Inspection on 07/09/06 for Clayfield

This inspection was carried out on 7th September 2006.

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

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

Other inspections for this house

Clayfield 15/02/06

Clayfield 30/11/05

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Clayfield Clayfield 3-4 Clayfield Villas Victoria Road Barnstaple Devon EX32 8NP Lead Inspector Andy Towse Key Unannounced Inspection 7th September 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Clayfield DS0000065556.V305657.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. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clayfield Address Clayfield 3-4 Clayfield Villas Victoria Road Barnstaple Devon EX32 8NP 01271 374066 01271 374066 clayfield@piltonia.supanet.com 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) Mrs Lynette Sylvia Hollick Mr Antony John Hollick Mrs Lynette Sylvia Hollick Care Home 12 Category(ies) of Dementia - over 65 years of age (12), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (12), Old age, not falling within any other category (12) Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Clayfield comprises two Victorian houses, which have been converted into one residence. The resulting property offers spacious accommodation, which is well maintained. Externally the property has a front garden extending to the main road and at the rear an enclosed, easily assessable and pleasant courtyard area. The home is situated within easy reach of the resources of Barnstaple. Clayfield is registered to accommodate up to 12 older adults who may also have dementia or mental health problems. The accommodation is on two floors, which can be accessed by either stairs or the stair lift. Fees charged range from £276.03 to £368.00 per week. Additional charges are levied for hairdressing, chiropody, and items such as magazines and newspapers if these are required. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an inspection lasting seven hours. Prior to the inspection questionnaires were forwarded to residents, relatives of residents, staff and professionals involved with the home. Responses to these, together with information supplied by the manager prior to the inspection were used to supplement information gathered during the inspection, when files were examined, staff, management, residents’ relatives and residents were spoken to and care practices observed. The subsequent findings comprise the following report. What the service does well: The home operates an effective admissions procedure, which includes thorough assessments and involves residents and relatives in such a way as to ensure that they can make an informed choice about moving into the home. This is a small, family run home. It is domestic in size, decoration and furnishings, and this is what is attractive to people who choose to live here. The environment is maintained to a high standard of cleanliness, with attention paid to things such as fresh flowers on dining tables and matching napkins. Relatives are encouraged to be involved in the running of the home and the development of the care of the residents. Visitors are made welcome. The home is well maintained and has a good standard of hygiene and cleanliness. The home has a commitment to training. Staffing levels are appropriate and they are increased when the assessed needs of residents require this. The registered manager is well qualified and experienced in providing care for older adults. The home uses Quality Audits to continually evaluate the many different areas of the service offered. Clayfield DS0000065556.V305657.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. Clayfield DS0000065556.V305657.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 Clayfield DS0000065556.V305657.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5, 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home’s thorough admission process ensures that only residents whose needs can be met are admitted to the home. Residents make an informed choice about moving into the home. Residents or their relatives have the opportunity to visit the home. EVIDENCE: There has been no admissions since the last inspection in February 2000. The files of two residents admitted prior to that date were examined. Both were seen to contain shared assessments compiled by relevant professionals such as care managers, charge nurses, occupational therapists and physiotherapists. In addition to these assessments, the registered manager also visited both of these residents whilst they were in hospital to carry out her own assessment Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 9 and in one instance also met the family of the prospective resident in order to gain further information allowing her to make a more accurate decision as to whether the prospective residents needs could be met by the home One of the residents did not visit the home as part of the admissions process as in this instance this was considered inappropriate however, this persons family visited the home to assess its fitness to accommodate their relative. Several residents were spoken to regarding why they had decided to live at this particular home. One spoke about the home being recommended but in addition she had visited several homes which had enabled her to make an informed choice about moving to Clayfield. Another said that whilst she had not been able to visit Clayfield as part of the admission process, her relatives had visited the home on her behalf and in looking round the premises and speaking to the manager, had decided that it would be a suitable place for her to live and that it met her needs. One resident, in the resident survey, submitted before the inspection said that he/she had looked around the home, seen his/her room and met the owner with whom he/she had a long conversation and was able to ask any questions wanted. This comment demonstrates that this resident clearly considered that the homes admissions procedure gave him/her enough information upon which to make an informed choice about moving to the home and also confirmed the involvement of the manager in the process. The home does not offer intermediate care. Clayfield DS0000065556.V305657.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 at least once during a 12 month period. 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. Comprehensive care plans ensure that residents’ health, personal and social care needs are met. Residents are protected by the home’s medication policy and correct procedures being carried out. EVIDENCE: All residents files were seen to contain care plans. It is the policy of the home that all care plans contain nutritional assesments and in addition the welfare of residents is protected by regular monitoring of the weights of residents Whilst key workers have specific responsibility for individual residents it is the responsibiliity of all staff to ensure that daily reports relating to every resident are compiled. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 11 All files contained Moving and Handling risk assessments which are compiled by key workers and which are regularly reveiwed. Risk assessments were seen to be linked to care plans. The home has also been pro-active in involving the relatives of residents in the care planning process with evidence that they were consulted about how regularly they wanted to be involvolved in discussion and what medium of communication they preferred (examples being email or face to face meetings) The home also involves relevant professionals in the formulation of care plans and in decisions regarding the welfare of residents. An example of this was the Registered Manager carrying out a Waterlow Assessment for a resident and involving the community nurse, and latterly the family when it was realised that there might be a delay in obtaining certain specialist equipment. The homes assessment form, which has been compiled by the registered manager, is underpinned by reference to the National Minimum Standards. As such it includes diversity such as religious beliefs. The home has a new medication policy, which has been written by the registered manager since the last inspection. She said that this policy has been discussed with the CSCI pharmacist who carried out an unannounced inspection earlier in the year. The home has a separate room for the storage of medication. In this room are also publications giving information about various illnesses, such as Parkinson’s Disease, Pressure Sores, Stroke, Dementia, Diabetes and Epilepsy which would serve to provide relevant information for staff should these relate to the needs of any of the residents at Clayfield. Controlled Drugs were seen to be stored appropriately and their administration correctly recorded. To further protect residents these records are regularly audited by the registered manager using a comprehensive Pharmacy Audit Tool’ specifically compiled for use at Clayfield. A separate profile has been compiled for each resident. This lists the medication prescribed and to increase the awareness of staff, also states in lay persons terms what the medication is for. The home encourages residents to be independent and in keeping with this one resident has been risk assessed as having the capability to self medicate. This resident keeps a record of the medication she takes. The registered manager said that the home does not use homely remedies. Whilst the home does have two double rooms, it was confirmed in discussion with the manager, a resident and residents’ relatives, that all those who Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 12 occupied these rooms were content with the arrangement. One resident actively wanted to share a room. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. 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. Residents are offered activities, which reflect their interests. Visitors are made welcome Residents are encouraged to be independent Menus reflect the choices and preferences of residents. EVIDENCE: The home carries out assessments for all residents. The assessment form has been written taking into account the National Minimum Standards and takes into consideration residents cultural and religious beliefs, hobbies, and likes and dislikes. Residenst were seen to be enjoying their meals. Those spoken to confirmed this as did the responses to the resident survey carried out prior to the inspection. One resident comented that there was a very good choice of food and that the home provided a list to see what I want.This comment was Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 14 confirmed in later discussion with a key worker who explained that there were two choices at meal times and that staff obtained choices from each resident prior to the meals being prepared. An additional table has been added to the dining room so that now all residents can be accommodated there. The dining room is well decorated and, with flowers on every table and views over the patio, it provides a pleasant place for residents to dine. This resident also confirmed that he could have vistors whenever he wanted and that they were made welcome. This comment was confirmed during discussion with two other visitors to the home. One visitor confirmed that she had regular discussions with the registered manager regarding her relative and that the management were approachable. Within the home residents are encouraged to be as independent as possible. This was shown by some assisting with setting the tables and others doing some domestic tasks around the home. With regard to activities one resident said that it comprised board games mainly which he said suited him. Records and further discusions with both residents and staff confirmed that activities such as bingo, board games and walks were available. One resident who had akeen interest in gardening keeps a plant in her room. The home also has a very well stocked library with hundreds of books, mostly in large print, occupying a quiet area of the home with its own seating. Residents were observed to have access to all communal areas of the home and could visit their rooms whenever they wished. A newsletter has been commenced which seeks to keep residents informed about events in the home and any subjects which the manager and staff feel might be of interest to residents. Residents are encouraged to be as independent as possible. With the exception of one resident the home does not hold any money on behalf of residents. These monies are appropriately recorded. Those who have the capacity take charge of their own money whilst, for others, their friends and relatives assume this responsibility. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 15 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 inspected at least once during a 12 month period. 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. Residents are protected by the home’s complaints policy, appropriately trained staff and their confidence in the management. EVIDENCE: Staff spoken to were confident that they could approach the manager if they were aware of any instances of poor practice. They were also aware that they were protected in doing so by the homes Whistle Blowing policy. Responses to the pre-inspection surveys showed that the home operates an open door system of management which means that staff and residents can access the registered manager easily if they want to raise concerns. One response to the survey forwarded to staff prior to the inspection stated that you can always talk to the management if you have a problem. One resident who responded to the pre-inspection survey commented in relation to making a complaint, that he/she can ask the proprietor or any member of staff about anything, someone always available and knowledgeable. In the Pre-Inspection questionnaire the registered manager confirmed that all staff in post in February 2006 had received Protection of Vulnerable Adults Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 16 training. This means that they are aware of what constitutes abuse and what action to take to eliminate it and prtotect residents. The home has a written complaints procedure which is prominently displayed. and which incorporates relevant time scales and the right of the complainant to contact the CSCI at any time during the complaints process. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well maintained and clean environment. EVIDENCE: Clayfield is an older type property. It has been in the ownership of the new proprietors for one year. During that time, as is shown by information contained in the minutes of a relatives meeting work has been undertaken to improve what was a good standard of physical environment. Whilst most bedrooms are single occupancy, two are shared. In discussion with the relatives and those who occupy shared rooms it was confirmed that they were content with this arrangement. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 18 Externally the home has an enclosed and well maintained courtyard/patio area. This provides a quiet haven for residents and is also used for activities such as the forthcoming barbecue to which relatives are also invited. The homes position affords its residents easy access to Barnstaple if accompanied by staff. Bedrooms were seen to have been personalised. Those residents who want keys and who have been risk assessed as being able to manage these have been given them to ensure their privacy. The home has two downstairs toilets which can be accessed from either the lounge or dining room. In addition to the lounge and dining room there is also a quiet library area. The home was seen to have agood standard of hygeine and cleanliness throughout. Whilst care staff do undertake some domestic duties all spoken to said that this did not have an adverse effect on the quality of care they delivered. All resident responses to the pre inspection survey commented favourably upon the standard of hygeine and cleanliness within this home. With regard to the safety of residents, the home has carried out risk assessments and in accordance with these has fitted radiator guards to bedroom radiators. Whilst the access to the laundry is either by an outside door or through the dining area, residents safety was observed to be ensured by all laundry being transported in sealed bags. Since the last inspection the rolling programme of refurbishment has included repairs to the roof, the recarpetting of two bedrooms, new armchairs for the library,, new bedlinen for 6 bedrooms, the replacement of two beds, new garden furniture and the purchase of radiator guards in accordance with risk assessments. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by appropriate levels of staffing. Appropriate care is ensured by the manager’s commitment to staff training relevant to the needs of residents. Residents are protected by the home’s robust recruitment procedures EVIDENCE: The cleanliness of the home shows that domestic duties are appropriately carried out and in discussion with care staff it is apparent that any such duties they undertake do not adversely affect their ability to care for residents.The home does employ domestics. The manager gave examples of staffing levels being increased to meet changes in residents needs. Night support is provided by a wakeful night care assistant supported by the manager on sleep in duty. The home has a commitment to training. Currently the registered manager is training to become an NVQ Assessor which will enable her to assist more staff Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 20 in achieving the NVQ 2 Award recommended in the National Minimum Standards. At the time of the inspection two care staff had obtained their NVQ 2 award and a further seven were studying for it. When this group of staff complete their training this home will have achieved the 50 of staff trained to NVQ 2 level as recommended in the National Minimum Standards. In addition to NVQ training staff have been offered a variety of training opportunities within the last twelve months. This has included training in the handling of medication, falls awareness, and fire safety. According to the preinspection questionnaire all staff in post at February 2006 had Moving and Handling, Basic Food Hygeine, Health and Safety, Record Keeping and Protection of Vulnerable Adults Training. The registered manager herself has had previous experience of training and is to offer staff specialist training relating to the needs of people who have dementia which will enable staff to obtain the necessary skills and knowledge to work with residents whose needs include dementia. The manager is also to become a trainer on the subject of moving and handling so will in future be able to offer this training in-house. Residents are safeguarded by the homes recruitment procedure. This was shown when staff files were examined. All files examined contained two references, police checks, application forms and records of interviews. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management of the home are competent, experienced and qualified. Quality Audits are used to develop the service. Residents are protected by the home’s finance recording system. Residents’ safety is ensured by appropriate testing and servicing of equipment and appropriate policies and procedures. EVIDENCE: Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 22 The registered manager has graduate nursing qualifications in addition to those expected in the National Minimum Standards. She has also run large nursing homes for several years prior to becoming the owner of Clayfield. In both qualifications and experience she meets the requirements of the National Minimum Standards. Her knowledge and experience are complemented by her partner and co-owner of the home who has considerable experience in social services. The owners have introduced Quality Audit Systems for many areas of work at the home. The home has Quality Audits for issues relating to the pharmaceutical aspects of care. There is also a Quality Audit tool relating to care plans. In addition the home has its own Quality Audit relating directly to the care available at Clayfield. This comprises a questionnaire which is for both relatives and residents to complete. It covers issues such as the helpfulness of staff, the atmosphere in the home, general standard of care, the quality of food and whether concerns raised would be taken seriously. Whilst each question can be responded to with responses varying from strongly disagree to strongly agree, the open format also allows for further comments to be added if required. In addition to the questionnaire quality audit the registered manager has been pro active in involving relatives and seeking their views regarding the running of the home. This has been done by letters, invitations to informal get togethers such as the forthcoming barbecue and informal meetings. The views of residents and their relatives have ben taken into account, for example, in the type of food ordered, the design of the newsletter and issues relating to the living environment. With regard to staff, their responses to the audit has lead to training on subjects such as care planning and training relating to medication. The home wherever possible encourages residents or the relatives of residents to take responsibility for their finances. In the few instances where the home holds money on behalf of residents they are safeguarded by the home’s recording of expenditure and the retention of receipts. Information supplied by the registered manager in the pre-inspection questionnaire shows that the home has appropriate policies and procedures to safeguard residents and that appropriate servicing and testing of equipment takes place. Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 4 3 4 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 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 4 X 4 X 3 X X 3 Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 24 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 Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Clayfield DS0000065556.V305657.R01.S.doc Version 5.2 Page 26 - 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!