CARE HOMES FOR OLDER PEOPLE
Abbotts Court Wingate Lane Wheatley Hill Co Durham DH6 3LP Lead Inspector
Mr Stephen Ellis Unannounced Inspection 20th September 2007 10:00 X10015.doc Version 1.40 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 Abbotts Court DS0000039316.V349289.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 Older People. 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. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Abbotts Court Address Wingate Lane Wheatley Hill Co Durham DH6 3LP 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) 01429 820866 01429 821010 abbottscourt@schealthcare.co.uk Southern Cross Home Properties Limited Angela Proctor Care Home 39 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24), Old age, not falling within any other of places category (15) Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service Users in the category of DE over the age of 55 years may be accommodated commensurate with the home’s Statement of Purpose. 19th September 2006 Date of last inspection Brief Description of the Service: Abbots Court is located on the edge of the ex mining village of Wheatley Hill, close to local shops and amenities. It is a registered care home, providing personal care and accommodation for 39 people, including up to 24 older people with dementia and 15 older people. Southern Cross Homes Properties Ltd. is the registered provider. The home is a three-storey building, situated in its own grounds, with enclosed garden areas and car parking at the front. Personal accommodation and communal space is located on all floors. Service areas (e.g. kitchen and laundry) are located on the ground floor. There are 39 single bedrooms, all with wash hand basins, and 26 with en suite facilities. Most bedrooms are suitable for wheelchair users and are of good size. The weekly fees vary between £399.50 and £435. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay will depend upon their individual circumstances. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced fieldwork visit to Abbott’s Court took place over 4 hours as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, a meal with service users, examination of some of the records that the home is required to keep, and interviews with service users, staff and visitors to the home. Comments were received during the visit and from a service user survey carried out before the visit. In total there were comments received from 13 service users, 3 relatives, 5 staff and one visiting health care professional. The overall quality rating for this service following the fieldwork visit is judged to be ‘excellent’. What the service does well:
The service achieves good or excellent outcomes for its service users in all key areas covered by the National Minimum Standards. In particular, health and personal care, staffing, plus management and administration are all rated as being excellent. Typical comments received from service users, relatives and visitors to Abbott’s Court included: “I received enough information about this home before I moved in so I could decide it was the right place for me…this home has been ‘spot on’ since day one… I always receive the care and support I need and staff listen and act on what I say…the staff always make time for me and are very approachable…I am very well taken care of here and can see the doctor whenever I need to…without exception, the staff have been patient, loving and sensitive – not only to my aunt’s needs, but also to ours, as we have sat with her, not just through the day, but also, on occasion, into the night. When the end came, the thoughtfulness, helpfulness and consideration shown by the staff on duty were both touching and much appreciated… it’s great here…we’re very well looked after…the food is very good and there’s plenty going on…I like meeting and chatting with my friends.” A key aspect of the home’s philosophy may be summarised in a quote from the home’s most recent newsletter (September 2007): “A community within a community. This is what we are hoping to achieve within Abbott’s Court Care Centre. Communities are made up of people who have strong bonds and relationships to where they live and other community members within their community. It implies a sharing of
Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 6 responsibilities and interests. At Abbott’s Court we are trying to develop a community of which members may be clients, friends & families, staff or interested parties within our community.” What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them about the service they will receive. Intermediate care is not provided, although up to 5 ‘day care’ places are available each day. EVIDENCE: Comments received from residents, relatives and staff, plus visiting health care professional, confirmed that full assessments of needs were carried out prior to admission to the home. Residents and relatives said there was enough information from which to make a choice about being admitted. Typical comments included: “I received enough information about this home before I moved in so I could decide it was the right place for me…this home has been ‘spot on’ since day one.” Comprehensive service user guides and clear statements of terms and conditions of residence are supplied routinely. The service user guide is particularly helpful, being available in large print and
Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 9 audiotape versions. The home’s reception area is next to the manager’s office on the ground floor and a variety of useful information is displayed, including the service user’s guide, home’s newsletter, plus reports of residents and relatives’ meetings, comment cards and previous inspection reports. The home’s administrator also occupies this office and is readily available to assist service users and visitors with any enquiry. Service user plans of care revealed comprehensive, detailed assessments of need being carried out prior to admission, with regular evaluations and reviews of care needs and care plans at appropriate intervals following admission. These assessments showed that the home only admitted people whose assessed needs it could meet. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents and relatives, plus one visiting health care professional, said that they believed the health and social care needs of service users were well known by staff and were being fully met. Health care screening and holistic assessments are being carried out, with input from a variety of health and social care professionals including local doctors, community nurses, social workers and physiotherapists. Residents said that the community nurse or doctor would see them whenever required and they were very satisfied with the quality of service they received. Residents’ personal and social care needs were well known, understood and respected by the staff team. Residents and relatives said that they felt service users were treated with respect and sensitivity. Typical comments included: “I always receive the care and support I need and staff listen and act on what I say…the staff always make time for
Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 11 me and are very approachable…I am very well taken care of here and can see the doctor whenever I need to…without exception, the staff have been patient, loving and sensitive – not only to my aunt’s needs, but also to ours, as we have sat with her, not just through the day, but also, on occasion, into the night. When the end came, the thoughtfulness, helpfulness and consideration shown by the staff on duty were both touching and much appreciated.” Care plans and risk assessments were impressive, being detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review and evaluation, involving service users, relatives and social workers. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, has included the important issues of privacy and dignity and a high percentage of permanent care staff (76 ) have achieved NVQ in care. There are good arrangements for the safe administration of medicines. All care staff members responsible for the administration of medicine have completed Safe Handling of Medicines courses. There is good support from a local Pharmacist who supplies medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are good storage systems and care staff check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication (there are, for example, lockable drawers in bedrooms) but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and the home is careful not to stockpile large quantities. Care staff carry out medicine audits routinely. It is commendable that a photograph of the service user is kept next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification (photographs of service users are also present in their case files). Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Many residents said they enjoyed living at Abbott’s Court and described the staff as being caring and helpful. They liked the atmosphere in the home, describing it as being friendly and supportive. They liked the small groups in the various lounge and dining areas across the home. They were free to sit in any lounge, in their own bedroom, or in the reception area. All were satisfied with the arrangements for daily life in the home, including several smokers who could either smoke outside or in a smoking room. Residents confirmed they could exercise choice in their daily lives. For example, they could decide what clothes they wore and how they spent their time, including when they got up and went to bed. They said there were different events and activities that they could take part in if they wished, including monthly pie and peas suppers with social event such as bingo; board games; crafts; visiting organist; seasonal events; quizzes; raffles; chair
Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 13 exercises; Tai Chi; videos and DVDs; reminiscence and outings. There is also a visiting hairdresser. The home is trying to recruit an activities organizer but, in the meantime, is using hours allocated to the position to fund some additional social and recreational inputs from care staff. The home is developing life story work and memory boxes with residents and these are commendable initiatives. There are some very good links with the local community, including schools, scouts, community centre and golf club. An informative and enjoyable newsletter is supplied, including colour photographs of residents and staff celebrating various events such as birthdays, plus quizzes and other news items concerning the home. Typical comments from service users included: “It’s great here…we’re very well looked after…the food is very good and there’s plenty going on…I like meeting and chatting with my friends.” Residents and relatives are invited to monthly meetings, at which matters of interest and suggestions are discussed. The minutes of these meeting are displayed in the home. Residents confirmed that they could pursue individual interests such as reading and television, and their religious needs were also addressed (for example, small services are held at the home). Residents and relatives said that visitors were always made welcome and there were no set visiting times. Some residents went out with relatives or friends for part of the day. Several residents go to a weekly tea dance held nearby and said they really enjoyed it. All the residents spoken to said the catering was very good. They felt there was a good choice and the Cook understood their preferences. Nutritional screening takes place routinely and the home provides a wide range of meals based on the ‘Nutmeg’ approach to healthy eating and appetising menus for older people. Residents mainly dined together in the various dining areas. They could, however, eat their meals elsewhere (such as their bedrooms) and at different times if required. Décor and furnishing in dining areas was attractive, creating a relaxed and welcoming environment. Tables were supplied with linen tablecloths and napkins, plus floral arrangement and menu. Staff members will assist residents with their meals wherever necessary. Records are kept of meals served. A good choice of menu is provided, with ample portions and the quality of meals was observed to be very good. Birthdays are celebrated with a cake and sometimes a special tea if it is a ‘special’ birthday. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: All residents who commented said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide. Staff and management are aware of the need to safeguard adults from abuse or neglect and have undergone training in these issues. Staff confirmed they are aware of the home’s ‘whistle blowing’ policy and confident to speak out about any suspected abuse or neglect. All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 15 Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 16 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, wellmaintained and comfortable environment, which encourages independence. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. Most staff members have completed training in health and safety, fire safety, food hygiene and infection control. Bathrooms and toilets were supplied with liquid soap and paper towels in wall mounted containers, to help prevent cross infection. All residents have their own personal towels and flannels, which they keep in their rooms. Residents said they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. The home is well maintained with repairs and servicing being carried out promptly and according to schedule. Of special note is the quality of the decoration and equipment supplied, including comfortable seating, pictures, music centres, bathrooms
Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 17 and shower rooms, plus en suite facilities in 26 bedrooms. On the top floor, the home has supplied doorknockers and decorative letterboxes to individual bedrooms, plus a colour scheme for bathroom and toilet doors to aid orientation. There are also some tactile pictures that can be touched as well as looked at. On the ground floor, there are a number of sitting and dining areas that allow residents to meet in small groups if they wish, as well as larger groups. The home has semi-independent units on each of its three floors, but there is flexibility in their use, with most residents choosing to socialise within a variety of groups on the ground floor. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: On the day of the fieldwork visit, there were 30 residents being accommodated: 15 older people with dementia and 15 older people without dementia. In each bedroom there is a laminated sheet detailing the resident’s personal key worker (usually with a photograph of the key worker) and named member of care staff, along with key issues relevant to the individual’s care needs. During the day (8 am to 8 pm), there are 5 care staff members on duty (two senior care assistants and three care assistants). At night, there is one senior care assistant and two care assistants on duty. Catering and domestic hours are sufficient for the needs of the service and there is a dedicated administrator (20 hours, Monday to Friday). There is a maintenance officer employed at the home. The full time registered manager works weekdays and her hours are not included in the care hours available. However, she has recently accepted an acting-up position within the company elsewhere and consequently her deputy manager, Susan Dunn, will act up as manager, being supernumerary (that is, just doing management duties) two days per week. This is a temporary arrangement but, while it lasts, care will need to be taken that the home is both staffed and managed well on reduced inputs.
Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 19 A full staff training and development programme is in operation, including moving and handling, first aid, safe handling of medicines, safeguarding adults, fire awareness, health and safety, food safety, plus National Vocational Qualifications. Staff confirmed that they had undergone extensive induction and foundation training. 76 of permanent care staff members have achieved National Vocational Qualifications (NVQ) at level 2 or above, which is commendable. Thorough pre-employment checks are carried out on all staff, including enhanced checks with the Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) register, as evidenced in personnel files. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The registered manager is well experienced and competent in her role. Residents, relatives and staff spoke well of her leadership skills and commitment to good outcomes for residents. She was described as being approachable and caring. She has completed her Registered Manager’s Award at National Vocational Qualification (NVQ) level 4. She is well supported by a deputy and part time administrator who works each weekday morning. Staff confirmed that they are regularly supervised (bimonthly) and have an annual appraisal. One visiting healthcare professional spoke very highly of the quality
Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 21 of Abbot’s Court, especially the good management and caring practices of the staff. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of some residents. In those situations where the home helps look after residents’ monies, such as pocket monies, clear individual accounts and records are maintained. These are subject to regular, independent audit. Service users have ready access to their money, even at short notice. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. The manager takes a lead role in Health and Safety Risk Assessments. All relevant staff members do refresher training in Health and Safety, such as moving and handling, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at monthly staff meetings. Residents and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. For example, all residents spoken with said the home was always fresh and clean. Residents and staff said they enjoyed living and working at Abbott’s Court and believed the home was safe and run in the best interests of residents. For example, there is a named photograph of each member of staff in the entrance foyer, along with copies of helpful documents including the home’s informative newsletter, service user’s guide, report of the last meeting of residents and relatives, plus comment cards inviting feedback on the quality of the service and suggestions for improvement. The manager routinely invites comments and suggestions for improvements from both residents and visitors to the home, via regular meetings, surveys and consultations. Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 X 3 Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Abbotts Court DS0000039316.V349289.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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
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