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Inspection on 11/09/08 for Cornflower Terrace, 5a

Also see our care home review for Cornflower Terrace, 5a for more information

This is the latest available inspection report for this service, carried out on 11th September 2008.

CSCI found this care home to be providing an Excellent service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

A new person came to live at the home recently. The admission was well handled, she was given the opportunity to visit the home and meet the other residents, and they all contributed to the decision about the placement. The people who live at the home are involved in care planning. The use of documents in plain English and with photographs has made this possible. The health care needs of people who live at the home are well looked after; medication is well managed and there are good links with health professionals. Residents know how to complain and are confident that their concerns will be listened to. Staff recruitment is well managed and service users are involved in the process. There are a number of effective quality assurance systems in place.

What has improved since the last inspection?

At the last inspection we were concerned about changes in the staff team. We found at this visit that although there have been some changes in the team, but there were no signs that residents had been upset by this. We also found that on this visit it is rare for staff who are unfamiliar to the residents to be working in the home. At the last visit some of the information in files was not accurate. This had improved and no such inaccuracies were seen.

What the care home could do better:

We have not made any requirements or recommendations as a result of this inspection.

CARE HOME ADULTS 18-65 Cornflower Terrace, 5a 5a Cornflower Terrace London SE22 0HH Lead Inspector Ms Alison Pritchard Unannounced Inspection 11 September 2008 09:40 th Cornflower Terrace, 5a DS0000007074.V368587.R02.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 Cornflower Terrace, 5a DS0000007074.V368587.R02.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. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornflower Terrace, 5a Address 5a Cornflower Terrace London SE22 0HH 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) 0208 299 2069 0208 299 8598 5acornflowerterrace@choicesupport.org.uk www.choicesupport.org.uk Choice Support Verona Gayle Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category 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: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 14th August 2007 Date of last inspection Brief Description of the Service: 5a Cornflower Terrace is a care home providing personal care and accommodation for 3 people with a learning disability. Choice Support owns and runs the home. The home is located on a residential street, set back from the other houses, in East Dulwich. The home is close to shops, pubs, a post office and other amenities. The home is a two-storey building. One bedroom is on the ground floor, and has an en-suite bath and toilet, the other bedrooms are on the first floor and their occupants share a bathroom. All the homes bedrooms are single. There is no passenger lift. The home has a garden to the rear. In September 2008 there were three women living at the home. Currently the people who live at the home make contributions of between £29.40 and £73.50 a week for food and accommodation. These contributions have been assessed by the placing authority, which covers the remainder of the charges payable. Information was not available to us about the overall figure for a placement at the home. Cornflower Terrace, 5a DS0000007074.V368587.R02.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 3 star. This means the people who use this service experience excellent quality outcomes. This inspection was unannounced and carried out over one day in September 2008. The inspection methods included discussion with residents and staff, inspection of residents’ files and a range of other records. Care plans were checked and aspects of these residents’ care were examined by case tracking. We also looked around the building. Earlier in the year we sent surveys to people with an interest in the service. None were returned completed. Some weeks earlier we visited the head office of Choice Support to look at staff recruitment records. Our findings are reported in this report. The CSCI has access to information gathered through notifications from the home. A document called an ‘Annual Quality Assurance Assessment’ (AQAA) was completed by the Assistant Manager of the home in advance of the inspection and returned to us. The document provides information about how the home is addressing the National Minimum Standards along with factual information about the operation of the home. All of this information has been taken into account in compiling this report. Staff and residents from the home facilitated the inspection visits; they were helpful and courteous throughout the process. What the service does well: A new person came to live at the home recently. The admission was well handled, she was given the opportunity to visit the home and meet the other residents, and they all contributed to the decision about the placement. The people who live at the home are involved in care planning. The use of documents in plain English and with photographs has made this possible. The health care needs of people who live at the home are well looked after; medication is well managed and there are good links with health professionals. Residents know how to complain and are confident that their concerns will be listened to. Staff recruitment is well managed and service users are involved in the process. There are a number of effective quality assurance systems in place. Cornflower Terrace, 5a DS0000007074.V368587.R02.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. Cornflower Terrace, 5a DS0000007074.V368587.R02.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 Cornflower Terrace, 5a DS0000007074.V368587.R02.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, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure ensures that the home and the potential service user have full information on which to base their decision. This protects service users by making sure that their needs and expectations can be met at the home. EVIDENCE: The Registered information in Copies of the requested from Manager informed us that she gives potential service users an accessible format using picture cards and object clues. service user guide and statement of purpose have been the Registered Manager. Since our last visit one person has come to live at the home. We talked to her about how she found out about the home and decided whether it would be a suitable place for her to live. So that she and the current service users could get to know each other she came to visit the home several times. She came for a longer time on each visit, and stayed overnight. The people who were already living at the home had a meeting with staff and decided that they would like her to move in. The home gathered a range of information so that they had the correct information on which to base their decision. These included assessments from health and social care professionals who know her well. We saw on files that each of the residents has a legal document which describes the terms and conditions of their residency. Cornflower Terrace, 5a DS0000007074.V368587.R02.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, 8, 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home have opportunities to take part in decisions about their day-to-day lives, the running of the home and the organisation. Residents are assisted with this through the use of photographs and documents written in plain English. Risks are well managed with careful consideration of how to help residents. Information is kept safe and private. EVIDENCE: Each of the people who live at the home has a key worker who assists with care planning. They meet together every six weeks and talk about their goals and how to achieve them. We saw notes of some of these meetings. The notes were written in plain English and had photographs to illustrate them. This helps the people who live at the home to be involved in their care planning and in the decisions about their lives. We saw that key workers and other staff at the home were following up things that residents had said they would like to do. There were notes which described the kind of care that each resident needs and how staff should provide it. The notes provided a good level of detail which will help staff to provide consistent care in keeping with residents’ wishes. when we spoke to two of the people who live at the home they were satisfied Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 10 with the way they are looked after. In the AQAA the Registered Manager said that people who live at the home are given, whenever possible, a choice of who supports them. The managing organisation has links with a service called ‘Customer Watch’ which is a forum through which people with learning disabilities can express their views on the services provided through Choice Support (Southwark). This ensures that the opinions of service users generally are included in the overall planning of the organisation. The people who live at the home also meet with each other and staff at residents’ meeting so that they can discuss issues of general concern. All of the residents have contact with an advocate who has known some of them for a long time. We saw written risk assessments and found that they are very clear, and aimed at supporting residents to lead safely the lives they wish. Residents’ personal information is stored with due regard for confidentiality. Choice Support is registered under the Data Protection Act and there is a confidentiality policy to ensure that staff handle residents’ personal information with care. Cornflower Terrace, 5a DS0000007074.V368587.R02.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): 11, 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. The residents have opportunities to have fulfilling lives; following activities, which they enjoy, and which are appropriate for their ages and cultures. The meals in the home they reflect their preferences and needs. EVIDENCE: The people who live at the home are supported to lead active lives, which reflect their needs and wishes. The care planning process is important in giving people who live at the home the opportunity to say what activities they would like to do, skills they would like to learn and goals to pursue. Skills teaching programmes are followed to help in the development of new skills and in the maintenance of others. Residents told us that the activities they enjoy include line dancing and attending a social club. They said that they had recently been to a barbecue at another home run by Choice Support. They also told us about a party they had held for one resident’s birthday. Residents are supported to make and receive visits from people important to them, many of whom had attended the party. One of the residents was looking forward to going on holiday with staff. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 12 The staff have information about the spiritual needs of the people who live at the home, along with information about how or if they wish to follow their religion. Cultural needs assessments also give details about how their culture is to be reflected in the service they receive. The people who live at the home use local facilities, by, for example, visiting the local pub, the library, using the shops in the area and going on public transport. One of the residents attends a college and is following a further education programme. The Registered Manager expressed in the AQAA a wish to find a wider range of daytime activities for the people who live at the home. The routines of the home are flexible and the rota is arranged to ensure that staff are available to support residents with their activities. Residents told us that the meals are enjoyable and they help to choose the menu. They are also involved with shopping and cooking. The menu records and food stocks showed that there is consideration of healthy eating and residents’ nutritional needs. Fresh fruit is available at all times. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. People who live at the home are assisted to manage their health care needs through good contact between the home and health specialists. Medication is well managed and this also assists in the provision of good care. EVIDENCE: All of the service users’ are women, as is the staff team. This helps to protect service users’ dignity as the residents are able to receive care from people of the same gender at all times. The detailed notes seen in the files ensure that staff have full information about how best to support the residents with their care. There are two bathrooms available in the home, one of which is en-suite, and this helps to maintain the privacy and dignity of residents during care tasks. During the inspection a resident was assisted privately with personal care. We looked at files and found detailed information about the health needs of people living at the home, including assessments from health professionals. The residents have a range of health needs and at the time of the inspection one of the residents was in hospital. The home had appropriately sought specialist help to assist the residents. They also have good contacts with a range of other health professionals, including the GP service, and specialist Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 14 teams for people with learning disabilities and mental health issues and this assists in providing co-ordinated care. If a resident wishes to have involvement with their medication, a risk assessment is conducted to determine whether this would be advisable. The are safe facilities for the storage of medication. The records of administration (MAR) were in good order with no unexplained gaps on the record. The staff conduct regular checks including checking that the balance of medication tallies with the stocks held. If a person has an allergy this is carefully recorded on the MAR. A pharmacist from the local PCT visited the home in mid August 2008 and found that the medication was well managed. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 15 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 complaints and safeguarding procedures are understood by staff and contribute to the safeguarding of people who live at the home. EVIDENCE: When we spoke to residents about who they would talk to if they had a concern or complaint, they could identify someone and felt confident that their concerns would be dealt with. A person who lives at the home was supported to make a complaint during the last year. The complaint was upheld and action taken to address the issue raised. We saw in the home a copy of an ‘easy read’ safeguarding adults leaflet. The Annual Report issued by Choice Support includes information that the organisation has conducted a thorough review of their policies, procedures and training to ensure that they are aimed at the protection of people who use their range of services. Choice Support introduced a new ‘safeguarding adults policy and procedure’ in March 2007. The judgement of the CSCI is that this is a thorough document, which is clearly written, and links all the aspects of safeguarding. The policy also introduces a new initiative of an internal protection committee. It is judged that this demonstrates that Choice Support is actively working to improve processes and practice. When recruitment records were inspected we found that the contribute to the protection of people who use Choice Support services as they are thorough and meet the legal requirements. Staff are given a handbook which includes a summary of the adult protection policy and the whistle-blowing policy. All staff have received training in safeguarding issues. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The building is clean, comfortable and homely. Redecoration of a bedroom underway at the time of the inspection reflects a resident’s wishes and tastes. EVIDENCE: The home is set back from the road and is not distinguishable as a care home. The communal space consists of a large living room and a kitchen with a dining table. Both of the communal rooms have access to the garden. Each of the residents has their own bedroom. One of the bedrooms has an en-suite WC and bath, the others residents share a bathroom. Two bedrooms are personalised, comfortable, homely and equipped with a lockable space and fitted with a lock for residents to use. The third bedroom is being redecorated, the resident has chosen the colours being used and this will improve her personal space. Staff have an office on the ground floor which is also used as a staff sleeping in room. The home is cleaned to a good standard. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 17 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, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff to support the residents with their needs. They have received training which is relevant to their role and this helps them provide good quality care. EVIDENCE: The staff team consists of 6.5 staff. The Registered Manager manages two homes, so works at Cornflower Terrace for approximately half of the week. There is an Assistant Team Manager, responsible in her absence and five support staff. Any vacancies caused by sickness or planned annual leave are covered by people who work regularly on the ‘staff bank’ and this assists in providing consistent care for residents. On the day that we visited a member of the permanent staff team was working an additional shift. Choice Support has policies to ensure that staff do not work excessively long hours. Although there have been some staffing changes since we last visited there is a core of staff who have been known to the residents for a long time and are familiar with their needs. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 18 Four of the staff team have completed NVQ 2 or above and the remainder are undertaking study towards the qualification. The Registered Manager said on the AQAA that Choice Support is committed to retaining staff through financial incentives for the completion of NVQs and performance related pay. Inspectors visited the head office of Choice Support to examine recruitment files. We examined twelve recruitment files. Staff members from all levels were represented in the selection and they are employed at a variety of registered care homes run by Choice Support in Southwark and Lambeth. The files were in good order and all but one item specified by Regulation was present in the files. All of the files had the required checks and references, including Enhanced CRB checks, two references, full work histories and verification that they are physically and mentally fit for their work. We found that the majority of files did not contain a recent photograph of the employee. We discussed this with a member of the Human Resources team and he has agreed to ensure that this is amended. We were pleased to see that service users have been involved in the recruitment process and see this as an area of good practice. There is a training and development plan for the home. Courses planned include mandatory training such as health and safety, fire safety, moving and handling. Other issues, which staff will benefit from training in, include the Mental Capacity Act; dementia care; working with older people; working with families; safeguarding issues and supervision skills. A member of staff said that her training needs are assessed at the six weekly supervision sessions with her manager. Training issues also discussed amongst the staff team at their regular meetings. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 19 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. There are good management systems in place and they contribute to the provision of good quality care. The management of the organisation is informed by a range of quality assurance systems. Health and safety is well managed. EVIDENCE: The Team Manager was appointed in November 2006, she is also managing another registered home in East Dulwich, which is also part of Choice Support. She was registered under the Care Standards Act in July 2008. She has substantial experience of residential care and is appropriately qualified. An Assistant Team Manager is based at the home and she has NVQ 3 and is also experienced in working with people with learning disabilities. There are a number of ways that Choice Support monitor the quality of the service provided at the home. Managers of other homes within Choice Support carry out monthly visits. Reports of the visits are available in the home. They Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 20 showed that the visits include discussion with residents and staff and examination of records. Senior managers within the group conduct audits of the service based on standards set by an organisation called REACH. It is aimed at assessing service users’ experience of life in the home. The Directors, Managers and Trustees of Choice Support meet regularly with representatives of service users who sit on a ‘service user forum’. They are involved with reviews of policies and procedures and two people with learning disabilities are part of the organisation’s Quality Assurance sub-committee. A national survey by Values into Action (VIA) had been commissioned by Choice Support to assess the opinions of service users. At a more local level the Registered Manager completes a quarterly report for the residents’ placing authority. These monitoring systems supplement the internal scrutiny and act as a further safeguard for residents. A selection of health and safety records was examined; they were in good order. We found that there are regular checks of the fire safety systems, including weekly tests of the alarm; frequent drills; regular servicing of the system and tests of electrical equipment and systems. The fire risk assessment was conducted in April 2008. Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 3 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 4 X 3 X 3 X X 3 X Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Cornflower Terrace, 5a DS0000007074.V368587.R02.S.doc Version 5.2 Page 24 - 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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