Inspection on 13/08/07 for 53 Churchfields

This inspection was carried out on 13th August 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

53 Churchfields 19/03/07

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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 53 Churchfields Headley Down Bordon Hampshire GU35 8PE Lead Inspector Laurie Stride Unannounced Inspection 13th August 2007 09:45 53 Churchfields DS0000068500.V342896.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 53 Churchfields DS0000068500.V342896.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. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 53 Churchfields Address Headley Down Bordon Hampshire GU35 8PE 01428 713308 F/P 01428 713308 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) Omega Elifar Ltd Position vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th March 2007 Brief Description of the Service: 53 Churchfields is registered to provide care and accommodation to four people who have learning disabilities. Each service user has a single bedroom and shares the use a bathroom and shower room. One of the bedrooms has an ensuite shower room. Service users share the use of a lounge / dining room, kitchen and conservatory. There is an enclosed garden to the rear of the home that service users are able to access. The home is located in a residential area of Headley. The current range of fees is £1250.00 - £3000. This information was obtained at the time of the inspection visit. Members of the public may wish to obtain more up-to-date information from the care home. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection visit, which lasted approximately six hours, during which the inspector spoke with the home’s acting manager, the community services manager, a visiting health professional, staff on duty and met the people who use the service. The three people who live in the home were unable to or did not wish to speak to the inspector, but all returned postal survey questionnaires, which they completed with assistance from one of the senior staff. Telephone surveys were conducted with the relative of one of the people who live in the home and a care manager. Samples of the homes records were seen and a tour of the premises was undertaken. The home’s acting manager and community services manager had also provided information about the service in the annual quality assurance assessment (AQAA). The findings of the previous inspection report of 19th March 2007 were also reviewed as part of the evidence used for this inspection report. What the service does well: What has improved since the last inspection? At the previous inspection a requirement was made that the home must ensure that records are kept of medication administered to individuals, including details of any reasons why medication is not taken as it has been prescribed. The home sent us an action plan and has subsequently improved the way that it records how people are given their medication. The home is also now supporting one person to manage their own medication. At the last inspection a requirement was made that the home must ensure that all staff are aware of the procedures to follow to report incidents affecting the wellbeing or safety of people who use the service. The home has improved its procedures and provided staff with training. Staff in the home are now more aware of how to report issues that have an effect on people’s safety. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 6 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. 53 Churchfields DS0000068500.V342896.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 53 Churchfields DS0000068500.V342896.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are good systems to assess the needs of prospective individuals before they move into the home. EVIDENCE: At the previous inspection visit the files of all three people living at the home were inspected and each had contained an assessment of their needs that was completed before they moved into the home. The assessment covered each individual’s needs, including physical, communication, personal care and cultural needs. The home’s manager confirmed that there have been no new admissions since the last visit and no changes in the admission’s policy and procedures. A new referral was in progress and information was seen being gathered in line with the home’s procedures. As part of the assessment process prospective individuals and/or their representatives are encouraged to visit to meet with people currently living in the home and staff. People move into the home on an initial three-month trial period, during which formal assessments of whether the home is meeting the individual’s needs and how they are settling in will be completed. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 9 A telephone survey conducted with one person’s care manager also confirmed that the home’s assessment arrangements ensure that accurate information is gathered to ensure that the right service is planned and given to individuals. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home continues to support people who use the service to make decisions about their lives and explores new ways to do this. Good care planning and risk assessment systems are in place. EVIDENCE: The home’s annual quality assurance assessment (AQAA) stated that all people who use the service have a comprehensive support plan that is implemented and developed from their initial needs assessment. Risk assessments are in place for all individuals to minimise the risk of harm, ensuring they are supported to take risks as part of an independent life-style. People who use the service are actively encouraged to participate in, and are consulted, regarding all aspects of life in their home, for example choosing weekly menu plans, supported to go shopping, consulted regarding staffing and choice of décor. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 11 The personal files of all three people currently living at the home were inspected during this visit. This provided further evidence that each individual has a care plan, which is developed from the initial needs assessment. These plans are reviewed monthly and had been changed where the needs of the individual had changed. Where necessary other professionals are consulted in the development of plans. A visiting health professional confirmed that the home seeks advice and acts upon it to manage and improve individual’s needs. Care plans contain details of how individuals should be supported to make decisions and how staff should present options. During the visit staff were observed supporting people to make choices. A member of staff said they had recently undertaken training in communication and understanding/managing behaviour, which helps staff to meet people’s needs and support them to make decisions. The survey for people who use the service asked if they make decisions about what they do each day. Two said always and another said sometimes. Risk assessments were in place for all those who use the service. These documents set out the assessed hazards to individuals and action to minimise the risk of harm. Risk assessments seen had a date for review, which is either weekly, fortnightly, monthly or six monthly depending on the risks involved. During the telephone survey conducted with one person’s care manager, it was confirmed that the home responds to the different needs of individual people and, as far as possible, supports people to live the life they choose. Further evidence of this was gathered through a telephone survey of a person’s relative, who said they felt that the home always meets the needs of the individual and gives the care and support that is expected and agreed. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 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 home actively promotes a variety of activities for individuals and opportunities to maintain relationships with family and friends. People who use the service are provided with a balanced and healthy diet that suits their needs and preferences. EVIDENCE: The home’s annual quality assurance assessment reported that people who use the service are encouraged to enjoy a full and varied lifestyle, for example swimming, sailing, walking, computer sessions and art classes. The home supports individuals to make decisions. Every month outside professional support meets with the people who live in the home and with their involvement, designs a monthly plan, which also allows individuals to change their mind. Day and night staff within the home also provide support by in giving people opportunities to participate in activities, such as going to the pub for lunch, discos, cinema trips and horse riding. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 13 This was further confirmed through comments from people who live in the home and others, observation of staff interactions and inspecting records held in the home. One person’s care manager said that the service does well at providing diverse activities and meeting individual needs. People who use the service attend day services. The care manager also said the home works hard at communication and has fostered good relationships between the three people who use the service. People’s relatives and representatives are encouraged to be involved with the home. A relative said the home always helps their son to keep in touch with them. For example, staff support the individual to receive phone calls and send postcards and photographs when on outings. The relative said the home is ‘very accommodating’ and arranges for their son to come home for dinner and also for the relatives to have meals with him during their visits. The relative felt that the service supports people to live the life they choose, for example going sailing and horse riding and taking part in daily routines that they enjoy. Each of the three people living in the home were said to lead active lives and the relative also thought that the home provides good structure for individuals within the activities and routines. Comments received through the service user survey indicated that individuals felt they can do what they want to during the day, in the evenings and at weekends. The staff rota showed that shifts are arranged to provide flexible support for this to happen. Discussion with a member of staff confirmed that activities agreed in care plans are carried out and alternatives are provided if wished for or necessary. One person had expressed a wish to do cooking and this was being arranged by their key-worker. Staff members were observed communicating effectively with individuals and providing support in a friendly and respectful way. The inspector met the health professional who is involved in advising on, designing and providing some of the activities and skills development that people take part in. She also felt that the home supports people to do the things they want to do. The home has a planned menu that takes into account the likes and dislikes of individuals and provides a varied and balanced diet. Mealtimes are flexible to fit in with peoples’ activities. A record is kept of the food each person eats so that the home can monitor that nutritional needs are being met. 53 Churchfields DS0000068500.V342896.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 healthcare and personal support people receive is based on their individual needs. Improvements in the medication system and practices within the service promote independence and safety. EVIDENCE: At the previous inspection a requirement was made that the home must ensure that records are kept of medication administered to individuals, including details of any reasons why medication is not taken as it has been prescribed. The home had subsequently sent an improvement plan to us detailing the actions taken to meet the requirement. During this visit a sample of medication records was seen and these had been fully completed. The home is supporting one person to manage their own medication and a risk assessment for this is in place. The home has suitable policies, procedures and guidelines in place including how people using the service like to be offered their medication and their photographs. The annual quality assurance assessment and the training records both state that staff receive training in the administration of medication. This was confirmed by a member of staff. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 15 One care manager involved with a person using the service confirmed that individual’s health care needs are always properly monitored and attended to by the home, and that the home manages people’s medication correctly. They also stated that staff respect individual’s privacy and dignity and that the acting manager has the skills and experience to support people’s social and health care needs. During a telephone survey with one relative, they commented that the home cares for the people using the service 100 and that relatives are always kept up-to-date with important issues affecting people. They thought that care staff have the right skills and experience to look after people properly and staff always speak positively about the people using the service. The acting manager said that the people using the service have the same doctor. The service has developed a good working relationship with the doctor who is able to contribute to the healthcare planning process. Additional support is received from a visiting healthcare professional who stated that the people using the service have regular healthcare appointments to meet their individual needs. The care planning records confirmed this. 53 Churchfields DS0000068500.V342896.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. Training of staff, changes to incident reporting and management checks safeguard the people using the service. Individual concerns are listened to and acted upon. EVIDENCE: The annual quality assurance assessment states that the service has not received any complaints within the last 12 months. The commission has not received any concerns or complaints about the service. Since the completion of the annual quality assurance assessment, the service had received one complaint. This was recorded in the complaint log. The details demonstrated that the acting manager was open to receiving complaints and dealt with them appropriately. The survey for people who use the service indicated that individuals’ know who to approach if they are not happy and how to make a complaint. Good communication was observed between staff and people using the service. Staff expressed that this communication and their own observations of the people using the service would help them be aware if any person was concerned. A relative commented that they had access to senior managers but had no cause to complain. At the last inspection a requirement was made that the home must ensure that all staff are aware of the procedures to follow to report incidents affecting the wellbeing or safety of service users. Since that inspection, the service has worked to ensure all staff are aware of reporting procedures particularly those relating to safeguarding issues and staff have undergone training in 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 17 safeguarding. Staff spoken with demonstrated a good understanding of reporting procedures and the safeguarding training. Both the training records and staff confirmed that staff have received training in physical interventions. Records show that one incident that had occurred was recorded and a post incident review carried out. Financial records for people using the service are kept and these are audited monthly by the senior managers of the organisation. One person’s records were viewed and the balance matched the record. One person has been supported to maintain personal control of their finances and this is recorded as part of the care planning process. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Refurbishment of the home meets the needs of the people who live there for a clean, safe, homely environment. EVIDENCE: The home has recently been refurbished and a tour of the communal areas of the home was made during the visit. The home is well maintained and decorated throughout. There is a sensory room where people can go to relax and have one-to-one time with staff. Two of the people who live in the home gave permission for the inspector to see their bedrooms, which were individually styled and personalised with the their possessions. The acting manager reported that individuals were consulted about the style of decorations and furnishings during the refurbishment. The home has an enclosed rear garden that all individuals are able to access. All areas of the home were clean during the visit and the people who live there all said in their survey questionnaires that the home was always clean and 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 19 fresh. The home has a separate laundry room, which means laundry is not taken through food preparation or storage areas. There are hand-washing facilities in the kitchen, laundry room, bathrooms and toilets. Feedback from people’s relatives obtained through the home’s quality assurance process was positive about the environment, as were comments received through the inspection survey. One person commented that it was ‘a homely environment with lots of laughter, a fun atmosphere’. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are protected by robust recruitment practices and well-trained staff. EVIDENCE: Staff spoken to demonstrated good knowledge of peoples’ individual needs and the agreed ways of working with them. The acting manager reported that out of 14 permanent and bank care staff, eight are qualified to NVQ level 2 or above and a further four staff are working toward being qualified. This is an improvement since the last inspection visit and shows that the home is actively promoting the development of a skilled and qualified staff team. The home’s annual quality assurance assessment stated that all staff recruitment checks were carried out and this was confirmed through inspecting a sample of staff files. The three staff members’ files contained evidence of Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks, two written references, completed application forms with employment histories. These also included information about staff induction, supervision and training. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 21 The sample of staff records showed that training is provided to assist staff to meet the needs of people using the service and to comply with safe working standards. Staff had completed training in protecting people, epilepsy, medication, first aid, fire safety, infection control, food and hygiene, health & safety, NAPPI (non-abusive physical and psychological interventions) and undertake refresher courses as necessary. Evidence was also seen that new staff members have a structured induction, which the organisation’s community services manager said is in line with the Skills for Care standards. Comments from a health professional who visits the home indicated that, while staff generally have the right skills and experience to support people’s needs, the home could improve through further specialised training, specifically in low arousal techniques and autism. The acting manager also identified these as training needs the home would prioritise. A relative who was spoken with over the telephone said there was a consistent staff team and commented positively about the manager and staff. Staff were said to understand and relate well to individuals and to always speak positively about them in their communications. The survey for people who use the service indicated that individual’s feel that staff treat them well and listen and act on what they say. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and management practices promote the wellbeing and best interests of the people who use the service. EVIDENCE: The previous registered manager left on 9 March 2007 and the home currently has an acting manager, who is supported by the company’s community service manager. The acting manager was about to finish an NVQ level 4 in care and will be starting a Registered Manager Award in September this year. She also said she was preparing to submit an application to register. During a telephone survey with one relative, they commented that the home has a good ethos and that they were very impressed with the acting manager’s approach. A care manager confirmed that the acting manager has the skills to run the service well. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 23 The home’s annual quality assurance assessment states that the service incorporates people’s views through regular service user meetings, involving people who use the service in the day-to-day running of their home, listening to individual’s views and choices and applying this information to review the service provided. At the last inspection it was noted that the home had sent out questionnaires to relatives to gain their views of the quality of the service that is being provided. The survey has since been extended to include professionals who have contact with the home, such care managers. The full results of the survey were not yet available, although written comments from two relatives were seen and these were very positive about the service. The home also has a quality assurance file, which shows that the acting manager conducts monthly audits of how the service is operating in line with the national minimum standards. The community services manager also carries out monthly visits and provides written quality and maintenance reports about the home. Records also showed weekly checks on risk assessments, medication records and fridge/freezer temperatures. Certificates of safety checks for gas, electrical and fire safety appliances were seen on file. The fire safety log book was up-to-date with records of tests, staff instruction, an annual fire risk assessment and individual risk assessments in relation to the people who use the service. This demonstrates that safe working practices are promoted and maintained within the home. 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 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 X 26 X 27 X 28 X 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 53 Churchfields DS0000068500.V342896.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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