Inspection on 08/12/08 for 1 & 2 Dalby View

This inspection was carried out on 8th December 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.

Other inspections for this house

1 & 2 Dalby View 27/12/06

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

Extracts from inspection reports are licensed from CQC, this page was updated on 06/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 1 & 2 Dalby View 1 & 2 Dalby View Coulby Newham Middlesbrough TS8 0TW three star excellent service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stephen Ellis Date: 0 8 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: 1 & 2 Dalby View 1 & 2 Dalby View Coulby Newham Middlesbrough TS8 0TW 01642596664 P/F01642596664 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Saint John of God Hospitaller Services Name of registered manager (if applicable) Mrs Jennifer Bell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 8 0 Care home 8 physical disability Additional conditions: The Manager (Jennifer Bell) should attain (by 2005) a qualification, at Level 4 NVQ, in Care or equivalent One named individual who has learning and physical disabilities is allowed to reside in the home. Date of last inspection 2 7 1 2 2 0 0 6 A bit about the care home 1 & 2 Dalby View are two modern, purpose built bungalows opened in 1993. The buildings are set back from the main road in their own grounds and are close to local shops and amenities. Accommodation is provided in eight, large single bedrooms. No bedrooms have en-suite facilities but there are communal baths, showers and toilets. Some bedrooms have electronic systems, enabling people to be as independent as possible. The bedrooms are decorated and furnished to the tastes of the occupants. Each bungalow has a spacious and comfortable lounge and a kitchen/dining area. Both bungalows have laundry facilities that are available to people who use the service. The home is located near to the Coulby Newham centre where there are shops and leisure facilities. Nearby there are churches and pubs. A bus route is close to the home and the local buses, which run every 10 minutes, are wheelchair friendly along with the local taxis. The home also has a specially adapted minibus with a hydraulic lift. The fees for care vary between approximately 800 to 950 pounds per week, but the actual amount paid by people who use the service is 65 pounds and 20 pence. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home This key unannounced inspection was carried out on 8th December 2008. The last key inspection of this service was on 27th December 2006. The current key inspection was informed by the homes self-assessment of its performance, called an Annual Quality Assurance Assessment (AQAA) completed on 16th October 2007. At the time of the inspection, there were eight people who use the service living at 1 & 2 Dalby View. All of them participated in the inspection, including the return of seven written surveys to the inspector. The fieldwork part of the inspection took place on 8th December 2008 and included a tour of the building, plus discussions with seven people who use the service and five members of staff. A sample of key records was examined, including support care plans and staff files. The weekly fees vary between approximately 800 and 950 pounds per week, but the actual amount people pay depends on their individual circumstances. What the care home does well The needs and aspirations of people who are considering using the service are thoroughly assessed and acted on wherever possible. Peoples individual needs and choices are very well assessed and acted on, so that people who use the service are supported in their daily lives and decision making and encouraged to take responsible risks to maximise opportunities for fulfilment. The service promotes person centred lifestyles that provide numerous opportunities for independence, choice, social inclusion and fulfilment. Typical comments received from people who use the service included: I always make decisions about what I do each day. I am supported by care workers to go to shops and outside social activities of my choosing. I attend day centres and have a choice of things to do on my days off. I can do what I want to do most of the time. I like to go bowling and last Wednesday I won a medal. On Monday I went to Sheffield with Emma. I like using the computer, going to physio and the cinema. The staff always treat me well. The carers always listen and act on what I say. I know who to speak to if I am not happy. I know how to make a complaint. The health and personal care of people who use the service is based on their individual needs and wishes. The principles of respect, dignity and privacy are put into practice. People who use the service have access to a robust, effective complaints procedure and are protected from abuse. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. Staff members are trained, skilled and in sufficient numbers to fulfil the aims of the home and the changing needs of people who use the service. The management and administration of the home is based on openness and respect, with effective quality assurance systems developed and implemented by an experienced registered manager and wider management team within St John of God. What has got better from the last inspection What the care home could do better The service is committed to continuous improvement and has an action plan that is monitored and updated monthly. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Stephen Ellis CSCI St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB Tel: 0191 233 3300 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The needs and aspirations of people who are about to use the service are thoroughly assessed and acted on wherever possible. Evidence: The plans of care of three people who use the service were impressive in their detail and breadth of coverage concerning peoples assessed needs and aspirations, plus detailed risk assessments. They showed that a person centred approach was followed wherever possible in supporting the people who use the service. Each person had the assistance of a key worker at the home and there was much written evidence to show that each persons views and feelings were taken into consideration by the service, including the meetings held regularly with the people who use the service by the support staff. The plans of care showed that people were only admitted to the service after a full assessment of their needs, wishes and aspirations had taken place. The service supports introductory visits and trial stays and provides full information to people who are thinking of using the service, plus their relatives and representatives. Each person who uses the service has a contract and service users guide, including pictorial information to aid communication. Comments received from seven people who use the service included: I was asked if I wanted to move to this home and I received enough information about this home before I moved in so I could decide if it was the right place for me I also made a few visits to see if I liked it here. indicating satisfaction with the choice and suitability of the home. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Peoples individual needs and choices are very well assessed and acted on, so that people who use the service are supported in their daily lives and decision making and encouraged to take responsible risks to maximise opportunities for their fulfilment. Evidence: Comments were received from seven people who use the service and the plans of care (Individual Life Plans) of three people who use the service were examined. Four members of staff were spoken with. People who use the service confirmed that they were closely involved with the development and maintenance of their support plans of care and were encouraged to take responsible risks that were appropriate for the individual and their circumstances. Typical comments included: I always make decisions about what I do each day. I am supported by care workers to go to shops and outside social activities of my choosing. I attend day centres and have a choice of things to do on my days off. All people who use the service have had the involvement of a Social Worker from the Local Authority that commissions the service. The care home provides a named key worker for each person who uses the service, plus often a co-key worker. There was much evidence of people being fully involved in personal decision-making and in decisions affecting the life of the home. For example, all are engaged in regular meetings of people who use the service and key worker meetings, including weekly meetings at which menus are discussed, plus opportunities to be involved in staff recruitment and consultation days facilitated by St John of God and in-house training, such as fire safety. There are regular reviews and evaluations of the plans of care, involving each person who uses the service, including monthly update reports by key workers. Plans of care were impressive in their thoroughness and attention to detail and used pictorial representations well as an aid to Evidence: communication. Issues covered included: personal details, medical assessments, social and personal care assessments, support plans, activity programmes, daily notes, monthly update reports, care plan reviews, risk assessments, correspondence, likes and dislikes, plus day centre information. Peoples wishes, aspirations and preferences were clearly recorded. A person centred approach is followed in supporting people. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service promotes person centred lifestyles that provide numerous opportunities for independence, choice, social inclusion and fulfilment. Evidence: Comments received from seven people who use the service confirmed that they enjoyed lifestyles that were individual and suitable for their wishes and needs. Typical comments included: I can do what I want to do most of the time. I like to go bowling and last Wednesday I won a medal. On Monday I went to Sheffield with Emma. I like using the computer, going to physio and the cinema. Activities and personal interests included music, television, DVDs, helping with meal preparation, visits to and from relatives and friends, gym, swimming, hydro therapy, bowling, cinema, theatre, football, shopping, visiting local parks, hairdresser, pubs, church, computers, individual holidays in this country and abroad plus local community events. At least one day per week, each person who uses the service spends a full day in the community participating in activities of their choice, with the support of staff and/or volunteers. For example, one person likes to attend football matches. People who use the service said that they kept in touch with their relatives where possible and were encouraged to develop and maintain friendships with others where appropriate. They said that they felt the service staff supported them well and were interested in their views and opinions about their daily lives and lifestyle choices. For example, clothing, meals and personal activities are all discussed and people who use the service are supported to make choices and assist in the achievement of goals, such as meal Evidence: preparation and household chores. Comments received from staff supported documented records in care plans of consultation and support with each person who used the service. Varied and appetising menus are provided each day, reflecting peoples preferences and healthy eating options, providing a good choice of meals, snacks and drinks. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The health and personal care of people who use the service is based on their individual needs and wishes. The principles of respect, dignity and privacy are put into practice. Evidence: People who use the service said that they were well supported in their personal care needs and lifestyle choices involving assistance or support. Typical comments included: The staff always treat me well. The carers always listen and act on what I say. Over 90 percent of permanent care staff have achieved National Vocational Qualifications in care at level 2 or above, which is commendable, and all have completed in-house training, including very good induction and foundation training, as confirmed by four staff members and personnel records. Such training helps to ensure good personal care, based on sound caring values and principles. Each person who uses the service participates in the compilation and review of an individual Life Plan, which is person centred and individual to the person concerned. For example, one person who uses the service has a possum computer system for operating equipment within his room, helping to promote independence, dignity and choice. The health care arrangements for people who use the service were well documented in their plans of care and showed that all health and social care professionals were engaged in constructive ways. These included local doctors, community nurses, community learning disability team, occupational therapists, chiropodists, dentists, hospital medical specialists, physiotherapists and wheelchair services where appropriate. Comments from people who use the service confirmed that there are many ways in which the service is actively trying to promote their health and wellbeing, including healthy eating, gym and swimming. Peoples health history, needs and aspirations were very well documented in plans of care that were person centred. These plans of care for both personal and health care needs were frequently reviewed and updated with the full participation of each person who used the service, involving Social Evidence: Workers and key workers (staff from the service assigned to each person who uses the service, who develop a special relationship with the person who uses the service so that their needs and wishes are better understood and facilitated). The plans of care were impressive in their detail and were person centred in their focus on the needs and wishes of the individual person who uses the service, including pictorial representations where appropriate. The medication charts for the people who use the service were examined and found to be well maintained. A photograph of each person who uses the service is maintained on the record sheet to aid identification of the individual person. The service uses a monitored dosage system supplied by a local Pharmacist. All care staff who administer medication have completed Safe Handling of Medicines training. Medication audits are carried out at regular intervals by the manager or designated staff member and it is policy for each administration of medicine to be witnessed and signed by two members of staff wherever practicable. If only one member of staff is able to sign, the back of the medicine administration record is annotated accordingly with an explanation. Staff members undergo periodic competency assessment and refresher training in medication. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service have access to a robust, effective complaints procedure and are protected from abuse. Evidence: People who use the service are encouraged to approach staff with any concern they might have. Typical comments included: I know who to speak to if I am not happy. I know how to make a complaint. Staff members confirmed that they had had training in the protection of vulnerable adults and safeguarding procedures. The service has a full, written policy within the home available for staff members to read and follow. Complaints and concerns are carefully recorded by the service and regularly checked by management. Any issues of concern are regularly discussed with people who use the service in group meetings and/or individually. An external manager visits the home each month and talks to people who use the service about their experiences and any concerns or complaints, and these are recorded. Staff members are only appointed after extensive checks have been completed, including enhanced criminal record bureau checks, protection of vulnerable adults checks and the taking up of at least two references per applicant. People who use the service are consulted about the suitability of prospective members of staff, at various stages of the selection process, including during the 3 months probationary period. The home welcomes the involvement of relatives of people who use the service, volunteers and independent advocates wherever appropriate, and there were several example of parents being closely involved. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. Evidence: A tour of the two bungalows and examination of service and maintenance records showed that the premises are spacious, well maintained, comfortable and clean. People who use the service said that the premises were comfortable and always fresh and clean. They confirmed that they are actively consulted about decor, furnishings and refurbishment. For example, each person chooses the decor and furnishing of their bedroom. Bedrooms are individually spacious, personalised and very well equipped, including a possum computer system for operating equipment in one bedroom. Kitchens and lounges are impressive in their good size and level of equipment and furnishing. There is a very good courtyard between the two bungalows that is private and enclosed, with good equipment and facilities for people who use the service. Also, there are written environmental risk assessments and personal risk assessments concerning the use of the premises. Since the last key inspection, there has been ongoing redecoration and refurnishing of parts of the premises as required, including new baths and renewal of ceiling hoists. There are good fire safety and evacuation procedures, with clear instructions and regular checks being carried out, plus regular fire training and drills involving staff and people who use the service. Each bedroom has its own fire exit. All staff members have undergone training in health and safety issues, including food safety and infection control. Liquid soap and paper towels are provided in communal toilets, shower rooms and bathrooms to minimise the risk of cross-infection. These are spacious, well adapted facilities to meet the needs of people who use the service. The Laundry is of good size, accessible and well equipped with washing facilities and gas tumble dryer. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff members are trained, skilled and in sufficient numbers to fulfil the aims of the home and the changing needs of people who use the service. Evidence: Good procedures were evident in the recruitment and selection of new staff, including the involvement of people who use the service, in helping to select suitable candidates for employment. People who use the service are given opportunities to participate in interviews and staff induction. Careful checks are carried out on prospective employees, including enhanced criminal record bureau checks, protection of vulnerable adults checks and the taking up of at least two references. New staff members undergo a thorough induction programme and probationary period of at least 3 months, which includes training in health and safety, moving and handling, first aid, fire safety and food hygiene. Such training is focused on working with people with learning disability. Service specific training is provided. Staff members confirmed the quality of training and support provided. Most staff training is accredited with the Learning Disability Award Framework and Skills for Care sector standards, or equivalent. Staff files were found to be well organised and detailed in relation to personnel information, qualifications, training needs analysis, induction and foundation training, plus specialist training to meet the particular needs of people who use the service. Over 90 percent of permanent members of care staff had achieved National Vocational Qualifications (NVQ) in care at level 2 or above, which is commendable. All staff members are required to register for NVQ awards in care, or health and social care, within 6 months of commencing employment, unless they already have achieved these qualifications. Additional training and the pursuit of further, relevant professional qualifications is promoted by St John of God through staff training needs analysis, supervision and annual appraisal processes. Good staff supervision and support procedures are in place, with each member of staff receiving 1 to 1 supervision at least six times per year. There are regular team meetings. Staffing levels were appropriate, with typically 3 members of care staff on duty during the day between 7:30 am and 10 Evidence: pm, and one awake member on duty at night plus one on call on the premises. There is always at least one senior member of care staff on duty at any time and the full time managers hours are supernumerary (that is, not included in the care hours provided). Each member of staff has a key worker role. Extra staff members are deployed when necessary and each person who uses the service has at least one day per week when they are supported to engage in personal community activities accompanied by a member of staff or volunteer. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The management and administration of the home is based on openness and respect, with effective quality assurance systems developed and implemented by an experienced manager and wider management team within St John of God. Evidence: The manager is experienced and qualified with the Registered Managers Award (RMA) at National Vocational Qualification (NVQ) level 4, plus NVQ level 4 in care. However, at the time of the inspection she was on extended leave and in her absence, another registered manager from St John of God was managing the service five days per week with support from the homes senior staff. The home is well run, with strong emphasis placed on quality assurance. For example, the service completes regular health and safety audits, frequent meetings with people who use the service and with their key workers, bi-monthly staff supervision sessions, and monthly team meetings. The homes maintenance officer makes a monthly report to the team meeting and health and safety issues are fully addressed. Records and minutes are kept of all formal meetings. Line managers visit the home frequently, to monitor progress, offer support and guidance and to report on key issues such as performance and recommendations for improvement. A monthly report is made under regulation 26 of the Care Homes Regulations. Feedback from people who use the service is regularly obtained, including the use of annual satisfaction surveys involving relatives, and all their views and opinions are summarised and reflected in the homes action plan. External agencies are also consulted about a range of issues, including fire safety, and their recommendations are implemented wherever appropriate. There is much evidence of safe working practices carried on at the home, including regular moving and handling refresher training, infection control training, plus fire training and drills. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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