Care Home: Sutton Leaze

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What the care home does well Sutton Leaze is an established, well-managed and well maintained service that continues to provide good quality care and support for the people who live there. The comfortable, relaxed and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Thorough policies and procedures are in place for the admission and ongoing care and support of residents. Effective communication and consultation systems enable residents to be directly involved in developing and reviewing their individual support plans as well as many decision making processes within the home. Residents are enabled and supported to take part in a variety of recreational and leisure activities, both within the home and in the wider local community. An impressive 92% of staff at the home have achieved NVQ level 3 in Care. What has improved since the last inspection? A closer working relationship has been developed between the home and the local Community Learning Disability Team (CLDT) that now provides valuable guidance, support and specific staff training. The referral process for residents to the CLDT is also being used more. What the care home could do better: Information made available for prospective residents, including the Statement of Purpose and Service User Guise should be reviewed and amended, to include accurate and updated information regarding the organisation and the current management of the home. Residents must be protected from potential abuse by relevant and updated staff training. All parts of the home, including the hallway and residents` bedrooms must be kept well maintained and decorated to a reasonable standard. CARE HOME ADULTS 18-65 Sutton Leaze Eastbourne Road Seaford East Sussex BN25 4BB Lead Inspector Nigel Thompson Unannounced Inspection 12th February 2008 10:00 Sutton Leaze DS0000021234.V357730.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 Sutton Leaze DS0000021234.V357730.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. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sutton Leaze Address Eastbourne Road Seaford East Sussex BN25 4BB 01323 894301 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) suttonleaze@southdownhousing.org Southdown Housing Association Ltd vacant post Vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is five (5). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Only service users with a learning disability are to be accommodated. Date of last inspection 4th January 2007 Brief Description of the Service: Sutton Leaze is part of the Southdown Housing Association and is registered to provide accommodation and care to five adults who have a learning disability. The home is an attractive wooden construction bungalow, which is set back from the main road in to Seaford. The location of the home offers easy access to Seaford town centre. The home has two vehicles, and public transport links are within walking distance. Each resident has their own bedroom, which is decorated to their individual preference. Four of the bedrooms have en-suite facilities. There are two lounge areas, a conservatory and a kitchen/dining room. There is one communal bathroom located on the ground floor. A secure and well-maintained garden is situated at the rear of the property. Residents access a wide range of day services provided by local colleges, organisations and the Association itself. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective residents or their relatives, on request, as part of the admission process. The current range of fees, as of 12th February 2008, is from £1,090 - £1,681 per week. Additional charges are made for personal items, such as toiletries, chiropody, hairdressing, transport and holidays. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection took place over four hours in February 2008. It found that all the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was satisfactory. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were five residents living at the home. Residents observed and spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The inspection process involved a tour of the premises, observation of working practices, examination of records and documentation and discussion with two residents, one relative, three members of staff and the appointed manager. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: Sutton Leaze is an established, well-managed and well maintained service that continues to provide good quality care and support for the people who live there. The comfortable, relaxed and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Thorough policies and procedures are in place for the admission and ongoing care and support of residents. Effective communication and consultation systems enable residents to be directly involved in developing and reviewing their individual support plans as well as many decision making processes within the home. Residents are enabled and supported to take part in a variety of recreational and leisure activities, both within the home and in the wider local community. An impressive 92 of staff at the home have achieved NVQ level 3 in Care. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 6 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. Sutton Leaze DS0000021234.V357730.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 Sutton Leaze DS0000021234.V357730.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents know that the home is able to meet their individual care and support needs. EVIDENCE: There have been no residents admitted to Sutton Leaze since 2002. However a full and comprehensive admission policy and procedure made available for inspection contained details of the thorough assessment process, evidently undertaken by the manager, to identify an individual’s care and support needs. The appointed manager confirmed that, prior to moving in, a prospective resident would be invited to visit the home to look around and get a feel for the place. During these visits the individual would also have the opportunity to meet with members of staff and existing residents. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 9 A very comprehensive ‘Assessment tool’ has been developed and implemented, ensuring that an individual’s required level of support is identified, ranging from advice and guidance through practical support to full care. On moving in, a three month trial period is provided to establish whether the individual’s assessed needs are able to be met and decide on their suitability for the home and their compatibility with existing residents. Comprehensive information relating to the service is made available to all prospective residents, their relatives and associated care managers. Relevant documentation including a Statement of Purpose ‘ and ‘Service User Guide’ was examined and found to be generally satisfactory. However, as discussed with the manager, certain details relating to the address of the Association and recent management changes should be reviewed and amended to accurately reflect the current situation. It was noted that a formal contract, ‘Licence Agreement’, is in place for each resident and has been signed by the individual themselves or a representative, to acknowledge understanding and confirm acceptance of the stated terms of residency. Sutton Leaze DS0000021234.V357730.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. 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. Residents’ care plans enable staff to meet assessed needs in a structured and consistent manner and individual plans, including risk assessments reflect changing support needs. Systems for consultation and participation remain effective and residents are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: High quality, ‘Person centred’ care and support plans have been developed and implemented for each resident. Individual plans that were examined contained personal risk assessments and comprehensive details of their physical, psychological and emotional support needs and were found to be accurate, up to date and well maintained. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 11 The manager confirmed that residents and, where appropriate, a relative or representative continue to be directly involved in six monthly care plan reviews – annual Planning meetings and interim review meetings. Such reviews are held to discuss and monitor an individual’s progress, review previous goals, as well as agreeing action points and setting goals for the future. The agenda for such meetings also covers day services, leisure activities, holidays and relationships with family and friends, It was evident that, as with care plans, these reviews are recorded in the first person; ‘What is good’; ‘What is not good ‘; What I want to talk about’. Plans are subsequently amended, as necessary, to reflect any changing needs or circumstances. Independence and individuality continues to be encouraged and promoted within the home and is reflected in the personalising of residents’ rooms, the choice of bedclothes and colour schemes and individual preferences for occupational and leisure activities. A regular feature of staff meetings is evidently the ‘Focus’, where each meeting a specific resident is discussed in detail and any current issues, concerns or changes can be addressed. Staff, spoken with during the inspection, confirmed that residents are encouraged and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day. The manager emphasised the importance of staff developing close working relationships with individual residents. Despite the variable and limited verbal communication of some residents, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation residents being supported in a professional, sensitive and respectful manner. Sutton Leaze DS0000021234.V357730.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): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Residents benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 13 Individual support plans examined confirmed that residents are enabled to access a variety of recreational and leisure activities, including horse riding and hydrotherapy. Community participation evidently remains a focus in the home and staff confirmed that residents are encouraged and supported to attend day services, college, visit local shops and other amenities. Visiting to the home is largely unrestricted and relatives and friends are made welcome at any reasonable time. Residents are encouraged and supported to maintain family links. Menus examined were found to be varied and balanced and are evidently based on residents’ identified likes and preferences. An alternative to the main meal is always available. Sutton Leaze DS0000021234.V357730.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. 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. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual care and support needs. Residents are protected by improved, clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: The manager emphasised the importance of staff developing close working relationships with individual residents and being aware of changes in mood or behaviour. In accordance with their personal care plan, residents are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 15 As previously documented, during the inspection residents were observed being supported in a sensitive, professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents continue to be met within the home. This was evidenced by positive comments received from a resident’s relative: ‘During ………recent illness the staff could not have done more for him. They were all so kind and supportive and helpful to us both, through what was a very difficult time’. All residents are registered with local GPs and have access to other health care professionals, including district nurses, speech and language therapists and dentists, as required. It was noted that, to ensure confidentiality, all medical appointments with, or visits by, health care professionals are recorded in a separate file. The manager confirmed that the service also works very closely with the local Community Learning Disability Team, (CLDT), which provides valuable guidance, support and specific staff training, including epilepsy awareness. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training, as part of their comprehensive induction programme, and are individually assessed and authorised to do so. The manager confirmed that, following risk assessments, no resident currently self-administers their own medication. Sutton Leaze DS0000021234.V357730.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. 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 home’s complaints procedure ensures that residents, staff and visitors feel able to express any concerns, confident that they will be listened to and acted upon. Residents are protected, through updated policies and procedures relating to abuse and safeguarding vulnerable adults. EVIDENCE: The home’s complaints policy has evidently been recently updated and a clear, simple and concise complaints procedure has been developed and implemented for the benefit of residents and staff. The manager confirmed that a complaints leaflet is also made available to resident’s relatives and other visitors to the home, on request. All complaints are recorded and include actions taken and outcomes achieved. Close working relationships and effective communication and consultation provides adequate opportunities for any concerns to be raised and discussed before they become complaints. Residents and members of staff confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 17 It was noted that there have been no concerns or complaints recorded by the home since the last inspection. The home has produced detailed policies and procedures, relating to adult protection and abuse, including a whistle blowing policy. These documents have evidently been reviewed and updated in November 2007, in accordance with the multi agency guidelines for the protection of vulnerable adults (Safeguarding adults). The manager confirmed that all care staff have undertaken appropriate training regarding abuse awareness and procedures relating to ‘Safeguarding Vulnerable Adults.’ However it was evident from discussions with members of staff during the inspection and through examination of training records that relevant training had not been provided for staff since January 2007. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 18 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, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Residents benefit from pleasant accommodation that is comfortable, reasonably well maintained and decorated to a satisfactory standard. EVIDENCE: During my ‘guided tour’ of the premises it was evident that the generally well maintained décor and adequate furniture and furnishings continue to provide a comfortable, safe and pleasant environment for residents. The manager confirmed that independence and individuality continue to be promoted within the home and, as previously documented, this is evident from Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 19 the personalising of residents’ rooms, reflecting individual taste, preference and interests. Identified maintenance requirements are evidently documented and addressed by the maintenance team, as necessary. However it was noted in certain areas of the home, including the hallway and some residents’ bedrooms, that walls and paintwork were looking ‘tired’ and in need of redecorating and generally ‘freshening up’. Infection control policies and procedures are in place and clearly adhered to. Residents, with staff support as necessary, are evidently responsible for keeping bedrooms clean and tidy and on the day of the inspection, levels of cleanliness and hygiene throughout the home were found to be satisfactory. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 20 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. Residents benefit from there always being sufficient trained and competent staff on duty to meet their assessed needs. Robust staff recruitment policies, procedures and documentation help to ensure the protection of residents. EVIDENCE: Through discussion with the manager, care staff and residents, it is evident that sufficient staff are employed to meet the current assessed support needs of residents and to ensure consistency and continuity of care. The manager confirmed that staffing levels are closely monitored and are directly linked to the residents’ identified levels of dependency. A duty rota has been developed and implemented to detail the staff on duty at any given time and their designation. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 21 Appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and evidenced by training records examined: ‘There is always plenty of opportunity for training here’. It was noted that an impressive 92 of staff at the home have achieved NVQ level 3 in Care. Formal and structured staff supervision is provided on a regular basis and is appropriately recorded. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of residents. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 22 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. Residents benefit from a competent management structure. They are protected by satisfactory health and safety procedures and their best interests are safeguarded by effective quality monitoring systems. EVIDENCE: The recently appointed manager has been in her current position since November 2007. She has achieved the National Vocational Qualification (NVQ) level 4, in management and care, and hopes to commence studying for the Registered Manager’s Award (RMA) later in the year. CSCI are currently processing an application to register her as manager of the home. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 23 The manager confirmed that the health, safety and welfare of residents and staff remain of paramount importance within the home. She added that training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. This was also confirmed through discussions with staff and evidenced by training records examined. Effective quality monitoring systems including ‘Service User Surveys’ are in place. The service also holds an annual ‘Quality Assurance Day’, enabling staff and the manager to review and audit outcomes for residents regarding how the home is being run. The views of residents’ relatives and other stakeholders in the community are also sought at this time. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 24 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 3 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 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 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 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 X 3 X X 3 X Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. 2. Standard YA23 YA24 Regulation 13 (6) 23 (2) (b & d) Requirement Timescale for action 31/03/08 It is required that residents are protected from abuse by relevant and updated staff training. It is required that all parts of the 31/03/08 home be well maintained and kept reasonably decorated. 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 YA1 Good Practice Recommendations It is recommended that the Statement of Purpose and Service User Guise be reviewed and amended, as discussed, to include accurate and updated information regarding the organisation and management of the service. Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 26 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 Sutton Leaze DS0000021234.V357730.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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