Inspection on 10/05/07 for Chestfield House Nursing Home

This inspection was carried out on 10th May 2007.

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

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

Other inspections for this house

Chestfield House Nursing Home 04/12/08

Chestfield House Nursing Home 05/09/06

Chestfield House Nursing Home 09/01/06

Chestfield House Nursing Home 17/10/05

Chestfield House Nursing Home 20/09/04

Chestfield House Nursing Home 20/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Chestfield House Nursing Home The Ridgeway Chestfield Whitstable Kent CT5 3JT Lead Inspector Chris Woolf Key Unannounced Inspection 10th May 2007 09:15 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 Chestfield House Nursing Home DS0000026087.V337762.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. Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestfield House Nursing Home Address The Ridgeway Chestfield Whitstable Kent CT5 3JT 01227 792281 01227 792281 espringett@njch.co.uk 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) Unique Help Group Limited Post Vacant Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Of the 31 nursing beds 3 are registered for the admission of residential clients. PD (Physical Disability) is limited to one (1) person whose date of birth is 19.06.1942 Date of last inspection 5th September 2006 Brief Description of the Service: Chestfield House is a large detached property situated in a quiet residential area in Chestfield, near to the seaside town and amenities of Whitstable. The home can easily be reached via the M2 motorway, and the Thanet Way. It is part of the Unique Help Group of nursing homes; and the group have another 4 nursing homes in the area. The house has been extensively renovated and provides accommodation for up to 31 service users although at the time of this inspection there were only19 service users in occupation. Accommodation is situated on two floors and comprises 23 single and 4 shared bedrooms, 14 of which have en-suite facilities. There is a passenger lift, which provides easy access to all rooms on the first floor. There are communal areas on both floors, and gardens at the rear of the property. Car parking is available for several vehicles. The current fees for the service at the time of the visit range from £318.12 to £650.00 (a shared room used for single occupancy) per week. Information on the Home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is espringett@njch.co.uk Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information for this report is gained from an Annual Quality Assurance Assessment completed by the home; one care manager survey; a letter sent to the Commission by a relative; and an unannounced inspection site visit to the home. The site visit, which lasted 6 hours and 35 minutes, included speaking with the manager and group manager, a number of residents, 4 visitors, and a variety of staff; a tour of the premises; inspection of a variety of records; and various observations. What the service does well: What has improved since the last inspection? The requirements and recommendations made on the last report have all either been completed or are scheduled for completion in the near future. Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 6 Service users’ lives have been improved by an increase in leisure activities on offer and the inclusion of more personalised activities. The menu has recently been reviewed. There have also been improvements to the provision of the teatime meal. The new care plan format is comprehensive and far more person centred. A comprehensive training programme is now in place for staff with further training and development planned. Environmental improvements include redecoration of all rooms, new carpets throughout, provision of some new furniture and curtains, and commencement of the refurbishment of all communal bathrooms. 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. Chestfield House Nursing Home DS0000026087.V337762.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 Chestfield House Nursing Home DS0000026087.V337762.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): 2, & 3 (Standard 6 is not applicable in this home) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can be confident that their needs will be assessed prior to admission and that they will not be admitted unless the home are satisfied that they can meet these needs. EVIDENCE: Each service user is issued with a contract and a signed copy is retained on their file. The contract includes not only the room number and the fee payable and by whom but also the room size, whether there is an en-suite facility, and the size of the bed provided. It also includes details about what is not included in the fee. Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 9 A copy of the home’s statement of purpose is available in all service users rooms, and a copy in large print is maintained in the office. A full assessment of the needs of each new service user is undertaken by the manager prior to admission and the home will not admit any new service user unless they are confident that they have the skills and resources to meet these assessed needs. A service user commented, “Someone came to see me in hospital”. Family, friends and/or prospective service users themselves can also visit the home prior to admission. At this time they are free to look at past inspection reports and the homes statement of purpose. This home does not offer the facility of intermediate care. Chestfield House Nursing Home DS0000026087.V337762.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, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ health and personal care needs are recorded in their plan of care and these needs are met by the home. EVIDENCE: There is a comprehensive, person centred care plan for each service user and these have all now been completed in the new format. Care plans are based on the pre-admission assessment and the 12 needs of daily and are supplemented with a variety of assessments and risk assessments. Service users’ health and personal care are maintained by the staff of the home. A service user commented, “The girls are helping me to get better”. Visitors commented, “Mum is kept clean and is well looked after”, and “I have Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 11 no complaints about the way he is looked after”. Nutritional screening is undertaken and weights are recorded regularly. Hydration is monitored, there are always jugs of water or squash available in the hall. A service user said, “My daughter used to bring squash in but it was not needed, they fill my jug of squash every day”. Pressure sores and tissue viability are handled well. Photographic evidence is kept when needed, with the service users’ consent. Wounds are continually reviewed. A service user commented, “I came here from hospital, my sores are now getting better, one is completely healed and the other is almost healed”. A visitor also commented, “Mum had pressure sores, one is now healed and one almost healed”. Visits to and from multidisciplinary professionals are arranged as required, and are documented in the care plan. Visitors commented, “They had the doctor to him, and the dentist also comes in”, and “They took him to Kent and Canterbury hospital to get new hearing aids fitted”. The home keeps a folder of ‘thank you’ letters in the office, a comment on one letter witnessed said ‘He could not have been better cared for, both physically and emotionally’. A care manager comment card included the statement, ‘My client told me that staff looked after her and felt her needs were being met’ The requirements and recommendations on the last report regarding medication have all be actioned. The recording of receipt, administration, and disposal of medication are sufficient to allow an audit trail, and medication is now audited monthly. Although the medication room is small it is well organised. Temperatures of the drugs fridge and the medication room are recorded. Storage of medication is satisfactory. Authorisation from G.P’s is in place for all Homely remedies. Service users are treated with dignity and their right to privacy is respected. Service users commented, “I think the staff treat me with respect, and they keep my privacy”, and “The staff treat me with respect”. Visitors commented, “He is treated with respect”, and “If you went to a hotel you could not be treated better”. Chestfield House Nursing Home DS0000026087.V337762.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, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life is organised to suit service users’ needs and choices; their visitors are made welcome; and they are provided with a nutritious and balanced diet. EVIDENCE: The home employs an activities co-ordinator 3 days a week and she arranges activities around the service users in the home at the time. There is also a group organiser with overall responsibility for activities and she arranges regular trips out for the service users in one of the groups mini busses, which all have ramped access for wheelchairs. Service users commented, “I enjoy the trips”, and “I like going out”. A visitor said, “They quite often have a coach to take them out”. Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 13 Themed days and events are held throughout the year including St. Patrick’s day buffet lunch, Easter - cards, baskets, hat competition, and egg hunt, Halloween party, musicals of west end with buffet tea, and summer fair. A communion service is held monthly, and other denomination religious leaders and visitors are made welcome. Visitors commented, “They have some entertainment”, and “They had a wonderful party for his 100th birthday”. Regular in-house activities include such things as manicures and massage, concentration & memory, sensory exercises, and sitting in the garden. A new service that has been introduced is a weekly ‘pat dog’. All activities are recorded in a special entertainments sheet. Service users commented, “I like a manicure” “I have my hair done on Wednesdays”, and “They invite me to join activities but I prefer to stay on my own”. A care manager comment card included the statement, ‘The home appears to be aware of what the client likes to do (e.g. enjoying trips out to get ice cream!) Friends and family are welcome to visit any time of the day or night if the service user wishes. Visitors said, “I visit 5 days a week, I am often offered a cup of tea”, and “I visit twice a week”. Service users are given choices in all aspects of their daily life. A shopping trolley with soaps, toiletries and other items is taken around the home weekly for service users to choose what they need. A service user commented, “I choose where I want to eat, today was my second time in the dining room”. A visitor said, “They come in and ask what he wants for tea and will let him have whatever he wants, he has his meals taken to him - that’s his choice”. Meals at the home are balanced, nutritious, and attractively served and choices are always available. The requirements on the last report have been resolved. Currently the only special diets prepared are liquidised meals (served in separate portions), soft diets, and a vegetarian option. Other special diets and cultural foods are catered for as and when required. When service users need assistance with feeding this is carried out sensitively. The Food Standards Agency system of ‘Safer Food - Better business’ is being introduced into the kitchen. Service users commented, “It’s nice food, plenty of it, far too much sometimes”, “The sweets are nice”, “I like my food”, “There is no need for anyone to go hungry”, “The food is very good, we get choices”, and “The food is very nice”. Visitors said, “The food looks fine to me”, and “He is very happy with his meals, he speaks highly of the food”. A staff member commented, “The food here is excellent”. Chestfield House Nursing Home DS0000026087.V337762.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, & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ concerns and complaints will be listened to and acted upon and they will be protected from abuse. EVIDENCE: The home has a clear complaints policy and a copy of this is on display. There have been no complaints recorded since the last inspection, but records indicate that the home deal with complaints in a satisfactory manner. A folder of forms to enable complaints to be easily made and recorded is available in the hallway near the signing in book. Visitors commented, “I would recommend it to anyone”, “I cant find anything wrong with it”, and “As far as they go you would go a long time to find better”. A care manager questionnaire included the comment, ‘My client hasn’t felt the need to raise any concerns at the present time’ Service users are protected from abuse. All staff are trained in Adult Protection, and those spoken to confirmed they would know what to do if they suspected abuse. No new member of staff is employed until the home has checked their details against the Protection of Vulnerable Adults register. Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 15 Service users are protected from financial abuse by the homes policies and practices for dealing with any service users monies Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home that is clean, comfortable and well maintained. EVIDENCE: Many improvements have been made to the home since the last inspection including, new furniture in the lounge, dining room, and some bedrooms; new curtains in lounge and dining room; and new carpets throughout the home. All communal bathrooms and toilets are in the process of being refurbished. The grounds are tidy and accessible to service users and there is a roof terrace with benches which is accessed from the first floor landing. The kitchen is now steam cleaned on a monthly basis. There is a group maintenance team with a Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 17 mixture of skills and expertise; this ensures that maintenance can be carried out without undue delay. The maintenance staff have an on call rota to ensure that there is someone available when needed during the weekends. One maintenance person said, “I was on call last weekend”. Staff commented, “The environment is very pleasant, it has improved quite dramatically and opened things up”, and “The work has made a huge difference, its much more pleasant to work in now”. Visitors commented, “They have done a lot recently, new carpets and furniture, its much better than it was”, and “It’s beautiful”. The manager reported that with Khan (the provider) everything is new, so there is no need to keep repairing and replacing. The home has two lounges on the ground floor with an archway between separated by chairs arranged to make it into two distinct areas; however, this can be easily opened up for larger events. The dining room is large, airy and attractively laid with lace table clothes and vases of artificial flowers. An additional small lounge is available on the first floor. Service users rooms have all either been redecorated or the decoration is scheduled for completion in the near future. Rooms are personalised to service users own choice. Service users commented, “My room is quite nice, I have my own T.V and one or two things of my own” “My pictures are all my own - I did them myself”, “My son in law brought my T.V.” and “Those are pictures of my grandchildren”. The home is clean and robust infection control procedures are in place. The laundry room is small but clean and well organised and has a washing machine with appropriate infection control programme. Both sluices were clean and odour free on the day of the inspection. Service user comments included, “It’s beautifully clean - no smells”, and “They keep my room nice and clean”. Visitors said, “No problems with the cleanliness, no odour” “Cleanliness is perfect”, and “The cleanliness is quite good, no odours - that’s what I noticed from the start”. A staff member commented, “The home is clean”. Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 9, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by the home’s recruitment processes and a team of staff who are trained to meet their needs EVIDENCE: Staff are employed in sufficient numbers to meet the needs of the service users. There is at least one trained nurse on duty at all times. Although at present the number of care staff who have achieved NVQ level 2 or above is not quite up to 50 , several members of staff are currently working towards this qualification and once they finish their training the level will rise to 67 . One member of staff commented, “I am doing NVQ”. Recruitment procedures are sound. No new member of staff is employed until a criminal record bureau check, a check against the Protection of Vulnerable Adults Register, and 2 satisfactory references are received. Trained nurses PIN numbers are also checked prior to employment. A staff member said, “I Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 19 had a CRB check and they checked 2 references before I started, they do it for all new staff”. All new staff employed in the home have induction training to meet skills for care requirements. The home has also improved and developed its general training schedule since the last inspection including introducing a medication course for all registered nurses. Future courses booked include wound care, a dementia course for managers, and advanced level food hygiene for cooks. All mandatory training is ongoing. Service users comments about staff included, “The staff are very nice, always helpful”, “I get on with the staff”, “The staff are very nice, very kind”, and “The staff are very good, kind”. Visitors commented, “The staff are very friendly”, “I love the staff, they are very good”, and “The staff are very pleasant”. General comments from the staff included “I like working here”, “I could not imagine working anywhere else”, “We get support from the nurses”, and “It’s team work - the whole house” Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people who use the service. EVIDENCE: The acting manager has recently undertaken her fit person interview and is awaiting official confirmation of becoming Registered Manager for the home. Service users commented, “The manager is nice”, and “The manager is good”. A visitor said, “Liz is lovely, she is one of the reasons we came here, she is Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 21 very cheerful”. The manager and group manager are both involved in a sub group for the introduction of the Mental Capacity Act into care homes. As the manager is a Level 2 Nurse a Level 1 Nurse has been appointed as head of care, and she is responsible for the clinical supervision of the other registered nurses. The manager promotes an open and positive atmosphere in the home. Staff members commented, “I think it’s got a lovely atmosphere here, friendly, and open with reciprocity”, “If we have any problems we can talk to the office and it will be resolved as soon as possible” and “The manager is lovely, we can talk to her”. The home has developed sound quality assurance systems. Questionnaires are circulated to service users, relatives and multi disciplinary visitors. As these have only recently been circulated the home are waiting for responses before producing an analysis of the results. A variety of regular audits are undertaken. Residents’ meetings have started on a monthly basis and staff meetings are being introduced 6 weekly. Only small sums of petty cash are held by the home on behalf of service users, and these are securely stored and properly documented. Other financial matters are dealt with by the resident themselves, their family, or their power of attorney. The health, safety and welfare of service users and staff are safeguarded. All staff have regular mandatory training. The manager is a moving and handling trainer/assessor and her accreditation is renewed annually. Accident records are in order. Equipment and safety checks are up to date. Risk assessments are carried out and any identified risks are minimised. Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 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 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local 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 Chestfield House Nursing Home DS0000026087.V337762.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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