Inspection on 23/11/06 for Abbeymoor Nursing Home

This inspection was carried out on 23rd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Abbeymoor Nursing Home 20/11/08

Abbeymoor Nursing Home 18/06/08

Abbeymoor Nursing Home 21/02/06

Abbeymoor Nursing Home 06/09/05

Abbeymoor Nursing Home 01/02/05

Abbeymoor Nursing Home 02/09/04

Abbeymoor Nursing Home 18/12/03

Abbeymoor Nursing Home 10/06/03

Abbeymoor Nursing Home 18/07/02

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

CARE HOME ADULTS 18-65 Abbeymoor Nursing Home 5 Market Lane Swalwell Gateshead Tyne & Wear NE16 3DZ Lead Inspector Mr Tom Moody Key Unannounced Inspection 23rd November 2006 10:00 Abbeymoor Nursing Home DS0000018165.V313603.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 Abbeymoor Nursing Home DS0000018165.V313603.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. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeymoor Nursing Home Address 5 Market Lane Swalwell Gateshead Tyne & Wear NE16 3DZ 0191 488 0899 0191 488 8202 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) None Four Seasons Healthcare (England) Limited (Wholly owned subsidiary of Four Seasons Health Care Ltd) Mrs Anne Marie Reader Care Home 40 Category(ies) of Dementia (5), Learning disability (3), Physical registration, with number disability (40) of places Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2006 Brief Description of the Service: Abbeymoor is a purpose built two-storey care home that can provide nursing care for up to 40 adults with a physical disability, aged 18 - 65 years. The home is of traditional brick and tile construction and it is located in a residential area, close to the Gateshead Metro Centre. It benefits, therefore, from being close to the associated amenities such as shops, recreational facilities and local transport networks. The home has several lounge and dining areas. Situated throughout the building. The home has well kept grounds that are used by the service users. Access is through the car park, via a steep slope, but there is level access to the building. The home offers single room accommodation, with many rooms having en suite facilities. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day in November 2006 and was carried out by a single inspector, although information has been gathered from various sources over a period of time. This includes comment cards from service users, relatives and visiting professionals. Records were examined and a tour of the premises took place. The manager was present in the home during the site visit. The inspector spoke to service users, staff, and the senior nurse in charge. The feedback from service users and relatives was overwhelmingly positive and the home has an example of “thank you” messages on display. The home is well equipped and has just had a refurbishment. Modifications have been made to improve the environment. This is suited to the client group’s age and lifestyle preferences. The home has plenty of space in all areas. It is popular with service users and their families. What the service does well: Service users have a strong sense of ownership of the home and their views are taken into account. The garden has good access and service users are actively involved in planning and maintenance in this area. The home provides a good standard of clinical care. The home works well in partnership with other healthcare professionals, and organisations, to ensure service users receive appropriate care. Modifications to the environment, assist with support and promote the independence of service users. The décor and style of service users rooms reflect their age and personal tastes. The home’s staff demonstrate a good relationship with service users. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 6 The staff show a high commitment to their work and a good understanding of service user’s needs. It is especially laudable that they often give time voluntarily to support service users at social events or holidays. 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. Abbeymoor Nursing Home DS0000018165.V313603.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 Abbeymoor Nursing Home DS0000018165.V313603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. The quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Service users and their relatives can visit the home and they are given accurate information on which to make their choices. Service users needs are assessed accurately to ensure they receive appropriate care. EVIDENCE: Care management assessments are made available to the home prior to the service user’s admission and these are contained in care plans. These are created with the input of several different professionals and they are comprehensive. The assessment material seen in care plans provided excellent detail regarding the service user’s needs, and this allowed staff to have a good picture of the person and their needs. The care plans indicate that progress is made towards meeting service user’s needs and aspirations. The manager stated that service users can visit in advance of a stay and sample life at the home. She said that service user’s wishes were taken into account in such areas as holiday provision and leisure activities and work or educational needs. The service users who spoke to the inspector confirmed this. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 9 Staff who were spoken to showed a good awareness of service user’s needs and confirmed that the service user’s needs and aspirations are taken into account as well as other aspects of their physical emotional and spiritual care. Service user’s and visitors comments spoke of a high level of satisfaction with the home’s performance. One relative said “I can’t fault my relatives care.” Contracts and terms and conditions were available and matched service user’s needs. Abbeymoor Nursing Home DS0000018165.V313603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. Service users know about their own care plans and they, and their relatives, participate in it’s creation and review. Service users, and relatives, are consulted on the homes running and they are well supported in decision making by the home’s staff. Risk assessment takes place and service users can take part in activities that are fulfilling and without being unduly restricted in their lifestyle choices. Records and other information about service user’s is generally kept securely. EVIDENCE: The home has suitable policies and procedures to support this aspect of care. Service user care plans are well written and contain comprehensive information. A multi-disciplinary approach is evident and the involvement of service users is apparent in the recording of assessments. Care plans are reviewed regularly and the examples seen had been updated in line with service user’s changing circumstances. There are a wide range of clinical specialists involved in service user’s care, including speech and language therapist, physiotharapists and OT. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 11 Staff were observed to be involving service users in day to day decisionmaking. Social activities were tasking place in the home including a music appreciation session in which service users chose the type of music to be played and sang along. Service users spoken to confirmed they make choices about their lives and daily activities, such as the choice of entertainers visiting the home. Others confirmed that there was a good variety of entertainment and options for social outings. There was a notice listing proposed trips out of the home. one service user is currently on holiday at the Calvert Trust facility in Northumberlandd and the manager spoke of other holidays being planned such as a trip to Blackpool. This would be supported by staff who volunteer their services for this period. The manager spoke of the “garden committee” improving the external appearance of the home and of their involvement in planning seasonal decorations. Service users confirmed their involvement in this and the minutes were available and incdicated this was a regular occurence. Service users have regular meetings and the minutes of these are recorded. it is eivent from the responses that service users are able to influence the running of the home in areas such as mealtimes and content, and social and recreational events. Staff who were spoken to were aware of permissible risks and service user’s capabilities. These are recorded in care plans. Records are not kept in a totally secure way at the nurses station but this is under review. Staff were careful not to discuss service users capabilities or problems when this could be overheard. Abbeymoor Nursing Home DS0000018165.V313603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. Service users engage in a wide range of social events, within and outside of the home, that meet their needs and preferences. Service users are encouraged to participate in decision-making and to take responsibility for decisions making in the home. Staff are aware of service user’s personal relationships and they ensure these are appropriate and that vulnerable service user’s are safeguarded. Service users have access to a variety of food and enjoy a good diet in very pleasant surroundings. EVIDENCE: The manager confirmed that current and past service users can be involved in social and educational activities outside the home i.e. local college courses and attending former work placements. The home has television, DVD and video equipment, games and a pool table. The patio area of the garden is pleasant and well used by service users. It is equipped with appropriate furniture and is accessible. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 13 Service users spoken told the inspector they have a flexible lifestyle and told of going on outings. There were photographs of recent social events and service users confirmed that these were held. Posters were on display announcing future events. Service users who wish to holiday away from the home and have been able to do this using the Calvert Trust facility at Kielder and other outings are planned, in which staff will provide volunatary support to service users. The manager spoke of community links such as visiting by the local methodist minister. she also spoke of his proposal for a befriending scheme and the involvement of local schools. Service users have a regular forum where they can meet and suggest improvements or air any concerns they have. This is recorded and indicates service users are listened to and their suggestions are acted upon. Two service users run a small shop as a result of suggestions from this forum. The recent refurbishment of the home has privided space for a bar and the manager spoke of service users becoming involved in the running of this. There is a good choice of meals in the home. These are taken in a very pleasant, relaxed environment. The manager spoke of the timing of meals being changed at the request of the majority of service users and this has been reviewed by the resident’s committee. The midday meal is now of a “snack” type and a more substantial meal is served in the evening. Even some of the “snack” meals, seen by the inspector, were cooked and looked quite substantial. Service users commented positively on the quality of the food. The menus supllied as part of the providers self assessment indicate choice and variety of food is available. Abbeymoor Nursing Home DS0000018165.V313603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. The service users receive appropriate support from staff to meet all of their needs and preferences. Service user physical and mental wellbeing is promoted by the homes operation. The home has appropriate medication policies and these are operated in a way that protects service user’s EVIDENCE: Providers self assessment indicate service users have access to a wide range of chealthcare professionals. Past reports and contact with the home has always confirmed this. Discussions with staff, and an examination of care plans, highlight the range of support that the home can give. It is evident from the care plan that this is tailored to individual needs. The homes philosophy of care also supports this. Care plans are comprehensive and include good clinical details as well as social and aspirational needs. They record that other health and social care professionals are involved in meeting service users needs. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 15 The manager confirms that the home has good relationships with, and consults with other healthcare professionals, such as Hunters Moor Hospital staf and those at The Janey Hepple unit at Prudhoe Hospital. she alos confirmed that there is close working with the local primary healthcare teams. It was observed that a community psychiatric nurse was visiting the home at the time of the inspection. Service users feel well supported and have a good relationship with staff. The inspector saw that service users were being assisted in ways and at times that suited themselves. The staff who were spoken to have a good insight into service users problems and operate an individual, and person-centred approach, to caring for them. The home has appropriate medication policies and procedures. the cleanliness and organisation of clinical areas has improved since the last inspection although there is further scope to improve this area. Abbeymoor Nursing Home DS0000018165.V313603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. The home has mechanisms that allow service users to express their views and the practice in the home is modified by this. Protection of service users is a high priority for the staff and manager. The home’s staff have good awareness of service users vulnerability and it’s systems protect service users. EVIDENCE: The home has suitable policies and procedures to support this aspect of care. The home’s staff have good awareness of service users vulnerability and it’s systems protect service users. The providers self assessment indicates this is part of ongoing training. The staff who were spoken to, were aware of issues relating to some service users risks of self harm or unhealthy lifestyle choices. Any behaviour modification strategy, such as “Time Out On The Spot” (TOOTS), is carried out under the advice of consultant medical staff and with reference to agreed multi-disciplinary strategies. The “No Secrets” document is available and prominently displayed in the managers office and staff have a good awareness of local protection procedures. The manager keeps a good record of any concerns expressed and of the outcomes to these. The manager spoke of meetings take place with service users, and their relatives, on a regular basis. The comments, recorded in minutes, indicate that Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 17 these take place regularly and that service users are able to raise issues and have them acted upon. Service users, and relatives, told the inspector that they feel comfortable raising issues with the staff or the manager. Abbeymoor Nursing Home DS0000018165.V313603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. The quality in this outcome area is excellent. This judgment has been made from evidence gathered both during and before the visit to this service. The home is furnished, decorated and equipped to a high standard. It is well maintained and bedrooms are comfortable. The home has a number of modifications that help meet service user’s needs and ensure service users can control their own environment. All areas of the home, occupied by service users, are clean and free from odour EVIDENCE: Overall, the home was clean, tidy and comfortable. The home has just had a major refurbishment and the new decor is bright and modern. The premises are generally accessible to service users and low level switches have been installed, but greater use could be made of automatic door opening systems. Furnishings, fittings and adaptations in the home are generally of good quality and the home now has features such as adjustable height sinks in bathrooms. Bedrooms reflected the taste of the occupant and most service users had a strong sense of ownership of their rooms and the home in general. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 19 The home provides several communal areas, which service users can use as well as their visitors. At the time of the inspectors visit new furnishings were not yet in place in all of these. All these areas provide a comfortable sitting areas and recreational space. A pool table is available in one lounge and this area has also been refurnished with setees. The gardens were being used by service users and the patio area was particularly popular in the summer. The service users have taken great efforts to plant containers and the garden committee have plans for seaonal projects such as christmas decorations. Service users display a justifiable pride in their achievements in this area. There has been an improvement in cleanliness in service and clinical areas since the last inspection, although there is still scope for improvement in these areas. All areas of the home are clean and there were no unpleasent odours. Abbeymoor Nursing Home DS0000018165.V313603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35. The quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The home has job descriptions and staff are clear about how their role relates to service user’s wellbeing. The home has staff that are experienced, well trained and qualified to meet service user’s needs. The homes recruitment policy is appropriate and is carried out thoroughly to ensure the safety of service users. EVIDENCE: The manager is experienced and a qualified registered nurse. She has achieved the registered managers award. The manager spoke of staff receiving inservice training appropriate for their roles and designed to meet service user’s needs. The staff confirm this and state that they receive induction training and good support from the company. Staff who have attained NVQ qulifications wear badges identifying this. Records of staff training confirm this. A number of staff have worked at this home for some time now and have attained considerable experience in caring for the client groups who live there. Staff can confirm what their role is and how they contribute to service users welfare and the aims of the home. All staff have appropriate job descriptions. The manager stated that the companys policy on recruitment was carried out and a review of a sample of staff records confirm this. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 21 Abbeymoor Nursing Home DS0000018165.V313603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41,42,43. The quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The home is well managed by an experienced manager and the philosophy of the home, and it’s policies and procedures, are centred around service user’s needs. The home has quality assurance and self-audit mechanisms to monitor and maintain the levels of service provision. Health and safety issues are addressed promptly, the home is clean and well maintained to ensure the safety of the occupants of the home. EVIDENCE: The manager has a number of years experience both as a nurse and in a managerial role in the private care sector, particularly in units providing services for young adults who have a physical disability. She has completed the Registered Managers Award programme. She is supported by senior nurses who are also experienced in caring for the service users who live in this home. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 23 The company operates an annual quality assurance audit and regular monthly visits are made by senior managers to monitor the performance of the home. The staff told the inspector that the manager is approachable and it is apparent from discussions that she has a good relationship with staff and service users. Relatives expressed confidence in the abilities of the manager. Service user suggestions have been acted upon and practice in the home has changed to accommodate this. There is no reason to doubt either the management ethic, or the professional values that underpin the operation of this home. This is reinforced by appropriate policies and procedures and records such as care plans and meeting notes confirm service user involvement in decision making. The relationship between service users, and their relatives, and the staff of the home is open and cordial. The home is well maintained and a good standard of hygiene is maintained in areas, use by service users. Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 4 26 3 27 4 28 4 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 4 3 3 3 3 3 Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 25 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. 1. Refer to Standard YA29 Good Practice Recommendations The home must ensure that environmental controls and adaptations, such as automatic door opening systems Abbeymoor Nursing Home DS0000018165.V313603.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT National Enquiry Line: 0845 015 0120 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 Abbeymoor Nursing Home DS0000018165.V313603.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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