Inspection on 29/05/07 for Hazelgrove Care Home

This inspection was carried out on 29th May 2007.

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

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

Other inspections for this house

Hazelgrove Care Home 13/06/06

Hazelgrove Care Home 20/12/05

Hazelgrove Care Home 19/07/05

Hazelgrove Care Home 23/02/05

Hazelgrove Care Home 06/09/04

Hazelgrove Care Home 29/03/04

Hazelgrove Care Home 30/10/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hazelgrove Care Home 1a Farleys Lane Hucknall Nottingham NG15 6DY Lead Inspector Karmon Hawley Key Unannounced Inspection 29th May 2007 10:00 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 Hazelgrove Care Home DS0000026444.V338823.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. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hazelgrove Care Home Address 1a Farleys Lane Hucknall Nottingham NG15 6DY 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) 0115 9680706 0115 9680706 Mr Gerald Hudson Maureen Woolley Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (40), of places Physical disability (2), Terminally ill (2) Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the total number of beds 2 beds may be used for the category PD, 2 beds may be used for the category TI and 10 beds for DE/E 13th June 2006 Date of last inspection Brief Description of the Service: Hazelgrove is a purpose built single storey care home situated in a residential area of Hucknall, for forty people over the age of 65years. There are thirty-six single and two double rooms; none of which have ensuite facilities. It is situated near to a doctor’s surgery, within half a mile of shops, a public house, cinema, library, tourist sights and other local amenities in the town centre of Hucknall. Hucknall is supported by good transport links into the city of Nottingham. An enclosed garden provides a safe outside environment for the service users in good weather. Communal care parking is also available. The home provides both nursing and residential care. It can also accommodate up to two people with physical disability and ten with dementia care needs. The current weekly fees range from £334 to £620. The fees include chiropody and eye tests but does not include hairdressing. The required information is made available at the point of enquiry. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager about Hazelgrove and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the manager matched individual experiences of service users living at the home by talking with them and observing the care received. Five service users and one relative were spoken with, all of them expressed that care was at a good standard and staff were very kind and attentive. General records maintained by the service and staff records were also looked at to ensure these were maintained and provided positive outcomes for service users. Two members of staff were spoken with. Four service user and five relative surveys were returned to the Commission for Social Care Inspection. The responses have been acknowledged in the appropriate sections of the report. What the service does well: A warm and welcoming atmosphere was evident on entering the home. Service users and the relative spoken with stated they were very happy with life within the home and care received. They also said that they enjoyed activities on offer and felt they could make choices within their daily life. Service users and relatives are given the opportunity to be involved in various groups and activities, such as menu planning and interviewing staff; offering them more say in the running of the home. Good relationships were seen between staff, service users and relatives as they talked with ease. Staff were knowledgeable and able to discuss service users needs and how they ensure individualised care is delivered. Plans of care are personalised and reflected service users needs. Food delivered is at a good standard and choices are offered, service users spoken with confirmed this. Staff training is at an excellent standard ensuring staff are fully trained to carry out their job role. The Care and Development Manager continues to work with the Commission for Social Care Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 6 Inspections new documentation to ensure standards are maintained and continually improved upon. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hazelgrove Care Home DS0000026444.V338823.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 Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can be assured that their needs will be assessed thoroughly and met prior to moving into the home. EVIDENCE: Prior to service users entering the home a member of staff visits prospective service users within the community to carry out a preadmission assessment. Evidence of the assessments taking place was available within case files seen. Service users and relevant others may also visit the home prior to making a decision to move in. Prospective service users have access to relevant information should they require it and work is in progress making a welcome booklet. One service user spoken with talked about how they had visited the home before they decided to move in. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In depth plans of care ensure that service users health, personal and social care needs are supported appropriately and met. Staff knowledge and working practices ensure that service users are treated with respect and their right to privacy is upheld. EVIDENCE: Service users undergo various assessments such as the activities of daily living, manual handling and pressure area care. Information gained forms the plan of care. Plans of care in place were personalised and reflected service users likes, dislikes and preferences. Personalities of service users were reflected within plans of care and social profiles had been completed. Relatives had completed two of these. In depth plans of care were in place for one service user who experienced confusion and memory loss; aids such as a prompt so they knew where their room was had been put into place to aid independence. In one plan where aggressive tendencies were apparent the plan did not state the action to take should this occur; also where a service user experienced epilepsy the risk assessment did not highlight the action to Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 10 take should a seizure occur. The Care and Development Manager stated she was aware of these issues as she had audited plans of care and these would be dealt with at the next care-planning meeting. Risk assessments were in place for all other identified risks. Religious needs for one service user was highlighted as being extremely important, therefore the plan of care gave information as to how support would be offered to meet this need. Service users spoken with said that staff were very nice and caring and all their needs were met. The relative spoken with said that good standards of care were maintained. Comments such as all aspects of daily care are delivered well, care staff are always friendly and helpful and staff are caring and mindful of service users needs were received via the surveys returned to the Commission for Social Care Inspection. There was evidence available within service users plans of care to show that services such as the doctor, district nurse, dentist and other specialised services are access as required. During the tour of the building specialist equipment such as mattresses, hoists and cushions were seen. One service user spoken with said that they can see the doctor at any time. Comments received via the surveys state that service users usually get the medical support needed. Medication polices and procedures were seen, medication charts were clear and two members of staff signed handwritten entries to show these had been checked as correct. Registered nurses administer medication and all of them have undertaken further training in the safe administration of medication. There were records of medication signed into and out of the building. Medication records checked with the prescription corresponded. On each service users medication record there was a description of the service users needs with regards to administration. Service users spoken with said that staff were respectful at all times and they felt that their privacy was upheld. There are curtains available within the shared rooms. Staff knock on doors prior to entering and staff were seen to treat service users with respect. Good relationships were apparent and service users and staff conversed freely. Staff spoken with were able to discuss the importance of and how they maintained service users privacy and dignity. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users enjoy a flexible daily routine and they are supported to participate in their chosen activities. Service users are given the opportunity to be actively involved in working groups thus enabling them to exercise choice and control over their lives. EVIDENCE: Activities such as arts and crafts, reading and knitting are currently being delivered by a volunteer twice a week and staff offer activities such as trips out, bingo, cooking sessions and choir singing at other times. Outside entertainers also visit the home and there were photographs of service users enjoying these events. A feedback form has been made so service users can offer their opinions of activities that have taken place. A Church of England service is held on a monthly basis in the home and Holy Communion is on offer should a service user require it. The administrator said that should any other religious need be expressed this would be catered for. There is a service user group who look at activities in the home, the Care and Development Manager said she is in the process of developing this group further so service users may organise activities for each three month period. Service users spoken with stated that they enjoyed the activities that were on offer and they felt that Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 12 there was enough for them to do. Comments received via the surveys returned state that activities are at an appropriate level. There are no restrictions on visiting and visitors may be received in private should they wish. There are several seating areas around the home, which may be used. Service users spoken with said that visitors are always made welcome. One relative spoken with said that staff were very nice and they felt welcomed into the home. Two service users visit the miners’ welfare twice a week. Plans of care in place were individualised and personalised according to needs. Staff spoken with were able to discuss issues with regards to equality and diversity and how they ensure they get to know service users needs so they can offer care accordingly. Service users spoken with felt that staff were very respectful and treated them well. To ensure service users have more choice and control over the events occurring in the home service users and relatives are involved in different groups and have also been involved in the interviewing of the new manager appointed. They asked their own questions and then gave feedback to management with regards to their opinion. This was discussed with a service user and relative involved who both stated that they had enjoyed this process and it gave them a feeling of being more involved in decision making. A wholesome and appealing diet is on offer. There are choices available for each meal. The kitchen was clean and tidy and records such as cleaning rotas and temperature control were recorded. A trolley holding drinks, cakes and biscuits is now available throughout the day in the dining room for service users and visitors to access. Service users spoken with said that food was very nice, choices were offered and they had plenty to eat. Specialist diets were also catered for; one service user discussed how their special diet is managed. Service users are involved in the menu planning and there were photographs available showing service users looking through menu books and planning meals. A tuck shop has also been established and there were records of service users purchasing items from this source. The Care and Development Manager has used the Commission for Social Care Inspections tool that gives the criteria of standards achieved i.e. excellent, good, adequate and poor to audit the catering service. Work has taken place to show what the service has achieved and highlight further developments required, which is in progress. Comments from surveys returned said that food was at a good standard. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 13 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. Service users and relevant others know how to make a complaint and that these will be dealt with effectively. Service users are protected by policies and procedures in place, a knowledgeable staff team and good record keeping practices. EVIDENCE: Relevant policies and procedures are in place for dealing with complaints. There has been one complaint received since the previous inspection about a staff member’s attitude; which was resolved. Staff spoken with were able to discuss how they would deal with a complaint should it be received. All service users and the relative spoken with were satisfied with life and care within the home and did not express any complaints. The complaints policy is on display should service users or relatives need to access this. Comments received via the surveys: all but two service users knew how to complain, if complaints were made these were always responded to. Relevant policies and procedures are in place for the protection of vulnerable adults. The majority of staff have undertaken training in adult protection. Staff spoken with were able to discuss this and the action they would take should they suspect abuse was occurring. All staff employed have satisfactory Criminal Record Bureau Checks in place (a police check to see if an individual has any police cautions or convictions). One incident had been referred to the Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 14 protection of vulnerable adults team since the previous inspection this was dealt with appropriately and closed. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a comfortable environment, which is clean pleasant and hygienic. EVIDENCE: A maintenance person is employed three days a week and there was evidence available to show routine maintenance is carried out. Continued redecoration takes place throughout the home. New dining room furniture has been purchased and service users were involved in this and the choice of decoration. New sofas have been purchased for the quiet seating area. The decoration of bathrooms and toilets has been completed and these are finished to offer a homely feel by accessories used. A new kitchen floor has been laid which is easy clean. Comments from surveys returned state that a quiet room would be beneficial due to the excessive noise in the main lounge, the Care and Development Manager stated that there was the small quiet area available at all times should service users or relatives wish to use this. One Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 16 service user said they were very pleased with their room, they had their personal belongings displayed and they could access this at any time. Comments from two surveys received stated the décor could be improved upon Three housekeepers work on a daily basis and all areas of the home were clean, pleasant and hygienic. Relevant equipment was in place within the laundry and hand-washing facilities were available throughout the home. Two comments were received stating that the cleanliness could be improved upon whereas one stated that the home was usually fresh and clean. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported by knowledgeable and well-trained staff, who are recruited safely. EVIDENCE: One registered nurse is on each shift. Six care assistants; including senior staff are on duty during the day. Two care assistants are on during the night. The duty rota showed that shift times are also varying now to ensure that night staff have additional assistance. There have been occasions where staffing numbers have been reduced, however five new members of staff have been recruited. Evidence of staff undergoing an induction was highlighted on the duty rota. Staff spoken with said that they had been short staff at times and stated they were very busy, however they felt that once new staff had completed the induction staffing levels would be stable. One service user spoken with said that more staff were needed throughout the night as staff were very busy as a lot of people needed attention during this time. Other service users spoken with said that staff were available to meet their needs and they only had to ask for something to be done. Throughout the visit staff were prominent and attending to service users needs. Comments received via the surveys were as follows: four surveys stated that more staff were needed and shifts were often understaffed and that staff on duty were overworked. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 18 89 of staff have attained the National Vocational Qualification (a nationally recognised work and theory based qualification) level two and 39 of staff have attained level three. Both members of staff spoken with confirmed they had achieved these qualifications. The induction remains in depth and covers the general running of the service and relevant training issues. To supplement this the Care and Development Manager is in the process of making a workbook, which will provide more evidence of staffs achievements. Service users have also participated with the development of this workbook and have set questions for staff to show them how they will meet their needs. Four staff files were seen, all contained the required documentation such as proof of identity, references and professional identification numbers for registered nurses. All training is organised by an in house trainer, each member of staff has an individual training file. Staff continue to complete compulsory training such as manual handling, fire and health and safety. A number of staff have also completed specialist training such as palliative care, tissue viability and continence promotion. Senior care staff are enrolled to undertake a management and development course in the near future. Staff spoken with said that they felt supported by the company in their training and development needs and that training was at a high standard. Service users spoken with felt that staff were well trained and able to meet their needs. A newspaper article was on display; a presentation night had been held where all staff received at least one training certificate. Photographs were also on display, which showed service users handing these to staff. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 19 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. The service is well managed and systems are in place to protect the health, safety and welfare of service users and staff. EVIDENCE: The current manager is registered with the Commission for Social Care inspection; she remains up to date with all compulsory and specialist training, however she wishes to step down from this role. Interviews have taken place for a new manager who will start on the 14th June 2007. The administrator and the Care and Development Manager currently support the manager in the running of the home. Staff spoken with said that current management arrangements were working well. Service users and the relative spoken with felt that the home was well run. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 20 There is a quality assurance group, which consists of the managers of each service within the company. They are currently looking at new documentation and methodology used by the Commission for Social Care Inspection so they continue to improve standards within the service. The Care and Development Manager has attended a conference on SOPHIE, which is about specialist observational techniques that may be used for ensuring service users with dementia have the care and support needed. Following this she is setting up a group consisting of staff and relatives to look at current issues for dementia care. Relatives and service users meetings also take place so they may express their views about the home. A health and safety group which includes service users has also been set up, the Care and Development Manager stated that this encourages service users to be more aware of potential hazards thus enabling them to report anything they feel is unsafe. A quality assurance audit in the form of questionnaires had been completed. Results were displayed in the main entrance. These were written and also displayed on a graph for easy understanding. The audit covered management, meals, social activities, ensuring visitors are made welcome and access to outside services. Service users are able to have money kept in safe keeping within the home. For those who wish to hold their own money lockable facilities are available within service users rooms. Four service users accounts that are handled by the administrator were checked. Personal accounts were available to show amounts held within a centralised banking system. All accounts are checked on a monthly basis to ensure these correspond with the account. Receipts were available for transactions. Service users may access this money at anytime. Staff spoken with confirmed this. Maintenance certificates such as gas, electrics and manual handling equipment were available. Fire system records showed that fire alarms are tested on a weekly basis and emergency lights on a monthly basis. Records were available to show that staff had undertaken fire drills. Water temperatures were recorded and individual risk assessments for each service user were in place. Radiator surface temperatures are checked on a monthly basis. A security memo has been given to all staff and this is also displayed throughout various parts of the home. The memo is to ensure staff are vigilant with regard to the security of the building and the possibility of intruders. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 21 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 3 8 3 9 3 10 3 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP27 Good Practice Recommendations Inform relatives that measures have taken place with regard to improving staffing levels. Hazelgrove Care Home DS0000026444.V338823.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 - 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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