Inspection on 21/01/09 for Finch Manor

This inspection was carried out on 21st January 2009.

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

Finch Manor 03/04/08

Finch Manor 25/10/07

Finch Manor 02/11/06

Finch Manor 08/05/06

Finch Manor 02/02/06

Finch Manor 27/07/05

Finch Manor 21/01/05

Finch Manor 19/08/04

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 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Finch Manor Finch Lea Drive Dovecot Liverpool Merseyside L14 9QN Lead Inspector Jeanette Fielding Unannounced Inspection 21st January 2009 10:15 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 Finch Manor DS0000048861.V373846.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. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Finch Manor Address Finch Lea Drive Dovecot Liverpool Merseyside L14 9QN 0151 259 0617 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) finchmanor@bmlhealthcare.co.uk Moorshield Ltd Mrs Diane Hollingsworth Care Home 89 Category(ies) of Dementia - over 65 years of age (75), Old age, registration, with number not falling within any other category (14) of places Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To accommodate four service users aged 55 to 65 years old on DE (E) unit To accommodate one named service user under the age of 55 years To accommodate one named service user under the age of 65 years for short term respite care 3rd April 2008 Date of last inspection Brief Description of the Service: Finch Manor is a purpose built, single storey home situated in the Dovecot area of Liverpool. It is set in its own grounds with gardens to the front and rear and with two internal courtyard-sitting areas. The home provides care and support in four units. One with 14 places is for the general care and support of older people. Another has 21 places for older people with dementia who require personal care only and the remaining 54 places are across 2 units provide nursing care or personal care and support to older people with dementia. All of the residents accommodation is provided in single bedrooms with en-suite WC and wash hand-basin with the exception of two bedrooms which are provided with a washbasin. A full range of aids and equipment is available providing assisted showers and baths and all areas of the home are accessible by wheelchair. Lounge and dining areas are located in each of the units and a central kitchen prepares food that is delivered in heated trolleys for care staff to serve to residents. An internal security system of keypads on connecting doors prevents residents from wandering out of the home or between units. Fees at the home range from £322 to £570 depending upon level of care required. The home is within walking distance of local shops and there are public transport routes nearby. Finch Manor DS0000048861.V373846.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 star. This means that people who use the service experience good quality outcomes. This inspection took place over a period of seven and a half hours. This was the key unannounced inspection and was carried out as part of the regulatory process. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans for eight service users were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Discussion took place with the manager, deputy manager, nurses, care staff, service users and visitors to the home to obtain their views and opinions of the service. If this was not possible due to communication difficulties, then through observing people using the service. The manager had completed an Annual Quality Assurance Assessment which gave further insight into the home. What the service does well: What has improved since the last inspection? Great improvements have been made in all areas of service provision. Records are now accurate and well maintained. Care files have been reviewed and updated and now contain full information regarding service users needs and preferences to enable staff to provide them with a good quality of life. Improvements have been made to the communal areas to provide a more homely environment but improvements still require to be made to the lounge in unit 1 to provide a more suitable layout. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 6 Records relating to the personal care required by and afforded to service users now contain full information and are up to date. Service users spoke of the high level of care given to them by the staff. The management structure is now more robust to ensure the supervision of staff and service users. Safety certificates are in place and are up to date. 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. Finch Manor DS0000048861.V373846.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 Finch Manor DS0000048861.V373846.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 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their families are provided with full information regarding the home and the services offered to enable them to make an informed decision regarding their care provider. EVIDENCE: The home has produced a detailed Service User Guide to inform all current and prospective service users with information regarding the facilities and services offered by the home. This has recently been reviewed and updated. A copy of this is placed in the foyer of the home. Copies are also issued to all prospective service users and their families and additional copies are available from the home on request. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 9 Pre-admission assessments are undertaken on all prospective service users to ensure that their individual care needs are identified All prospective service users are assessed with regard to their care needs prior to admission. These assessments are undertaken by the manager or deputy manager and a pro forma document is used to record all information. The manager explained that the document is currently being reviewed as part of the improvement programme to ensure that all health, social and psychological needs are more clearly identified to enable the care plans to be prepared in greater detail. Information is gathered, where possible, from the service user, their family and any other healthcare professional involved in their care. The pre admission assessments for all service users recently admitted to the home were inspected and were found to contain sufficient information to enable a plan of care to be prepared. The assessment process continues following admission to the home and care plans amended to include all identified needs. The home does not offer intermediate care. Finch Manor DS0000048861.V373846.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care files are comprehensive and informative and provide staff with the necessary information to enable them to meet the service users individual needs and preferences. EVIDENCE: Considerable improvements have been made to the care planning process since the last inspection. Care plans for eight service users, both new to the service and some who had been at the home for some time, were inspected. It was evident from the care plans that all service users health, care, social and psychological needs had been reviewed and care plans rewritten, in all units, to ensure that full information for staff had been included. The plans focus on the service users individual and changing needs and are reviewed and updated on a monthly basis or when their condition is observed to have Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 11 changed. Detailed plans are in place for service users who have dementia to identify any specific issues which occur as a result of their dementia. This includes the identification of any triggers which may cause anxiety or aggression, and provides staff with information on the most appropriate means of diverting the service users’ attention in line with their individual needs and preferences. Care plans now also include communications which identifies the use of spectacles or hearing aids used by the service users. Detailed risk assessments have been undertaken on all aspects of daily life and risk management plans have been put in place to reduce or remove the risks to the service users. All falls and accidents are audited to identify how, where, when and why they occurred to enable greater risk management plans to be prepared. Records are held of visits made to and by GP’s and other healthcare professionals and advice or instructions given by these professionals are recorded in the care plans. Care plans show that healthcare professionals are contacted in a timely manner to ensure that service users health needs are dealt with. Each unit has a diary and communication book to provide a high level of communication between the staff to effect forward planning. The interaction between staff and service users has changed since the last inspection. Service users are free to move around the unit that they are accommodated in and to use the lounge or dining room to spend their time. Staff are supportive and were observed to respect service users privacy and dignity. Medications were found to be handled in accordance with the home’s policy and procedure in all units. The Medication Record Sheets were clear and accurate. Medications are securely stored and all storage areas were clean and organised. Appropriate arrangements have been made for the disposal of unwanted medications and no excessive stocks were held. Regular audits of medications are undertaken by the manager or deputy manager and records show that action is taken where necessary to address issues arising from the audits. Staff were observed to speak to service users discretely when referring to personal matters. Locks are provided on all bathroom and toilet doors to provide privacy, although these can be opened from the outside in the event of an emergency. Most service users require assistance from staff with toileting and staff were observed to close toilet and bathroom doors to protect service users privacy and dignity. Service users in the general unit confirmed that they could meet with their relatives in the privacy of their own bedroom or in the lounge as they wished. Finch Manor DS0000048861.V373846.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 good. This judgement has been made using available evidence including a visit to this service. Individual and group activities provide service users with activities and entertainment to promote social interaction and stimulation. EVIDENCE: The home employs two activities co-ordinators to provide stimulation and entertainment to the service users for 70 hours each week over seven days. Service users individual abilities and preferences for social activities have been obtained and the programme of activities now reflects the wishes of the service users. Activities are provided on a one to one basis with service users for those who are unable or do not wish to participate in group activities. Care plans also include information regarding activities and each service user has an individual preference sheet to advise staff. Detailed records are held of the activities that service users participate in or if they have declined to participate. A selection of books and games are provided around the home for service users to help themselves to as they wish. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 13 Members of the local church visit on a regular basis and service users can participate in services if they wish. Visitors are welcome at any time and service users can meet with their visitors in the privacy of their own bedroom or in one of the communal areas as they wish. One visitor spoken to said that the home provided a happy place for his relative and he was really happy with the care that was given. Meals can be taken in the dining room, the lounge or the service users own bedroom as they wish. The menus are rotated over a four week period and have recently been reviewed to meet service users individual preferences. A choice of meals is offered and the menus show that a varied and nutritional diet is provided. The meal observed at the time of the inspection smelled delicious and was attractively served. Meals are prepared in the main kitchen and are transported to the units in heated trolleys, from which they are served. Special diets are prepared following the advice of the dietician or GP or at the request of the service user. Information regarding special diets is held in the main kitchen as well as in the service users’ care file. A sample copy of the menu is provided for prospective service users with the service user guide. One relative commented in the surveys sent out by CSCI that ‘the food is always first class.’ Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have been given training on the different types of abuse and of how to identify it to ensure that service users are protected. EVIDENCE: The home has a detailed complaints procedure which is displayed in the foyer and documented in the Service User Guide to inform service users and visitors to the home. The number of complaints received by the home has dramatically reduced since the last inspection and the records show that all complaints have been dealt with appropriately and in a timely manner. All staff have been given training on the Protection of Vulnerable Adults (POVA) with the exception of staff recently appointed. This training is given during the induction training programme and additional training is given subsequently. The staff training schedule provides evidence that training on POVA has been arranged to give updates for staff every few weeks to ensure that all staff are aware of the procedure to be followed in the event of abuse being suspected. Staff spoken to confirmed that they had completed POVA training and had learned a lot from it. Three staff were asked to go through the procedure in the event of abuse being suspected and all gave the correct information. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 15 Records held in the home provide evidence that appropriate action is taken to ensure that service users are protected from all identified risks. Finch Manor DS0000048861.V373846.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, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been made within the home to provide a warm and homely environment for the service users. EVIDENCE: Finch Manor is a purpose built care home. All bedrooms and facilities on located on the ground floor and provide full access to those who require to use wheelchairs or have mobility difficulties. All service users are accommodated in single bedrooms, each having an en-suite WC and washbasin. Staff and relatives have assisted service users in personalising their bedrooms with televisions, pictures, photographs and items of memorabilia. All bedrooms are bright and homely and were extremely clean and fresh. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 17 Improvements have continued to take place within the home through the programme of redecoration and refurbishment and the home employs a painter/decorator on a full time basis to further improve the decor. Staff have strived to provide a more homely environment for the service users, particularly in the communal areas. Pictures have been placed outside service users bedroom, suited to the individual service users, to assist them to identify their own room. Relatives have assisted by providing the most suitable picture that the service users can identify with, either from their youth or relevant to their lifestyle which they can relate to. The lounge on unit 1 did not provide sufficient space to accommodate the number of armchairs provided. These had been laid out in two rows which appeared institutional. Service users seated at the rear of the lounge could not see the television and only had a view of the back of the armchair in front of them. The layout detracted from the homely environment that the managers and staff strived to achieve. Discussion took place with the manager who explained that she was in discussion with senior managers of the company with a view to making alternative facilities through the use of the extremely large dining room for some additional lounge space. Two new wide flat screen televisions have been provided in lounges. Many of the carpets and non-slip flooring within the home have been replaced since the last inspection. Pictures have been provided along corridors and in lounges to assist in providing a pleasant environment. One of the bathrooms has been converted into a walk in shower room and has proved to be popular with both staff and service users. A further bathroom has been identified for conversion. The sluice on unit 1 requires upgrading. The room smells damp and musty and contains a sluicing machine, which staff stated, was never used. Some of the extractor fans in bathrooms and toilets required to be cleaned. The garden at the rear of the home is uneven and may present as a tripping hazard for service users. No handrail is fitted to the ramp leading to the garden and this should be provided prior to the warmer weather when service users would wish to use the garden. Four new washing machines and three new tumble dryers have been provided in the laundry. It was evident that care was taken to launder linens and service users personal clothing carefully. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 18 The home was clean and fresh throughout and there were no unpleasant odours. One relative commented in the surveys sent out by CSCI that ‘the staff have done such a lot in the last 12 months to make the home more homely for the residents.’ Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs a well trained staff team who are experienced and skilled to meet the individual needs of the service users. EVIDENCE: The home has a robust recruitment procedure and inspection of staff files showed that this procedure is followed. Prospective staff are required to complete an application form prior to being called for interview. Two references are taken and Criminal Record Bureau and Protection of Vulnerable Adults registers are checked to ensure the protection of the service users. Evidence of experience and qualifications are required to be produced and these are verified by the home. New staff are required to complete a comprehensive induction and foundation training programme within designated timescales. Evidence is held on the staff files of additional training and the records inspected showed that extensive training opportunities have been offered and accepted by the staff. These files have recently been improved and are now clear and organised. Core training courses which include fire protection, first aid, health and safety, moving and handling, basic food hygiene and the protection of vulnerable Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 20 adults are updated on a regular basis. Regular supervision is given to all staff to give them the opportunity to speak with their line manager on a one to one basis and to identify further training needs to meet the needs of the service users. Evidence of supervision is held on the staffs’ files. There is a strong staff structure which includes the registered manager, deputy manager, registered mental nurses, registered general nurses, senior care assistants, care assistants, domestic supervisor, domestics, laundry, catering, handyman, administrator and painter/decorator. All staff spoken to were fully aware of their role and responsibility within the home and this has assisted in improving the service provided. The registered manager holds the registered managers’ award and the deputy manager is to commence this. One member of staff is working towards a diploma in dementia care. Five staff plan to work towards NVQ at level 4. All staff have been given training in the protection of vulnerable adults to ensure the protection of the service users. One member of staff has completed the Train the Trainer in respect of manual handling and is now qualified to provide this training to the other staff members. The manager has prepared a training matrix to clearly identify training needs, and a training plan to demonstrate the training to be undertaken. Additional training to be undertaken includes Deprivation of Liberty to ensure that the service users who are accommodated due to their dementia are further protected. Staff spoken to during the inspection were extremely positive about the home. They were enthusiastic about training and were able to demonstrate that they were fully aware of each service users individual care needs. There were clear lines of communication between the staff with detailed handovers given at the beginning of each shift. Staff meetings are held regularly and minutes are taken of the meetings. Observation of the interaction between staff and service users showed that the staff were aware of the use of body language and facial expression. Service users were noted to smile and were responsive to the staff. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 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 high level of management support within the home at present to oversee and improve the running of the home and the care of the service users. EVIDENCE: The registered manager is a qualified nurse who has many years experience in the management of care for older people. She is supported by a deputy manager who is also appropriately qualified. Both were able to demonstrate their on-going training to further their knowledge and understanding. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 22 From discussion with the manager and deputy, and from observation, it was evident that the home is run in the best interests of the service users. The manager and deputy manager undertake regular audits within the home. This includes medications, care files and falls sustained by service users. This is to ensure compliance in all aspects of care for the service users and to promote a good quality of living. Service users financial dealings are generally dealt with by their relatives or advocates. A separate bank account is held for service users who do not have relatives and detailed accounts are held of all monies in the account. This account is audited regularly and records held in the home show that the accounts are accurate. Monthly visits are made to the home by the Responsible Individual, or their representative, as required, and a report completed. Tests are made on the fire detection equipment as required and records held of the findings. Safety certificates were inspected and all found to be well maintained and up to date. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 24 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. 1 2 Refer to Standard OP20 OP20 Good Practice Recommendations Consideration should be given to reviewing the layout of the lounge and dining room in unit 1. Improvements should be made to the gardens to provide service users with a safe environment for the warmer months. Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Finch Manor DS0000048861.V373846.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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