Care Home: Stockwood House

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What the care home does well The Manager continued to work hard to review and develop all the policies and procedures in the home. The staff members worked together well, to provide appropriate support to the residents. The standard of care provided to people who live in the home was good. Staff members continually sought opportunities for the personal development of each resident. Residents spoken with praised the staff and Manager and confirmed that their views were always listened to and acted on; "I feel staff listen to you seriously" was a typical comment from one resident. The accommodation was well furnished, decorated and maintained. The standard of cleanliness was high. There was a very warm, welcoming and relaxed atmosphere. Staff members have received all the mandatory training necessary to do their job effectively. They have also received some training specific to eating disorders. Arrangements were in hand for all staff to receive training on Complaints, Medication and Adult Protection. The registered manager demonstrated a good knowledge of the required statutory procedures. She has established good systems so that care and support could be delivered in a sensitive, efficient and safe manner. Staff recruitment procedure was robust, which offered residents protection from harm. Staff members reported that good management support was available. What has improved since the last inspection? This was the first inspection undertaken since the home opened on 8 October 2007. No improvements could therefore be noted. What the care home could do better: There is one requirement and two recommendations arising from this inspection report. The things the home must do better include: NVQ assessment should be given a higher profile, in order to achieve a ratio of 50% of care staff with NVQ Level 2 or equivalent. A record of hot water temperature tests must be maintained. This would enable the manager take action if the hot water temperatures exceed safety limits. The frequency of the fire alarm tests should be increased to weekly, in order to ensure the system is in working order. CARE HOME ADULTS 18-65 Stockwood House 1 Cutenhoe Road Luton Beds LU1 3NB Lead Inspector Neil Fernando Unannounced Inspection 23rd January 2008 10:10 Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stockwood House Address 1 Cutenhoe Road Luton Beds LU1 3NB 08708792452 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) Mrs Asha Devi Mootoosamy Mrs Asha Devi Mootoosamy Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service: Care Home - PC To service users of the following gender: Female Whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - code MD Date of last inspection Not applicable. This is the first inspection since the registration Brief Description of the Service: Stockwood House is a female only residential care home specialising in the care of people with severe and enduring eating disorders. The aim is to continue to provide specialist help to people being discharged from hospitals. The home is located in a residential part of Luton in Bedfordshire, in close proximity to local facilities (Luton town centre) and transport links. The accommodation is arranged on 3 floors; a lift is not available and therefore residents must be physically able to manage stairs. There are five good size bedrooms – three with en-suite facilities (shower, toilet and sink) on the first and second floors. The two bedrooms without ensuite facilities are located in close proximity to a communal toilet and bathroom (bath, shower, toilet and sink) on the first floor. The statement of purpose indicates that these rooms are to accommodate residents who may be at risk of self-harm, in the form of self-induced vomiting or laxative abuse (Bulimia Nervosa). The shared bathroom will aid the monitoring of potential risks. The premises also include a large lounge, a separate quiet room, a large open kitchen/dining room, laundry, office, a fully enclosed garden and parking for several cars to the front of the property. There are plans to develop the garden to include a vegetable/herb area. The home has a service user’s guide and statement of purpose that are provided to prospective service users. The current fees are £1515 per week. Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 5 Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We, the Commission for Social Care Inspection, undertook this unannounced key inspection on 23 January 2008. It was the home’s first inspection since its registration. We spoke with three residents, the manager and three members of staff, including the specialist nurse. We had a look around the building and checked some of the records the home must keep. No completed surveys have been received from residents or staff; any feedback would be included in the next inspection report. We received a completed AQAA (Annual Quality Assurance Assessment) – a document, which gives the manager the opportunity to tell us how the home is meeting the standards and regulations. At the time of the visit, there were three residents accommodated; there were two vacancies. This was a positive inspection. Overall, residents expressed a good deal of satisfaction with the quality of the service offered to them. Their comments have been included in the report. The manager was present throughout the inspection. What the service does well: The Manager continued to work hard to review and develop all the policies and procedures in the home. The staff members worked together well, to provide appropriate support to the residents. The standard of care provided to people who live in the home was good. Staff members continually sought opportunities for the personal development of each resident. Residents spoken with praised the staff and Manager and confirmed that their views were always listened to and acted on; “I feel staff listen to you seriously” was a typical comment from one resident. The accommodation was well furnished, decorated and maintained. The standard of cleanliness was high. There was a very warm, welcoming and relaxed atmosphere. Staff members have received all the mandatory training necessary to do their job effectively. They have also received some training specific to eating disorders. Arrangements were in hand for all staff to receive training on Complaints, Medication and Adult Protection. The registered manager demonstrated a good knowledge of the required statutory procedures. She has established good systems so that care and Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 7 support could be delivered in a sensitive, efficient and safe manner. Staff recruitment procedure was robust, which offered residents protection from harm. Staff members reported that good management support was available. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stockwood House DS0000070336.V359015.R01.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 Stockwood House DS0000070336.V359015.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 4 and 5 Quality in this outcome area is good. Information to people who may choose to use the service is available. Full preadmission assessment is carried out, thus ensuring the identified needs of the potential resident could be satisfactorily met on admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and service user’s guide was both available and reflected fully the service provided. The information provided for prospective residents is presented in a format that is both informative and interesting. The three files examined contained initial assessments compiled by the manager prior to residents moving into the home; there were other assessments completed by the referring social services or hospitals. Following admission, staff continued to review and make adjustments to the assessments available, as they got to know the person concerned. Risk assessments were seen on the files inspected and had been updated. Residents confirmed that they had the opportunity to visit and “test drive” the home, and staff were very supportive. There was clearly mutual respect and Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 10 trust between staff and residents; all three residents spoken with said they were very happy in the home. Records showed that individual preferences were encouraged and the potential of individual resident, promoted by the staff. The manager stated that all residents have individual contracts on file stating the conditions of their stay and the current charges, and signed by the resident and manager. Evidence of this was seen in the files for all three residents. Stockwood House DS0000070336.V359015.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 8 and 9 Quality in this outcome area is good. The people who live at Stockwood House receive the support they require; this enables them to make decisions about how they wish to lead their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have a very detailed care plan, which identifies how they would like their individual needs to be met. It was very positive to note that residents had signed their care plans. Two of the three residents have had their reviews and both spoke positively of the outcomes. The AQAA indicates that “Care plan meeting documentation in client files show the scope of individuals invited to attend review meetings (Carers, psychiatrist, key worker, GP, client etc.)”. The residents told us that Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 12 they had been consulted about the people they would like to invite to their reviews - a practice they fully appreciated. Risks assessments have been carried out as appropriate, in order to promote residents’ safety. The residents have very good support for their needs, with a multi-disciplinary approach, providing nursing, occupational therapy, art therapy and dietetic input. Residents provided many examples that demonstrate they are fully involved in discussions about their lives and the running of the home. Staff and residents hold (support group) daily meetings; each person has regular one to one meeting with their key worker. Their goals and aspirations are explored and areas for further action are identified. Stockwood House DS0000070336.V359015.R01.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): Standards 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. The residents are able to use local community facilities as well as more specialist services; the activities available and accessible maintain a good level of stimulation for residents. Meals are varied, nutritious and balanced; this promotes residents’ health and wellbeing. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA (Annual Quality Assurance Assessment) indicates “Clients are consulted individually and as a community, so ascertain personal development targets, including life skills and therapy programmes”. The care records viewed confirm that activities and facilities accessed reflected the needs of each individual in relation to their interests, abilities and age. The care records also show that individuals have identified through one to one Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 14 discussion with staff and during reviews that they wanted different things to do. Evidence demonstrates that actions have been taken to address this. The home also provides funds for 1 to 1 social outing with staff. The individual needs associated with culture and diversity were being identified through assessments, reviews and ongoing one to one discussion with residents. ”Good level of activities” commented one resident. Residents were encouraged and were able to participate in religious activities as they wished. The home welcomes visitors at all reasonable times. Families play an important role in the lives of the residents who live there. Policies and practices in the home respect and promote the rights of the residents as necessary. Individuals followed their own routines when they were at home including being involved in household tasks. Menus were planned with the residents; the manager and staff said that serious consideration was given to individual nutritional needs so that residents have access to healthy options. Two residents said that they fully participated in shopping and cooking; another resident said with confidence that cooking was due to be included in her care plan. We observed residents and staff eating lunch together. The tables were nicely laid and discrete encouragement was given to those who needed it. All three residents appeared to have enjoyed their meal. “Always fresh and well prepared” said one resident. Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. The residents are being well supported to make decisions about their health and lifestyle; this promotes their autonomy and independence, which has a positive effect on their quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The way in which personal care should be provided was recorded in the care plans. This had been reviewed on a regular basis and amended as the needs of the resident changed. This information was shared with the care staff to ensure that people had continuity of care and in a manner familiar to them. Each resident has a key worker; information available shows they were aware of the availability of staff members and who would be supporting agreed tasks and activities. Individuals were aware of who their key worker was. All of the residents in the home were mainly self-caring and needed minimal assistance with personal physical care. Residents appeared to value the time spent with Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 16 staff. “Individual time spent by staff with a resident is one of the most positive things at this home”, said one resident. Staff members spoken with had a clear understanding of their role and were well aware of the identified needs of each resident, as reflected in their care plans. Files viewed indicated when there had been contact with health and social care professionals and what advice had been given. Two of the residents self medicated with some prompting from staff; medication was administered to the third person that was unable to do so. Up to date risk assessments were in place for all three residents. Both the manager and specialist nurse are able to administer medication; the remaining seven members require training on this subject. The specialist nurse has previously worked as a registered manager for a private clinic for people with eating disorders. Arrangements were in hand for the nurse to provide training for staff on medication. The medication administration records were in order. Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. Procedures followed in the home ensure that any concerns or complaints would be appropriately investigated and residents would be protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the complaints procedure is available to prospective and current residents living in the care home. All three residents spoken to said that they were aware of the complaints procedure and would speak to a member of staff or the manager, if they had any concerns. “I am happy as I could be”, said one resident. Complaints record showed that two complaints have been received from a resident; both were minor complaints and were dealt with in accordance with the home’s complaints procedure. There have been no complaints received by the Commission about any aspect of the service since the registration of the home. The whistle blowing policy is available and accessible to the staff team. The home also has procedure on the protection of vulnerable adults. Discussion on the procedures is part of the induction for all new staff members. Arrangements were in hand for all staff to receive training on Adult Protection Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 18 on 28 January 2008. There have been no adult protection matters since the home started operating. Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25 and 30 Quality in this outcome area is good. Residents live in a safe, homely, clean and comfortable environment suitable for their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The physical environment continues to be maintained to a good standard. It is decorated and furnished in domestic style and provides a homely, comfortable and safe environment. Bedrooms are well personalised to reflect the tastes and interests of the occupants, with gadgets, pictures and other personal effects. It is positive that the people accommodated have had an input in changing the environment they live in, including individual bedroom and communal areas. Examples included television sets purchased by residents for their bedrooms, changes to bed Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 20 linen, curtains and light fittings. Residents have their own key. Locks on bedroom and bathroom doors provide residents with privacy. A high standard of cleanliness was evident throughout those areas viewed. There were no mal-odours present. The laundry facilities are suitable and adequate for the residents accommodated. There are infection control policies and procedures in place and staff have received training on the subject. There is a good size garden to the back of the property, which was well maintained. There were no health hazards noted. Stockwood House DS0000070336.V359015.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 34, 35 and 36 Quality in this outcome area is good. Staff recruitment process is robust, which means that residents are in safe hands. Staffing levels with the appropriate skills and abilities ensure that residents’ needs could be met appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each staff member has completed induction training that covers mandatory health and safety training. This is followed by training that takes place over a period of time, which is specific to the needs of residents accommodated at Stockwood House. Records showed staff members have received most of the training required for them to safely care for the people living at the home. Further training was scheduled on Complaints, Medication and Adult Protection, as indicated earlier in the report. 1 of the 7 care staff holds an NVQ level 2 in care and arrangements were being made for another 2 members to start this course in September 2008. This is an area that should be given a higher profile, in order to achieve a ratio of 50 of staff with NVQ Level 2 or equivalent. Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 22 All staff members have job descriptions and those spoken with were aware of the home’s policies and procedures and have the experience of working with other professionals. Positive interaction between residents and staff was observed during the visit. Staff members were on hand to assist where required but also felt able to give residents the opportunity to follow their own routines and preferences. In response to a question as to “Whether staff have the skills and experience to meet their needs?” one resident said, “While staff are excellent, more specific training should be given on eating disorders and related behaviours”. This information was shared with the manager who agreed to explore this issue and take action as necessary. The home has robust procedure for the recruitment and selection of staff members. We viewed the recruitment records for three staff including the most recently recruited member of the team. These showed that all required checks had been undertaken before they began employment. Staff received regular supervision in which they have the opportunity to raise any issues about practice. Staff who spoke with us said they were satisfied with the amount and quality of supervision they get and that they get good management support – “I think it’s brilliant because the manager is always in contact physically, by phone and email; she is here every day”, stated one staff. Stockwood House DS0000070336.V359015.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 38, 39 and 42 Quality in this outcome area is good. The home is well managed and the residents, safeguarded. The welfare and interests of the people accommodated are considered paramount. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered owner/manager has significant experience of working as a specialist dietician (eating disorders) since 1999. She had completed all her mandatory training including Medication and Adult Protection. She was planning to start her Registered Manager’s Award course in September 2008. Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 24 Evidence available showed that the home was well run. The manager worked closely with the residents and staff team, and attended staff and resident meetings. Staff said that the manager was committed and supportive – “the manager has time for everybody and she cares” reported a member. She was also well supported by the specialist nurse. Considering that the home has been operating for about four months, a quality assurance survey has not been carried out yet. However, the manager was clearly aware of the need to formally seek the views and experience of residents, relatives and professionals regarding the quality of service offered at this home. The manager said she intended to undertake such a survey by March 2008. The local referring agencies have provided very positive feedback about the progress of the residents and their programme at Stockwood House. The management systems within the home were very well organised. The records of routine servicing, maintenance and fire equipment checks were up to date. Records confirmed that staff received the required health and safety training to promote the safety of residents and their colleagues. Issues that were noted include the following: • Hot water temperatures in bedrooms, bathroom and shower facilities had been tested but there were no records maintained. • The alarm system had been tested but records indicated that this had not occurred weekly in some cases; the frequency needed some attention. The above matters must be addressed. Stockwood House DS0000070336.V359015.R01.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 3 2 3 3 X 4 3 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 3 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 3 32 2 33 X 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 X 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 3 3 3 X X 2 x Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A – First inspection since registration 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 YA42 Regulation 13 (4) (a) & (c) Requirement A record of hot water temperature tests must be maintained. This would enable the manager to take action if the hot water temperatures exceed safety limits. Timescale for action 10/03/08 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 YA32 Good Practice Recommendations NVQ assessment should be given a higher profile, in order to achieve a ratio of 50 of care staff with NVQ Level 2 or equivalent. The frequency of the fire alarm tests should be increased to weekly, in order to ensure the system is in working order. 2 YA42 Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stockwood House DS0000070336.V359015.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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