone tries to ensure that work is shared out equally and that for one Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 20 person it would not be appropriate for a male carer to undertake personal care tasks. She said that this has been reviewed before, and additional support is provided by another Trust service if needed and that staff work together to try to ensure that they help each other. The culture in the home is very positive and staff said they enjoy working there. There is a good atmosphere in the home and residents appear well cared for with their individual needs met. Good recruitment procedures are in place and are followed. Staff records are held centrally and samples were inspected by two Care Quality Commission inspectors who were satisfied that they contained appropriate information. This included two references and criminal records checks. A comprehensive induction takes place for all new staff that includes reference to equality and diversity issues. One new member of staff said he was well supported and had enough information about the service and the people living there to be able to help him understand his role and responsibilities. Records show that staff have appropriate training opportunities to help them with their work. All have received mandatory training. Records are kept of each individual’s training. All staff have completed national qualifications in care. Staff said that they get plenty of training opportunities. Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 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, 39 & 42 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. The management and administration of the home is very well organised and takes account of the views of people living in the home. Good quality review systems and health and safety practice are in place to provide good outcomes for the people at Springdale. EVIDENCE: The registered manager has the required qualifications and experience to run the home and meet its stated aims and objectives. The manager has received appropriate training and support so that she has a good knowledge of the organisation’s strategic and financial planning systems. She says that she is well supported by the senior management of the organisation. She Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 22 communicates a clear sense of direction and has a good understanding of the need for continuous improvement, customer satisfaction and quality assurance. She understands the importance of equality and diversity and person centred planning in planning the service’s development. Staff said that they feel well supported by the manager and that arrangements for supervision are good. The manager has access to appropriate training opportunities to update her skills and knowledge. There is a good system of quality assurance in place that takes account of the views of people living in the home. It was apparent that people living in the home and the staff feel able to put forward their views. There are effective systems in place to ensure that there are good records of any money held on behalf of people living in the home. People living in the home are supported to manage their own money where possible. Those who don’t have the skills are encouraged to take as much responsibility as it is safe to do. All working practices are regularly reviewed. Good systems are in place for checking on health and safety in Springdale. Records are in place to show this. Appropriate training is provided for staff and regularly updated. Risk assessments for the premises and for fire are in place. Fire alarm tests are carried out weekly and records were available to confirm this. Accident records are kept in an appropriate form. Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 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 4 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 4 26 X 27 3 28 3 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 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 4 X Version 5.2 Page 24 Springdale, 29 DS0000000571.V377270.R01.S.doc 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. 1. Refer to Standard YA24 Good Practice Recommendations The garden would benefit from weeding, trimming of shrubs and regular cutting of the lawn to make it more pleasant and attractive for people living in the home. Springdale, 29 DS0000000571.V377270.R01.S.doc Version 5.2 Page 25 Care Quality Commission Care Quality Commission North Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.northeastern@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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