Inspection on 20/11/07 for 356 Station Road

This is the latest available inspection report for this service, carried out on 20th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

356 Station Road 29/06/05

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Insight - Eastchurch

Southfields

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 356 Station Road Rainham Gillingham Kent ME8 7QY Lead Inspector Wendy Mills Key Unannounced Inspection 20th November 2007 10:00 356 Station Road DS0000064366.V353139.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 356 Station Road DS0000064366.V353139.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. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 356 Station Road Address Rainham Gillingham Kent ME8 7QY 01634 231733 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) Edwin.Tembong@theavenuestrust.co.uk glebe.house@theavenuestrust.co.uk The Avenues Trust Ltd Mr Edwine Allo Tembong Care Home 2 Category(ies) of Learning disability (0) registration, with number of places 356 Station Road DS0000064366.V353139.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: 2. Learning disability (LD). The maximum number of service users to be accommodated is 2. Date of last inspection 16th August 2006 Brief Description of the Service: 356 Station Road is a residential home providing care and support for two people with learning disabilities. The service is part of a group of homes managed by the Avenues Trust. The home is a semi-detached property. The accommodation is arranged over two floors. On the ground floor there is a good-sized lounge/diner, a kitchen, laundry room, toilet with wash hand basin and a very small staff office. On the first floor there are three bedrooms. Each service user has his own bedroom. Both these rooms have plenty of room. The third, smaller bedroom is used as a staff sleepover room and office. There is a bathroom and toilet on this floor. Outside there are gardens to the front and rear. The rear garden is of a good size and is safe and enclosed. There is off road parking to the side and front of the property. In addition it is possible to park on the road outside the home without any restrictions. The home is located in a residential area and is very convenient to Rainham town centre, which has a number of amenities including a doctors surgery, library, post office, public houses and churches. The fees for this home were given as £1,800 per week at the time of this visit. Further information can be obtained directly from the Registered Manager of the home. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced. It formed part of the inspection process of the Commission for Social Care Inspection (CSCI) under the Regulations of the Care Standards Act 2000. This report has been compiled using information gained during this visit and information supplied prior to the visit from a variety of sources including the home’s Annual Quality Assurance Assessment (AQAA) that is required by the CSCI. During the visit in-depth discussion was held with the registered manager, Mr Edwine Tembong. Time was spent with the service users, interacting with them and making both direct and indirect observations. Staff were spoken to both in private and during a tour of the home. Relatives and visiting health care professionals were contacted by telephone to seek their views. A tour of the home was made and documentation, including staff files and care plans was examined. Both direct and indirect observation was used throughout the visit. The home meets the National Minimum Standards very well. The supporters of the service users say that they believe the service users are well cared for and that they lead fulfilling and meaningful lives. The home has met all the requirements placed at the last inspection. No further requirements were placed following this visit. The service users, staff and registered manager are thanked for the welcome they gave and their help throughout this visit. Relatives and other supporters of the service users are thanked for taking the time to give their views. What the service does well: The home is well managed. It has a good organisational structure. This means all staff are clear about their roles and responsibilities. The home supports the residents to make informed choices and to lead active and fulfilling lives. The home uses Person Centred Active Support (PCAS) philosophies to involve the service users in all aspects of life in the home. The service users are treated with a great deal of respect. Their privacy and dignity are preserved and the home actively promotes their health and wellbeing. There are comprehensive care plans that promote individualised health and personal care for the service users. The service users participate in a wide range of activities and make full use of local community facilities. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 6 The home has a strong philosophy of equality of opportunity, fairness and consistency of treatment for service users and staff. Staff are carefully vetted and well trained. Relatives and supporters say that they have infinite patience and enthusiasm. Staff are commended for the way they support the service users and the commitment they have shown. There is a very pleasant and welcoming environment. The accommodation is well maintained and homely. 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. 356 Station Road DS0000064366.V353139.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 356 Station Road DS0000064366.V353139.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the residents, their relatives and supporters, with the information they need. Appropriate pre-admission assessments are made. This ensures that only those residents who are suited to the home and whose needs can be met are admitted to the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide. There are easy to read versions of both these documents. Relatives say that the home keeps them informed of any changes and takes their views into consideration. No new service users have been admitted to the home since the last inspection. There are sound policies and procedures in place in respect of preadmission assessments and trail periods. There are regular reviews and any changing needs of the service users are recorded in the care plans. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 9 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 excellent. This judgement has been made using available evidence including a visit to this service. The home supports the service users to make appropriate and informed choices. This helps them become more independent. EVIDENCE: The registered manager and staff said that the service users are able to make a lot of choices about the way they live their lives. They have introduced Person Centred Active Support (PCAS) concepts to the home. This means that they try to involve the service users in choices about every aspect of their lives and that they help the service users make informed choices. One of the ways they do this is by using photographs of activities and offering an “either or” choice. The care plans are in good order and show that all aspects of the service users’ lives are considered. Direct and indirect observation showed that the service users were able to choose how they spent their time. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 10 The service users participate in “Opportunity sessions”, which are aimed at helping them set goals and widen their experiences. On the day of this visit the service users were helping prepare their lunch and later choose to do jigsaws with the help of staff. The service users are encouraged to take appropriate risks, and safety guidelines are set out for their various activities. These include shopping, and leisure activities and activities around the home. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 11 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 excellent. This judgement has been made using available evidence including a visit to this service. The service users lead busy and interesting lives and are able to choose how they spend their time. This means that they can lead fulfilling lives and be as independent as possible. EVIDENCE: The service users are encouraged to make decisions and choices with support from staff. Information relevant to them has been translated into formats, for example, photographs, to enable them to participate and make informed decisions. Neither service user manages his own money totally but they are able to walk to the nearby bank and make transactions with the support of staff. They are encouraged to take appropriate risks and safety guidelines are in place for a wide variety of activities. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 12 The service users participate well in local community life. One attends church regularly. They shop locally, use the local GP practice and library and visit the cinema and local supermarket. They also eat out at local pubs and go to the gym. Records of activities, including trips out and holidays, are kept for each resident. These show that there has been a significant increase in community activities since the last inspection. There are also a number of activities within the home. One service user has attended a cookery course. In the summer there were barbeques and outings. One of the service users loves to garden and grew lots of salad vegetables for the home. He was proud to show photographs of his produce of potatoes, tomatoes and radishes and indicated that he had enjoyed preparing these for the table. Flexible shift patterns for staff have been introduced. This means that the service users can be supported to stay out later in the evenings if they wish. This has enabled them to attend a disco in Maidstone and enjoy the atmosphere there. A trip to the pantomime is planned for Christmas, along with lots of other seasonal activities. The home supports the service users to maintain family and friendship links. Relatives said that they could visit when they like and are always made very welcome when they visit. The home provides transport and staff to support the service users when they make visits to their families. Since the introduction of Person Centred Active Support (PCAS) the service users have made good progress in the way they make choices about activities and participate in the running of the home. Nutrition in the home is well managed. The home promotes healthy eating. The Trust recently carried out a healthy lifestyles audit in a number of its homes. This audit included a close look at nutrition. The results for Station Road were very positive. Staff said that they try to promote healthy food choices whenever possible. Meals are flexible and the service users are encouraged to be as independent as possible in all aspects of nutrition, from understanding healthy eating to planning and preparing meals. They can help themselves to drinks and snacks and are supported to make light meals if they wish. On the day of this visit there was plenty of good quality, fresh produce in the home. The pantry and fridges were well stocked. Conversation with staff showed that they understand food and nutritional needs. Neither of the service users has any special dietary requirements at present but staff said that they could offer special diets if needed and that they would seek the help of a dietician if necessary. On the day of this visit the service 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 13 users were observed to choose what they wanted to eat, to help prepare it and to really enjoy their meal. 356 Station Road DS0000064366.V353139.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. The home promotes the health and well-being of the service users and protects their privacy. This means that they can enjoy as healthy a lifestyle as possible and can be confident that their dignity will be respected. EVIDENCE: Care plans clearly identify personal care needs and the way personal care is to be managed. There was good evidence to show that the service users had as much input into their care plans as possible. There are clear policies and procedures in respect of support with personal care. Examination of care plans and tracking to health and social care appointments showed that specialist advice is sought appropriately and acted upon. Appointments are made with local dentists, opticians and other health care professionals as necessary. Staff said that they maintain very good relationships with visiting health and social care professionals. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 15 As identified under the outcome area for lifestyles, nutrition in the home is well managed. There are healthy eating initiatives and there is continuous monitoring of food intake, weight and other nutritional indicators such as skin condition and general health. Medication is well managed. No service user self-medicates. Medicines are stored appropriately in a locked cupboard. There are no controlled drugs stored in the home but there is a locked facility for their storage should the need arise. Records are in good order. The Medicines Administration Record (MAR) was examined and found to be in good order. All staff administering medication have been trained to do so. There have been no medication errors since the last inspection. 356 Station Road DS0000064366.V353139.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 responds appropriately to concerns and complaints and has sound systems in place for the protection of vulnerable adults. EVIDENCE: There are sound policies and procedures for the handling of complaints and concerns. The manager and the company are quick to respond to any concerns raised with them. Staff have been trained in the Protection of Vulnerable Adults (POVA) and are clear about their responsibility to report any concerns they may have in the respect of the way the service users are treated. The manager has an open door policy and staff said that he is very approachable and listens to any concerns they may raise. Communication in the home is good. There are regular one-to-one staff supervision sessions and staff meetings. Relatives said that they had no complaints, only praise for the way the home cares for the service users. They said that they are kept informed and consulted appropriately. They are aware of the formal complaints procedure but said that they did not think they would ever have to use it. They praised the staff and manager for the way they always listen to their views. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is well maintained and clean. This gives the service users a pleasant and homely place in which to enjoy their lives. EVIDENCE: The home has a warm, pleasant and welcoming feel. It is well maintained, tidy and very clean. Universal infection control procedures and environmental risk assessments are in place. A service manager visits the home regularly. There have been a number of environmental improvements since the last inspection. These include a redecoration programme, new furniture and a new heater in the downstairs toilet. Outside the front drive has been redesigned to give better access for the home’s vehicle and the garage door has been replaced. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 18 The service users were involved in all aspects of the improvements from being supported to choose colour schemes to helping with the shopping for furniture. All the requirements placed at the last inspection, in respect of the environment have been met. . Since the last inspection the office accommodation has been reorganised. More storage space for records has been created in the staff sleep-over room. This has improved the communal space, as there are no longer files and other paperwork in the main living areas. It was good to note that the service users are encouraged to take an interest in their home. They are encouraged and supported to help with household chores such as washing up, hovering and dusting. One service user is very good at ensuring the rubbish is put out on the right day and checking to make sure it is collected. Both service users have made very good progress in this aspect of their lives in the last year. They are congratulated for the way they participate in the running of the home. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 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. Staff training and funded staffing levels are good. However, unforeseen circumstances have led to a shortage of permanent staff. This had impacted, to some degree, on continuity of care. Recruitment practices are sound. This means that the service users are supported by a carefully vetted staff team. EVIDENCE: Since the last inspection the staffing structure has changed. There is now a registered manager and a deputy is soon to come into post. This means that there will be more clarity of roles and responsibilities for staff. Staff said that they welcomed this. Relatives and supporters spoke very highly of the staff. They said that they have unlimited patience and that they communicate well. One said, “I can’t speak highly enough about the staff. They are really good. I can see progress that I never thought possible”. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 20 Since the last inspection there have been a number of circumstances that heave led to changes in the staff team. Some staff members have been promoted within the company and sadly, one staff member passed away suddenly. These changes have meant that the home is in the process of recruiting staff. This process has taken some time, as there is a requirement to ensure all staff are suitable and correctly vetted. In the time between staff leaving and new staff coming into post some permanent staff have taken on extra shifts and some bank staff have been used. Staff now say that they believe they have managed to maintain continuity they now feel the need to have a permanent staff team in place. The registered manager said that interviews have now taken place for new staff and it is hoped that the successful candidates will be in post soon. He praised the way the staff have pulled together to maintain the continuity of care. There are regular staff meetings. Staff spoke very highly of the manager and the way he listens to their concerns. There is a good gender, age and ethnic mix in the staff team. Conversation with staff showed that they are very committed to their work in the home. They are commended for the way they have worked as a team to ensure the service users have as little disruption to their lives during a difficult time for the home. Avenues, the Trust that runs the home, is currently developing an education and training division as part of the trust’s services. This division is called “The Avenues Academy”. It is in the process of developing an extensive programme that includes both statutory training, such as infection control, and specialist education, for example, management of epilepsy and diabetes. Examination of staff files showed that all staff are maintaining their continuing education and statutory training. Records of training undertaken are very well maintained and monitored. There is a structured system for the induction of new staff. All new staff must complete a workbook within their first six months of employment. There is a six-month probationary period for all new staff. The Trust has strict and robust recruitment policies and procedures. The Criminal Records Bureau (CRB) and references are stored at the company’s head office but copies of tracking forms are held in the home. These forms include the CRB numbers. They were inspected and found to be in order. The company has always made it clear that original records will be made available if requested. These records were not requested at this visit. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the service users. Their needs are identified and met and their health and well-being is promoted. The views of their supporters and staff are listened to and acted upon. EVIDENCE: The registered manager, Edwine Tembong, has been in post for eleven months. In that time he has met the requirements for registration with the Commission for Social Care Inspection (CSCI) and established a clear and strong leadership role in the home. He is well qualified for the role of registered manager. He has over seven years experience in care settings. He holds the NVQ level IV in management and care, the Registered Managers’ 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 22 Award (RMA) and the D32/33 (NVQ assessor’s qualification). Examination of training records shows that he continues to maintain his professional development by attendance at courses, reading and reflective practice. Relatives, staff and supporters of the service users all say that the home has more direction and sense of purpose since Edwine has been in post. They say he has a gentle approach that creates a positive and calm atmosphere in the home. Conversation with him showed that his is very knowledgeable about best practice in care and has a commitment to continuous improvement During this visit the registered manager was able to readily produce all documentation that was requested. Records show that regular fire and health and safety checks are made. Fridge temperatures are monitored and other hazards identified and dealt with. No health and safety hazards were noted during a tour of the home. The service manager make regular visits to the home on behalf of the company. Regular reports are submitted to the CSCI in accordance with Regulation 26 of the Care Standards Act. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 3 25 3 26 X 27 3 28 X 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 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 3 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA33 Good Practice Recommendations The home should continue to make every effort to recruit staff so that there will be a stable and permanent staff team. 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local 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 356 Station Road DS0000064366.V353139.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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