Inspection on 30/01/07 for Court Regis

This inspection was carried out on 30th January 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

Court Regis 01/08/05

Court Regis 19/04/05

Court Regis 09/12/04

Court Regis 21/04/04

Court Regis 09/09/03

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Court Regis Middletune Avenue Sittingbourne Kent ME10 2HT Lead Inspector Sue McGrath Key Unannounced Inspection 30th January 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 Court Regis DS0000023918.V326417.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. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Court Regis Address Middletune Avenue Sittingbourne Kent ME10 2HT 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) 01795 423485 01795 471348 www.kcht.org Kent Community Housing Trust Mrs Pauline Lillian Florence Wise Care Home 54 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (34), of places Physical disability (2) Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Care for one person with a physical disability is limited to one person whose date of birth is 19/09/1942. Care for one person with a physical disability is limited to one person whose date of birth is 04/05/1947 1st August 2005 Date of last inspection Brief Description of the Service: The home occupies detached premises, which was custom built initially for the local authority, and offers accommodation on the ground floor only, although there are staff facilities on the first floor. There are 32 single rooms and 11 shared rooms, all of which have call bell and television points. It is located on the edge of a large residential estate and adjacent to a junior school, to the north of Milton Regis. It is close to a bus route and about a mile from the main line railway station of Sittingbourne. Local shops are within a short walking distance. The staff complement numbers 45 carers, 11 domestic staff, who attend to catering and cleaning, including one who works exclusively in the laundry, a technician/handyman and an administrator. The registered manager, who has worked in the home for more that 27 years, has acquired comprehensive experience in the provision of care. She has attained qualifications in management and care and overseas a skilled and competent team who are trained in working with older people and those suffering from dementia. The duty rota includes 3 carers on waking night duty, with a senior member of staff on-call for emergencies. There is also a full time activities co-ordinator. The unit within the home that offers care for those people suffering from dementia is self-contained, but shares the catering and domestic services within the main building. It has access to a large secure garden. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 29th and 30th January 2007 and was conducted by Sue McGrath, a regulation inspector from the Commission for Social Care and Inspection (CSCI). The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. Overall this was a positive inspection with generally good outcomes for service users. Fees are from £318.99 to £449.42 per week. What the service does well: The residents confirmed that they felt comfortable and relaxed in the home and that they felt well cared for. The home is friendly and homely. Health needs are well managed and a good relationship is enjoyed with the local District Nurse team. Residents are encouraged to maintain contact with their loved ones and visitors are made very welcomed. All resident said that the food was good and there was always ample to eat and drink. Staff training is well organised and provides staff with the competences to fulfil their roles at the home. The residents enjoy an excellent level of activities and social events within and outside the home. All of the staff contribute to the well running of the home and the friendly and warm environment. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Court Regis DS0000023918.V326417.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 Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s statement of purpose requires updating to ensure all residents and families receive comprehensive information regarding services offered at Court Regis. A written statement of terms and conditions protects residents’ legal rights to occupancy. Residents benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 9 EVIDENCE: Residents and their families have access to a written Statement of Purpose and Service User Guide, however these need to reflect the care offered to residents under sixty-five as well. It is also recommended that the home clearly state what its policy is on residents who develop dementia after admission. This recommendation is made due to the high number of service users waiting for assessments from the geriatrician from Southlands hospital. The organisation may need to reflect on the number of dementia clients they are registered for. Samples of the current contract/terms and conditions were viewed. They contained information regarding room number, costs, notice times and other appropriate information. The contract was standard for all KCHT establishments. The manager explained the process of admission, which was thorough and consisted of a home visit where possible and a phased admission to the home. Residents spoken with confirmed that they had visited the home prior to their admission and had been able to bring in a few personal items with them. The manager confirmed that sometimes it was possible for personal items to be brought in prior to the resident arriving, so that they feel more at home straight away. The home also uses a buddy system were existing residents help a new arrival to settle in. All resident had a full review after four weeks to ensure his or her needs continued to be met, this could be extended if required. The home tries to avoid emergency admissions, but when these occur a lot of time is spent with the new resident explaining routines etc and within 5 days a full assessment would have been completed. Evidence in resident’s files confirmed this does happen. The home has a specialist unit for residents with dementia and all staff have either received training or training is planned in dementia care. Staff had the relevant experience to deliver this level of care. Staff on the residential unit also had the skills and experience necessary. Court Regis DS0000023918.V326417.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 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Health needs are well met and residents benefit from having full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. Residents feel they are treated with respect and their right to privacy is upheld. The Residents benefit from having the issue of aging and illness handled sensitively. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 11 EVIDENCE: Six care plans were viewed during the inspection and were fairly comprehensive and gave good guidance to staff and set out what action was needed to ensure all aspects of health and personal care needs of the residents were met. Some recoding of tasks performed could be improved. Not all residents had nutritional assessments in place. It is also recommended that diabetic risk assessments be completed for residents who have a diagnosis of diabetes. All of the residents were registered with a local GP and had access to other professionals such as opticians and chiropodists ensuring health care needs were met. One resident said that her doctor visits regularly and that she often sees the district nurse. Medication was assessed and conformed to the guidelines recommended by the Royal Pharmaceutical Society of Great Britain. All staff that administered medication had completed appropriate training. Staff practices seen on the day indicated that residents were well respected at all times and that preferred terms of address were used. Good interaction between staff and residents was observed. Many residents said how kind the staff were. The home had a comprehensive policy on illness and palliative care which as far as medically possible enabled residents to remain in the home for as long as possible. Support would be sought from the local District Nurse team and in the past a good relationship had been developed. Relatives would be encouraged to stay with their loved ones and overnight accommodation could be provided if require. Spiritual needs were also addressed at this time. Notes seen on care plans indicated that families had been involved with the necessary arrangements after the death of a resident. It was clear that this had been handled with dignity and respect. The manager was also aware that staff might need extra support at these times. A new member of staff confirmed that she had received good support from the management team and her colleagues following a recent death at the home. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14,and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. Residents, who wish to, have excellent access to organised activities. Residents benefit from the appetising meals and balanced diet offered by the home and those service users requiring specialist diets are well catered for. EVIDENCE: Although there was a need for certain routines such as meal times, the residents said that life was very relaxed and that they could get up and go to bed when they wanted to. Breakfast was time was very flexible. Residents could have their meals in their own room if they wished, although they were encouraged to come to the dining room to ensure they enjoyed the company of the other residents. Several notices were seen around the home informing the residents of future activities and entertainments. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 13 The level of activities in the home was excellent. The manager employed an activity coordinator for thirty hours per week. Alternate weekends were worked ensuring weekend activities also take place. Residents were given a choice whether they wish to attend and those that did not received a one to one session where possible. Good records were kept to evidence this was happening. Activities range from indoor and some outdoor visits. Some craftwork was done but only if residents requested it. Other activities include bingo, quizzes, reminiscence work, fish and chips suppers, wine and wisdom evenings. Some evenings were spent sampling different types of food such as flavoured sausage, tropical fruits and different beers. These had proved very popular with the residents. One to One sessions include going to beer festivals, pub lunches, and shopping trips as well as hand massages and games such as scrabble and draughts. The activities programme seen on wall and it was confirmed it changed weekly according to what was required. At Christmas several residents went to a local pub for a Christmas lunch, which was very popular. The home had access to a minibus once a month and trips out were planned for the coming year. Trips out included seaside visits, lunches out and country drives. The activities coordinator has to use a rota system to ensure as many residents who want to go out are accommodated. For Christmas nine residents were taken to Rochester Cathedral for a carol service and then went on to the Corn Exchange for supper. This was organised by the organisation and is an annual event. A Christmas pantomime and party was also held at the home. The organisation has a special fund that the home can apply to and will donate up to £200 towards activities and events. The home had an amenity fund and monies raised from autumn and Christmas fairs and social evenings etc were used for the benefit of the residents. These accounts were regularly audited. Families are always made very welcomed at these events and they have proved very popular. One very positive outcome of the amenity fund was to purchase a washing machine and dryer for residents who want to retain some independence. The home does provide care for some residents under 65. Comments made by some residents included ‘I have plenty to do’ and ‘there is always something to do’. Several residents had access to mobile phones others could use the phone provided by the home. All residents had the use of private room for visitors if required. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 14 Several families spoken with on the day confirmed they were always made welcomed and could visit at any time. Most spoke of the homely and caring atmosphere in the home. With the levels of dementia and confusion within the home it was not always easy to ensure full choices were given at all times, however staff were seen to offer choices where possible and where not possible gave full support and consideration. Almost of the resident spoken with confirmed the food was very good and a choice was always given. Comments like ‘the food is lovely’ and ‘the breakfast really sets me up for the day, I can have whatever I want’. Both a breakfast and lunch were observed. The atmosphere in the dining room was friendly and relaxed and the food looked well cooked and well presented. Records confirmed that choices were given. Drinks were freely available and suppers were available as required. Court Regis DS0000023918.V326417.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust complaints system and service users and most relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that residents are protected from abuse. EVIDENCE: The home had a clear complaints procedure that complied with all the requirements of the regulations. One visitor was aware of the procedures and was confident that any issues she raised would be dealt with effectively. Some comments taken from the comments cards completed by families stated they were unsure of the complaints procedure and the manager may wish to make this information more easily available. There had been no complaints since the last inspection, but the home had received a number of letters of compliments from family members. Discussion with several staff members indicated that they had a good understanding of Adult Abuse and had received appropriate training in this subject. Court Regis DS0000023918.V326417.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, 21,23, 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home needs to be refurbished for the benefit of service users. Service users have access to safe and comfortable indoor and outdoor communal areas. Service users are encouraged to maximise their independence by having access to the range of specialist equipment supplied by the home. Whilst residents rooms are homely and comfortable not all service users benefit from living in rooms that meet the requirements for space. Residents benefit from living in a clean, pleasant and hygienic home. EVIDENCE: The general environment was still in need of refurbishment for the benefit of the residents however some improvements had been made. New flooring in corridors in EMI wing improved both the appearance and hygiene of this area. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 17 Two bedrooms in that wing were also to have new flooring. The manager confirmed that the handyman usually decorates each bedroom as they become vacant ready for the new admissions. The organisation had agreed a budget of £22,00 to redecorate the corridors as the paintwork and walls were badly chipped and in need of decorating. This work has not yet started but it was hoped it would be completed soon. New boilers had been fitted since the last inspection improving heating and hot water supplies. Following advice from the infection control nurse, as recommended in the last report, the old sluices had been removed and new disinfectors installed. New commode pots had also been purchased. The poor state of the toilets in the block to the front of the building, as mentioned in the last report, had not been addressed. One of the hand washbasins was cracked and the toilet cisterns were showing signs of leaking at some time. The hand basins drain into directly an open drain and must be difficult to keep clean. The walls are not tiled and are flaking and need attention. A requirement will be made that this area is to be refurbished. Plans were in place to refurbish the laundry area. Specialist equipment is provided following assessments from visiting professionals. Several bedrooms were viewed and all were clean and well personalised. It was noted that the carpet in room 20 had a hole in it and a further requirement will be made for its replacement. Residents have full access to several comfortable lounges and secure grounds. One resident stated that he enjoyed the gardens in the summertime. On the day of the inspection the home was clean and fresh. Several visitors stated that it was always clean. Court Regis DS0000023918.V326417.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from staff that are trained and competent to do their jobs and who enjoy good morale. EVIDENCE: Evidence seen on the day including rotas and observations of working practises confirmed that the residents needs were being met by sufficient numbers of staff and that they had the necessary skills. Families should be confident their relatives are in safe hands. Several members of staff were spoken with and all stated that they did not feel under any pressure and were well supported by the management. Evidence seen in staff files and discussion with recently employed staff confirmed that the home is following its written policies on the recruitment of staff. All new staff complete a TOPPS based induction programme and a threeday in house induction course. Of the forty-five care staff, twenty-two had completed National Vocational Qualification (NVQ) level 2 and twenty-one had started the programme. This gives approximately 50 of staff qualified to NVQ levels. Clearly when all have completed the course the ration will be much higher. Seven staff had completed NVQ level 3. Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 19 Other training includes medication, infection control and dementia. Colleges in Kent validate these courses. The trust also provides other training in house. It is advised that adult protection training continues to be offered to all staff. All staff were fully trained in manual handling. Discussion with the activity coordinator and manager confirmed they would like to access further training in activities which would further enhance the coordinators skills. Court Regis DS0000023918.V326417.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, 34, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having a manager who is well supported by the senior staff in providing leadership throughout the home and from staff who demonstrate an awareness of their roles and responsibilities. Residents also benefit from a service that is safe and well managed. Current arrangements were sufficient to protect the health, safety and welfare of residents and staff. EVIDENCE: The registered manager has worked in the home for over 28years and has all the necessary qualification to manage the home in a professional and efficient Court Regis DS0000023918.V326417.R01.S.doc Version 5.2 Page 21 way. She starts her working day early so that she can share breakfast with the residents, as she has found this is a valuable time to get to know them and to listened to them. Residents confirmed she always takes time to talk to them. The atmosphere amongst both the staff and senior team is one of commitment and all enjoy a homely environment. Policies and procedures are in place to ensure resident’s finances are well protected and secure. Evidence was seen and was confirmed by staff that regular supervision is ongoing. Several staff stated that they felt well supported by management and felt the supervision process was helpful. Records seen on the day and information gathered from the pre inspection questionnaire confirmed that home and its equipment was well maintained. Accident books and records were seen and confirmed the home takes all incidents, including near misses, seriously. An in depth policy and procedures around fire safety was in place and contained the required fire risk assessment. The assistant manager and handyman were the designated fire wardens and staff were about to embark on a refresher fire awareness course. Regular fire drills were held. Court Regis DS0000023918.V326417.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 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 2 1 X 2 2 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 3 3 3 X 3 Court Regis DS0000023918.V326417.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 Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP21 Regulation 23(2) Requirement The toilets on the lower floor (block by front door) need refurbishing. Action plan required The carpet in bedroom 20 requires replacing. Timescale for action 11/03/07 2. OP24 16(1)(2) (c)(d) 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations It is recommended that the home’s statement of purpose required updating to include its role for under 65’s and to clarify its procedures for residents who develop dementia during their stay at Court Regis. It is recommended that staff continue to be trained in Adult Protection. 2 OP18 Court Regis DS0000023918.V326417.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 Court Regis DS0000023918.V326417.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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