Inspection on 11/03/08 for Dean House

This inspection was carried out on 11th March 2008.

CSCI found this care home to be providing an Good service.

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

Dean House 20/10/08

Dean House 05/07/06

Dean House 29/11/05

Dean House 24/06/05

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

CARE HOMES FOR OLDER PEOPLE Dean House 67 Sea Lane Angmering On Sea Littlehampton West Sussex BN16 1ND Lead Inspector Ann Peace Unannounced Inspection 11th March 2008 09:00 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 Dean House DS0000061682.V359287.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. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dean House Address 67 Sea Lane Angmering On Sea Littlehampton West Sussex BN16 1ND 01903 784217 F/P 01903 784217 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) Miss Maria Ann Eagland Mr Dean Talbot Williams Post Vacant Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2006 Brief Description of the Service: Dean House is a care home registered to accommodate up to 27 residents in the category of old age. It is a detached property located in the village of East Preston, close to local amenities, and only yards from the sea. The property consists of 22 single and three double bedrooms all of which are on suite. In addition there are three day/quiet rooms, plus a dining room and a large sunroom to the rear. Mr. Williams and Miss Eagland privately own the service. The registered managers post is vacant although there is now a new manager for the home. The fees start at £550.00. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Mrs Ann Peace, Regulatory Inspector, carried out the unannounced visit at 9.00am on Tuesday 11th March 2008. To prepare for this inspection ‘Have Your Say’ surveys had been sent to people using the service and staff prior to the inspection and the results from the surveys and the comments have been included in this report. An Annual Quality Assurance (AQAA) had been sent to the manager for completion, this was returned within the given timescales and informed this inspection. We met people in the communal areas of the home and in their bedrooms, we observed residents and staff interactions throughout the day and we spoke to as many residents as we could to gain an insight into life at the home. We observed that residents were relaxed and content in the home and had good relationships with the staff who care for residents in a caring, friendly and professional manner. We looked at a selection of records; both care records and records related to the general running of the home. Some comments from the ‘Have your say surveys’ included: Health professionals said, “The care service usually seeks advice on service users health care needs”. “Staff respect individual privacy and dignity”. “Staff work well as a team”. Residents said, “The home provides a homely atmosphere staff are flexible and staff have good training”. “The home fulfils my needs”. Staff said, “We are given up to date training and support to care for service users”. Relatives said, “Staff keep in touch with us and give support”. “Staff have the right skills to meet different needs and support residents to live the life they choose”. Feedback was given to the Care Manager and the Assistant Manager following the visit. Two requirements were made at the last key inspection and we could confirm that these have been complied with. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 7 The record keeping relating to resident’s care records and staff training in the home could be more organised, however we are aware that this is being dealt with at present. The induction programme for staff should be more comprehensive and meet national guidelines. Laundry facilities should be available in the home. The AQAA told us that in the next twelve months the home intends to: • • • • • • • Improve signage including pictorial for the partially sighted. Expand staff training to include specialised training. Ensure staff training and supervisions more organised. Supply and fitting of personal aid equipment to meet changing needs of residents. Improve the nutritional wellbeing of residents by accessing outside advice and providing training for staff. To continue with the redecoration and refurbishment of the home. To develop a more structured annual development plan for the home. 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. Dean House DS0000061682.V359287.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 Dean House DS0000061682.V359287.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents are given the information they need to make an informed decision about the home. Each resident has a written contract/statement of terms and conditions with the home. In the majority of cases new residents are admitted on the basis of a full assessment. The majority but not all residents had an up to date plan of care for daily living. New residents are able to visit the home prior to admission. Dean House does not provide Intermediate Care; therefore Standard Six does not apply. EVIDENCE: The home provides a statement of purpose/service user guide and this Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 10 is available in the hallway of the home. Residents spoken with said they had seen a copy and had been given enough information about the home to be able to make a choice. The document does need updating with the new management structure that came into place in January. Admissions are made to the home usually only after a pre assessment is carried out either by a manager or a senior carer. However one resident was admitted in an emergency and although some basic paper work was in place not all that is required by the standard was, and what was there did need to be more comprehensive to enable staff to meet care needs. We were told that the staff were waiting to speak to the relatives to get more information. Where residents have been admitted through social services care management arrangements, copies of the plans are with the care records. The new managers are presently changing over the paperwork and compiling new care plans and due to this it was noted that some care plans were missing or in need of updating this was discussed with the care manager during the visit. Prospective residents have the opportunity to visit the home and have a trial stay before making a decision. Contracts were seen in all the records case tracked. Dean House DS0000061682.V359287.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In the majority of cases there are plans of care in place that set out individual personal, health and social needs. Residents benefit from a well trained and caring team of staff. Residents have access to health services to meet their assessed needs. Medication policies are in place and staff follow safe administration practices. Residents feel that they are treated with respect and their right to privacy is upheld. Residents are assured that at the time of death staff will treat them and their families with care sensitivity and respect. EVIDENCE: A new care planning system is being compiled and the new ones seen are comprehensive, up to date and are compiled with the help of the residents or a relative who sign to say they agree with the plan. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 12 However with the changeover a number of the records are not as complete as they should be to enable staff to be up to date with service users needs, although the basic information is there. Risk assessments are compiled and updated. The records are locked away in the clinical room and staff have to ask for a key if they need to access the records. We were told that staff do ask and there were daily records which indicated that staff do have access although not readily. Since January a new management system has been in place and the new managers are still trying to update records and get them into a more organised system which when completed should be good. Personal support is responsive to the varied and individual needs and preferences. Eleven residents were spoken to during the visit and all said the care was very good and the staff were friendly and caring. More than one resident said that nothing was too much trouble for the staff. They all said staff listen to them and support them. Residents have access to healthcare and remedial services, District Nurses attend when necessary and on the day of the visit one did come into the home to carry out a clinical procedure. The resident they came to see was in the lounge and was bought out of the lounge by staff to be attended to, but instead of being taken into a private area was sat in a corridor. We were told that this was because the resident was in a great deal of pain and did not like to move around and it was her choice to sit in the corridor, however more thought should be given to finding a way around this to preserve privacy and dignity. All eleven residents spoken to said staff do respect their privacy and dignity so this seemed to be a one off occurrence. Physiotherapy sessions are provided by the home and on the day of the visit a number of residents were taking part in chair exercises in the lounge. The physiotherapist also carries one to one sessions. Records indicated that other health professionals are called into the home when necessary. Policies and procedures for handling dying and death are in place and from what was seen on the day of the visit and what we were told, we concluded that staff would treat them and their family with care sensitivity and respect. Some comments from the surveys included: From health professionals, “The care service usually seeks advice on residents health care needs”. “Staff respect individual privacy and dignity”. “The staff work well as a team”. Residents said: “the home provides a homely atmosphere, staff are flexible and have good training”. “The home fulfils my needs”. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 13 Staff said: “We are given up to date training and support to care for service users”. Relatives said, “Staff keep in touch with us and give support”. “Staff have the right skills to meet different needs and support residents to live the life they choose”. An anonymous complaint was recently received by CSCI about medication errors happening in the home and during this visit was tracked to a changeover with pharmacists when some medication was late being delivered. This has now been addressed and the GP’s are aware of the problem. Only staff who have had the appropriate training administer medication, policies and procedures are in place and we noted that safe medication administration systems are practiced. Medication records are up to date and a random check was made of the controlled drugs kept in the home and these were correct. Dean House DS0000061682.V359287.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents find that the lifestyle they experience in the home matches their expectations and meets their needs. There is a good activity programme in the home and residents are supported in maintaining contacts with family, friends and the local community and are able to exercise choice and control over their lives. They enjoy the food provided at the home and special diets, likes and dislikes are catered for. EVIDENCE: There is an activity programme available for residents which includes arts and crafts, musical bingo, bingo, cooking, music for health and games. All residents spoken to and surveys completed expressed satisfaction with what activities were offered. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 15 The home employs an activity co-ordinator and sessions carried out 5 days a week. We are told that outings are organised and residents did confirm this. Residents are able to go out and about on their own within their capabilities and many do go out with relatives. At present no one at the home goes out to any outside clubs although a number said they used to. We noted and were told by residents that daily routines in the home are flexible; one resident was still in bed at 9am through choice. Residents told us that visitors are welcomed into the home and they are able to see their visitors in private. They also told us that they are helped by staff to exercise choice and control over their lives and they are able to bring personal possessions into the home. Residents are offered well-balanced home cooked food, we were told that residents are asked at meetings what they would like and they did confirm this. Menus were available and on the day of the visit, spam and new potatoes was the main meal followed by ice cream. One resident was having fish as an alternative. Residents said they liked the food and the choices. The dining tables were nicely set with tablecloths and place mats. Residents are offered wine or beer with their meals and said they did like this. We noted that the mealtime was relaxed with staff on hand to help residents who needed it. We are told that it is planned to send staff on training courses related to nutrition in the elderly in the near future. The home has an access to records policy, which is up to date and includes references to the Data Protection Act. Residents manage their own finances as long as they are able to do so. Relatives and solicitors handle the finances of those who are unable to do so themselves. The manager does not control any money on behalf of residents but they do hold a small amount of personal monies, these were looked at and we confirmed that safe systems are in place to protect residents. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 16 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): 16,17,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. Regular training sessions for staff, a complaints book, plus policies and procedures regarding safeguarding adults and Whistle blowing, ensure that, as far as is possible, the residents who live at Dean House are protected from bad practice. EVIDENCE: A complaint procedure is available to all residents and the majority said they knew how and who to complain to. As a number were unsure the manager was advised to bring this up at the next residents meeting to ensure all residents are aware. Residents said they felt safe and listened to and able to speak to staff if they had a problem. One anonymous complaint was recently received by CSCI and this was about medication errors occurring at the home and the home being short of staff. We were able to follow these up during the visit and although there had been a problem with the medication it had been dealt with appropriately. Staff rotas indicated that there was sufficient staff on duty although the rotas had been changed around recently. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 17 Residents are able to vote by post which they confirmed and we were told that if any wish to go out to vote then the home would support them to do this. The home has Safeguarding and Whistle Blowing policies and procedures in place and staff spoken to had a clear understanding of Adult Protection and Whistle blowing procedure. Staff did confirm training but records should be more organised to make it easier to track. Dean House DS0000061682.V359287.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained, clean and homely environment, they have access to safe and comfortable indoor and outdoor communal facilities. There is sufficient toilet and bathing facilities and they have specialist equipment to meet their needs. There is an ongoing programme of decoration and refurbishment. EVIDENCE: Dean House is situated near to the sea in East Preston, close to local Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 19 amenities. The property is a detached house with single and double rooms available. Communal areas include lounges, a dining room and a conservatory. The grounds are tidy and safe and accessible. The home is clean and tidy and some areas have been decorated since the last visit. New carpets, curtains and furniture have been purchased and a new greenhouse erected following requests from residents. Resident’s rooms have been personalised with small pieces of their own furniture and personal possessions and are homely and nicely furnished. One bedroom was in the process of being redecorated and new beds have been purchased. Although there is an ongoing programme of decoration, some areas are looking shabby and are in need of attention we are told that these are due to be done in the near future. Aids and equipment is available to meet the needs of the residents presently accommodated and windows have restrictors fitted. Laundry facilities are not presently available as we are told that they are waiting for new equipment to be fitted so presently the laundry is being done outside the home. Policies and procedures are in place regarding the control of infection, and the safe disposal of clinical waste. Since the last inspection covers have been fitted to the radiators and thermostatic valves fitted to the water outlets to prevent scalding. Dean House DS0000061682.V359287.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by the number and skills mix of staff on duty at Dean House. The home has achieved a staff ratio trained to NVQ Level Two and above. There is a thorough recruitment process in place and new staff receive basic induction training, but this does need to be more comprehensive. Staff at Dean House have undertaken a number of training courses to enable them to understand and meet the needs of residents as well as provide a safe environment for them to live in. EVIDENCE: The staff rota seen during the inspection showed that there are enough staff on duty over a 24-hour period to meet the needs of the residents presently accommodated. Surveys from residents and relatives also confirmed this and the staff surveys did not indicate any different. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 21 Dean House also employs a cook, a kitchen assistant, supper assistants, housekeeping staff and a gardener. The maintenance of the building is carried out by outside contractors. Evidence was seen that Dean House has achieved the ratio of over fifty per cent of care staff with an NVQ Level Two or equivalent qualification. Senior staff hold NVQ level 3 and staff told us that they are encouraged to go on training courses. The home has had new managers recently and we could see that they are re organising the records including training records. We could confirm staff training is taking place and staff told us they were up to date. Staff also receive mandatory training in Health and Safety, Adult Protection and the Administration of Medication. We are told in the AQAA that the managers plan to try to access more specialised training for staff to expand their skills base. Case tracking showed that the home operates a thorough recruitment process that includes obtaining two written references, a Criminal Records Bureau check and a POVA check prior to staff commencing work. Staff training records show that there is an induction in place for new staff, however this is very basic and would not meet National Guidelines. This was discussed with the managers and they were advised to ensure that there is a more comprehensive induction is available in the home. Through looking at surveys, talking to residents on the day of the visit and by observing staff we concluded that the staff team are well trained, respectful and caring in their approach to residents. Dean House DS0000061682.V359287.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a quality assurance system in place to ensure the home is run in the best interests of residents. Resident’s financial interests and health and safety are safeguarded by the homes policies, procedures and record keeping. EVIDENCE: Since the last inspection there has been a management change in the home. There is now a Care Manager and an assistant manager. The care manager was advised to contact the CSCI registration team to start the process to become the registered manager. The Care Manager is undertaking The Registered Managers Award and the assistant manager is planning to complete it. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 23 They have both worked in the home as carers so are familiar with the residents and the staff and as they both maintain a high profile in the home are overseeing the general running of the home and care practices of the staff. We found that the new managers were trying very hard to organise the records into a more systematic order and when this is completed they should have a good system. Dean House has a quality assurance and monitoring system in place consisting of residents’ meetings that are held, staff meetings, questionnaires and an annual review involving staff and residents. We could confirm that residents are listened to about the way the home is run. One example of this is that at a recent resident’s meeting the request for a greenhouse was raised and this has been carried out and there is now a greenhouse in the garden. Residents also told us that the managers and staff do listen to them and act on what they say, they also told us that there is an open atmosphere and they could speak to the managers at any time. We are told that in the next twelve months they hope to have a more structured annual development plan for the home Residents are able to control their own finances if they are able and wish to. Relatives and solicitors look after the finances for those residents who are unable to do so themselves. The manager does not have control of any residents’ finances but may hold small amounts of pocket money, the system for this was checked and we concluded they operate a safe procedure. Some of the records could be better organised but we could see that this is being addressed. There is a staff supervision system in operation although with the change of managers some of these have lapsed, but we were told that it is in the process of being re-started. The Providers carry out Regulation 26 visits to monitor the home and these reports were available for us to see. Staff records show that staff receive training in Health and Safety. Policies, procedures and risk assessments were seen to be in place regarding Health and Safety. The AQAA recorded that systems are checked regularly. A new fire alarm panel has been installed, following the advice of the fire department and the Care Manager is in the process of completing a new fire risk assessment. Since the last inspection all radiators and pipe work have been covered. Windows have restrictors fitted to them. Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 24 Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 25 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 3 3 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 2 3 Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 26 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 Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone 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 Dean House DS0000061682.V359287.R01.S.doc Version 5.2 Page 28 - 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!