Inspection on 30/04/08 for Belmont Residential Care Home

This inspection was carried out on 30th April 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Belmont Residential Care Home 25/04/07

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Belmont Residential Care Home Inglewhite Road Longridge Lancashire PR3 2DB Lead Inspector Phil McConnell Unannounced Inspection 30th April 2008 09:30 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 Belmont Residential Care Home DS0000065793.V360806.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. Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belmont Residential Care Home Address Inglewhite Road Longridge Lancashire PR3 2DB 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) 01772 782031 www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Mrs Marianne Adams Care Home 49 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (48) of places Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 49 service users to include 48 service users in the category OP (of old age, not falling in any other category over 65 years of age). 1named service user in the category DE (Dementia). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 25th April 2007. 2. Date of last inspection Brief Description of the Service: Belmont Residential Care Home is situated in a rural location on the outskirts of Longridge and can accommodate a maximum of 49 service users of both sexes. The home provides personal care with any requirements for nursing care provided by community nurses. There are 46 bedrooms, all with en suite facilities. The home is a single storey building divided into four units, each with its own lounge, dining room and kitchen. There are two other large communal rooms mainly used for activities and social functions. Landscaped gardens and secure water features surround the home. Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for Care Homes for Older People including: the Annual Quality Assurance Assessment (Completed by the registered manager) service users surveys, relatives surveys and some staff surveys were received by the commission for social care inspection (CSCI). An unannounced inspection visit to the service on the 22nd of April 2008, with a follow up visit on the 30th of April 2008 to access some further information and give feedback to the registered manager was also carried out. Five service users’ files were examined and all relevant documentation was in place. Four staff files were examined and found to contain all of the appropriate documentation that is needed for inspection purposes. Discussions were held with some of the service users, relatives and some of the staff. There was the opportunity to observe the support and care being provided to the service users on both visits to the Belmont. The home’s policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: The home is well managed, with a staff team that have the skills to provide good quality care. The homes documentation including, policies and procedures, assessments, care plans, information provided regarding activities and food /menus is very good. The quality monitoring systems that are in place, helping to demonstrate that people are listened to and any appropriate / relevant action is taken. (See management section). Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 6 The previous issues/concerns raised in previous inspection visits carried out by CSCI have been satisfactorily addressed. This shows that the provider is committed to improving people’s lives. The activities and leisure pursuits provided are regular, appropriate and relevant, helping to give an assurance that people will receive stimulation, motivation and are empowered to participate as much as possible. The home is very well maintained; décor is of a good standard, clean, hygienic and safe, providing a comfortable and pleasant environment for people to live and work in. 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. Belmont Residential Care Home DS0000065793.V360806.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 Belmont Residential Care Home DS0000065793.V360806.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): 3 std 6 N/A. Quality in this outcome area is good. The pre admission assessment process is very thorough, giving the assurance that peoples’ needs will be clearly identified and determined if they can be provided for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five service users’ files were examined including the most recent person to go and live at the Belmont. All of the files contained thorough assessment documentation including: admission assessments care plans, reviews of plans and up to date daily record sheets. The Annual Quality Assurance Assessment (AQAA) states, “At Belmont we encourage all our prospective clients to visit or spend some time at the home. All clients receive a trial period of 4-6 weeks, this enables them to make an informed decision as to whether they wish to continue their stay”. Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 9 People are only admitted to the home once they have been assessed by the homes manager or the deputy manager, “To ensure that Belmont is able to meet all of the needs of the new client”. The assessments contained very detailed information including, background/life history, family and main contacts, GP, medical history, any allergies, spiritual/religious beliefs, dietary needs and likes and dislikes. It was evident that a thorough and robust pre-admission process was in place and in discussion with the manager it was clear that the process is successfully used for all new service users who to come to live at the Belmont. One person commented, “Before my mother was taken in I was given a lot of information about Belmont” and another person receiving respite care said, “I tried 4 or 5 places before coming here, I can’t fault it”. Belmont Residential Care Home DS0000065793.V360806.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 and 10. Quality in this outcome area is good. Peoples’ care plans are thorough, giving detailed information and guidance, helping to ensure that individuals’ assessed needs are being provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five service users’ care plans were examined; they were well detailed, containing thorough and relevant information. The care plans were very well developed and it was evident that the information had been obtained from the initial admission assessment, giving the carers clear and concise guidance in how to appropriately provide peoples’ assessed needs. Care plans and risk assessments are reviewed on a monthly basis and the homes manager also carries out a monthly evaluation of the care plan process. The AQAA states, “All residents are given choice over their personal care and their input into decision making is valued”. In discussion with some service users it was clear that people are encouraged, when possible to participate in the care planning process. Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 11 Each service user has a named key worker, which gives the advantage of quickly identifying a persons changing needs. Key worker information is displayed in each person’s bedroom. This information gives service users and their relatives the assurance of knowing they have a link person, who is specifically dedicated to their care and support. Information was available with regard to peoples’ particular health care needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out, including, chiropody, optical and a hearing test service, which are carried out at the home. There is a policy in place for staff to adhere to the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. All of the care staff have received medication training. Belmont has a contract with Boots the Chemist and they carry out an annual audit. One of the staff that deals with medication said, “The system is really good and we can call on them (Boots) at any time”. It was observed that people’s medication files all contained photographs, which would help eliminate any confusion or errors. The medication storage, documentation, and procedures were all very well organised and thorough The staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that some good relationships existed between service users and the care staff. Some of the comments received were, “The staff are really very good, they show respect and are always available” and “The staff are excellent and always ready to listen and help”. Belmont Residential Care Home DS0000065793.V360806.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. People are encouraged and empowered to participate in meaningful recreational pursuits of their choice, that are of interest to the individual. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs an activities coordinator and in observation and in other evidence gathered it was apparent that a varied number of activities take place on a daily basis within the home to help motivate and stimulate people. During the inspection visit a group of service users were observed being actively involved in an activity, making marzipan fruit. This activity was advertised on the notice board. The activities and any forthcoming events are prominently displayed in the home, which consist of Pat dogs (pets for therapy), bingo, relaxation sessions, sing along, art & crafts, and many more varied activities. Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 13 The activities coordinator said, “We provide day care for six people and we also have people who come for respite care, so we try and arrange to cater for all interests”. Themed days are also arranged to promote stimulation and interest, including, St Georges day party, Queens birthday party and people are encouraged to pick a theme, for example National bread week (May 08) and it has been suggested ‘what is your favourite sandwich?’ “This will help promote conversation, reminiscence, stimulation and interest”. Some of the comments received from service users and relatives were, “The home provides good activities and entertainment” “It’s grand, don’t think you could find anywhere better” “ My mother was given time to recover, yet given opportunities to join in activities” and “I am restricted health wise, but I take part in whatever I am able to do”. The returned questionnaires to the CSCI were all positive about the recreational activities being provided at the home. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. One relative wrote, “Access to the building is safe and secure, yet allows relatives to ‘pop’ in at any time. I have always felt welcome and ‘quite’ at home”. During the inspection visit there was the opportunity to observe service users meeting visitors in the privacy of their own rooms. There was a choice of menus available, which were seen to be nutritious, varied and appetising and visitors can also have a meal if they wish. There was the opportunity to have lunch in the home. The meal was very good and well presented. Some of the comments received were, “The meals are varied and nutritious” “ the meals are excellent” and “the food is really good”. The small individual dining rooms help to create a pleasant atmosphere where people can receive extra support, without it being too intrusive. During the visit, the manager was observed having discussions with a prospective service users family, regarding the persons religion, personal care, cultural needs and dietary needs. This helped to show that they are culturally aware of people’s different and diverse needs. Belmont Residential Care Home DS0000065793.V360806.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. A satisfactory complaints procedure is in place, helping to demonstrate that people’s complaints or concerns will be appropriately dealt with. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A comprehensive complaints policy and procedure is in place. The statement of purpose and the service users guide, both contained guidance on how to make a complaint. A copy of the complaints procedure is provided to all new service users who are admitted to the home. There is also a copy of the complaints procedure displayed on the notice board, with a suggestion box situated close by. A comments book is available in the foyer of the home. All of the questionnaires that had been returned to the commission (CSCI) indicated that people are fully aware of the complaints procedure and how to complain if they needed to. There had been four complaints received within the last twelve months, with one being upheld, however all of the complaints had been resolved within the 28-day requirement. Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 15 There was a thorough policy in place to deal with a suspicion or allegation of abuse. In discussion with some staff it was clear that people are aware of the correct procedures to follow in the event of a safeguarding adults issue. The AQAA states that additional ‘safeguarding adults’ training is to be provided to all staff, in order to enhance their skills. This helps to show that the provider is committed to ensuring that service users are protected, with care staff being appropriately trained and aware of any of the potential abuse situations that vulnerable people can encounter. Belmont Residential Care Home DS0000065793.V360806.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. The home is clean, hygienic, safe and very well maintained. This helps create a good pleasant environment for people to live and work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard, it was clean, homely and fresh smelling. Many areas of the home have been redecorated and re-carpeted to a very good standard. It was stated by the manager that the redecoration programme is to be continued throughout the home. A full time maintenance man is employed who does all of the decorating, minor repairs and the outside gardens. Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 17 Two of the homes bathrooms have been completely refurbished since the last inspection visit. Peoples bedrooms were observed to contain their own personal belongings, helping to demonstrate that people are encouraged to bring in these particular items, in order to promote familiarity, and comfort. There is a main kitchen, which was clean, hygienic and well equipped. There are also three smaller kitchens situated throughout the home to provide facilities for service users, visitors and staff, again they were all clean and hygienic. One person wrote, “The relatives kitchen area is a great idea and the staff were happy to offer a drink when I was there and they even remembered my preferences”. The homes laundry is well equipped to meet the needs of the people who live at Belmont. Throughout the home hand washing facilities were conveniently placed, in order to help with infection control. Throughout the home appropriate specialist equipment was observed including, lifting hoists, walking frames and wheelchairs, helping to show that people are enabled to maintain mobility and to be as independent as possible. The outside grounds are maintained to a good standard and on the day of the inspection visit a new concrete based ‘bin store’ was being built. It is screened off, making it more hygienic and blending in more with the outside environment. It is planned to create a sensory garden and more outside seating areas for people to be able to sit outside. The grounds contain two large ponds, which were observed to be safe and secure, with sturdy fencing and locked gates. This was a previous concern, which has been satisfactorily addressed. The comments received regarding the environment were all very positive including, “The rooms are lovely and there is a good atmosphere in the home” “the home is always clean and smells nice” and “it’s like a hotel, everything is really good”. Overall since the last inspection visit a number of positive changes have taken place, making the homes environment much safer, comfortable, pleasant and enjoyable for the people who live and work at Belmont. It is envisaged that the provider will continue to make further improvements to the home. Belmont Residential Care Home DS0000065793.V360806.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. Good quality training is provided, which helps give the assurance that people are cared for and supported by an adequately trained and skilled staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing levels for Belmont were examined and they were found to be satisfactory. Staff files contained information with regards to the experience, skills and training that staff have received with a full and thorough mandatory-induction programme being in place. Belmont have recently experienced some difficulty in retaining staff. The staffing levels were maintained by staff working extra hours, however at the time of the inspection it was stated by the manager that they now have a full staff compliment, “we had a staffing issue for 4-6 weeks but it’s now resolved”. Four staff files were examined and they contained all of the necessary recruitment information including, application form, two written references, contract of employment, and job description. Criminal records bureau checks (CRB) and POVA checks had also been carried out, prior to the commencement of employment. Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 19 The recruitment procedure is robust and thorough, helping to give the assurance that people are protected and safeguarded from harm or abuse. As previously mentioned people were seen to be treated with respect and dignity and it was apparent that good trusting relationships existed between the staff and the service users. Comments from service users and relatives regarding the staff team were all positive including, “All of the staff are excellent” “good caring staff” and “There are regular staff who know a persons needs and are generally very good”. The staff notice board displayed forthcoming training courses including, medication training, food hygiene and manual handling. The training matrix was examined and it was clear that the provider is committed to providing good quality training. The national vocational qualification in care (NVQ) training programme is ongoing and there was evidence that the provider is committed to ensuring that this NVQ training is accessed for all staff, with the majority of (75 ) staff having achieved this award at level2. The organisation recommends that all senior staff achieve this NVQ award to level 3; with 8 staff having either received this award or are working towards it. Belmont Residential Care Home DS0000065793.V360806.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, 33, 35 and 38. Quality in this outcome area is good. The home is well managed and organised, helping to give service users and their relatives assurance that the care and support provided, will be of a good standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has 28 years of experience in social care and she has been the registered manager at Belmont since July 2007. (Previous recommendation) She is adequately qualified, being a qualified nurse and having had over 14 years experience in a care management role. The registered manager is in the process of completing her Registered Managers Award (RMA). Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 21 The manager receives regular supervisions from senior management saying, “Senior management have been very thorough and supportive”. The operations manager carries out regular quality monitoring visits and validation audits. The home’s policies and procedures were examined and they were found to be up to date and of a good quality. The management have shown commitment and dedication in getting the opinions and ideas from service users and staff. This has been by way of regular team meetings, service user meetings, and relatives meetings and by having ‘quality monitoring surveys’. These opinion surveys are sent to service users’ relatives with stamped addressed envelopes and returned to the central office for analysis. The homes manager holds a ‘Managers surgery’ for relatives on a monthly basis, which she alternates between evenings and weekends to try and accommodate everyone. The home has continued for over 5yrs to achieve the Investors In People award (IIP), which is an external quality-monitoring organisation. There was documented evidence to show that all staff have received mandatory training in the relevant courses, with refresher courses being made available when needed. Staff are supervised every six to eight weeks. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments in place. Some of the risk assessments were specifically applicable to local places of leisure and interest including, local pubs, restaurants, cafes and garden centres. The assessments were very thorough and robust. This helps to show that everything is done to manage people’s safety, whilst promoting independence. All health and safety inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher and alarm checks, PAT (portable appliance testing), emergency lighting certificate, hoists, legionella water check and a food hygiene (environmental health) inspection report. There was sufficient evidence to demonstrate that the health and safety of people who live and work at Belmont is promoted as much as possible, to help ensure that a safe and healthy environment is maintained. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Belmont Residential Care Home DS0000065793.V360806.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Belmont Residential Care Home DS0000065793.V360806.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 Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Belmont Residential Care Home DS0000065793.V360806.R01.S.doc Version 5.2 Page 25 - 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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