Inspection on 26/04/05 for Hernes Nest House

This inspection was carried out on 26th April 2005.

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

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

Other inspections for this house

Hernes Nest House 22/05/07

Hernes Nest House 21/12/05

Hernes Nest House 28/10/04

Hernes Nest House 27/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE HERNES NEST HOUSE Hernes Nest off Park Lane Bewdley DY12 2ET Lead Inspector Rachel McGorman Final - Unannounced 26 April 2005 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 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. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hernes Nest House Address Hernes Nest off Park Lane Bewdley DY12 2ET 01299 402136 01299 403150 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Community World Limited Mrs Stella Ann Gurney CRH 21 Dementia - over 65 Old age Physical Disability - over 65 21 21 21 Category(ies) of DE(E) registration, with number OP of places PD(E) HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration other than those referred to on the previous page. Date of last inspection 28th October 2004 Brief Description of the Service: Hernes Nest House is registered to provide residential care for up to 21 older people who are frail and unable to live independently, who may have physical or sensory disabilities and who may have mental health problems. Short term placements can be provided in the form of respite or rehabilitative care when a bed is available. Day care can also be provided. The home is owned by Community World Ltd. The managing director is Mrs Stella Gurney, who is also the registered manager and responsible for the dayto-day management of the home. Hernes Nest House, which is an extensive Georgian building, occupies an elevated position in a tranquil part of Bewdley, with panoramic views over the surrounding countryside. It is situated approximately half a mile from the town centre. The property has been sensitively upgraded and extended to provide a high standard of accommodation, and the pleasant gardens are accessible to residents. Hernes Nest House is committed to providing quality services by caring, competent, well-trained staff, in a supportive environment, where service users are enabled and encouraged to live as full, interesting and independent lifestyles as they are able. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine, unannounced inspection was to monitor the care provision at Hernes Nest House, in relation to the stated aims and objectives. The inspection took approximately 5 hours, about half of which time was spent talking with residents, staff, visitors and professional people, to ascertain their views on living or working at the home, and to determine how people felt about their involvement with Hernes Nest House. Several areas of the home were seen, including some bedrooms. The care records of the residents interviewed were inspected, and also the records of three members of staff. The policies and procedures, which were currently being reviewed, were seen and discussed with the Care Manager. The records kept in respect of the maintenance of equipment and safe working practices were also checked during the course of the inspection. Service users have expressed a preference to be called residents, therefore this will be reflected in this report. What the service does well: Comprehensive information is available for residents, their families and interested parties, about the home and what can be provided for the people living there. A friendly, welcoming atmosphere is evident, and there is a calm and relaxed approach by the management and staff. The high standard of care is maintained consistently, and a training programme for staff ensures that they are given the relevant skills to provide appropriate care to residents. The activities programme enables residents to maintain various interests, and encouragement is given at all times, to be as independent as possible. Only positive comments were heard, particularly about the meals, which were described as, ‘wonderful, excellent, varied and nutritious’. Recording procedures are maintained to a high standard, and confirm the good organisational ability of the management of the home. Recruitment procedures are thorough, and ensure that there is a committed and well-motivated staff team employed at the home. Hernes Nest House is a happy home, where each person is treated as an individual, and where their opinions and views are considered to be valid. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Comments from the Manager, Mrs Gurney, demonstrated her awareness of areas where performance could be improved at the home, but it was also acknowledged that the limited funding arrangements were restrictive. Proposals were being developed, for more emphasis to be given to some procedures, e.g. laundry and health and safety, to ensure that high standards were consistently applied by staff. Closer monitoring by senior staff, and a more stringent approach to some tasks was also being considered. The need to provide documentation about the home, that is clear and more understandable when residents are first introduced, is to be addressed. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 7 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. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4 & 5 The information provided to prospective residents and their families enabled them to make an appropriate decision about their future care needs. The excellent records maintained in relation to the assessment of residents and also the admission process, together with the consistently well-organised approach by the management of the home, ensured that the home was able to meet the assessed needs of residents. EVIDENCE: The Statement of Purpose and the Service Users Guide were being reviewed, to improve their clarity and to make them more easily understandable. Consideration was also being given to providing an introductory leaflet that contained less information, as some people had found it hard to assimilate all the details contained in the very extensive documents. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 10 A well-established admissions procedure was in place, and confirmation that this was followed was provided in conversation with the family of a resident who had recently been admitted. Prospective residents were encouraged to visit the home, and stay for a meal, and also have a period of respite care if preferred. Following admission a minimum of four weeks trial stay was recommended, concluding with a review, when the placement was confirmed, if mutually acceptable. A comprehensive assessment was completed prior to a resident being admitted. A home visit by the registered manager was made whenever possible. A Community Care Assessment was obtained from the social worker for all service users funded by the local authority, prior to admission. The files of four residents were inspected, and each contained appropriate assessments. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 & 10 The care planning process was well defined with a monthly evaluation by the care manager, of randomly selected care plans, which helped to ensure that satisfactory standards were consistently maintained. The health and personal care needs of residents were identified, recorded, promoted and monitored on a continuous basis, resulting in effective care being provided. Arrangements for the safe administration of medication were in place. The advice of the Pharmacist Inspector had been sought previously, and a detailed policy and procedure implemented. The privacy and dignity of each individual was respected by everyone. EVIDENCE: A care plan was produced for each resident, based on the initial assessment undertaken prior to admission. The four care plans seen were detailed and informative, and contained relevant information. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 12 The home received support and advice from the Primary Health Care Services. Discussion with a District Nurse confirmed that the care provided to residents, by staff at the home, was appropriate. Concerns were expressed by the care manager about the limited availability of some external, specialist services, specifically, chiropody. Arrangements for private treatment were therefore usually made. The management and care staff at the home had all undertaken medication training. The Medication Administration Records were completed to a satisfactory standard. The observations made of the rapport between residents and staff were most pleasing. Mutual respect and consideration was evident throughout the home. Comments made by residents, staff and visitors all confirmed these findings, and included: • He is very happy and settled • She is very well looked after • Everyone is so good and kind • The staff are absolutely wonderful HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14 & 15 The involvement of residents in decision making with regard to the many activities of daily living was part of the culture of the home. The wishes and preferences of residents were considered, and encouragement given to exercise personal autonomy, enabling a good quality of life to be maintained. Nutritious and wholesome food was provided for residents, with seasonal variations, and individual wishes and needs were catered for. EVIDENCE: Activities have always been an important aspect of life at the home, and the recent appointment of an activities organiser has enabled an even more structured approach. A questionnaire had been developed to identify previous interests and individual preferences, but the wish to do nothing was also respected. A comment made by a visiting relative, confirmed the situation, ‘There’s always lots going on, and residents have plenty of stimulation’. The conversations with residents confirmed that life at the home revolved around them. They were able to do as they pleased with regard to every aspect of their life. Residents were advised that if they did not wish to manage HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 14 their own affairs, assistance would be given to involve their family, an advocate or a solicitor. The food was a major topic of conversation, and one resident, who was vegetarian, was very positive about the ability of staff to provide her with such excellent meals. Regular discussions were held at residents meetings, about food related issues, and surveys were also undertaken. The cook discussed individual preferences with each resident. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The culture of the home positively encouraged comments from all interested parties. Appropriate action was then taken to address any concerns, or aspects of care provision which were identified. The management and staff demonstrated an awareness of the issues relating to abuse, and the protection of vulnerable adults, which has resulted in the development of the open culture evident within the home. EVIDENCE: The home operates an appropriate complaints procedure, and information about how to make comments, suggestions or complaints was given to each service user and their representative. A complaints procedure was also found on the notice board in the front entrance to the home. There were no recent complaints recorded, but several letters had been received from appreciative relatives, and contained the following: • We shall miss the staff who have made us really feel like friends and treated us accordingly • We cannot overlook the loving care and support extended to mother at all times during her 4 years at the home • We saw how well the staff coped with my aunt in what was a very crucial time in her life • Each time one of the family visited our mother was always found to be looking her proud best, happy in spirit, dogged in character, yet forever grateful for the kindness and concern shown by those around her • In mothers final days she was afforded so much comfort and dignity • We will always remember with gratitude all your love, care and kindness HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 16 The relevant policies and procedures relating to the protection of residents were in place and the Protection of Vulnerable Adults (POVA) procedures have been implemented at the home. Staff records confirmed that they have received training in all aspects of abuse, and further training was being planned. A video was also available for staff in the home. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,22 & 25 The standard of cleanliness was excellent, the décor and furnishings were in good condition and the building was well maintained throughout, providing a very comfortable and homely environment for residents. The excellent communal facilities and the provision of specialist equipment, as recommended by a qualified occupational therapist, helped to maximise independence and enhance the quality of life for residents living at the home. The needs of residents are met in relation to the environment in which they live, and their safety and wellbeing is assured as far as possible at Hernes Nest House. EVIDENCE: HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 18 There is an on-going programme of maintenance, and recent developments have included: • the laying of block-paving to the front drive • redecoration of the corridor in the lodge • the residents telephone has been moved to allow more privacy • fitting a lowered bell by the front entrance, for the benefit of wheel chair users Future proposals include the introduction of a training room, which could also be used as a guest room, if required, and the installation of a computer facility for the use of residents. Further progress has been put on hold as the recent discovery of asbestos in the cellar is to be dealt with at an excessive financial outlay to the company. There are two lounges and a dining room on the ground floor, which together with an all weather conservatory provide ample communal space for residents. The dining room has been redecorated, new flooring has been laid, and very attractive new dining furniture recently installed, to provide a very pleasant facility. A visit by an occupational therapist to assess the premises had been undertaken, resulting in various improvements recently being made within the home, which included the following: • a new loop system was provided for residents with hearing difficulties • a new stair lift was installed, providing access to the first floor of the house • the call bell system was replaced • a new tumble drier was fitted in the laundry • the kitchen was rebuilt • a portable ramp was acquired to enable easier access to the front entrance The management consult with the Environmental Health Officer regarding all aspects of health and safety, which are maintained to a high standard. The report of a recent visit to the home confirmed that there were no outstanding matters. Heating and lighting arrangements comply with requirements, and emergency lighting is fitted throughout the premises. All radiators are guarded. Water temperatures are controlled and six monthly checks undertaken. Legionella testing is done. Observations confirmed that relevant contracts were in place and appropriate records maintained. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 & 30 A cohesive staff group is in place, staffing levels are maintained, and staff have skills relative to the work they are doing. Recruitment and selection procedures are detailed and thorough, and help to ensure the protection of residents. The staff training and development programme complies with the National Training Organisations targets, and enables staff to meet the needs of residents. EVIDENCE: The staff group was normally quite stable, although recent trends had been for staff who had received training at the home to move to more senior positions elsewhere. The management were currently discussing how to stem this loss. The Inspector was able to speak with several members of staff, who were all very happy in their work. They confirmed that appropriate recruitment procedures were followed, and that opportunities for training were provided. Confirmation was given by staff and residents that appropriate staffing levels were consistently maintained. The staff rotas indicated a minimum of four care staff on duty throughout the day, and frequently five between 8am & 2.30pm. There were two waking care staff on duty at night with a senior on call. In addition, catering, domestic and maintenance staff were also employed. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 20 A commitment to training was evident at the Home. Induction and foundation training was undertaken by care staff, as part of the ongoing training programme, and the 5 Induction standards had recently been reviewed. Foundation training, also to the National Training Organisation specification, had been incorporated into the basic training programme. A record of the training provided for staff was maintained, and also the training needed by each member of staff was identified. Staff were encouraged to request specific training, which they considered would assist them in their work. NVQ training was also being provided. Currently 4 staff had the NVQ Level 2 in Care, 1 person was working towards it, and 2 carers have applied to commence their training in the near future. In addition 3 staff have achieved Level 3 in Care, while 1 carer was in the process of doing this. There are 3 NVQ Assessors on the staff team. A thorough recruitment and selection procedure was followed, with verbal and written references being obtained. The files seen by the Inspector were maintained to a satisfactory standard, and contained relevant information, with the exception of a photograph, although these were found on the notice board. A review of the procedure was currently in progress and this omission will be rectified, on completion. Applicants were expected to make a written submission, and to work a trial shift, during which time, staff, who had been allocated for the applicant to shadow, made a report. This report included how the applicant responded to the client group, and how residents responded to the applicant. Successful applicants were provided with a job description and a contract of employment. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,36 & 38 The management arrangements at the home are satisfactory. The Registered Manager is very experienced, and qualified both in management and care, and residents and staff benefit from the positive approach and leadership they receive. Supervision procedures provided relevant support to staff. Effective quality monitoring systems are in place, and the views of residents, their relatives, staff and other interested parties are regularly sought, and responded to appropriately. The health, safety and welfare of residents and staff is promoted at the home, and procedures are in place to ensure that they are protected in respect of all safe working practices. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 22 EVIDENCE: Mrs Gurney, the Registered Manager, has many years experience in the care of older people, initially training in secretarial work and then in nursing and midwifery. Mrs Gurney has also undertaken the ENB998 course in Teaching and Assessing in Clinical Practice. She is a NVQ Assessor. In October 2002 she achieved the Diploma in the Management of Care Services. She continues to attend courses to update her knowledge, and joined the training sessions on medication and abuse and also the workshop on hearing. In addition, Mrs Gurney has undertaken an Activity Leaders Course, which has enabled various physical exercises to be introduced for residents. Photographic evidence was seen of her working with residents on these sessions. The management style of the home was observed as being open and positive. There were clear lines of accountability, and staff at the home benefited from the strong leadership and organisational ability shown by the manager. Staff meetings were held and staff confirmed that they were encouraged to express their opinions and contribute to the decision making process within the home. Quality monitoring had been implemented two years ago. Regular audits were undertaken based on the National Care Homes Association format, which covered all the functions of the home. A copy of the annual analysis of the quality audit reports provided an informative and critical, but balanced appraisal of the work undertaken, and the degree to which the aims and objectives of the home were realised. A scoring system, produced by the National Institute of Social Work, for evaluating the quality of care, was used in relation to the environment, staffing and the management of the organisation. A formal supervision programme for care staff was in place, which complied with this standard, and all staff were given an annual appraisal. Senior staff and lead carers had received appropriate training, and the deputy manager was able to confirm their role as supervisors. An extensive health and safety policy had been produced at the home, and staff had been trained in safe working practices. The Care Manager was familiar with the legislation, and appropriate reporting procedures were followed. Checks were undertaken of the relevant documentation. Risk assessments on equipment, machinery and the environment enabled safety standards to be maintained. The generic, health and safety risk assessment had been updated recently, and the fire risk assessment reviewed in response to any changes in the home. HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 4 3 x 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 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 x x 3 x 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 Standard No 16 17 18 Score 3 x 3 4 4 4 3 x 3 x 3 HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 24 NO 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. 1. Standard Regulation Requirement There are no requirements following this inspection 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 Good Practice Recommendations There are no recommendations following this inspection HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 Page 25 Commission for Social Care Inspection John Comyn Drive Droitwich Road Worcester WR3 7NW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI HERNES NEST HOUSE E52 S18464 Hernes Nest House V223510 260405.doc Version 1.30 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. 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