Inspection on 31/10/07 for Hurst Hall

This inspection was carried out on 31st October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Hurst Hall 02/11/06

Hurst Hall 13/03/06

Hurst Hall 02/11/05

Hurst Hall 03/03/05

Hurst Hall 13/07/04

Hurst Hall 29/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hurst Hall Kings Road Ashton-under-Lyne Tameside OL6 9EG Lead Inspector Ann Connolly Unannounced Inspection 10:00 31 October 2007 st X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hurst Hall DS0000005572.V348902.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. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hurst Hall Address Kings Road Ashton-under-Lyne Tameside OL6 9EG 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) 0161 330 4772 0161 330 8195 hursthall@meridiancare.co.uk Meridian Healthcare Ltd Kathryn Buckle Care Home 50 Category(ies) of Dementia - over 65 years of age (50), Old age, registration, with number not falling within any other category (50), of places Physical disability over 65 years of age (24), Sensory Impairment over 65 years of age (5) Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 50 service users to include: *up to 50 service users in the category of OP (Old age not falling within any other category) *up to 50 service users in the category of DE(E) (Dementia over 65 years of age) *up to 24 service users in the category of PD(E) (Physical disability over 65 years of age) *up to 5 service users in the category of SI(E) (Sensory impairment over 65 years of age). 2nd November 2006 Date of last inspection Brief Description of the Service: Hurst Hall is a single storey, detached building which was purpose built several decades ago. It has benefited from a continuing programme of improvement to reflect changing standards and expectations. It offers accommodation in single rooms for up to 50 older people and is run by Tameside Care Ltd, a not for profit organisation, which also runs other homes in the Tameside area. The home is located on the outskirts of Ashton under Lyne, with public transport links to central Ashton. The home has, in addition to service users’ bedrooms, four lounges, two dining areas, a large conservatory and a dedicated hairdressing room. At the time of this visit (October 2007) the charges at Hurst Hall were between £361. 75 and £386.75 Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on 31 October 2007 at 10:00 During the site visit a selection of records, care plans, policies and procedures were examined. Discussions took place with the manager, staff working in the home, and some relatives who were visiting. Prior to the inspection, questionnaires were sent out to the people who live in the home, asking them to comment on how the home is run and managed, and for their views about how the staff supported them. Some of these were retuned and the comments have been included in this report. Several residents living in the home were spoken to in private during the visit, and discussions took place with them to find out what they thought about the home and what they felt about how the staff supported them. Before the inspection, we also asked the manager of the service to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service, about how they are meeting outcomes for people using their service. Information that was provided in the (AQAA) for this service, was detailed and comprehensive, and provided evidence of a service that was committed to focusing on positive outcomes for the people who use the service. Since the last inspection visit, which took place on 2 November 2006 , the Commission for Social Care Inspection has received two concerns about this service. There was evidence during this visit that the manager was managing complaints well, and that procedures were followed appropriately Over the last twelve months the home’s manager has received six complaints, and information in the AQAA states that these were investigated within 28 days. None of these complaints were upheld. What the service does well: From observations made during this visit, and from information provided by the manager in the AQAA, there was evidence that this home continues to work towards improving and developing systems within the home. Staff demonstrated an understanding of good care practice and adopted a holistic approach when providing care services to residents in the home. There was a strong focus on seeking the views of the residents, and in providing flexible care and support arrangements. One resident said, ‘ Staff are wonderful, they are so helpful”. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 6 All the residents spoken to were extremely positive about their experiences in the home, and about the way the home was run and managed. They were very complimentary about the way in which staff provided care and support. Some of the comments from residents were as follows: “Staff are wonderful, It’s first class here. The staff here unite, they work together as a team, and they are so helpful” “Staff here are so special, there’s always someone to talk to if you have a problem”. “You can have visitors when you want. The manager is approachable and she acts quickly with any complaints”. “It’s top class, first class, nice and clean, no smells and the carers are very very good”. Comments from relatives and visitors were also positive, and mirrored the experiences and comments made by residents in the home. One visitor said, “”It’s not just the standards in the home, it’s the care. It’s a real home, It’s warm and caring. The manager has a lot of respect for the residents and the staff. There is an enthusiasm for standards here and they care for people as individuals. This puts this home apart from the rest”. “They go the extra mile”. The home has a motivated staff team and a supportive management structure. Staff and residents in the home expressed confidence in approaching the manager with any issues of concern. Residents and relatives were observed frequently ‘popping’ into the office. One relative said that staff were very supportive and she felt confident that her mother was receiving a good standard of care. She also said she felt involved in all aspects of her mother’s care planning. Another relative said that she felt staff were very approachable, ‘the staff here don’t ignore what you say, if you just mention anything they will address the concern’. Hurst Hall provides a ‘homely’ atmosphere in a purpose built environment. Décor, furnishings and hygiene were of an exceptionally high standard. Care plans have been developed using a person centred approach which provides a structure for involving residents and their families in the planning of care to meet the needs of individuals. The home continues to prioritise training for all staff. There was evidence of ongoing training opportunities for all staff working in the home. There was evidence that the management responds positively to complaints and to ensuring that the views of people using the service are listened to and responded to appropriately. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 7 There is an emphasis on staff training and development. The information in the AQAA demonstrates that good progress is being made in training. This ensures that staff are supported to develop appropriate skills to help them in their caring and supportive role. 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. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 6 Quality in this outcome area is good. Residents and their relatives are given sufficient information about the home to help them in making a decision about their care arrangement. Residents’ needs are assessed prior to admission to the home so they are confident their needs will be met, and the home is sure it can meet their personal needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a detailed and comprehensive statement of purpose and service user guide containing all the necessary information required by existing and prospective residents. A copy of the latest inspection report was also made available in the main reception/entrance hall. The manager and staff understood the importance of ensuring that all residents had access to information about the home, so that they could make Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 10 an informed decision as to whether the home was appropriate for them, or to find out what kind of services were available to people living there. A selection of residents’ files was looked at. All the files examined had a copy of an assessment undertaken by an appropriate professional, for example the care manager from the funding authority. An assessment was also carried out by a representative from the home, to establish whether or not the skill mix and staff in the home could meet individual care needs. There was documentary evidence that the manager confirmed in writing to the prospective resident that Hurst Hall could meet their needs. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. Procedures, practices and systems were in place to ensure residents healthcare needs were met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents in the home had a care plan, in which individual needs were identified. The plans included the guidance for staff to assist them in supporting the individual resident. The care plan had been compiled using the information in the pre admission assessments. The files which were examined were well organised and provided evidence that consultations had taken place with residents about their own perception of their care needs, and how they wanted their care needs to be met. During discussions with residents it was evident that positive relationships had been established with staff. Residents spoke highly of the way staff supported and assisted them. Staff were observed in providing sensitive intervention, and treated residents with respect. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 12 Residents in the home were very complimentary about how the staff team supported them. One resident said, “ Staff are wonderful, it’s first class here. They work together”. Another resident commented on the strong focus on valuing the people living in the home. She said, “It’s not just the standards, it’s the care from staff. It’s a real home, it’s warm and caring and there is care and respect for the residents”. There was documentary evidence that the care plans were reviewed at regular intervals. This process was used as an opportunity to identify any significant changes in care and support needs, and the care plan was amended appropriately. Emphasis was placed on involving the resident to participate in the review process, and where possible, their signature was included to demonstrate this. Where an individual was unable to sign, a representative had done so on their behalf. Staff who were spoken to were able to demonstrate a good understanding of the care planning process. There was a general recognition that, as far as was practically possible, residents should be supported to participate in developing the care plan, and that seeking their views on how they wanted to be supported was key to the whole process. Medication was administered using a monitored dosage system. Medication administration records (MAR) presented as predominately appropriately maintained. However, some of the stock levels of medication did not balance with the written records. It seems that stock balances are not always carried forward or added to the receipt of monthly medication received into the home. This shortfall was addressed at the time of inspection, and the manager added the requirement to check stock levels of all medication on to the audit which she carries out monthly. This will ensure that when the monthly audit takes place, the manager and senior staff will be able to track medication and provide a full audit trail for all medication received into the home. This will minimise any risks, and ensure that medication is handled safely. Soon after this visit, the manager provided written confirmation to the Commission, that all medication had been fully audited. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Residents are supported to maintain links with their family and friends and they are encouraged to exercise as much choice and control over their lives as they can. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an open visiting policy, and information about visiting arrangements was included in the statement of purpose and service user guide. Residents who were spoken to confirmed that they could receive visitors at any time, and a number of visitors were seen coming and going during the course of this inspection visit. It was noted that visitors were made welcome on arrival, and from discussions with some of them, it was evident that visits to Hurst Hall were generally seen as a positive and pleasant experience. There was evidence that residents were helped to exercise choice and control over their lives. Residents spoke about going out with their relatives and friends and about the flexible arrangements in the home. One resident said, ‘The manager has encouraged us to keep in contact with the local community”. This resident, and a number of others said they had strong links with the local Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 14 church, and regularly visited the ‘Thursday’ club,- a social group connected with the church. Staff who were spoken to had a good understanding about good practice in helping residents to maintain control over their lives. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents’ rights are protected by robust polices and procedures and there is an open transparent approach to managing complaints. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Hurst Hall has a comprehensive complaints procedure, which is made available to existing and prospective residents and their representatives. The complaints procedure is displayed in a prominent position in the reception area of the home. The complaints record was examined during this visit, and provided evidence of an organisation that took all complaints seriously, even those of a minor nature. Complaints received directly by the home had been fully investigated within a 28 day period, and written responses had been sent to the complainant. Information provided by the manager in the Annual Quality Assurance Assessment (AQAA), stated that six complaints had been received by the home, and that all six had been investigated. None of these complaints had been upheld. A further complaint was still being investigated. The Commission for Social Care Inspection received two concerns about this service, and both Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 16 of these had been investigated appropriately by the manager and her operations manager, using the appropriate procedures. During discussions with the manager, there was evidence of an open and transparent approach to any complaint and concern. The manager was proactive in supporting staff to respond quickly to concerns raised by residents and their families, so that issues of concern could be managed and addressed quickly and efficiently, and ensure positive outcomes were experienced by any complainant. During this visit, families and residents were seen approaching the manager with queries and concerns. The manager adopted a positive response on all occasions. A number of residents were spoken with during this visit. All of them expressed confidence in approaching the staff team, or the manager with any issues of concern. There was evidence in documentation and in the information provided by the manager in the AQAA document, that safeguarding and adult abuse issues were re-inforced to staff in supervision sessions and staff meetings. The training programme included training in the protection of vulnerable adults. Most of the staff who were spoken to had a good understanding of issues around abuse and what to do in the event of an allegation of abuse. Some staff had a more in depth knowledge that others, and were fully aware of the procedures. They had a sound knowledge that social services must be informed and take the lead in any allegation of abuse, and that the Commission must be informed. There was evidence that all staff were being updated on adult protection and safeguarding, to ensure that all staff have a detailed knowledge base, so that they know what happens once an allegation has been reported to the manager. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is excellent. The home is appropriately maintained, decorated and cleaned to ensure that residents are provided with a safe, pleasant and hygienic environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This was an unannounced visit to the home. As part of the visit, a tour of the building took place. All communal areas and bedrooms were found to be cleaned to a high standard. Information provided by the manager in the AQAA stated that all staff have received training in infection control and that protective clothing was provided and used by staff. Hand sanitisers have been introduced in the reception area of the home to minimise the risk of infections in the home. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 18 The manager provided documentation confirming that all health and safety checks had been carried out in the environment and on equipment as required. There was evidence of an ongoing rolling programme of decoration and refurbishment. The newly decorated areas and furnishings were of a high standard, providing a pleasant environment for residents and visitors. New fire doors had been fitted throughout the home. The external patio areas had thoughtfully been designed to provide an extremely pleasant and safe external area for residents to enjoy all year round, making good use of the external space. There was evidence that bedrooms had been personalised with personal effects and furnishings. All residents spoken to and visitors at the time of the visit were highly complimentary of the standards in the home. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. Residents are supported by a well-trained staff team, and are protected by robust recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During this visit there were sufficient staff on duty to meet the needs of the residents. Staff were seen spending one to one time with residents and providing support for those residents with high dependency needs. The manager reported in the AQAA that there were sufficient numbers of staff to meet the dependency levels of the residents, but added that the ratio of staff to residents was constantly monitored, and that staffing levels are increased when it becomes necessary. Training records showed evidence of an ongoing programme of training and development. All staff spoken to were complimentary of the training provided by the organisation. Staff said they felt well supported by the management team and confirmed that induction programmes were completed by all new member of staff. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 20 Information provided by the manager in the AQAA stated that all staff are supported to undertake National Vocational Training (NVQ) and confirmed that 76 of staff have NVQ level 2 or above. Residents who were spoken to expressed confidence in the ability of the staff and were complimentary about how the staff supported them. One resident said, “ The staff are so helpful”. A visiting relative said, “If anyone is ill. They (the staff), really look after the resident, they really love to care”. She went on to say, “ They respect and care for the individual, this puts this home apart from the rest”. A selection of records relating to the recruitment of staff was looked at. The documentation demonstrated that appropriate checks had been undertaken before employment commenced. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This service is run in the best interests of the residents, and the management ensure that the safety and welfare of residents and staff is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been in post since the beginning of 2006 and has completed the Registered Manager’s Award. Staff who were spoken to said that they found the manager approachable and that they could talk to the manager about any concerns. One of the relatives spoken to during this visit said that she had found the manager very responsive to any problems, and that the manager was approachable and quick to respond to any complaints. She also said that she was impressed by the way the manager and the staff team worked hard to encourage links with the local community, which helped Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 22 residents to have an active interest in what was going on locally. Several of the residents have been supported to maintain contact with a local church and the community activities. There was documentary evidence of regular staff and residents meetings. The meetings were used as a forum to exchange views, and to seek the views of residents about how the service could be developed. Information in the AQAA provided evidence that good standards were maintained for the maintenance of equipment for health and safety including fire prevention equipment. The organisation completed an internal quality assurance audit, which ensures that the views of residents are sought formally on a regular basis. The result of the 2007 audit was examined and it concluded that there was a high rate of satisfaction amongst residents using the service, and no areas of underperformance, however, the organisation were keen to identify areas where improvements could be made, to improve outcomes for residents. Information provided by the manager in the AQAA, provided evidence of a manager who was committed to developing the service so that residents had positive outcomes. Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 x x X x x x 4 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 3 X 3 X 3 X X 3 Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Hurst Hall DS0000005572.V348902.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!