Inspection on 16/06/08 for Cavell House

This inspection was carried out on 16th June 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

Cavell House 09/06/10

Cavell House 18/07/07

Cavell House 27/04/06

Cavell House 19/09/05

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Cavell House Middle Road Shoreham-by-sea West Sussex BN43 6GS Lead Inspector Ed McLeod Unannounced Inspection 16th June 2008 09:00 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 Cavell House DS0000065235.V365291.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. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cavell House Address Middle Road Shoreham-by-sea West Sussex BN43 6GS 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) 01273 440 708 01273 441 483 cavellhouse@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Mrs Nicola Wheatley-Crowe Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52) of places Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2007 Brief Description of the Service: Cavell House is a care home with nursing situated in the town of Shoreham by Sea. The establishment has been extended and adapted to provide accommodation for up to fifty-two service users in the category of older persons, over the age of 65years (OP). The establishment consists of the original building, which was a local authority care home and a new annex. The majority of the home is on one level, however one section of the older building has two floors, accessed by stairs and a passenger lift. The service provider is Ashbourne (Eton) Ltd. The most recent reports are made available to residents and relatives on request and a copy is displayed in the main entrance of the home. The responsible person on behalf of the company is Mrs Marlyn MacDougall. The registered manager is Mrs Nickki Wheatly-Crowe. The fees for the home are currently £327.50 for a local authority funded residential placement and £539.50 for a local authority funded nursing placement. Fees for private placements vary dependant on need between £650-£750. Additional charges include hairdressing, newspapers and chiropody. Cavell House DS0000065235.V365291.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 star. This means the people who use this service experience good quality outcomes. The inspection visit was carried out by one inspector and was arranged to follow up requirements made at the previous visit, and to assist us in assessing the home’s compliance with the key standards of the national minimum standards for care homes for older people. Planning for the visit took into account information received on the service since our previous visit, including the annual CSCI self-audit completed by the home manager. On the day of the visit we were on the premises for five hours and twenty minutes, and spoke with four people living in the home, the manager, four members of staff, and a visiting relative. We sampled the individual plans of care for three people living in the home. Other records sampled included recruitment and training records for five members of staff, survey forms and records relating to health and safety issues in the home. We visited the main areas of the care home and ten bedrooms. We observed a number of interactions between people living in the home and staff, and observed the arrangements for lunch. What the service does well: Care plans are in place for each person which are being regularly reviewed and updated. Meals take place in a calm and relaxed atmosphere. Regular training, including safeguarding training, is being provided for staff. Areas which people living in the home have access to are generally being well maintained and plans are in place to continue to improve the premises. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: No requirements were made. Please contact the provider for advice of actions taken in response to this Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 7 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. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 8 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 Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident the home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes what the home provides for the money. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 10 EVIDENCE: In the home’s CSCI annual quality self audit (the AQAA) the manager has told us that prospective residents and their families are invited and encouraged to visit the home. For one recent admission which we discussed with the manager, a family member had visited before the person had been admitted. The AQAA tells us that people are given a copy of the service user guide which tells them about the service that is provided, a brochure on the company which operates the service, and that the CSCI inspection report is also made available to them. We looked at the pre-admission assessments for three people living in the home, and found that these are assessing what the person’s needs are and if their needs can be met in the home. We looked at two copies of the contract and terms and conditions for residence in the home. We found that while the contract for people who are funded by the local authority does not include what the fees are or who is responsible for what part of the fee, this information is set out in a letter to the person. Intermediate care is not being provided in the home. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, people manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. EVIDENCE: Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 12 The manager tells us in the AQAA that each person has an individual care plan which is reviewed monthly and that the care plan takes into account the person’s race, religion, culture, age and disability. We looked at the care plans for three people living in the home, and found that care plans were including enough detail to provide guidance to staff on how the care is to be provided. Care plans are being regularly reviewed. The manager also told us during our visit that that care plans are being regularly audited to ensure they contain all the information they should, and that risk assessments and care plans correspond. The manager said that care plans are now better reflect the choices of the person being cared for. A relative we spoke to during our visit said the care plan was being regularly reviewed with them, and suggestions made by the family were taken up. She told us there was good communication between the home and the family, and that their relative was “settled and happy”. A review in 2007 carried out by the local authority highlighted concerns around some care issues in the home. Discussions with the manager and staff indicated that better practice is now in place. For example, the manager advised us where air mattresses are used that bed inflation is now monitored twice nightly, and the purchase of equipment has helped in maintaining good skin integrity. Care records we looked at indicated that people are accessing the community health care services they are in need of. We looked at a set of fluid charts which indicated that recommended levels of fluid intake were generally being met. We talked with a family member who was visiting on the day of our visit. She told us that her relative, who is often cared for in bed, is regularly weighed, has had a nutritional assessment, and her appetite has improved. She said that an air mattress had been provided, and there was no problem with pressure areas. The AQAA tells us that medication is stored in a locked room in secure trolleys and is administered by nursing staff for whom medication updates and training are provided. Training records we looked at indicated that four staff had recently undertaken Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 13 a foundation course in administering medicines. We looked at records for the monthly medication audit which is carried out by the manager. This looks at medication records and practice in the home, identifies where improvements need to be made, and supports medicines in the home being administered safely. For example, the manager has identified the need to better ensure that people’s medication is being regularly reviewed by their G.P. Audit records indicated that no people living in the home are assessed as being able to hold their own medicines. Induction training for new staff includes discussion about treating people with respect and dignity, such as addressing them people correctly, knocking on people’s doors, and respecting and maintaining peoples’ privacy. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks at a time and place to suit them. EVIDENCE: Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 15 Staff we spoke to in the home told us that two members of staff arrange the activities in the home, which include painting, music and board games, and that a garden group has been set up. Staff told us that ball catching games are played with people to offer some exercise. Staff said that the musicians and singers were particularly popular, and one of them can visit people in their room if they would like a song sung for them. One person we spoke to said she had been taken on an outing recently where they had a cream tea with choice of cakes and where they had been buying plants for the garden. We talked to two people living in the home who said that they enjoyed watching videos in the evening, and sometimes went on outings when these were arranged. The manager said to us that she hoped the next resident’s meeting would be well attended and that suggestions for outings, activities and menu changes would come out of it. A relative we spoke to said that she was invited to care plan meetings, and that the home kept her informed when necessary. At the previous inspection a requirement was made that religious or cultural dietary needs be catered for, and that the registered person ensure a menu which offers a choice of meals (that are changed regularly). During our visit we observed a lunch sitting. A number of people living in the home require a soft food diet, and the main soft meal served was presented well. People received the assistance with eating which they required, and received the full attention of staff while being assisted. Lunch took place in a calm and relaxed atmosphere. The main meal choice on the day of our visit was chicken pie or toad in the hole, and the tea-time menu was egg on toast or a choice of sandwiches. We talked with the chef about the choices available to one person living in the home who was vegetarian. The chef showed us a list of the meal choices available for the person, and was able to tell us the meals that the person particularly liked and which corresponded with their culture and the kind of food they had enjoyed before coming to live in the care home. The manager discussed with us the “nutritional pathway” approach which is being introduced for people in the home who need to put on weight. The Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 16 manager also told us that they have amended their menus as a result of listening to people’s views. Two people living in the home we talked to said that most meals in the home were good, and there was always a choice. The previous requirement concerning meals was found to have been met. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. If people have concerns about their care, they or other people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. EVIDENCE: Six of the seven people living in the home who sent us their completed CSCI surveys told us they knew how to make a complaint in the home. The AQAA tells us that staff are made fully aware of the complaints policy and procedure at induction. Training records we looked at indicated that regular safeguarding training is being provided for staff, and that staff have access to all guidance, policies and procedures in safeguarding and whistle blowing. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 18 We looked at the record of complaints, which indicated that the complaint, the way the matter was investigated and the outcome are all being recorded, and that the complainant is being advised of the outcome. The AQAA tells us that, to better ensure the safety of people living in the home, all staff have 2 references and CRB checks prior to commencement, and that trained nurses are checked with the NMC to ensure current registration. An investigation carried out by the local authority in 2007 highlighted some concerns around care practice. A review held in January 2008 by the local authority noted that the manager was working with closely with the local authority, that some improvements had been made, and more remained to be done. At this visit we found that improvements had been made in areas such as pressure risk management, continence, and bedroom accommodation, and that managers and staff were actively seeking to ensure that good and safe care is being provided. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People stay in a well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their rooms feels like their own, it is comfortable and they feel safe when they use it. EVIDENCE: Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 20 In the AQAA the manager tells us that daily, weekly and monthly safety checks are carried out. Improvements made to the premises in the last 12 months have included the replacement of eight bedroom carpets and a lounge carpet, the hairdressing salon has been decorated and new non-slip flooring laid, and the dining room and all corridors have been decorated. The manager told us that new equipment purchased has included fourteen profiling beds, and also pressure relieving mattresses and cushions. On the day of our visit, all people were accommodated on the ground floor, and the manager advised us that the first floor had been closed in order that planned refurbishment and redecoration take place on the first floor. The manager believed this work would be completed by September 2008. We looked at the plans for the first floor refurbishment and decoration, which include enlarging some of the bedrooms and providing a new bathroom. We visited ten bedrooms and all the communal areas on the ground floor. We found that bedrooms were in a good state of repair. Some re-paving had taken place in the courtyard to make it more safe, and flower beds are being prepared in that area. The plan is for people living in the home to help choose the plants on an outing to a garden centre. New garden furniture has also been purchased. The manager said that she recognised that the fascia boards in the courtyard were in a poor state of repair, and that quotes for this work had been sought. We found that the ground floor areas are generally being well maintained and that plans are in place to continue to improve the premises. The previous requirement that the premises must be kept in good state of repair both externally and internally was found to have been met. At the previous inspection a requirement was made that there must be sufficient bathing/showering facilities in good working order to accommodate the number of residents in the home. Improvements to bathroom areas on the ground floor have included the installation of a high-lo adjustable bath, non-slip flooring, the redecoration and refurbishment of one bathroom, and the decoration of the other four shower Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 21 rooms or bathrooms. The previous requirement was assessed as met. All areas of the home visited were found to be clean and fresh. All seven people living in the home who responded to our CSCI survey said that the home was always fresh and clean. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. EVIDENCE: On the day of our visit we found that the staff numbers and skill mix was sufficient to ensure that care tasks were not being hurried, and there was a relaxed atmosphere in the home. We observed that during a ten minute period around 11.45 a.m. there were three alarm/assistance calls. The alarms were each answered in between thirty seconds and a minute, indicating that staff were available to respond to calls fairly quickly. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 23 The AQAA advises us that all staff have two references and CRB checks prior to beginning work in the home. We looked at five sets of recruitment records and found that the references and checks were in place before each of the staff began work in the home. We looked at the recruitment file for a trained nurse on the staff team, and found that Nursing and Midwifery Council (NMC) registration had been checked. Staff training records we looked at indicated that required training in topics such as safeguarding, fire safety, food hygiene, health and safety and moving and handling have been held. There have also been training sessions in COSHH, infection control, nutrition, care planning, continence and bed rail safety. The manager tells us that all staff are paid when attending training sessions. We looked at induction training records for two new staff, which indicated that new staff are learning about the job and the home’s policies and procedures in the early days when they first come to work in the home. New staff receive a staff handbook and copy of the General Social Care Council guidelines for staff. Staff meetings are held to keep staff informed of activities concerning the home and to provide a forum for discussion. Staff we talked to said these meetings were helpful. At the previous inspection a requirement was made that staff training for the home must result in no less than 50 of staff undertaking the NVQ Level 2. The AQAA advises us that in the past year four carers have attained the national vocational qualification (NVQ) in care at least at level 2. Of twentythree care staff, nine have now attained NVQ level 2, and 3 staff are presently undertaking NVQ 2. The previous requirement was therefore assessed as met. The AQAA tells us that all catering staff have done training in food hygiene. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 24 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. EVIDENCE: Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 25 The manager, Nikki Wheatly-Crowe, is a registered general nurse, has been in post for 2 years and has successfully completed the intermediate certificate in supervising health and safety and the registered manager’s award while in post. The manager continues to update her training. Our discussions with the manager indicated she continues to seek improvements in the service provided for people living in the home. We found the home to have a relaxed atmosphere, and while walking round the home with the manager we noted that staff and people living in the home found her approachable and sympathetic to their concerns and needs. The manager said that improvements to the service had included staff spending more social time with people living in the home, and the building having a more homely look following some redecoration and refurbishment. Where pocket money is held for people living in the home, this is managed by the financial administrator and audited by the registered manager and the operations manager. We sampled some responses from people living in the home to a survey recently carried out with them by activities staff. The manager said that the findings would be discussed at the next resident’s meeting where ideas for improvement would be canvassed. Quality audits in the home are performed monthly, and we looked at audits for medication carried out for three consecutive months. We also sampled the monthly provider visit reports for three consecutive months. Supervision records we looked at indicated that staff are receiving regular one to one supervision. The manager has told is in the AQAA of the most recent equipment services and tests which have been carried out in the home. Safety arrangements include holding twice monthly fire drills for all staff. Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 26 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 3 3 3 3 x N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 10 11 3 3 3 3 x 3 x 3 STAFFING Standard No Score 27 28 29 30 3 3 x 3 3 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 27 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 Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cavell House DS0000065235.V365291.R01.S.doc Version 5.2 Page 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!