CARE HOMES FOR OLDER PEOPLE
Chardwood Rest Home 127 Eastbourne Road Pevensey Bay East Sussex BN24 6BN Lead Inspector
Judy Gossedge Key Unannounced Inspection 17th January 2007 10:30 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 Chardwood Rest Home DS0000021070.V323742.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. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Chardwood Rest Home Address 127 Eastbourne Road Pevensey Bay East Sussex BN24 6BN 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) 01323 766058 01323 760983 roland@richardson65969.freeserve.co.uk Mr Roland Richardson Mrs Mary Richardson Mr Ashley Richardson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fifteen (15). Service users will be aged sixty-five (65) years or over on admission. Date of last inspection 20th February 2006 Brief Description of the Service: Chardwood is a care home for fifteen (15) older people. The home is within walking distance of the beach, half a mile from the village of Pevensey Bay and approximately 4 miles from the town of Eastbourne. The home provides thirteen (13) single rooms, eleven (11) with en-suite toilet and wash-hand basin facilities and one shared bedroom. There are two assisted baths and one assisted shower facility. The home provides several communal areas, including a conservatory, a dining room, a lounge and a patio area in the garden. There is a passenger lift to access the first floor accommodation. A copy of the Statement of Purpose and Service Users Guide is available to view in the home. At the time of the inspection fees were documented to be between £324.00 and £390.00 per week. Additional charges are made for hairdressing, chiropody, sweet trolley, toiletries and newspapers. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six and a quarter hours on 17 January 2007. Prior to the inspection a pre-inspection questionnaire was sent to the home to be completed with information required as part of the inspection process. This was returned and information detailed within is quoted in this report. A tour of the premises took place to look at communal areas and a selection of service user’s bedrooms, rotas and care records were inspected. Twelve service users were resident and ten service users were spoken with in their bedrooms or the lounge. The care that four of these service users received was reviewed as part of the inspection process. The opportunity was also taken to observe the interaction between staff and service users in the communal areas. Ten service user surveys were sent out, but none came back completed. The Manager and three care workers were all spoken with. Five staff surveys were sent out prior to the inspection and four completed surveys were returned. An external activities provider, a relative and a visitor were spoken with during the inspection. Two General Practitioners, two District Nurses comment cards comment cards were sent out and one completed comment card was returned. One District Nurse visiting the home was spoken with during the inspection. What the service does well:
The staff team were observed to deliver care in a way that ensured service users dignity and privacy was maintained. The feedback from all the service users and the relative was that they were happy with the overall care provided in the home. Comments included, ’the home is very good. I highly recommend it for food and everything,’ ‘very nice here’, ‘very satisfied’ and ‘exceptionally nice.’ The admissions process is good with staff being provided with adequate information in advance of admission to ensure each service users care needs can be met in the home. Service users benefit from having their assessed care needs incorporated into detailed plans of care, with supporting risk assessments, that are regularly reviewed. Service users are enabled to exercise choice and control over their lives whilst resident in the home. Visitors are encouraged and welcomed in to the home. There is a homely and comfortable environment. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 6 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. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is detailed information available for prospective service users, which is fully accessible. Service users are protected by the completion of a contract/terms and conditions. The admissions process is good with staff being provided with adequate information in advance of admission to ensure each service users care needs can be met in the home. Intermediate care is not provided in the home. EVIDENCE: There is a detailed Statement of Purpose and Service Users Guide, which the Manager stated had been given to service users on admission. Some of the information detailed within these documents is not up-to-date and the Manager confirmed that both were due to be updated shortly. A copy of the last inspection report is available to read in the dining room of the home. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 9 There is a detailed contract/terms and conditions in place to be used between the home and the service user. The four service users whose care was reviewed, three had a completed contract in place and for the fourth the Manager was able to confirm this is in the process of being completed. The Manager visits new service users prior to any admission. This is to ensure individual service users care needs can be met in the home and to provide staff with information on the care to be provided. There were two new service users resident, there was documentary evidence that they had been visited prior to admission and their pre-admission information was detailed. Intermediate care is not provided in the home. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by an individual detailed plan of care being in place, where all their personal, social and health care needs are identified at the start of their stay and which informs staff of the care which needs to be provided. Supporting risk assessments are completed and all these documents are regularly reviewed. Medication policies and procedures are in place. Service users are treated with respect. EVIDENCE: Four of the service users individual care plans were viewed. These were detailed and gave clear guidance to staff of the care to be provided, service users health care requirements, dietary needs, social and leisure interests, how any identified risks are to be managed and these had been reviewed. Where one service user goes out independently from the home a risk assessment was not in place. This was discussed with the Manager who confirmed that a risk assessment would be completed with immediate effect, so a requirement was not made on this occasion. Where asked all the service users stated their
Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 11 medical needs were met in the home and had access to their own General Practitioner, dentist, optician or chiropodist as required. Feedback from visiting healthcare professionals was that they were satisfied with the overall care provided and that the home worked in partnership with them. The staff team were observed during the inspection to ensure that the privacy and dignity of service users is respected at all times. The care and support provided was observed to enable service users where possible to exercise choice whilst at Chardwood. All the service users stated they received the care and support they needed and that staff listened and acted upon what they said. The feedback from all the service users and the relative was that they were happy with the overall care provided in the home. Comments included, ’the home is very good. I highly recommend it for food and everything,’ ‘very nice here’, ‘very satisfied’, ‘exceptionally nice.’ Medication policies and procedures are in place. Care workers have received external medication training. The Manager confirmed that a pharmacist regularly visits the home. Regular testing of the refrigerator temperature where medication can be stored was not in place and the Manager stated that regular checks would now be implemented. No service users were selfadministering at the time of the inspection. The storage and a sample of the recording of the administration of medication were viewed. Where asked service users confirmed that they were happy with the arrangements for the administration of their medication and always received this at the agreed time. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Where possible service users are enabled to exercise choice in their lives whist resident in the home, there are opportunities to participate in social and recreational activities provided, service users maintain contact with family and friends as they wish and a varied diet is provided. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 13 EVIDENCE: A programme of activities has been developed in the home. External entertainment/activities groups are also arranged to provide entertainment in the home. The pre-inspection questionnaire detailed exercise classes; musical sessions, bingo, quizzes and craft activities are facilitated. A ‘pat dog’ also visits the home. A handicraft group was organised on the morning of the inspection and staff stated due to the popularity of the group this is now being facilitated each week. Nearly half of the service users resident joined in this activity. Some service users go out and attend local clubs. One service user went out during the inspection to attend their local club. Feedback from the service users varied as to the frequency of activities. This was discussed with the Manager who stated there had been some changes to activities provided over the Christmas period, but that regular activities were provided. Feedback from service users and the visitors identified that there is flexible visiting, that staff are always very welcoming and it is possible to go to a service user’s bedroom if a private meeting is required. There is a dining room where meals are served and none of the service users required assistance with their meals. There is a rotating menu in place. Alternatives to the meal provided at lunchtime are not detailed on the menu, but staff and service users stated that alternatives can be and are provided if required. Special diets are catered for, but none of the service users resident at the time were on any special diets. Any dislikes were recorded. Lunch on the day was homemade savoury mince pie and fresh vegetables, followed by butterscotch whip or fresh fruit. Assorted sandwiches, sausage rolls, soup or salad were provided for tea. All service users spoken with stated they enjoyed the meals provided. Comments received were ‘the food is excellent’, ‘food is very good’, ‘the food is excellent’ and ‘the food is very good and you can always have more.’ Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to enable service users or their representatives to raise any concerns about the care being provided and to ensure that service users are protected from abuse. EVIDENCE: There is complaints policy and procedure in place. Five complaints have been received at the home during the last twelve months and recorded in the complaints book, which had been dealt with satisfactorily. All the service users spoken with and the relative felt it was an environment where they would feel comfortable to raise any issues and that they would be listened to. There are policies and procedures in place in relation to the protection of vulnerable adults. All of the staff surveys stated and the three care staff spoken with all confirmed they had an awareness of adult protection procedures. The Manager has also completed a training course to enable him to provide information on adult protection to his staff. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 15 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, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is decorated and furnished in a homely style. A maintenance plan is in place to ensure that the standard of the environment continues to be maintained and improved. EVIDENCE: A tour of the building was made. The home is decorated and furnished in a homely style. There is evidence of wear and tear and the Manager confirmed an awareness of this and there is an ongoing maintenance programme-taking place in the home to ensure the continual improvement of the environment. The pre-inspection questionnaire detailed that a new boiler has been fitted since the last inspection and there has been several bedrooms repainted and carpets changed. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 16 There is a passenger lift to enable service users to move between the ground and first floor. There are thirteen single bedrooms and one double bedroom of which two do not meet the minimum space requirements. The bedrooms are situated on both the floors in the home. All bedrooms have an emergency call system fitted. The bedrooms viewed displayed service users individual styles and interests. There is a lounge, dining room and conservatory for service users to use. There is a garden and patio at the rear of the home and service users spoke of sitting out in the garden during the better weather. Eleven of the single bedrooms have en-suite facilities of a wash-hand-basin and toilet. There are communal bathing facilities in the home. There were records to view of regular checks of the hot water temperature delivered in the home to ensure that hot water is delivered to outlets accessed by service users close to the recommended safe temperature of 43° C. It was recommended that advice be sought to ensure the sample of outlets tested is adequate. Heating is provided by a central heating system with most radiators guarded in the home. The Manager stated that there was no plan to cover the remaining three radiators and that risk assessments have been undertaken, recorded and are regularly reviewed. One unguarded radiator in the downstairs bathroom was extremely hot to touch. This was discussed with the Manager during the inspection, who stated that the risk assessment in place had not been followed and that this issue would be discussed at the staff meeting due the next day. The temperature of the radiator was turned down during the inspection. A requirement has been made to consult with the Environmental Health Department to ensure that current safeguards in place are adequate and to act upon any advice received. The home was clean and odour free and all feedback was that the home is ‘fresh and clean.’ One domestic assistant works in the home Monday to Friday during the morning, but had left the home prior to the inspection starting. The Manager stated that this member of staff had received training/guidance in the control of substances hazardous to health regulations (COSHH) and the use of protective clothing. This member of staff had not received guidance on infection control, which the Manager stated he would address so a requirement has not been made. Recording of routine fire checks carried out in the home were viewed and were satisfactory. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 17 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels was adequate, but the night staffing provided should be kept under review to ensure that the care needs of the service users resident continue to be met. A robust recruitment procedure is in place to ensure service users are in safe hands at all times. Care workers are being provided with training to ensure they can meet the care needs of the service users. EVIDENCE: Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 18 At the start of the inspection there were two members of care staff on duty, one of whom was also cooking the lunchtime meal. The Manager arrived later during the morning after attending a short training course and stated that the cook who would also usually be on duty was absent for a period from the home. The care assistants working during the evening were also preparing tea. The Manager stated that it had been a period of change with the loss of a care assistant and the teatime cook, both posts were currently being advertised. The Manager has subsequently confirmed that the cook has now returned to work and a new teatime cook has been employed to work in the home. The service users stated staff were always available when needed and those who had used the emergency call bell in their bedroom confirmed that the call bells were answered promptly. At night the home deploys one ‘waking night’ member of care staff. The night staffing provided should be kept under review to ensure that the care needs of the service users resident continue to be met. Staff feedback from the completed surveys received were, ‘we try to keep it a family feeling home, plus we all work together to keep it at a high standard’, ‘I am happy the way we work as a team,’ ‘the Manager is always available at anytime for the service user and the staff and the food is very good,’ and ‘Chardwood has a nice home from home feeling.’ Standard 28 has not been met as fifty percent of the staff have not achieved NVQ level 2 or equivalent in care. The pre-inspection questionnaire detailed that three of the ten care workers have completed the qualification and a further two are working towards NVQ level 2 in care. A further two care workers also hope to be able start working towards this qualification shortly. Records were examined for the two new members of staff who were working in the home, which confirmed the recruitment procedures followed, when new members of staff are employed. Both staff had a protection of vulnerable adults check, (POVA) First check and a Criminal Records Bureau (CRB) check before staff commenced work in the home. Records viewed of the last two care workers recruited to work in the home had written evidence that they had received an induction. The Manager stated that information of the new induction-training course to meet the requirements of General Skills for Care induction standards has been received and will be implemented for use with any new staff. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 19 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home benefits from a Manager who ensures an open, supportive, homely and caring environment. Staff working in the home is being supervised. Quality assurance systems have been developed to enable ongoing feedback about the care provided in the home and the outcome from the quality assurance process has been collated and is available to the CSCI, service users and their representatives, and other stakeholders. Systems are in place and maintained to ensure a safe environment for staff and service users, although further guidance needs to be sought to ensure that where radiators are unguarded measures in place to protect service users are adequate. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 20 EVIDENCE: The Registered Manager of the home has completed the Registered Managers Award and NVQ Level 4 in Care. A quality assurance system has been developed. The Manager stated and evidenced that feedback about the service provided is sought from service users using questionnaires. There are no service users group forums in the home due service users stating they did not wish to attend. It was recommended that this is periodically reviewed with the service users. A regular newsletter is circulated to service users in the home. The service users care plans are regularly reviewed. The quality assurance process should also enable relatives/representatives and other professionals who attend the home to give their views on the care provided. This was discussed with the Manager who stated this would be addressed. The pre-inspection questionnaire detailed that policies and procedures are in place in the home and these have recently been reviewed and updated. The outcome from the quality assurance process has been collated and is available to the CSCI, service users and their representatives, and other stakeholders. Where a small ‘float’ of money is held for some service users, this was securely stored and for two that were viewed there were detailed financial records to support this activity. The Manager stated that staff supervision and team meetings occur to meet the requirements of Standard 36 and the sample recordings viewed evidenced this. All of the staff surveys stated and the three care staff spoken with all confirmed they attended regular group meetings, but the response was varied as to if they received individual supervision. But staff spoken with spoke of being able to get informal support when required. This was discussed with the Manager to ensure that all the requirements are being met. Staff spoken with confirmed good access to training and of attendance on moving and handling, health and safety training, basic food hygiene and fire precautions. The Manager stated that he and cook who normally cook the food in the home have a basic food hygiene certificate. Where one member of staff cooking did not hold a basic food hygiene certificate, this was discussed with the Manager who stated this was unusual and due to the recent staffing difficulties in the home and that it would be ensured that this is addressed. Additionally where the staff member is cooking and assisting with personal care, infection control guidance should be followed to ensure appropriate clothing is worn to undertake both these tasks. This was discussed with the Manager and was addressed during the inspection. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 21 The pre-inspection questionnaire detailed staff have received basic first aid training/guidance and care workers spoken with on the day had attended this training. The Manager is a fully qualified first aider and the second member of staff also fully qualified has just left working in the home. The Manager stated that he is in the process of looking in to how to address this gap. The Manager has employed an external agency to draw up a new fire risk assessment and a regular fire check of the building had also been undertaken and recorded. The Manager stated that he is currently working to meet the recommendations made following the drawing up of the fire risk assessment, one of which is that the fire system in the home is periodically serviced by an external contractor. The pre-inspection questionnaire detailed that the maintenance of equipment and services has been carried out. Recording was viewed of incidents and accidents, which had occurred in the home. Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 13 (4) Requirement That Environmental Health Department is consulted with and any advice received acted upon in relation to the unguarded radiators in the home. Timescale for action 28/02/07 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 Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone Kent 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 Chardwood Rest Home DS0000021070.V323742.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!