Inspection on 09/10/06 for Castle View House

This inspection was carried out on 9th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Castle View House 10/11/05

Castle View House 29/06/05

Castle View House 16/12/04

Castle View House 07/05/04

Castle View House 22/10/03

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Castle View House 9 Castle View Strood Rochester Kent ME2 3PP Lead Inspector Sarah Montgomery Unannounced Inspection 9th October 2006 10:00 Castle View House DS0000029021.V315030.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 Castle View House DS0000029021.V315030.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 and 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. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castle View House Address 9 Castle View Strood Rochester Kent ME2 3PP 01634 721107 01634 312665 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) Mr Peeryduthsing Ramburuth Mrs Indira Ramburuth Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit a Service User whose date of birth is 13.12.1928. Date of last inspection 10th November 2005 Brief Description of the Service: Castle View house offers accommodation over two floors; the home is situated in a residential area within walking distance of Strood Town Centre, which offers a range of shopping and other community facilities. Mr & Mrs Ranbruth manages the home on a day-to-day basis. A small staff team is employed with whom the Proprietors closely work. Both proprietors hold professional qualifications which relate to the client group cared for in the home and have several years experience of caring for people with a mental health condition. Weekly fees for the home are: £453.18. The statement of purpose and service user guide are both kept in the quiet lounge and are accessible to all service users and their representatives. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Sarah Montgomery conducted this unannounced inspection on the 9th October 2006. Evidence contained in this report was gathered from a variety of sources. These included; conversations with service users, staff and management, inspection of care plans and risk assessments, reading of policies and procedures, and a tour of some communal areas of the home. Service users spoke to the inspector about their views and experiences of living at the home. Some comments made by service users were; ‘there’s always someone to talk to here’, ‘staff are really nice, there’s always help available but it’s not pushed on you’; ‘this is a lovely home’. The service users, manager and all the staff were helpful and welcoming throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: Although homely and comfortable, Castle View house would benefit from refurbishment, particularly the upstairs bathroom. Consideration should be given to developing an improvement plan. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 6 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. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can be confident they will have the information they need to make an informed choice about where they live, that their individual needs and aspirations will be assessed, and that following the assessment the home will meet their needs and aspirations. EVIDENCE: The home’s statement of purpose has been updated to include information about the complaints procedure and the manager’s qualifications. The statement of purpose and service user guide both contain comprehensive details about the services offered at the home, and provide prospective service users with sufficient information to make an informed choice about living there. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 9 Assessment documentation for two service users was inspected. The home conducts its own assessment as well as obtaining an assessment from the service user’s care manager. It was clear from documentation viewed and in speaking to service users and the manager that service users are consulted throughout the assessment period. During the assessment period prospective service users are encouraged to visit the home to meet staff, other service users, and to look around the home. Where possible, service users have a planned transition period into the home, which includes overnight stays. Following assessment initial care plans and risk assessments are generated. It was evident when inspecting these documents that all assessed needs and aspirations noted during assessment had been translated into a detailed care plan. Conversations with service users and staff evidenced that individual assessed needs are met by the home. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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 and 9. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that they will be supported fully regarding their individual needs and choices. EVIDENCE: To assess the above standards, the inspector read through care plans and risk assessments, a looked at a sample of notes from review meetings and daily care notes, and spoke with service users and staff. The manager at Castle View House has developed individual care plans based on the service user’s assessed needs. Care plans have a clear link to the Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 11 information gathered during assessment. Individual care plans are written under the main headings of mental health, physical health, personal care, daily living, dietary requirements, mobility, recreation and social activities, social support network, social and interpersonal relationships, finances, spiritual needs, occupation and education, advocacy, risks and vulnerabilities, risk management and contingency plans, and housing needs. Under each care plan heading is a very detailed description of support need, followed by the service response. All care plans are reviewed every two months or sooner if required. Service users confirmed their involvement with their care plans, and gave examples of consultation with staff and support from staff regarding decisionmaking. Risk assessments are equally thorough. Risk assessments and care plans are written in accessible language, and this provides clarity for service users. Daily notes confirmed that staff and service users are working towards goals set in care plans, and also evidenced that service users are consulted appropriately about the care and support they receive. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 and 16. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident they will be supported to develop and maintain a lifestyle of their choice, and that they will be offered guidance regarding their choices. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 13 EVIDENCE: One of the main aims of Castle View House is to provide ‘social care and rehabilitation either on a short term basis or long term care to encourage social integration and work towards independent living in the community’. Observation during the inspection, information gathered from individual records, and conversations with service users and staff, all evidenced that the staff team aims to work intensively with service users, implementing behaviour management strategies, coupled with therapeutic techniques, with the identified outcome being the service user returning to stable mental health and able to participate in social and community activities. Working alongside service users regarding their ‘lifestyle’ choices is the defining aim of Castle View House. The home draws on clinical expertise from within its own staff group, particularly the owners (one of whom is the home manager), and also works closely with psychology and psychiatry services. Care plans and risk assessments all evidence that service users are guided and supported in making decisions about their lives. Service users are encouraged to recognise their strengths as well as needs, and are supported to link their strengths and needs to education, work and leisure activities. Service users spoke enthusiastically about their experiences of living at the home. It was clear from talking with service users that their rights and responsibilities are recognised, and that staff spend time supporting and guiding them towards positive lifestyle decisions and choices. Records demonstrated and staff and service users confirmed, that links to family and friends remain strong. Castle View House supports individuals with remaining in contact with their friends and families, taking into account the wishes of the service user and of any history that may carry restrictions with contact. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that all their physical and emotional health needs will be met. EVIDENCE: In consultation with service users, and using information gathered during preassessment and ongoing assessment, the home has developed (and is continually developing) individual care plans outlining all physical and emotional health support needs. A team of trained staff supports Service users. All staff have received an intensive induction, which has included guidance on meeting the emotional Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 15 needs of service users. In addition, service users have regular contact with psychology and psychiatry, and have individual guidelines. The owners have qualifications in nursing, mental health and counselling. The home is very much run therapeutically using the cognitive psychotherapy model and cognitive behavioural psychotherapy and counselling. Service users meet with the manager daily, as a group and individually and are encouraged to understand their mental health needs and to work positively to address their problems. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their views are listened to and acted upon, and that they are protected from harm. EVIDENCE: Castle View House has an accessible complaints procedure. All service users are supplied with a copy of this. In addition, service users have daily 1-1 sessions with the manager and support staff. Service users are encouraged to talk about their feelings, including any concerns or complaints they may have. The inspector spoke with service users about making a complaint. Service users were knowledgeable and clear about their rights in making a complaint, and all knew of a selection of appropriate people they could talk to if necessary. The home has received no complaints. The staff team have all received basic adult protection training during their induction. The manager spoke knowledgably about his responsibilities in ensuring that service users are protected from harm. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable, homely and clean environment. EVIDENCE: The inspector toured all communal areas of the home. Two vacant bedrooms were inspected. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 18 The home has two lounges. One lounge is a smoking room and the inspector was particularly impressed at the efforts to ventilate this room ensuring the cigarette smoke did not permeate to other areas of the home. It was pleasantly decorated and furnished, and has a television and music centre in it. This lounge is the main preference of lounge for service users. The second lounge also serves as a quiet room and visitors room. Again it is pleasantly furnished and decorated, and has a television and music facilities. Policies and procedures are kept in this room. The kitchen overlooks the garden and leads on to the dining room, which is homely and spacious. Service users have a toilet and shower room on the ground floor and a bathroom with a bath, shower and toilet on the first floor. Two vacant bedrooms were inspected. They were furnished to an acceptable standard. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from being supported by competent staff. Service users further benefit from the home’s recruitment policy and practice. EVIDENCE: Staff spoken with during the inspection displayed adequate knowledge of their roles within the team, and their responsibilities with regard to supporting service users. Care planning and risk assessment documents provide clarity for staff, and serve as a working tool enabling staff to support service users. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 20 Evidence gathered throughout the inspection demonstrated that service users are being actively encouraged and supported by staff to learn or regain skills in independent living. Staff demonstrated knowledge of individuals mental health needs. They displayed a sensitive and individual approach to service users, particularly service users experiencing a relapse in their mental health. Samples of staff files were inspected. All files complied with Schedule 2, and the home could demonstrate that their recruitment practice was robust and protected service users. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from the ethos, leadership and management of the home. EVIDENCE: Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 22 Castle View House have worked hard to developed and improve the way in which service users are supported to lead valued and fulfilling lives. Most notably, documentation and information regarding pre-assessment, assessment, care planning, risk assessment demonstrate the home’s commitment to providing a service which meets the needs of the service users. Staff spoke warmly about the manager and owners, describing them as ‘very professional’ and adding that staff have ‘learnt a lot from them’. The manager was enthusiastic about the home and displayed genuine care and concern for the well-being and the quality of life of the service users living there. All documents inspected evidenced a thorough and planned approach to meeting individual needs. Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 3 39 X 40 X 41 X 42 X 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Castle View House Score X 3 X X DS0000029021.V315030.R01.S.doc Version 5.2 Page 24 No. Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Castle View House DS0000029021.V315030.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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