Care Home: The Laurels

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What the care home does well The home has planned from the start to put its residents at the heart of its care planning approach. Staff have been trained to look at residents` needs from their perspective, and to express their goals and aspirations in terms of their abilities not their disabilities. Residents are being given opportunities to become included in community activities according to their wishes. All policies and procedures are in place for the protection and safety of residents. The home has been adapted specifically to provide a service to this category of residents. It is newly decorated and furnished, and all systems are up-to-date. What has improved since the last inspection? As the home has only been open for six months, there were no previous requirements for them to action. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 What the care home could do better: The home should develop a way of gathering the views of all stakeholders on its service to ensure it is meeting the needs of its service users.. The manager told us that she wants to continue developing the care plans to be fully person-centred. The introductory information must be changed to show that the home can take up to six residents to ensure that prospective residents and their referrers have a clear view of the home`s capacity. Key inspection report CARE HOME ADULTS 18-65 The Laurels 116 Yarmouth Road Lowestoft Suffolk NR32 4AQ Lead Inspector John Goodship Key Unannounced Inspection 3rd April 2009 10:35 The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Laurels Address 116 Yarmouth Road Lowestoft Suffolk NR32 4AQ 01502 573054 01502 502392 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) Country Retirement and Nursing Homes Limited Toni Atkinson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD The maximum number of service users who can be accomodated is: 6 N/A 2. Date of last inspection Brief Description of the Service: The Laurels care home is an adapted modern residential house on the outskirts of Lowestoft. It is located back from the main road with electric gates protecting the property and it has a block paved entrance driveway leading to the house with an adapted garage to the right side of the house. The garage has been adapted to be a snoozlen area with appropriate lighting, carpeted area and music systems for the service users. There are six bedrooms located on the first and second floors of the house. Each bedroom has furniture and furnishings with a carpeted floor. The furniture includes a wardrobe, chest of drawers, bedside cabinet, table and chair. The bedrooms are sufficiently large to accommodate a selection of each service user’s own possessions. There is an ensuite in the five bedrooms on the first floor and a separate bathroom beside the sixth bedroom on the second floor. In the communal areas are there is a cinema room, with TV, music centre and speakers, a lounge area that looks onto a large enclosed garden, and two additional lounges, one on the ground floor and the second on the first floor. A large kitchen is located on the ground floor. The range of fees at the time of this inspection was £1400.00 to £2200.00 per week. The Laurels DS0000072839.V375346.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 was an unannounced key inspection. It was the first inspection since the home was registered on October 14 2008. We focussed on the outcomes for the six residents assessed against the national minimum standards. The visit lasted five and a half hours. The manager was present throughout the day. The providers operational manager for learning disability was also present for part of the day. We toured the building, case tracked a resident and examined other residents care plans, looked at staff records and health and safety records. We also spoke in detail to two members of staff, two relatives, and one of the residents. Before the inspection, the manager completed an Annual Quality Assurance Assessment for us, and we sent out questionnaire surveys to residents, relatives, and staff. We received one form back from a resident, and one from a member of staff. Information and comments from these sources have been used in this report. What the service does well: What has improved since the last inspection? As the home has only been open for six months, there were no previous requirements for them to action. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 6 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. The Laurels DS0000072839.V375346.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 The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect that their needs will be assessed to ensure that the home can meet those needs and that they and their representatives will have sufficient information to make an informed choice about where to live. EVIDENCE: We read the Statement of Purpose, the Service User Guide, and the colour brochure. The AQAA told us that these documents were sent out to all the residents and their families prior to moving to The Laurels. All the information required by the regulations to enable people to make a choice about moving to the home was in these documents, including the criteria for admission, the staffing of the home, how to complain, and what choices about their lives each person could make. Although the home had been registered for up to six people, these documents described the home as taking five residents. There were six people living in the home at the time of our visit. The manager agreed to get the information changed. We examined the pre-admission assessment process for two residents. The information gathered covered all aspects of the persons health, social and behavioural needs. The home also had access to assessments made by the The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 9 social work service, and in one case by the hospital where the person was an in-patient. This information was then transferred to a care plan, which we noted was written in a person-centred style to reflect the needs and wishes of the resident in their own way. This was augmented by information gathered from families where appropriate. This information was gathered to ensure that the home was capable of meeting the assessed needs of each person. All of the residents were referred by the local authority and funded by them. The home had a contract with the authority to provide the service. The fees at the time of our visit ranged from £1400.00 to £2200.00 per week dependent on the individual care needs of each person. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect their needs to be assessed and reflected in their care plan. They can expect to be involved in decisions about the home, and about their own lives. EVIDENCE: Care plans had been developed by the home to evidence clearly residents needs in a person-centred way. We noted that needs were expressed through the eyes of the resident, in some cases using the help of families or specialists if the person had difficulty communicating their needs. Plans emphasised the residents choices and abilities, explaining how they wished to live and spend their time. The manager explained to us that the home was still developing the format of the plans to provide the most helpful way of recording residents details and reflecting more person-centred care. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 11 Residents information was split into three documents: the personal file holding the care plan, the daily record, and the diary book. This latter diary was a written and picture record of what the resident had done. We noticed that it was the document inspected by a social worker who visited the home during our inspection to see the progress of their client. This person told us: ‘The home have done a great job of integrating my client into the home and introducing them to new activities’. A resident told us: ‘This is a nice place. I have a nice room’. Each person had a nominated key worker, responsible for ensuring that the care plans were followed, and for updating and reviewing them as necessary or programmed. Some residents had only lived in the home for a short while so few reviews had been done. We noted that staff signed to show that they had read each care plan. Residents meetings were held to give them the opportunity to contribute to the running of the home. The AQAA told us that two residents had an advocate, called an independent mental capacity advocate, to safeguard their interests. The manager told us that they would be attending residents meetings in future. The home had installed a pool table, and had bought a car after listening to what residents would like. All care plans contained risk assessments, either for common risks such as safety and security, or for individual risks such as money handling, shopping, smoking, self-harm and taking one person out in the car. One resident told us that they agreed that the manager should hold their money so that they did not squander it on things that were bad for me. They went out shopping during our visit, and sorted out the money they were going to need with the manager. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to be supported to develop appropriate and fulfilling lifestyles in and outside the home. EVIDENCE: The AQAA told us that the home tried to offer a range of activities for each person, both individually and as a group. We saw the programmes for the residents during the week of our visit. The activities included conservation work, sports and leisure centres, attending pubs and cafes, going to day centres, watching football and spending time in the home with a one to one carer. One resident was due to attend for interviews for a volunteer post at two places. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 13 It was the birthday for one of the residents on the day of our visit. Relatives arrived in the morning to take them out for the day. The home had then arranged a party in the evening in the home for them. The manager explained that staff were sensitive to the feelings of those residents who no family to invite to such occasions. One resident was very active and visited their family frequently. Families were encouraged to visit and maintain contact where appropriate. They were given the code to the front gate so that they could access the home at any time. The AQAA told us that residents were encouraged to participate in menu planning, and shopping for the home. The home held a photo library of food items available at a local superstore so that all residents could join in choosing items to put on the shopping list. The manager told us that residents were encouraged to assist in the preparation of meals and baking as part of their daily routines. Staff told us that meal times were flexible, and sometimes they did spontaneous events such as meals out, and takeaway dinners. One resident went out shopping during our visit on their own, with the manager discussing withy them what they were going to buy. We heard the resident agree with the manager that they were learning the value of money and that they should not spend it on things that were bad for them. The manager told us that some residents would be encouraged to become independent enough to be assessed for moving to supported living. The parents of one resident told us that they were very happy with the care, but were concerned about the assessment for supported living. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect their health needs to be met, and to be protected by the homes medication procedures. EVIDENCE: One of the residents had been admitted direct from a hospital stay. Their care plan detailed their needs for stoma care, and weight control. Training in stoma care had been given by hospital staff. The care plan showed that weight had been controlled to allow the person to be weight bearing and no longer bedfast. The person could now be taken out swimming. Care plans described the likes and dislikes of residents, including one with no verbal communication. The home staff were able to find out the preferences of this person, as they could choose when offered alternatives. The manager told us that the home had good links with health and social work staff. Advice had been sought from a speech and language therapist, and from the occupational therapist. A social worker arrived during our visit to discuss the progress of The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 15 their client. They were pleased with the work done by the home to develop their clients ability to socialise with others. Staff knew the preferences of this person, for example, that they would only allow one other resident to travel in the homes car with them. The AQAA told us that the home was planning to implement health action plans for all residents to ensure that health needs were identified and met. We saw that the introduction of the person-centred planning system had started this process. We did a check on the medication records, stock levels and storage. All medications were properly signed for and stock levels tallied with the amount delivered and administered. These practices meant that people were given the medication prescribed for them. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be assured that their concerns will be listened to, and that they are protected from abuse by the homes policies and staff training. EVIDENCE: The home had only been open for five months when we visited, with some residents not being admitted until January 2009. No complaints had been recorded in this time. The homes complaints procedure was clearly displayed in the home, and a copy was in the service user guide. The manager told us that residents were encouraged to air any concerns at their meetings or on an individual basis if they preferred. A relative told us in their survey vform that they knew how to make a complaint. The home had a policy on the protection of vulnerable adults. We saw training records of sessions on this topic given by the senior officer in the local authority at the home. Staff whom we spoke to showed a good knowledge of the definition of abuse, and their responsibilities if they witnessed it. One person was able to describe a situation they had experienced in the home when they had to control an outburst of aggression by a resident at the top of the stairs, putting the resident in danger. All staff had undergone training in the Unisafe technique of handling aggression. The manager was a qualified trainer for this. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 17 The manager told us that three residents kept their cash in a locked drawer in their rooms. The others keep theirs in the managers office. In all cases, two staff members completed and signed the receipt book. No one at the home was an appointed person. Families performed this role. The Laurels DS0000072839.V375346.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to live in a homely, comfortable, clean and safe environment. EVIDENCE: The environment was assessed when the home was registered in October 2008 and it had not changed. It was located back from the main Great Yarmouth and Lowestoft road with electric gates protecting the property and it had a block paved entrance driveway leading to the house with an adapted garage to the right side of the house. The garage had been adapted to be a snoozlen area with appropriate lighting, carpeted area and music systems for the residents. There were six bedrooms located on the first and second floors of the house. Each bedroom had furniture and furnishings with a carpeted floor and was The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 19 sufficiently large to accommodate a selection of each residents own possessions. There was an ensuite in the five bedrooms on the first floor and a separate bathroom beside the sixth bedroom on the second floor. The communal areas were of a high specification. There was a cinema room where a large screen TV was mounted on the wall, music centre and speakers. This room led into a lounge area that looked onto a large enclosed garden. There were two additional lounges, one on the ground floor and the second on the first floor. A large kitchen was located on the ground floor with all the equipment available for the residents to use and the staff to assist with independent living skills. There were several work surfaces and with the equipment the manager stated the staff encouraged all residents to cook and prepare meals. A separate laundry area with a washing machine and tumble dryer was located next to the manager’s office and away from the kitchen and dining areas. One resident told us that it is a nice home, I have a nice room, I like animals, I look after a cat in my room. The room was clean and all arrangements for the care of the cat were hygienic. The manager had completed a training session by the local authority on The essentials of safe, clean care. The Laurels DS0000072839.V375346.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to be supported by staff who are safely recruited, well trained to meet their needs, and properly supervised. EVIDENCE: Staffing at the time of our visit was four carers on during the day, providing one-to-one support, and one carer waking and one sleeping at night. The manager would also be on duty during the week. At weekends there were five carers rostered during the day. Both the manager and a staff member we spoke to felt that these numbers met the current needs of the residents. Of the fourteen permanent staff, nine were female and five were male. Half of the staff had NVQ Level 2 or above and one person was studying for Level 2. We spoke to two members of staff about their work and their knowledge of residents needs. Both showed good understanding and were able to describe how they were learning to understand the wishes of the resident who was deaf, and to see the improved outcomes for the others even in the short time The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 21 they had lived in the home. Both had done a good deal of training, both before the first resident had been admitted and since. Further training sessions were planned. Of particular interest to these staff were sessions on autism and epilepsy. All staff were trained to administer medication, understand personcentred planning, infection control, food handling and challenging behaviours. The manager had attended training with the local authority on how the new regulations on the deprivation of liberty safeguards under the Mental Capacity Act would affect the residents. One resident, through a relative, said that some staff ‘seem not to have much experience, but they are getting to know what I need’. We observed staff dealing sensitively with residents, and following the care plan guidance on how to respond to their wishes and actions. We examined the recruitment files of two staff members. All the required identification documents, Criminal Record Bureau checks and references were in place. One persons file also held their supervision record for February 2009. The Laurels DS0000072839.V375346.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to live in a well run home where their best interests and safety are protected. EVIDENCE: The manager had been appointed to the home in August 2008, and was registered by the Commission in October 2008, at the same time as the home was registered. She had gained experience in the care of older people and people with a learning disability, both in a care home setting and in a day workshop. She completed her NVQ Level four award last year. The manager The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 23 worked within a large provider, and was supported by a specialist operations manager for the learning disability arm of the provider. We observed that the staff and residents communicated easily and openly. One of the staff told us that the manager was very approachable. As all staff had joined the home at about the same time, they had been involved in the development of ways of working, and the process of introducing the new residents to their home. The home had not yet implemented a full quality assurance system, e.g. by undertaking surveys of residents and relatives. The manager told us that the compliance staff of the provider were planning to introduce a new system of quality assurance shortly. This would include questionnaires to stakeholders. Monthly inspections were carried out by the provider and written reports were filed. In such a small home, the daily contact between staff and residents gave many opportunities to assess the outcomes for residents, as well as the residents meetings. We examined records of health and safety procedures. Annual inspections of fire equipment and maintenance of boilers and electrical equipment had not yet been necessary since the initial opening of the home. The liability insurance certificate and certificate of registration were on display. We saw that hot water temperatures were monitored for the safety of residents. The front access to the premises was controlled by electronic gates, which could be opened remotely from the home. Families were given the code for the gates so that they could enter at any time. The Laurels DS0000072839.V375346.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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 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 3 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 3 3 X X 3 X Version 5.2 Page 25 The Laurels DS0000072839.V375346.R01.S.doc N/A 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 YA1 Standard Regulation 4 and 5 Requirement Information about the home must show the correct number of places for which the home is registered. Timescale for action 30/06/09 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 YA39 Refer to Standard Good Practice Recommendations A systematic way of gathering the views of stakeholders should be set up to ensure that the service is meeting the needs of its users. The Laurels DS0000072839.V375346.R01.S.doc Version 5.2 Page 26 Care Quality Commission Eastern Region Care Quality Commission Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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