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Inspection on 24/04/07 for Cedar Court Nursing and Residential Home

Also see our care home review for Cedar Court Nursing and Residential Home for more information

This inspection was carried out on 24th April 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Cedar Court Care Home provides excellent care for the residents from a well trained and committed staff. The care staff and the manager are well trained to meet the needs of the residents and show empathy and support to the residents when looking after them. Cedar Court provides the resident with a pleasant home to live in. The staff are well supported in their work particularly with the type of care that they are giving.

What has improved since the last inspection?

There were no requirements or recommendations made at the last inspection on the seventh of December 2005.

What the care home could do better:

The findings of the inspector during the visit were discussed with the manager at the end of the visit. There were no requirements or recommendations made on this visit.

CARE HOMES FOR OLDER PEOPLE Cedar Court Nursing and Residential Home 27-29 Long Street Wigston Magna Leicestershire LE18 2BP Lead Inspector Thea Richards Unannounced Inspection 24th April 2007 11:30 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 Cedar Court Nursing and Residential Home DS0000001933.V334385.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. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cedar Court Nursing and Residential Home Address 27-29 Long Street Wigston Magna Leicestershire LE18 2BP 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) 0116 2571330 0116 2812378 cedarcourt@highfield-care.com Southern Cross Care Centres Limited Mrs Jill Fontaine Kitchen Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability over 65 years of age of places (52) Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Cedar Court care home is registered to provide personal care with nursing to male and female service users who fall within the following categories: Physical disability over 65 years of age (PD(E)) 52. Old age, not falling within any other category (OP) 52. No one falling within category OP is to be admitted to Cedar Court Nursing and Residential Home when there are 52 persons already accommodated under category OP in the home. No one falling within the category PD(E) to be admitted to Cedar Court Nursing and Residential Home when there are 52 persons already accommodated under category PD(E) in the home. To accommodate the person of category PD named in variation application number V26127 in Cedar Court Nursing and Residential Home To accommodate the person of category PD named in variation application number V24629 in Cedar Court Nursing and Residential Home The maximum number of persons to be accommodated at Cedar Court Nursing and Residential Home is 52. 7th December 2005 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Cedar Court Care Home is a care home providing nursing care, mainly palliative care, with some personal care and accommodation for 52 people. There are registered nurses on duty 24 hours a day. Southern Cross Care Group, who has a number of care homes within Leicestershire, owns the home. The home is located in Wigston Magna close to the town centre of Wigston where residents can visit pubs, shops, the post office and other amenities. The home is easily reached by private or public transport and has parking in the grounds. The home is a purpose built three-storey building with a level entrance. The upper floors can be reached by using the passenger lift or stairs. There is a choice of dining rooms and lounges. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 5 The home has forty-eight single bedrooms with twenty-one having en-suite facilities. There are two double bedrooms without en-suite facilities. The home has a garden and patio area to the front and back of the building which is well maintained and which the residents can use in the better weather. The home can be contacted by telephone, fax or email. The fees range from £327.00 to £ 996.00 There are extra charges for hairdressing, chiropody, newspapers and personal items. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the care home, which ended with an unannounced visit to the service. Before the visit the inspector spent four hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on seventh December 2005. The visit took place on the 24 April 2007 and lasted five hours. During the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to three of the residents. To achieve this, the residents and, where possible, their families were spoken with. The inspector spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. The inspector also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. The inspector looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. The inspector looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with the manager, staff, residents and the residents’ families. What the service does well: Cedar Court Care Home provides excellent care for the residents from a well trained and committed staff. The care staff and the manager are well trained to meet the needs of the residents and show empathy and support to the residents when looking after them. Cedar Court provides the resident with a pleasant home to live in. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 7 The staff are well supported in their work particularly with the type of care that they are giving. 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. Cedar Court Nursing and Residential Home DS0000001933.V334385.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 Cedar Court Nursing and Residential Home DS0000001933.V334385.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): 1, 2, 3, 5. 6 is not applicable in this home. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are very well assessed before moving into the home by the completion of a pre-admission assessment and a visit to the service by them and/or their family so that they know that they will receive the right care. EVIDENCE: The inspector checked the care records of three of the residents (with their permission) who were case tracked. All of the residents had received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply. Providing a comprehensive Statement of Purpose & Service Users’ Guide results in good information for the residents, making sure that they they can get the most suitable care. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 10 Three of the residents families spoken with told the inspector that they had a visit from the home manager before their relative was admitted. They confirmed that they were given the opportunity to visit the home before they came in. The inspector went to a meeting with the manager and some of the staff when they were told about the residents who were to be admitted. This included the diagnosis, the care that they needed and their family situation. This is good practice and to be commended. This makes sure that that the staff in the home have the the right information before the resident is admitted so that the resident gets the best care. It makes sure that the home can meet the residents needs and that the resident meets someone from the home who they can recognise. This makes the move into care easier to manage for them. Other members of the staff spoken with said that they always knew what the residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection (CSCI) was displayed in the entrance of the home. An up to date insurance certificate was displayed in the entrance hall. Cedar Court Nursing and Residential Home DS0000001933.V334385.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): 7, 8, 9, 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff are dedicated to the residents care needs as identified in the care plans, which gives them confidence that they will be cared for as they wish. EVIDENCE: Care plans for three residents were ‘case tracked and were found to contain good individual evidence of the care being given to them. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor and other health professionals when they needed to. The residents or their families had agreed with the care plans and had signed them. This was confirmed by the families spoken with who told the inspector that there were reviews of the care at least every six months, which they were invited to attend. This makes sure that the resident and/or their families are aware of the care to Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 12 be given and that they agreed with it. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. The inspector observed residents being treated with dignity and respect when staff spoke with them. The staff were observed sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. Staff seen giving care did so in the right way, giving the residents privacy where needed. All the staff seen with the residents showed empathy with and care for them. Staff spoken with were aware of the care needs of the residents and the residents and the families spoken with were very happy that all care needs were being met. A visiting doctor spoken with was very happy with the care that was being given and felt that the manager and the staff were committed to the residents that they look after. He was confident that the staff always contact him if they needed advice or the residents needed him. The home mainly looks after people who are terminally ill. They have excellent care in place and use the Gold standard framework and the Liverpool care pathway to care for these residents. These plans are well documented in the residents care plan. These are systems which have been developed to give the residents the care that they want at the end of their life. All the health professionals, the home, the residents and their families are involved in the care and all support and agree to it to give the resident the care that they wish at this time. There are risk assessments in place to cover all the identified risks for the residents. This makes sure that the residents and the staff are protected from any risks that have been identified, without restricting their activities. Medication records for the case tracked residents were in order. Medicines are given by the registered nurses in the home and they have regular updates to make sure that they are aware of the medicines that they are using. Medicines were administered individually and the residents were seen to be taking them. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The controlled (dangerous) drugs register was checked and found to be in order. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 13 There is a policy in place for the residents who are able to look after their own medicines. However there were no residents looking after their own medicines at the time of the visit. Cedar Court Nursing and Residential Home DS0000001933.V334385.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): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are well supported in meeting their social, spiritual and nutritional needs, which them the best possible quality of life. EVIDENCE: There was evidence of activites being provided for the residents, which were recorded in the residents files. The home employs a full time activities organiser. She divides her time between those residents who remain in bed, spending time with them on activities that they can manage such as reading to them, playing cards, doing their nails and talking to them. She arranges other activities in the home such as musical events and spends time with the residents in groups and on an individual basis. The residents and the families spoken with confirmed that she was always around and was much appreciated. On the day of the visit she was seen to be spending her time in these areas. She seemed to have a good understanding of the residents needs and interests. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 15 The residents have a choice of meals every day and the cook provides alternatives according to their needs. She has a good understanding of the dietary needs of the residents such as diabetic, soft and liquidised diets. She can also provide a diet for people with different cultural needs. The inspector observed lunchtime in the dining room and all the residents said that they were enjoying their meal and that they always had a choice of meals. Visitors are made very welcome in the home. This was confirmed by visitors and families spoken with who told the inspector that they were made very welcome at any time. The inspector observed the welcome given to visitors when coming into the home which was warm and friendly. They are spoken with regularly on a one to one basis by the manager. The manager sees each of the residents on a one to one basis every day. There are annual quality audits to get the views of the residents and their families. The manager holds regular residents meetings, which have minutes taken. These practices ensure that the residents maintain contact with the community and their families and that views for improvements can be considered. There is a regular church service within the home which the residents enjoy and communion can be arranged for them if they wish it. The local Roman Catholic church arranges visits for those residents of that faith. The manager makes arrangements for anybody of other faiths as and when it is needed. Tapes of prayers have been provided for residents of another faith, which is all that they wish to have at present. These practices make sure that the pastoral care needs of the residents are met and that all Faiths are provided for. The staff were seen to be communicating with a resident whose first language was not English. They were using signs and touch and the resident understood and appeared to be very happy. A hairdresser visits once a week and the residents told the inspector that they really enjoyed her coming. She was in the home on the day of the visit and the residents were enjoying having their hair done. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 16 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, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. The complaints book was looked at and there is a record of one complaint having been received since the last inspection on the 7th December 2005. This had been resolved satisfactorily within the recommended time. Two anonymous complaints had been received by the Commission for Social Care Inspection. These areas were looked at during the visit and found to be unsubstantiated. There were many letters and cards of praise and thanks for the care that the home gives. The residents spoken with were happy that they would speak to the manager or a member of staff, if they had a problem and that it would be dealt with. Families and visitors spoken with on the day of the visit said that they were aware of the procedure to complain and would have no concerns about doing so. The staff spoken with knew how to deal with a complaint which was given to them and would be happy to do so. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 17 The staff spoken with were aware of ‘safeguarding adults’, the procedure to follow and would be prepared to ‘whistle blow’ if they thought that there was a need to. The staff that they had had training in safeguarding adults and this was confirmed by the training records held in the home. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 18 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, 20, 22, 23, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a home, which provides a safe and pleasant environment for them to live in. EVIDENCE: The registration certificate from the Commission for Social Care Inspection was displayed with a current certificate of insurance. The inspection reports are available in the office. Cedar Court is situated in Wigston near Leicester. There are two lounges and dining rooms. The home is very well maintained, clean and mostly free from any unpleasant odours giving the residents a pleasant place to live in. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 19 The gardens and patio areas are very well kept and easy for the residents to get to in the better weather. The bathrooms are clean, tidy and free of any hazards. With their permission, the case tracked residents bedrooms were looked at by the inspector. They provided good accommodation, which had been personalised with the resident’s belongings. The bedrooms were clean and well maintained. Some of the bedrooms have en-suite facilities. There was evidence of a range of equipment such as hoists and mattresses having been provided to help in the care and comfort of the residents. All the records for maintenance and fire records were looked at and found to be in order and up to date. There were no outstanding safety or maintenance issues seen on the tour of the premises. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 20 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, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents’ needs are well met and their safety protected by the recruitment policy and by the extensive training that is in place. EVIDENCE: There is evidence of a good skill mix of staff to make sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and visitors spoken with felt that there were always enough staff on duty to look after them properly. Three staff files were looked at by the inspector and the required information was complete in all the files. This included evidence of identification, adequately completed application forms, two written references and Criminal Records Bureau checks. There was evidence of extensive staff training including induction and the staff spoken with confirmed that they received regular training in all the required areas. They said that they had training in first aid, food hygiene and moving and handling training. The staff receive training in palliative care, dementia and challenging behaviour. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 21 There is a record of training held by the manager with the certificates in the staff files. The home has 71 of the staff with a National Vocational Qualifications(NVQ) in care at level two or above. This is above the required level and is to be commended. The Manager who is a registered nurse with many years of experience has completed the registered managers award through the National vocational award programme. The National Vocational Qualification is a qualification for care staff to make that they receive the right training in the needs of the resident group whom they are caring for. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 22 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, 36, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is excellent communication between the manager, staff and the residents, which makes sure that the residents are able to live in a home that safely gives them the care that they need and want. EVIDENCE: The manager was available throughout the visit to the home. The manager, who is a registered nurse with many years of experience, has managed the home for four years. She has developed the palliative care practised in the home and is dedicated and committed to giving the residents the best possible care at this time of their lives. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 23 The staff receive excellent training to make sure that they can care for the residents safely whilst protecting them from any abuse. This was confirmed by available records, the manager and by staff spoken with. There was evidence of regular staff supervision taking place. This was contained in the staff files and confirmed by the staff spoken with. There is excellent communication between the manager and the staff who she sees frequently and gives excellent support to with the care of the residents. This was confirmed by all the staff spoken with and was observed by the inspector during the visit. The process of formal supervision time gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. There are regular general meetings held with the staff to pass on and exchange information as well as daily clinical meetings to discuss the needs of the current residents and of any new ones. The manager holds regular meetings with the residents and their families as well as one to one discussions both to pass information on and to listen to their views and opinions. There are annual quality questionaires sent out to residents and their families to gain their views about the home. These practices allow the manager and the responsible person to respond to the residents and the staff’s needs. The home holds personal spending money on behalf of some of the residents, which is managed by the administrator. These records were in order. Records for the maintenance of fire equipment, fire drills and training were found to be in place and up to date. Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 4 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 3 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 4 X 3 Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? None 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 Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Cedar Court Nursing and Residential Home DS0000001933.V334385.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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