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Inspection on 03/09/07 for Clovelly House Residential Home Ltd

Also see our care home review for Clovelly House Residential Home Ltd for more information

This inspection was carried out on 3rd September 2007.

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

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

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

What the care home does well

Feedback from residents and their relatives indicated that residents had been treated with respect and dignity. The arrangements for the provision of meals were satisfactory and residents were happy with the meals served. The premises were well maintained, clean and felt homely. Bedrooms were well furnished and appeared cosy. The gardens were attractive and well maintained. This ensures that residents live in pleasant surroundings. Staff interviewed were knowledgeable regarding their roles and responsibilities and there was good teamwork. Over 50 % of care staff had the required NVQ qualifications. The manager and her head of care had RMA qualifications and they were knowledgeable regarding the management of the home and care of residents. This ensures that residents are cared for by competent staff.The home had effective quality assurance and monitoring systems which included customer surveys, consultation meetings and random checks carried out by the manager. This ensures that the home provides residents with a high quality of care and responsive service.

What has improved since the last inspection?

The registered person had arranged for the home`s emergency lighting to be checked monthly. This ensures that in the event of a disruption in the power supply, residents are not inconvenienced or put at risk.

What the care home could do better:

No requirements have been made.

CARE HOMES FOR OLDER PEOPLE Clovelly House Residential Home Ltd 83-89 Torrington Park London N12 9PN Lead Inspector Daniel Lim Key Unannounced Inspection 3rd September 2007 09:30 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 Clovelly House Residential Home Ltd DS0000010400.V344207.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. Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clovelly House Residential Home Ltd Address 83-89 Torrington Park London N12 9PN 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) 020 8445 6775/1175 020 8445 7651 clovellyhouse@tiscali.co.uk www.clovellyhouse.com Clovelly House Residential Home Limited Mrs Catherine Frances Thorn Care Home 39 Category(ies) of Dementia - over 65 years of age (0), Mental registration, with number disorder, excluding learning disability or of places dementia (0), Old age, not falling within any other category (0) Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Six service users. A maximum of six service users aged 40 years and over, can be within the category of mental disorder, excluding learning disability or dementia. 5th September 2006 Date of last inspection Brief Description of the Service: Clovelly House is a care home registered to provide personal care for a maximum of 39 residents who are over 65 years of age and who may have dementia. The homes conditions of registration had also been varied to allow it to provide care for six adults with a mental disorder who are over forty years of age. The stated aims of the home are to provide a secure, relaxed and homely environment in which care, personal well being and comfort are of prime importance. The home consists of four adjoining houses, which have been converted to their present use. Bedrooms are situated on all three floors of the home. The lounges and dining room are on the ground floor. All floors are served by a shaft lift. There are thirty six single bedrooms and three shared bedrooms. The home has five lounges and a dining room. Clovelly House is located in a residential area within walking distance of shops, cafes, and other community facilities located along the high road in North Finchley. The fees charged by the home range from £495 - £520 per week. The provider must make information about the service available (including reports) to service users and other stakeholders. Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 3 September 2007 and took a total of five and a half hours to complete. The inspector found that the care provided was of a high standard and the previous requirement made had been complied with. During this inspection, the inspector was assisted by the registered manager of the home (Catherine Frances Thorne). The inspector was able to interview five residents. The feedback received from them indicated that they were satisfied with the care provided. A record of compliments received from residents and their relatives had also been kept. Statutory records were examined. These included four residents’ case records, the maintenance records, accident records, complaints’ record, financial records and fire records of the home. These records were well maintained. Seven staff on duty were interviewed on a range of topics associated with their work. They were noted to be knowledgeable. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. These were satisfactory. The minutes of staff and residents’ meeting were also examined. These indicated that changes had been communicated and residents and staff had been consulted regarding the management of the home. The premises including bedrooms, bathrooms, lounges, treatment room, kitchen, garden and communal areas were inspected. These areas were clean and well maintained. What the service does well: Feedback from residents and their relatives indicated that residents had been treated with respect and dignity. The arrangements for the provision of meals were satisfactory and residents were happy with the meals served. The premises were well maintained, clean and felt homely. Bedrooms were well furnished and appeared cosy. The gardens were attractive and well maintained. This ensures that residents live in pleasant surroundings. Staff interviewed were knowledgeable regarding their roles and responsibilities and there was good teamwork. Over 50 of care staff had the required NVQ qualifications. The manager and her head of care had RMA qualifications and they were knowledgeable regarding the management of the home and care of residents. This ensures that residents are cared for by competent staff. Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 6 The home had effective quality assurance and monitoring systems which included customer surveys, consultation meetings and random checks carried out by the manager. This ensures that the home provides residents with a high quality of care and responsive service. 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. Clovelly House Residential Home Ltd DS0000010400.V344207.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 Clovelly House Residential Home Ltd DS0000010400.V344207.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): 3, 6 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken by the manager. Admissions only take place if the service is confident that the needs of people to be admitted can be met. This ensures that the admissions to the home are appropriate. EVIDENCE: The case records of two residents who were admitted since the last inspection of the home were examined. They contained comprehensive pre-admission Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 9 assessments carried out by the manager. These assessments were comprehensive and met the required standard. Risk assessments together with strategies for minimising risks had been prepared by staff from the home. These include risk assessments for falls. An appropriate and comprehensive care plan had been prepared for each resident and the care provided had been reviewed with professionals involved. The manager informed the inspector that she was careful to ensure that only residents who can be properly cared for are admitted. The home does not provide intermediate care. Clovelly House Residential Home Ltd DS0000010400.V344207.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 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. Satisfactory arrangements for personal, specialist healthcare and dietary requirements were in place. Personal support provided was responsive to the individual needs and preferences of people who use the service. Residents’ individual plans clearly record their personal and healthcare needs and how they will be delivered. The service was sensitive to the changing needs of residents. Staff are well trained and competent. Residents interviewed were happy with the care provided. EVIDENCE: The five residents interviewed, indicated that their healthcare and personal needs had been met. Comments made by them in this area included, Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 11 “ I have seen the doctor. He comes each week”, “my medication has been given to me”, and “ I am well cared for”. Four residents’ case records were examined. These care plans were comprehensive and addressed the needs of residents. They had been signed by residents (or their representatives) to indicate that they ha been consulted and agree to them. There was evidence that people who use services have access to healthcare. A record of medical and healthcare visits / appointments had been kept. These included chiropody, dental and optician’s appointments. The case records of a resident with diabetes (diet controlled) was examined in detail. An appropriate diabetes care plan had been prepared. Staff interviewed were aware of the special dietary arrangements (including kitchen staff). The arrangements for the administration of medication (including the policy and procedures) were generally noted to be satisfactory. A record of daily fridge and room temperatures had been kept. These were satisfactory. With one exception, medication administration charts (MAR) were appropriately filled in. The MAR chart of a resident had not been filled in after medication was administered during the morning. This was brought to the attention of the head of care who promptly requested that the staff concerned sign the chart. The inspector noted that staff regularly interacted with residents when attending to them and they were respectful and gentle in their approach. Residents were noted to be clean and appropriately dressed. Clovelly House Residential Home Ltd DS0000010400.V344207.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 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The daily life, meal arrangements and routines of residents were well organised. The service has a strong commitment to enabling residents to remain as independent as possible and engage in meaningful activities. Personal and family relationships are being maintained. This ensures that the personal, cultural and social preferences of residents are met. EVIDENCE: The home had a varied programme of daily social and therapeutic activities. The programme which was available for inspection included reminiscence sessions (held on the day of inspection), outings, music sessions, religious services, birthday celebrations and art and crafts sessions. Sky television channels were available for residents. Arrangements were in place for residents who wanted to participate in religious services. These services were held at the home. Residents interviewed were generally satisfied with the Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 13 activities provided. A record of activities that residents had engaged in had been kept. The kitchen was clean and well equipped. A record of fridge and freezer temperatures had been kept. These were satisfactory. Residents interviewed indicated that they were satisfied with the meals provided. The chef was knowledgeable regarding special meals to be provided. This included special meals for residents with diabetes. The menu which was examined, appeared varied and balanced. There was documented evidence that the ethnic dietary preferences of residents had been catered for. Meals provided included ethnic foods such as curries, lasagne and pasta. Food hygiene training had been provided for staff and documented evidence was available in staff files. There was documented evidence in the visitors’ book that residents had been visited by their friends and relatives. This was also confirmed by residents interviewed. Clovelly House Residential Home Ltd DS0000010400.V344207.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 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. This ensures that residents are well treated and protected from abuse.Residents and others involved with the service say they are happy with the service provision. EVIDENCE: The complaints record was examined. There was evidence to indicate that complaints recorded had been promptly responded to. The manager and her staff were aware of the procedure to follow when responding to allegations of abuse. There was documented evidence that staff had been provided with adult protection training and when interviewed, they were aware of the procedures to follow when responding to allegations or incidents of abuse. Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 15 The issue of equalities and diversity was discussed with the manager and her staff. Staff indicated that they had been instructed to treat all residents sensitively and with respect regardless of disability, gender, race, religion or sexual orientation. The home had an equalities and diversity policy. Residents who were interviewed indicated that they had not been subject to any discrimination and they had been well treated by staff. An allegation of abuse had been brought to the attention of the inspector by the home manager. This incident had also been reported to Social Services and was appropriately responded. Social Services had been involved in the subsequent investigations which followed. A record of compliments received by the home had been kept. These indicated that relatives were satisfied with the care provided. Comments made in cards and letters sent to the home included the following: ‘Please thank all the staff for looking after my Mother so well and in such a loving way.’ ‘Mother was so beautifully looked after. The care given to all residents is simply first class and I have been overwhelmed by the kindness of the staff. The residents’ welfare is always of paramount importance’. ‘The Home has a lovely warm feel about it’ Clovelly House Residential Home Ltd DS0000010400.V344207.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, 21, 22, 23, 24, 25, 26 People who use this service experience a good outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. It is clean, tidy and well maintained. Appropriate aids and equipment had been provided. The premises were homely, comfortable and cheerfully decorated. People who use the service can personalise their bedrooms. They stated that they were happy with the accommodation provided. EVIDENCE: The bedrooms and communal areas inspected were clean, tidy, and well furnished. The home was well maintained and has a rolling programme of redecoration. The gardens were attractive, colourful and seating had been Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 17 provided. Bedrooms inspected appeared cosy and had been personalised by residents with their own pictures and ornaments. Residents who were interviewed stated that they were happy with the accommodation provided and their bedrooms had been kept clean. The laundry room was inspected and noted to be well equipped. No offensive odours were detected Specialist equipment available included 3 mobile hoists, 2 assisted baths and several wheelchairs, ramps to entrance of the home and garden, side rails in a resident’s bedroom, 2 exercise bikes and a sit on weighing machine. Blinds with anti-glare property were provided in one of the lounges. For the entertainment of residents the home has a billiard table and 2 pianos. Clovelly House Residential Home Ltd DS0000010400.V344207.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, 29, 30 People who use this service experience an excellent outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The service has a well developed recruitment procedure that has the needs of people who use the service at it’s core. There is a good level of staffing at all times to support the needs of residents using the service in an individualised and person centred way. Management prioritise training and facilitate staff members to undertake external qualifications beyond the basic requirements. Staff meetings are used for the involvement of staff in the development of the service and care of residents. Staff understand and are aware of the specific care to be delivered to residents. People who use the service and their representatives expressed confidence in the staff who care for them. EVIDENCE: Seven staff who were on duty were interviewed on a range of topics associated with their work. They were noted to be knowledgeable regarding their roles and responsibilities and were able to provide appropriate answers to questions asked. They stated that they had been instructed to treat all residents with Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 19 respect and dignity regardless of their race, religion or sexual orientation. This was confirmed in the induction programmes seen. Residents who were interviewed indicated that staff were respectful and they had been well treated. This was confirmed in letters and cards from relatives. The inspector noted that staff spoke to residents in a respectful manner and there was regular interaction with residents. The duty rota was examined. It indicated that in addition to the manager and ancillary staff, there was normally at least 7 care staff during the morning shift, 4 care staff during the afternoon and evening shifts and 3 care staff on waking duty during the night shifts. An extra care staff is provided from 430 pm -730 pm in the evening and from 7am - 8 am.The manager was supernumerary. Ancillary staff working at the home consisted of a chef and one kitchen staff, two cleaners and a maintenance person. This level of staffing enabled staff to perform their duties. No concerns regarding staffing were brought to the attention of the inspector by those interviewed and staff stated that they were able to perform their duties and adequately care for residents. The training records examined, indicated that staff had been provided with the required training (such as health & safety, moving & handling, care of residents with dementia illness and challenging behaviour. Infection control, fire training, food hygiene and adult protection). The Home has a staff training plan which is reviewed annually. 92 of care staff had been provided with the required NVQ training and the manager, head of care and a senior staff had RMA qualifications. Recruitment records examined indicated that the required recruitment procedures (including obtaining of satisfactory CRB disclosures and two references) had been followed. This ensures that staff recruited are appropriate and residents are protected. Clovelly House Residential Home Ltd DS0000010400.V344207.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, 33, 35, 38 People who use this service experience an excellent outcome in this area. This judgement has been made from evidence gathered both during and before the visit to this service. The registered manager has the required qualifications and experience, is highly competent to run the home and meet it’s stated aims and objectives. She demonstrates strong leadership and is able to communicate a clear sense of direction to her staff. This ensures that they are aware and responsive towards the needs of residents. Effective quality assurance and monitoring system are in place and customer satisfaction is high. The home has a clear development plan and the insurance cover in place ensures that the home is fully insured to meet it’s legal liabilities. All staff have been provided with training in health & safety and working practices in the home are safe. Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager and her head of care were noted to be knowledgeable regarding the management of the home. They had received their RMA qualifications and there was evidence that they had regularly updated their professional knowledge. All staff and residents interviewed were satisfied with the management of the home. This was reiterated in compliments received from relatives. There was evidence of effective quality assurance and monitoring systems. Reports of recent consumer surveys were available for inspection. An action plan had been prepared for improving the service. Residents interviewed confirmed that they were regularly consulted regarding the management of the home. The minutes of monthly residents’ meeting were available for inspection. The minutes of staff meetings were also available for inspection. These indicate that changes had been communicated to residents and staff and suggestions made had been responded to. The home had been awarded a 4 star rating by the Cinnamon Trust. This award indicated that the home had been successful in enabling older people have access to pets. A current certificate of insurance was displayed. The level on insurance met the required standard. The financial record of a resident was available for inspection (only one resident’s money was kept by the home). This record was well maintained and contained receipts for items purchased on behalf of the resident. The fire log book was examined. The weekly fire alarm tests, fire drills and fire training had been documented. The home had an up to date fire risk assessment. The emergency lighting had been checked at least once a month. The required health & safety inspections on the home’s portable appliances, gas and electrical installations had been carried out. No health & safety deficiencies were noted. Clovelly House Residential Home Ltd DS0000010400.V344207.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 X 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 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 4 3 3 3 3 3 3 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X x 4 Clovelly House Residential Home Ltd DS0000010400.V344207.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 Clovelly House Residential Home Ltd DS0000010400.V344207.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Clovelly House Residential Home Ltd DS0000010400.V344207.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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