Care Home: Strawberry Fields

Similar services:

• Thorndene
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• 1 Marten Road

What the care home does well A relative who we spoke to after our visit to the home told us "Its brilliant, the home is secluded and safe. The manager is very responsive." People have an active lifestyle to enjoy both within the home and during access to community facilities. The home is comfortable and has a homely, clean, friendly environment. The recruitment procedures are thorough and protect people who use the service. There is a low turnover of staff so that people living at the home have the chance to build up communication methods with staff. What has improved since the last inspection? Both the Service Users Guide and Complaints procedure are now available in more accessible format and have yet to be distributed. The service contract of Terms & Conditions included in the Service Users Guide has been revised to be explicit about the exact financial arrangements for people living in the home. New procedures and systems for handling people`s monies have been introduced to protect staff and service users from errors in money management. Some people living at the home have had the opportunity to have a holiday away from the home supported by staff. CARE HOME ADULTS 18-65 Strawberry Field Courtwick Lane Littlehampton West Sussex BN17 7PD Lead Inspector Mrs Diane Peel Unannounced Inspection 17th June 2008 10:00 Strawberry Field DS0000052523.V365585.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 Strawberry Field DS0000052523.V365585.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. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strawberry Field Address Courtwick Lane Littlehampton West Sussex BN17 7PD 01903 733395 01306 870230 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) Corich Community Care Limited Miss Susan Anne Hooper Care Home 10 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0) of places Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only – (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 2. Mental disorder, excluding learning disability or dementia (MD) The maximum number of service users to be accommodated is 10. Date of last inspection 4th January 2005 Brief Description of the Service: Strawberry Field is registered to accommodate up to ten people with a learning disability over 18 years of age. The home is situated in Wick, Littlehampton on a shared site with another home belonging to the same organisation. It is a purpose built home with all residents’ accommodation on the ground floor. There is a large lounge and two small dining rooms as well as substantial outside space. All bedrooms are single occupancy and have en-suite facilities. The premises are some way from local amenities although the home has it’s own transport. Attached to the home is a building used for recreational and educational activities that is shared with two other homes belonging to Corrich Community Care Ltd. Since we last visited the home the directors of the Corich Community Care Limited have changed. The manager is Susan Hooper and the responsible individual acting on behalf the organisation is Marten Vegting. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 5 Current fees for the home are between £2326.73 and £2578.22 per week. Strawberry Field DS0000052523.V365585.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. Mrs Diane Peel carried out a visit to Strawberry Field on the 17th June 2008. During this key inspection the intended outcomes for 32 standards were assessed; these included the key standards for care homes for younger adults. The Annual Quality Assurance Assessment (AQAA) was returned to The Commission for Social Care Inspection (CSCI) prior to this visit to the home and this was used to address areas of improvements with the manager. During the course of the visit we had a look around the home, we met many of the people living there whilst being accompanied by the manager and observed staff interact with the people who live at Strawberry Field. A case tracking exercise for three people living at the home was undertaken to look at how the assessed needs of this group of residents with complex challenging needs were being met. After our visit we contacted the service to ask them to seek permission from relatives of people who live at Strawberry Field to speak to us and give their views of the service. As a result of this we were able to speak to one relative who expressed their satisfaction with the service. What the service does well: A relative who we spoke to after our visit to the home told us “Its brilliant, the home is secluded and safe. The manager is very responsive.” People have an active lifestyle to enjoy both within the home and during access to community facilities. The home is comfortable and has a homely, clean, friendly environment. The recruitment procedures are thorough and protect people who use the service. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 7 There is a low turnover of staff so that people living at the home have the chance to build up communication methods with staff. 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. Strawberry Field DS0000052523.V365585.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 Strawberry Field DS0000052523.V365585.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): 1,2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to help people make a choice about whether the home is suitable for them and they have had their needs assessed prior to moving into the home so that they and their families and representative know that the service is able to put a plan of care together to meet those needs. EVIDENCE: Strawberry Field has a Statement of Purpose and Service User Guide, which had been provided to each person living at the home. The documents have been personalised for each of the people living at the home with the persons name on the front and we observed that the service contract of Terms & Conditions included has been revised to be explicit about the exact financial arrangements for people living in the home. This had been a statutory requirement, which we had made at our last visit to the home. The terms and conditions, which we saw, had been signed as agreed by a relative or representative of the person living at the home. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 10 The AQAA received in May 2008 told us “ the client group within Strawberry Field has remained settled with no one moving on, or placements breaking down.” We looked at the assessments for three people who had lived there for some time and saw that these initial needs assessments had been carried out before people had moved into the home and had been carried out in consultation with relatives and other professionals. The manager told us that she has access to a more user-friendly service users guide to give to any people considering coming to live at the home in the future, should a vacancy arise. Strawberry Field DS0000052523.V365585.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care needs and assistance required are recorded appropriately so that the people living at the home and their relatives/advocates know that they have a plan of care which will meet their individual needs so that they can continue to be valued and continue to make individual choices. EVIDENCE: Each person living at Strawberry Field has a care plan which had been developed from the initial assessment with revision over a period of time. The plans were detailed and provided staff with information about how best to provide support to people whilst promoting people to make choices but still keeping safe. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 12 We saw that care reviews take place and that care plans are updated and daily records are kept. The manager told us that the service is currently moving to a new care plan system and showed us the care plan for one person which was currently being revised. This version was written in the third person and had involved the service users in detail. We were told that for one person this was going to be difficult but a solution had been agreed with this person’s family to use a video cassette format. We saw further reference to this agreement in the Regulation 26 reports completed by a representative visiting the home on behalf of the company whilst we were we visiting Strawberry Field. Risk assessments were in place in the care records and there were strategies for staff to follow to avoid people becoming upset and how to respond when people did become upset or distressed or displayed challenging behaviour. Strawberry Field DS0000052523.V365585.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): 11,12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are encouraged to take part in leisure activities, meaningful education, and the day-to-day flexible routines within the home. They are supported to maintain links with their families, friends and the community so that they can continue to live a fulfilling lifestyle. EVIDENCE: Strawberry Field has an activities centre attached to the home, which it shares with other care homes in the organisation. The daily care records, which we saw, recorded how people had spent their day and activity schedules were displayed for staff to follow with the people living at the home. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 14 Included on the schedule were activities such as: computers, exercise/walking, games and puzzles, sensory, films and snacks, art and crafts, cooking, sports and games, hydrotherapy and trampoline. The Service Users Guide also details what activities are available both within the service and in the community. Care records also showed that people access the local swimming pool, go shopping to a local supermarket to buy their own toiletries, snacks and go shopping for items of clothing. When we looked around the home it was observed that staff were supporting people in activities and later in the morning three people went out for their lunch. The AQAA returned to us in May 2008 told us “the home has a mini-bus to enjoy trips out.” The manager told us that the home has an activities co-ordinator and that people living at the home and just recently started trying out short holidays away from the home. One person goes to a local college and takes part in cooking, gardening and music there and we were told that representatives from another college had recently been to carry out assessments of people living at the home to see if there were any courses which they would be able to join. A relative who spoke to us after our visit to the home confirmed that their relative living at the home is going to be going to a local college. They also told us that their relative living at Strawberry Field had just returned from a holiday away from the home. People living in the home are supported to maintain contact with their families. Care records, which we saw detailed the contact each person had had with their families. The service has a visiting policy, which promotes and encourages visitors and the Service User Guide explains how people will be offered support to maintain relationships with their families. During our visit we visited the kitchen, met the cook and discussed the meals provided with the manager. We were told that fresh meat is purchased from a local butcher and that fresh fruit and vegetables are delivered daily. During our visit that fresh fruit was plentiful in the kitchen. At lunchtime we sampled the meal which was a curry but there were alternatives available such jacket potatoes and salad. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 15 Records of meals taken are kept so that the service can demonstrate that a varied diet is offered with plenty of choice. The AQAA returned to us in May 2008 states “ the food diary is in place to record all meals eaten, this also shows choices.” Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health care needs are being met and medication practices are clear so that people are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Care plans included information on how people preferred to be supported with their personal care. Personal care support plans were observed to be on the wall in en suite bathrooms visited. The care records observed for individuals living in the home demonstrated that healthcare needs were monitored and that people were supported to use healthcare services when required. Visits to and from other healthcare professionals were observed to be recorded in care records. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 17 Each person had a healthcare assessment and all identified areas of health needs were monitored and recorded. Medication was observed to be stored in a locked room and within locked cabinets. The manager told us that there were no controlled medication currently prescribed and that she is aware that should any be prescribed then a controlled drugs cabinet must be provided. Since we last visited the home the service has changed its supplying pharmacy and has a system in place, which includes a monitored dosage system. The medication records for each individual person has an identity sheet, which has a recent photograph of them and information about their doctor, date of birth and their room number, and any allergies, which they might have. Each file of medication in the dosage system also has a matching photograph and then each medication administration sheet also has a photograph. The manager told us that only team leaders and senior staff administer medication and that all had had safe handling of medicine training. When we sampled staff records during our visit one of the individual was a team leader and we saw training certificates, which demonstrated that they had had safe handling of medicines training. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The welfare of people using the service are promoted and protected by the homes policies and procedures on making complaints and identifying and responding to safeguarding matters. EVIDENCE: During our visit we saw policies in place covering complaints, whistle blowing and protecting vulnerable adults. These had been signed by staff to show that they had been read and understood. The complaints procedure is currently being updated so that people have access to a format in which they would best understand the procedure. The manager is having a pictorial version laminated for people living at the home to have in their rooms. The AQAA returned to us in May told us that there had been no complaints or safeguarding adults referrals made since we last visited and we have not been made aware of any concerns directly. The manager confirmed that the information provided in the AQAA was still accurate. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 19 We spoke to a relative after our visit to the home who told us that they knew how to make a complaint and would raise any concerns with the manager. The manager told us that she had attended the West Sussex Multi Agency revised safeguarding procedures training. She also told us that the training manager updates staff on safeguarding adult’s procedures. Training records showed safeguarding training had been provided recently. During our last visit to the home we expressed concern about the manner of which peoples monies was being managed and made a statutory requirement to review the system for managing peoples finances. This matter had been addressed and we were shown the new system for managing peoples monies during our visit. This included a written agreement in peoples contacts which had been agreed with the persons family or representative as to what would be paid for by the person living in the home which was not included in the fees paid. Monies collected are now signed onto an individual persons finance record sheet and countersigned by an additional person. Bank statements are now received which show what monies people have taken out. Peoples finance sheets are checked weekly and the balance countersigned. Receipts are kept for all expenditures and monies are kept in individual peoples cash boxes. We chose one cash box at random during our visit to check and this was found to be correct corresponding with the amount that expenditure sheet. Physical restraint has been used in the home, to ensure the safety of people living there and incident records are completed and in care records. Staff records showed that staff had received training in how to use physical restraint appropriately. Each person who might need to be physically restrained had included in their care plan details of how and in what circumstances this might need to be used. The homes policies on the use of restraint promote the rights of people living in the home and stresses the need for those rights to be protected. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a well-maintained environment, which is continually being redecorated, and furniture replaced so that they can feel comfortable and safe. EVIDENCE: Strawberry Field is a purpose built care home, which has access to safe secure grounds for people to use, and an activities centre next door. We had a look around the home during our visit accompanied by the manager so that people who live in the home wouldn’t become upset that strangers were in their home. We saw all the communal areas and three of the ten bedrooms. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 21 The service has a redecoration plan, which is already underway with the painting of walls taking place at night. We were told that new lounge and dining room furniture is on order and on the day of our visit new flooring was being put down in one of the bedrooms. This information was confirmed in the Regulation 26 reports completed by a representative of the organisation who visits the home, which we saw during the visit; referring to decorating areas of the building and purchases of new lounge and dining room furniture. People living at the home all have individual bedrooms with en suite showers. The majority of people had personalised their bedrooms but at least one person, for their own safety had minimum possessions in their room. On the day of our visit the home was clean and fresh. We were told that this standard of cleanliness is achieved because the home has a separate cleaner who can dedicate her time in the home to keeping it clean so that care staff can dedicate their time to supporting people who use the service. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The wellbeing, health and security of people living at the home are being protected by the agency’s policies and procedures on recruitment. EVIDENCE: There were ten people living at Strawberry Field on the day of our visit being supported by seven care staff. In addition there was a cook and a cleaner. The manager was supernumerary to the care staff. We looked at recruitment files of three people who worked at the home during our visit. We saw that they had been asked to fill in an application form, and two written references had been obtained Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 23 There was also a Criminal record Bureau (CRB) and Protection of Vulnerable Adults (POVA) clearance for all three people in place which had been carried out prior to them starting work at the home. The AQAA returned to us in May 2008 reported “ We have a low turnover of staff; often staff have gone for promotion within the another homes.” Staff training records, which we saw during our visit showed that people, have the opportunity to develop and maintain their skills regularly this included how to work safely. We saw that at least five staff had recently completed a foundation health and safety course which covered: health and safety law, risk assessments and accidents, infection control, hazardous substances, work place health and safety, fire prevention, first aid, equipment safety, occupational health, ergonomics and manual handling. The staff records, which we saw during this visit, included regular supervision records and for one person who was a team leader we also saw that this person had received training in how to carry out supervision. The AQAA returned to us reported that as an improvement in the last twelve months “staff supervision has been put up on a chart so it is easy to see and monitor.” Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well-managed home. The manager wants to run the home in the best interests of the people that live there but to ensure that they are doing so must regularly survey the people that use the service and their representatives to ensure that the service is achieving the aims objectives and statement of purpose of the home. EVIDENCE: Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 25 The manager of the home is registered with us and has completed the NVQ level 4 Registered Managers Award. She is also able to demonstrate that she updates her skills by attending further training. Discussion with the manager throughout the visit demonstrated that she has a clear development plans and understands the complex needs of the people who live there. A relative that spoke with us to after our visit to Strawberry Field told us that the manager is very approachable and spends a lot of time with the people who live at the home. During our visit we saw that regular Regulation 26 had been taking place and that an annual quality audit had been undertaken but no evidence of surveying people who use the service, their families, advocates or stakeholders in the service had taken place for over a year. The only surveys, which we were shown, were carried out in 2004. Data in the AQAA returned to us in May 2008 report that all equipment is serviced and checked regularly. Staff training records showed us that staff are kept up to date in health and safety matters. There were no outstanding health and safety issues in the home at the time of the inspection. Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 27 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. 1 Standard YA39 Regulation 24.3 Requirement The quality assurance system must include regular consultation through surveys with service users and their representatives. Timescale for action 17/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Strawberry Field DS0000052523.V365585.R01.S.doc Version 5.2 Page 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!