Inspection on 21/07/06 for Cove House

This inspection was carried out on 21st July 2006.

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.

Other inspections for this house

Cove House 20/12/05

Cove House 07/10/05

Cove House 03/03/05

Cove House 16/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Cove House Cove Road Silverdale Lancashire LA5 0SG Lead Inspector Mr Ajam Auckburally Unannounced Inspection 21st July 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 Cove House DS0000009663.V299075.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. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cove House Address Cove Road Silverdale Lancashire LA5 0SG 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) 01524 701219 01524 701041 The Abbeyfield Silverdale And District Society Mrs Nicola Spedding Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1.The home may accommodate no more than 19 service users in the category OP (older persons 65 and over). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 20th December 2005 Date of last inspection Brief Description of the Service: Cove House is registered with the Commission for Social Care Inspection to provide care and accommodation for up to 19 older people. The home is a 19th Century property, situated in its own grounds in a picturesque area in Silverdale and overlooking Morecambe Bay. The home is one of a number operated by the Abbeyfield Society, a non profit making organisation. The registered manager (Mrs Spedding) is supported by an executive committee made up of professionals with a variety of qualifications and experience. All accommodation at the home is offered on a single room basis and 14 of the 19 rooms have en-suite facilities. There are a variety of communal areas available for the use of residents including a large dining room and several lounges. In addition, residents have the benefit of extensive, very well maintained grounds, which are fully accessible. Care is provided at the home on a 24-hour basis, including waking watch care throughout the night. Seventy eight percent of the carers employed at Cove House have National Vocational Qualifications in care at level 2 or above. This is well above the 50 recommended. There were 18 residents living at the home at the time of the inspection. Current weekly fees are between £379 and £412 and additional extras like hairdressing, outings and newspapers are paid for by the residents. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Cove House was assessed as requiring a statutory key visit (inspection) between April 2006 and March 2007. An unannounced key site visit was carried out on 21st July 2006 which lasted for 5.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the deputy manager, the staff and the residents. During the inspection, some records were looked at and several residents and staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. There were 18 residents living at the home at the time of the inspection and there were 3 care staff, the deputy manager, and a cook on duty. The number of staff on duty was well within the minimum level recommended. The staff were observed to be polite and attentive when talking and dealing with the residents. What the service does well: The inspection was conducted in a very friendly manner and all the residents were very happy to tell the inspector about their home. They all said how happy they were living at Cove House. The atmosphere was very relaxed and staff and residents got on well together. During the visit, the inspector spoke and observed a number of residents who all appeared to be very comfortable and relaxed in their surroundings. Many of the residents who responded to the written survey and those consulted during the inspection were very complimentary about the quality and variety of meals provided at the home. Great satisfaction was expressed about Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 6 the standard of meals and several residents confirmed that there were a number of choices available at each mealtime. Residents at this home benefit from a very high standard of accommodation. Cove House is a large building which is well maintained and nicely furnished. All accommodation at the home is offered on a single room basis and the majority of bedrooms have en-suite facilities. Many of the rooms at the home offer wonderful views of Morecambe Bay and the local countryside. In addition, there are a variety of communal areas that residents can spend their time in, both inside and outside of the home. Staff consulted and observed during the visit appeared to be going about their roles in a professional and cheerful manner. It was confirmed during this visit that staff benefit from a good standard of training. It was also pleasing to note that the home continue to meet the national target in NVQ training, with 78 of carers holding the qualification at level 2 or above. This home has some good systems in place for quality assurance including regular residents’ meetings, informal chat and formal survey by the use of a questionnaire. What has improved since the last inspection? A new call system has been installed. The system is cordless which means that it is portable. The call bells in one bedroom and a toilet were tested and they were found to be working well. Staff carry a bleep with them and when a call button is used they are alerted. They can read which call button has been activated and can get there quickly. Three residents went out in the garden for a walk and they took with them a portable call button which they wear like a pendant around their neck. They said that they find the new system comforting and reassuring. The assessments of residents now include a brief history as recommended during the last inspection. This helps the reader to learn about the residents and deliver appropriate care and activities. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 7 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. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 8 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 Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 9 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&6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a good pre admission procedure to ensure that residents admitted can be cared for by meeting all their needs. EVIDENCE: The records of admission of the last resident admitted to the home were examined. They showed clearly that the resident’s family had visited the home prior to the admission taking place. The deputy manager said that written information in the form of a brochure is given to all who seek information about the home. The brochure is well designed and written and has all the information someone will need to make an informed choice about the home. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 10 The brochure contains information on the history of Abbeyfield, the charity organisation which owns the home, the house, the care, the charges, the staffing, the complaint procedure and other useful information. A copy of the last inspection report is available in the reception area. Written information is also available in large print format. The deputy manager said that a member of the management team always visits prospective residents who are unable to visit the home, either in their own home or in hospital. A written pre admission assessment is done at this stage to ensure that the staff of the home can meet the assessed needs. A form is used to record information under the heading of: personal care, vision, mobility, eating and several more areas relevant to the care of the resident. This is called the dependency profile. The staff said that they are given as much information about the new residents as possible so that they can provide tailor-made care. The resident said that she is very pleased with the home and that her family had chosen well. She said that the staff are ‘marvellous’ and that nothing is too much trouble for them. The deputy manager said it is the policy of the home not to take in residents for whom total care cannot be provided. The home does not provide intermediate care. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 11 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 excellent. This judgement has been made using available evidence including a visit to this service. There are excellent practices to meet the personal and health care needs of the residents. Residents’ individual needs are fully met EVIDENCE: Two residents, one of whom being the last one admitted to the home were case tracked. This means that two residents were selected by the inspector and the care they receive examined closely. Their assessments and care plans were examined and they were spoken to. The records show that detailed written information about the residents has been recorded. These include an assessment to identify the needs of the residents and also a care plan which shows how the needs were being met. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 12 One of the residents needed help with personal care, and the records clearly show how the staff were involved in providing assistance with this task. The physical assessment covers; personal hygiene, mobility, hearing, vision and other areas. The care plans give details of how the assessed needs are met. For example, if someone needed help with personal hygiene, the record will show that this person needs staff to wash and dress her. The care plans are reviewed monthly to meet the changing needs of the residents. The residents are involved in this exercise. They are also asked if they want their family to be included in their reviews. The two residents said that they are very well looked after by a team of very good staff. Other residents spoken to were very positive about the staff and the management of the home. They described the home as being ‘marvellous’, ‘excellent’ and ‘the best’. Six survey cards were returned by the residents. All were very positive about the home and the staff. One resident commented, “ If there is one home in all the country to beat Cove House, it will be a surprise to me. I feel it is my home and I am proud of it.” The inspector observed a very relaxed and friendly atmosphere in the home. There were good interactions between the staff and the residents. To meet the needs of residents who need support when walking along the corridors, handrails have been fitted on the walls. The corridors are wide and easy for people in wheelchairs to use. Some of the toilets have been fitted with grab rails to help those residents with poor balance and mobility. The deputy manager said if a resident from a minority group was to be admitted to the home, she will make sure to have as much information as possible by researching on this group. Resident’s health care needs are met by involving health care professionals. One GP who has 6 of the residents on his book, visits the home once a week to see them. The residents said that they like seeing their doctor. Other GP’s visit when required. District nurse and chiropodist visit when required. The medications of two residents were audit trailed and were found to be correct. Residents who are able and willing can keep and administer their own medications. Two residents currently do that. They have a locked cabinet to keep their medications safely. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 13 The home is sensitive to the needs of all the residents and does everything to help them remain as independent as possible. The staff said that they work with the residents and meet all their needs. They said that they have very good relationships with all the residents. They were observed talking and helping the residents with sensivity and respect. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 14 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 excellent. This judgement has been made using available evidence including a visit to this service. There are good arrangements to meet the social and recreational needs of the residents The home provides a variety of activities to keep the residents stimulated and active. EVIDENCE: At the time of the inspection, the residents were busy doing different things. Some were out in the garden walking and others were sitting around in different areas of the home. One resident was sat at the top of the landing and doing some embroidering. Everyone appeared to be doing something and there was a good atmosphere in the home. They all looked happy and content. One resident said that she has found the best place in the world to live at and that the care provided is excellent. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 15 One of the care staff is also responsible for organising activities in the home. She said that she speaks to the residents and found out what they would like to do. Activities include cheese and wine evenings, Tai Chi, Bingo by the WI, board games etc. The home has a very large and well-maintained garden and several residents make good use of it by walking round it. One resident said that she likes to feed the wild birds and watch visiting wild animals like deer and foxes. She said that she could not be in a better place both for her care and her hobby. The residents said that the food is very good and that although there is no choice on the menu at lunchtime, they are offered good alternatives. On the day of the inspection, fish was on the menu at lunchtime and those who did want fish had roast meat and vegetables. There is a good choice of food to choose from at breakfast and teatime. The residents said that if they wanted a cooked breakfast, then this is available to them. The home has a system in place where all sweets are offered on a trolley at meal times. The trolley is taken round the dining room for residents to look at. This is very advantageous, particular for those residents who may not be able to communicate clearly, as they can easily point to the sweet they want. On the day of the inspection, there were 2 hot and 5 cold sweets to choose from. Residents can eat in their rooms if they want but are encouraged to eat with the others as a social gathering. The residents said that they look forward to their meals and meeting their friends. The deputy manager said that the home can cater for different diets including diabetic, gastric and others. She also said that the cook will cater for different ethnic needs if required. It was good to observe that the staff also eat their meals at the same time as the residents in the dining room. After serving the residents, all the staff on duty would sit together at one table to eat their lunch. The deputy manager said that it is for practical reasons that the staff sit at their own table. They do not want to disturb residents by getting up to assist residents who may need help. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 16 She said when possible, staff sit with the residents for their meals. The deputy manager produces a monthly newsletter with information about activities and other information. These are distributed to all the residents. Monthly residents’ meetings are held when they can air their views and made suggestions. The minutes of the last meeting held in June 2006 was seen. Discussion then included the forthcoming outing to lake Windermere in August and the crossing by boat to Ambleside. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 17 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. There are good policies and procedures to protect residents from abuse. Residents live in a safe environment. EVIDENCE: The abuse procedure was examined and it shows that the management of the home are fully aware how to protect residents from abuse. For example, there are systems in place for staff to report any incident of abuse either by staff themselves or by families. All the residents appeared to be safe and free from harm, neglect and abuse. Staff were observed treating the residents with respect and dignity. The staff spoken to were aware of different types of abuse. One member of staff spoken to was able to describe abuse as being physical, emotional and financial. Training records showed that most of the staff have attended an abuse awareness course. The deputy manager said that the home had received no complaints. She was advised to record any complaints in the event that they are made. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. The environment is safe and maintained to very high standard Residents live in a clean and well kept home. EVIDENCE: During a tour of the building, the home was found to be clean and in good hygienic order. Some residents were in their rooms and they said that they like to stay in their rooms and read or just sit quietly. The bedrooms vary in sizes, but most of them are large and with an ensuite facility. The home is well maintained and the colours are light and pleasant. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 19 A domestic staff is employed to do the cleaning. She works 16 hours over a two day period. When she is off duty, the cleaning is done by the care staff. The care staff said that they can manage the cleaning very well and it does not interfere with their work. In fact, they said that it gives them more time to talk to the residents. A new wireless call system was installed last year. The call bells in one bedroom and a toilet were checked and they were found to be in good working order. The advantage of having a wireless call system is that it is portable. The home has an extensive garden which is well maintained and some of the residents take advantage of this beautiful environment and go out for regular walks. Two residents went out in the garden and they were given a pendant which housed the call button to wear. They can use it to summon assistance in an emergency. They said that now that they have got used to wearing the pendant (call bell) when they go in the garden, it has become a source of comfort and security for them. The residents’ general comments were that the home is beautiful, clean and homely. The home has made great effort in providing aids and adaptations to help residents with physical disabilities. Handrails have been fitted alongside the wide corridors to help residents with mobility. Those residents using wheelchairs found the corridors easy to use. There are grab rails fitted to some of the toilets to help residents who are disabled. A passenger lift and a stair lift are available for the residents to use independently if they wish. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 20 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 excellent. This judgement has been made using available evidence including a visit to this service. The staffing level is good and staff training is of a high standard. Residents are cared for by a team of caring staff. EVIDENCE: The number of staff on duty has been maintained to a high level to meet the needs of the residents. At the time of the inspection, there were 3 care staff, one being a senior, the deputy manager and a cook on duty. Staff rotas checked showed that the staffing level is well above the minimum recommended for the number of residents at the home. The deputy manager demonstrated a good understanding of the procedures to be followed when selecting and recruiting staff. In viewing a selection of staff files, the inspector was able to determine that appropriate checks had been carried out before offers of employment had been made. Such checks included CRB (Criminal Records Bureau) and a POVA (Protection Of Vulnerable Adults). Each member of staff has a personal development portfolio which contains their training records and supervision records. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 21 They are supervised on a one to one basis every 2months. During these sessions, work related matters such as care practices, training etc are discussed. The deputy manager said that staff can choose where these sessions take place, including, pubs, cafes etc. She said that having these supervision sessions away from the home help staff to focus about what they wish to talk about and also the change in environment is appreciated. Training records show that the staff at Cove House have attended several courses. These include: Abuse, Moving and Handling, First Aid, Medications, etc. Some of the staff are attending a course on Dementia in August. CSCI (Commission for Social Care Inspection) recommends that 50 of care staff achieved NVQ (National Vocational Qualification) level 2. The percentage of care staff at Cove House with this qualification is 78 and is highly commendable. The staff spoken to said that they enjoy working at Cove House very much. They said that the management of the home is very supportive and listen to what they have to say. They said that the residents always come first and they work around what they want to do. A member of staff said that she was going to bath a resident that afternoon as he has requested it. The residents said that the staff are marvellous and will do anything for them. There were good interactions between the residents and the staff. They all appeared to be happy and content Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 22 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 home has an efficient management team. The residents and staff benefit from living and working in a well managed home EVIDENCE: The manager was on leave on the day of the inspection. The deputy manager was in charge and was very efficient in helping with the inspection. She was able to find with ease all the documents required for inspection. It was evident that there is good rapport and communication between the manager and the deputy. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 23 The deputy manager has responsibilities for many areas of management including supervision of staff and the production of the monthly newsletter. The staff are supervised on a one to one basis every 2months. During these sessions, work related matters such as care practices, training etc are discussed. The deputy manager said that the home has an open door policy and that residents and staff are always welcome to come and have a chat. The inspector had the full cooperation of the deputy manager, the staff and the residents during the inspection. The residents said that the manager and the deputy run a very good home. The inspection was carried out in a friendly environment and residents and staff said that Cove House is the best home. Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 24 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 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 Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? 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 Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Cove House DS0000009663.V299075.R01.S.doc Version 5.2 Page 27 - 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!