Inspection on 09/11/06 for Home Orchard

This inspection was carried out on 9th November 2006.

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

Home Orchard 03/11/05

Home Orchard 26/05/05

Home Orchard 16/11/04

Home Orchard 06/05/04

Home Orchard 09/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Home Orchard Palace Farm Rock Road Chudleigh Newton Abbot Devon TQ13 OJJ Lead Inspector Fiona Cartlidge Unannounced Inspection 9th November 2006 12:45p Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 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 Home Orchard DS0000003724.V310897.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 Adults 18-65. 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. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Home Orchard Address 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) Palace Farm Rock Road Chudleigh Newton Abbot Devon TQ13 OJJ 01626 852254 01626 854787 Mr David John Martin Mrs Annette Martin Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 03/11/05 Brief Description of the Service: Home Orchard is a care home registered for five younger adults of either gender who have learning difficulties. The Home is owned and managed by David and Annette Martin who also live at the home. The home is divided into two properties. Three residents live on the original premises named Palace Farm. Another property, Sunset Cottage next door to Palace Farm, accommodates two further residents. The home is registered as one Care Home. Both properties are situated in Chudleigh, which has a variety of shops, medical and dental practices, a library, community centre and public swimming pool. (Open in the Summer months). Chudleigh is just off the A 38, approximately eight miles from Exeter City Centre. The town is on the main line bus routes to Exeter and Newton Abbott, which have main line railway stations. Palace Farm site is a spacious well presented farmhouse, situated on a smallholding in the small historical town of Chudleigh. Residents share the accommodation with the Providers and their family. Each Resident has free access to the entire property and have their own bedroom with either en suite or designated bathroom. The house has a large farmhouse kitchen where all residents cared for at Home Orchard; eat meals with family, staff and Providers. Sunset Cottage is a separate detached house next door to Palace Farm. It has three bedrooms. Each Service User has free access to the entire property and an en suite bedroom. Staff employed by Home Orchard also live within the home and provide 24 hour staff cover. In the event of holidays/sickness cover is provided by existing staff. Home Orchard is a home, which has a working farm and has a variety of animals including: cows, horses, sheep, pigs and bees. Information about fees provided to the Commission in a pre inspection questionnaire describes the current charge as £575/week (currently being reassessed) this basic fee does not cover 1:1 staffing, hairdressing, clothes, toiletries, holidays or activities and outings. The latest inspection reports were found situated in the administrative office. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours and fifteen minutes and was unannounced. A partial tour of the home took place when some bedrooms and all communal living rooms were viewed. Personal records of care of 2 residents and personnel records of 2 members of staff were inspected. The inspector spoke with 1 resident, 3 members of staff and both of the registered providers. Surveys were completed and returned to the Commission by 4 Residents (with support from their family/representatives) and 5 staff members. What the service does well: The admissions process is safe. The needs of prospective residents are fully assessed before a decision is made about if/how those needs will be met within this home. The residents are aware and agree their planned care within a risk- assessed framework. Each resident has an A4 lever arch file, a life plan and daily diary. The inspector looked at all of the records held on behalf of 2 residents, these documents contained a photograph, assessment, care plan, personal information, review sheet by the multi disciplinary team, health care information, prescriptions, risk assessments and contract. Evidence was provided of reviews involving health care teams, home staff, Service Users and Representatives. Records seen indicate that the home is held in high regard by health professionals. The inspector noted that there was mutual respect shown between residents and staff members. A broad range of activities is on offer to meet the needs of those living in the home individually and on a group basis. People can make choices about all aspects of their lives and are supported to do so.. Residents have been assisted to gain employment within the community in local shops and encouraged and supported to set up a small business selling compost. One resident told the inspector that it had been a poor year for honey production produced by their bees which they care for in their own hives. Another resident is an avid horse rider and is employed at a local stable. The food in the home is of good quality with plenty of choice. Residents receive support in the way they prefer; their physical and emotional needs are met. Residents views are listened to and they feel safe in the home; The residents told the inspector that they feel confident discussing personal issues with staff members. The environment is safe, comfortable and homely; Resident’s records confirmed that they are supported and encouraged to clean and tidy their individual rooms. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 6 The staff team are effective and competent. They have a wide range of experience and knowledge to meet the needs of residents. Gaps in knowledge are accessed through training. Resident’s benefit from the open and clear management approach taken in this home. The health, safety and welfare of residents are promoted and protected. 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. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The admissions process is safe. The needs of prospective residents are fully assessed before a decision is made about if/how those needs will be met within this home. EVIDENCE: Records seen and discussion with the Provider confirmed that residents visit the home for an assessment period when their needs are identified. Records confirmed that information from Social workers and care managers is obtained prior to their admission to be sure that Home Orchard is an appropriate setting. Discussion with the provider confirmed that trial visits are preferred and mostly used in the decision to live at Home Orchard. Discussions confirmed that the admission process is gradual and the number of visits made before a decision to stay on a long- term basis is led by the resident. During this period the Provider obtains information from health care professionals and social workers to ensure the placement is suitable. The Provider stated that Home Orchard do not accept short term or respite placements due to the impact on the welfare of existing residents. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 9 The Commission received written feedback from 4 residents when asked – Did you receive enough information about this home before you moved in so you could decide if it was the right place for you? All 4 answered yes and comments received included- ‘I visited on several occasions’, I had a day visit with my family then a weekend visit on my own and I was given a booklet about the home’. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents are aware and agree their planned care within a risk- assessed framework. EVIDENCE: Each resident has an A4 lever arch file, a life plan and daily diary. The inspector looked at all of the records held on behalf of 2 residents, these documents contained a photograph, assessment, care plan, personal information, review sheet by the multi disciplinary team, health care information, prescriptions, risk assessments and contract. Evidence was provided of reviews involving health care teams, home staff, Service Users and Representatives. Records seen indicate that the home is held in high regard by health professionals. The inspector noted that there was mutual respect shown between residents and staff members. Activities provided and encouraged by the home have been supported following specific risk assessment. Plans are in place to identify triggers that may affect Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 11 behaviours and actions taken to minimise escalation, the staff in the home work closely and with guidance from the community specialist support team. The resident who was spoken to by the inspector about their care plan, was aware of the documentation held in the home about them and agreed that they had been involved in discussions and agreement about the plans. Of the 4 residents who returned surveys 2 indicated they ‘always make decisions about what they do each day with comments ‘suggestions are made to me and I can chose whether I do them or something else’, I can decline activities’. The other 2 residents indicated they can sometimes make decisions and commented ‘I find it hard to make choices’, ‘the animals need cleaning and feeding every day’. The survey asked – can you do what you want to during the day, in the evening and at the weekend? 2 responded yes to all, 1 said ‘no’ to during the day with the comment ‘depends on staff availability’, 1 commented ‘not always’ in the evening. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. A broad range of activities is on offer to meet the needs of those living in the home individually and on a group basis. People can make choices about all aspects of their lives and are supported to do so. The food in the home is of good quality with plenty of choice. EVIDENCE: During the inspection residents were seen being guided and respected in a sensitive and supported manner. Small prompts were given and residents were seen to respond. The use of affection, humour, appropriate touch and reassuring conversation was shared between staff and residents. Discussion with residents, staff and observation of records confirmed that residents are encouraged and supported to continue education, take up pursuits and find appropriate employment. Residents have been assisted to gain employment within the community in local shops and encouraged and supported to set up a Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 13 small business selling compost. One resident told the inspector that it had been a poor year for honey production produced by their bees which they care for in their own hives. Another resident is an avid horse rider and is employed at a local stable. On the day of the visit the inspector only met 2 residents as the others were either being supported in activities away from the home and one was at home for a short stay with their family. Photographs and discussions confirmed that residents are fully involved in the local community. Examples include: entries at the local county shows, attendance at the local Lions club and apiary organisations. Home activities include: Farm animal care, horse riding, woodwork and construction, bee keeping, art, and horticulture since the last inspection a Gym has been made available at the home and residents enjoy this exercise under the watchful eye of a member of care staff who is a fully trained exercise instructor. Other activities include attendance at the local cinema, funfairs, arcades, and swimming, horse racing, rock climbing, ten- pin bowling, local night clubbing and shopping trips. A tour of the buildings showed that residents have their own entertainment equipment within their private rooms. This includes: TV’s, videos/DVD players and computer games. Care Plans and daily diaries confirm that residents maintain links with their families and that this process is supported by staff at Home Orchard. Menus seen displayed within the home confirm that Residents at Home Orchard have a wide variety of home cooked balanced meals. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents receive support in the way they prefer; their physical and emotional needs are met. EVIDENCE: Observation and discussion confirmed that the majority of residents are independent in performing personal care. The inspector witnessed that prompts are given to ensure residents achieve a satisfactory standard of personal care. Records confirmed that health care is provided through a General Practitioner and specialist community and hospital services as well as trips to the dentist being enabled. The registered Provider confirmed that he is solely responsible for the medicines and authorises selected staff to administer medicines, when administration takes place, the medication chart is signed and dated after giving and ensuring the resident has taken it. Both registered providers have obtained certificates in the safe handling of medicines. The inspector examined the policy statement and procedure for the safe management of Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 15 medication this had recently been reviewed. The storage of medication has improved since the last inspection. A national formulary of medication was seen to be available for staff to use to improve their knowledge and understanding of specific medicines prescribed for the residents. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents views are listened to and they feel safe in the home. EVIDENCE: The residents told the inspector that they feel confident discussing personal issues with staff members. Of those who returned surveys, all indicated they know who to speak to if they are not happy and would know how to make a complaint, 1 commented ‘if I wished to make a complaint staff would assist with appropriate forms and sit with me to help me complete correctly’. The Commission has not received any complaints about the service and information from the provider indicates they haven’t received any complaints either. The complaints procedure, which includes detail and timescales and methods of how residents and representatives should contact the Commission for Social Care Inspection have been sent to all of the residents representatives and social and health care teams. A booklet explaining the process is also available for residents. 5 staff completed and returned surveys to the Commission all indicated they are aware of adult protection procedures. The inspector examined the policies for protection and whistle blowing, which contained useful contact numbers. Both policies had been reviewed in September 2006. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 17 Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment is safe, comfortable and homely. EVIDENCE: Home Orchard is divided into two sites: Palace Farm and the next-door property -Sunset Cottage. Both Properties appeared safe, comfortable, bright, airy, clean and free from offensive odours. Planned and routine renewal and redecoration were evident; since the last inspection work has taken place to alter the office and laundry area in Orchard farm. The providers supplied a copy of the re-decoration programme for the home to the Commission, since the last inspection 2 residents have swapped rooms and those rooms have been decorated in colours chosen by them. All residents have either en suite or access to a private designated bathroom. What was a garage is currently being converted into an additional day/activities room and residents have been involved in this project. As already stated a well equipped Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 19 Gym is also available to residents, situated in one of the outbuildings also used for wood work, the work to improve the environment is very much a team effort between staff and residents and there was evidence of the use of recycled materials and residents being involved in waste management of some items not suitable for recycling. The residents involvement in these projects is documented in the individual care plans and have been individually assessed to minimise risks. All equipment seen within the home appeared to be in a good state of repair. Resident’s records confirmed that they are supported and encouraged to clean and tidy their individual rooms. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff team are effective and competent. The procedures for the recruitment of staff provide all the safeguards that are recommended to offer protection for people living in the home. EVIDENCE: Records, observation and discussion with staff confirmed that the Staff collectively have a wide range of experience and knowledge to meet the needs of residents. Gaps in knowledge are accessed through training. Existing staff have experience in Care and education of Service Users with learning difficulties, animal care, horticulture and agriculture, primary school education, nursing, administration and outward pursuit training. From the 4 returned resident surveys, 3 indicate the carers ‘always’ listen and act on what they say with the other indicating they ‘usually’ do and when asked – Do the staff treat you well? 3 indicated ‘always’ and 1 ‘usually’. The inspector examined the personnel files of 2 recently employed members of staff these contained all of the information and evidence required to ensure Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 21 their suitability for the post. In addition the files contained copies of Job specifications, Job descriptions, codes of working practise and behaviour, statement of terms and conditions of employment, annual reviews and supervision sessions. The application forms have also been reviewed and updated since the last inspection and are more inclusive in line with recent employment and equality legislation. 5 staff completed and returned surveys to the Commission all indicate that they receive enough support to do their jobs well and are provided with funding and time to receive relevant training. Training records indicate staff have received the following training since the last inspection: Understanding challenging needs, First aid at work, Fire safety, positive values and attitudes, HACCP principles of safer food, better business, understanding and managing stress and safe handling of medicines. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s benefit from the open and clear management approach taken in this home. The health, safety and welfare of residents are promoted and protected. EVIDENCE: Staff spoken to during this inspection said they felt happy working at the home personnel files showed that staff undergo an annual appraisal as well as regular and ongoing supervision and support. Residents said they feel comfortable discussing any issues or concerns with the staff and providers, formal reviews are used as an opportunity to formally seek opinions of residents, Care Managers and Representatives regarding the service provided. Care Plans confirmed this process is recorded. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 23 All records seen contained signatories and dates and therefore it was easy for the inspector to track through the documentation and identify who had made and when information had been documented. The records are stored securely and residents were aware of the information held about them. Health and Safety Executive posters and safety notices were displayed within the home as was a current employers liability insurance certificate. All activities involving residents, identified as a possible risk have been assessed with a documented plan to minimise the risk, which has been communicated to the carers/enablers. The inspector examined incident reports which were found to be detailed and inclusive of actions taken to prevent reoccurrence. Records seen during the inspection and information given to the commission before the inspection by the provider indicate that all fire safety, gas and electrical equipment is regularly serviced. Health and safety policies were examined and these had been dated as being reviewed in September 2006. The home has a clear policy on the management of resident’s money, valuables and financial affairs and a secure safe has been fitted in the new office for all items that require safekeeping. Quality assurance systems within the home include regular formal review of care plans with residents and their representatives, daily discussions, informal and formal staff meetings and communications on a daily basis in residents ‘day books’. Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 4 34 X 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Home Orchard DS0000003724.V310897.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!