CARE HOME ADULTS 18-65
Innova House Care Home Forest Avenue Forest Road Mansfield Nottinghamshire NG18 4BX Lead Inspector
Mary O`Loughlin Unannounced Inspection 18th September 2006 10:00 Innova House Care Home DS0000008702.V307171.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 Innova House Care Home DS0000008702.V307171.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. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Innova House Care Home Address Forest Avenue Forest Road Mansfield Nottinghamshire NG18 4BX 01623 626252 01623 650099 enquiries@innovahouse.com 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) Dr Sudaram Rai Dr Chandran, Dr M Cheedella Mr Paul Blaker Care Home 15 Category(ies) of Physical disability (15) registration, with number of places Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. All residents will be in need of care and accommodation as a result of brain injury 18/01/06 Date of last inspection Brief Description of the Service: Innova House is a care home registered to provide personal care and accommodation for up to 15 younger adults who fall within the categories MH and PD with have an acquired brain injury. The home accommodates people for short or long term care, respite care or emergency admissions and can provide day care. The home is located on the outskirts of Mansfield town centre close to shops, pubs, the post office and other amenities. The home was opened in August 2000 and consists of a converted and extended domestic dwelling. All of the home’s bedrooms are single, and 6 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. The home has a small paved garden and use of a nearby allotment. There is ample car parking available. The range of fees are: £785.00 Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on 18th September 2006 for the duration of five hours. The main method of inspection was case tracking, which involved selecting three residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Discussions with residents, staff and relatives forms part of the case tracing methodology. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. The inspector viewed some areas of the building that included the communal areas, 1 bathroom, laundry, therapy kitchen and four bedrooms. The garden area was also viewed. Residents were briefly observed during lunch. Other documentation including health and safety records were also examined. The management of medication was assessed for three residents. During the course of the inspection the Inspector spoke with four residents, and one relative, the feedback was positive about the level of care received. The Registered Manager assisted in the inspection process. Three members of staff were spoken with and three staff files were viewed. The focus of the inspection was to concentrate on the key standards, which were assessed under the new methodology of Inspecting for Better Lives (IBL). Ten responses were received from the Commission for Social Care Inspection pre-inspection surveys sent to the residents. These responses were used to inform this report. Residents were seen to be happy and interacting with each other and staff, a relative said they were confident that people were in ‘safe hands’ at all times and that whenever they visited unannounced they found that their relative was well cared for. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection?
Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 7 The manager has implemented a new care planning system that reflects guidance from relevant professional bodies concerned with rehabilitation and social care. There has been significant time spent by the manager developing a usable and useful tool that records all the health interventions that a resident requires and ensures that staff are fully informed of any appointments or re-assessments. 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. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 8 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 Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. New residents are assessed effectively prior to admission to ensure that their needs can be met. EVIDENCE: The records of one resident demonstrated that significant time is spent developing a plan of care with the prospective resident in consultation with external professionals involved with the person’s assessment. The documents record that the person received a full assessment of their needs and was fully involved throughout the process. The resident said that there were limitations on his choices that were an agreed part of his care plan and that he had been in full agreement with this as part of his rehabilitation. The assessment focused on achieving positive outcomes for the resident based on the person’s strengths and abilities, which informed staff how to build on those strengths when caring for the person. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 10 One new resident was seen to be allocated an individual member of staff who was providing the person with special attention, giving them help and support to feel comfortable in their surroundings, and keeping them safe. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-7-9 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: The manager has continued to implement a new care planning system; two of the three care plans seen were in the new format. The format for recording health care appointments and clinical interventions was seen and the manager said these would be included into each person’s records to provide an improved system of easily referenced information. All three residents spoken with were aware of their care plans and said they were consulted throughout the process of drawing the plan up and at each review.
Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 12 The plans set out in detail the current and anticipated needs of the individual. They include a comprehensive risk assessment. Management of risk takes into account the specialist needs and age of people who use the service, balanced with their aspirations for independence, choice and normal living. One resident discussed how they now have their own tea making facility in their own room, and are able to prepare their own meals using the new Therapy kitchen. The person said that they had really enjoyed the opportunity to cook, things like cakes or scones, receiving positive feedback from everyone. Where there are limitations on choice or facilities, it is in the person’s best interest. The resident understands and agrees the limitations. Any limitations are fully documented and reviewed on a regular basis to ensure their ongoing relevance. One resident spoke of how staff had taken steps to control any risks to them during their rehabilitation and how they had appreciated the time and effort that was spent to continually support them through difficult stages in their rehabilitation. The plans demonstrate that staff understand the importance of residents being supported to take control of their own lives, and to encourage and enable them to exercise their rights and make their own decisions and choices. Residents are encouraged to participate in staff recruitment and confirmed their involvement in this process, they spend time interviewing prospective staff and the manager said their views are taken into consideration before recruiting. A residents committee also gives residents the opportunity to be involved and contribute to the day-to-day running of the home. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-13-15-17 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. People who use the service are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. Residents are offered a healthy diet at times convenient to suit them and are supported to cook for themselves as determined by their rehabilitation plan. EVIDENCE: All three residents case tracked had care plans that promoted the person’s right to an ordinary and meaningful life. The service focuses on involving residents in all areas of their life, and actively promotes the rights of individuals to make informed choices, providing links to specialist support when needed. This includes developing and maintaining family and personal relationships as described below. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 14 One resident said they had been consulted on their individual aspirations and goals and these were seen to be set for the short and long term based on their abilities and strengths. The resident was able to confirm the improvement in her physical abilities that had been helped by the provision of specialist equipment and constant encouragement from staff and special support from her key worker. There was adequate storage space for the equipment not to be intrusive on the living space of the person. Residents had been able to participate in external opportunities such as college, visits home and special events. The resident spoke of how they had been able to develop friendships within the home with fellow residents. One resident had been able to develop a personal relationship with a person of their choice. One resident had been found meaningful employment locally as part of his rehabilitation plan. One resident had been unable to access the service’s allotment and had been provided with her own garden space where she was able to grow flowers and tomatoes. One resident spoke of having attended a concert with staff and of a forthcoming weekend break to Blackpool that was her choice and facilitated by staff. Residents confirmed that they were able to get suitable transport arranged by staff at the home, which enabled them to access the community. The local public transport also runs just outside of the home. Residents spoke of the privacy afforded to them; staff knock on doors before entering, bedroom doors are lockable if they wish to have a key and this is assessed as part of their individual plan. There is unrestricted access throughout the home and residents are free to move around subject to individual risk assessment. All residents said they were happy with the meals provided. The cook spoke of having a weekly budget and how she consults with residents each day on their individual choice of diet, taking into consideration the special diets and healthy eating plans in place. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 15 The cook was observed to visit residents and ask them what they wanted for lunch, also giving them the opportunity to cook their own meal in the Therapy kitchen subject to their rehabilitation plans. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-19-20 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. The safe management of medicines within the home protects residents. EVIDENCE: Individual plans record how the person is to be supported in their daily lives, there were good examples of how the staff manage identified problems and how the preferences of the resident were being considered. Residents spoke of being supported to improve their mobility and independence within their everyday lives with a good range of equipment such as grab rails, battery operated wheelchairs and suitable adaptations for those with mobility problems. Different methods of communication based on the needs of the residents are recorded.
Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 17 Innovative ways such as video messages from relatives are used to reassure residents with memory problems and allay any fears and anxieties this can cause. Residents said that they could choose who supported them and there were male and female staff on duty. 100 of the responses received from residents, through the Commission for Social Care Inspection pre-inspection survey said that staff treated them well. The service employs a physiotherapist as part of the services provided and the physiotherapist was visiting at the time of the inspection. Residents said they could see the doctor when they wished and if they were too ill to get up the staff would care for them in bed and contact the doctor for them. Medicines are managed safely; there is suitable receipt, storage and administration in place to safeguard the residents. The medicine fridge temperature was reading high during the inspection, the manager took appropriate action to remedy this problem. Resident’s have an opportunity to self medicate subject to risk assessment, however no residents were self-medicating at this time. Staff are trained in safe medicine administration and where they provide clinical support such as Insulin administration, district nurses provide them with training to ensure their competence and this was seen to be recorded and signed by them. The manager was advised to ensure that the district nurse includes the names of all staff that she considers competent at this procedure. Staff spoken with demonstrated a thorough understanding of the needs of the residents in the home. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: There is a complaints procedure in place. There were records seen of the concerns expressed by residents and how these had been resolved which show the manager listens and acts upon the views and concerns of the residents. There have been no complaints about the service, referred to the Commission since the last inspection. 100 of the responses received from residents, through the Commission for Social Care Inspection pre-inspection survey said they felt the care staff listened and acted on what they said. Residents have a key worker with whom they can discuss problems with and the manager said he ensures residents have access to an advocate if required, evidence of external advocacy was not seen at this inspection. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 19 Residents said they have opportunities to discuss issues through their committee and feedback their concerns to the manager; records of these meetings are held, but were not examined at this inspection. Residents spoken with said they felt safe at the home and felt able to discuss their concerns with staff. 100 of the responses received from residents through the Commission for Social Care Inspection pre-inspection survey said they were aware of how to complain. There are robust procedures in place for ensuring residents are safeguarded from abuse and these inform staff of their role in reporting any suspicion or allegation of abuse. Staff also receive training in protection of vulnerable adults within their induction and foundation training and evidence of this was seen. There have been no safeguarding adults referrals since the last inspection. Staff records show they receive training annually on dealing with the management of potentially violent behaviours and the registered provider considers this to be compulsory. Staff not attending this training cannot continue in their employment. This ensures that staff know how to deal with any aggression in accordance with the Department of Health guidance, which protects the rights and best interests of residents and is the minimum consistent with safety. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. The policies and practices of infection control safeguard the residents. EVIDENCE: The premises are accessible to residents in wheelchairs. A passenger lift is in place to provide access to the first floor. The home has been refurbished and provides an excellent standard of accommodation throughout. The layout and space provided ensures that residents have good access to all parts of the home and the gardens. Individual rooms were examined and were very clean and individualised.
Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 21 Residents said they were able to choose the décor and soft furnishings as they wished. There are suitable communal areas with appropriate adaptations to meet the needs of those with disabilities. A newly fitted therapy kitchen is now in use and suitable for people with disabilities. The home is situated just off the main road and public transport is available close by. A summerhouse provides outside smoking space, as the home has a no smoking policy internally. The home was very clean throughout. There are good arrangements in place to control infection, the standard of cleanliness and attention to details such as ensuring all bins have lids, demonstrates the commitment of staff to maintain safe practices. Laundry facilities are sited in the basement area; there are appropriate washing temperatures to control infection. Staff were seen to use protective equipment when dealing with soiled clothing, which reduces the risk of cross infection. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32-34-35 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. The recruitment procedure ensures that appropriate safeguards are in place to protect the residents. EVIDENCE: The records of three staff were seen and show that the manager operates a robust recruitment practice, which ensures that staff that may be known to be unsuitable to work with vulnerable adults are not employed. Service users are actively supported to be involved in staff selection, and are supported through the process of joining and departure of staff. Records were seen of the staff induction training which is linked to Sector Skills Council specification, including training on the principles of care, safe working practice, the organisation and worker role, the experiences and particular need of the resident group.
Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 23 Management prioritise training and facilitate staff members to undertake external qualifications beyond the basic requirements. Team leaders, who are qualified to National Vocational Level 3, also receive training from external providers in Team Leadership (accredited), which ensures they have the required skills to undertake the role. This exceeds the required standards. All staff have basic first aid training and emergency first aid training that exceeds the required minimum standard. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 24 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37-39-42 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. The health, safety and welfare of the residents is promoted and protected. EVIDENCE: There is a registered manager in place with skills and competencies that exceed the minimum standard. He is a qualified nurse in both General and Psychiatric branches and has many years experience. The manager has completed a management qualification to level 4 NVQ and said he has almost completed level 5, which gives him recognised skills in mentorship. He has also gained further training in person centred care for people with Dementia.
Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 25 From discussion with the manager he demonstrated that he is aware of new legislation, guidance and best practice and provides relevant staff with necessary information. There are effective quality assurance systems in place and throughout this report there is evidence of continuous consultation with the residents to ensure their views are considered and acted upon. The service has also attained the Investors in People Award that helps them develop strategies to improve the performance of the organisation, ensures action is taken to improve the performance and evaluate the impact of the performance on the organisation. The ISO 9002 standard which the service has attained is an internationally recognised standard for an organisations internal quality management, this ensures that the services provided by the home satisfies the users of the service and complies with any regulations. The service has continually developed since the manager has been employed and there have been significant improvements made to the environment and services provided, that improve the lives of the residents. There was evidence within policies and procedures that show they are regularly reviewed to ensure they contain any changes in legislation or guidance from professional bodies. The manager ensures safe working practices, staff receive training in moving and handling and certificates are held that reflect this. Fire safety is well managed and the records indicate that adequate precautions are taken against the risk of fire including the provision of suitable fire equipment. Records indicated that arrangements are in place for detecting, containing and extinguishing fires and giving warning of fires. All fire equipment is maintained satisfactorily. Records show that each staff member receives fire safety training and residents also receive training in fire safety. Weekly fire tests are recorded. Appropriate first aid is available by staff trained in both basic first aid and emergency first aid.
Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 26 First aid boxes were seen around the building and accessible in an emergency. Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 27 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 X 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 4 X Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 28 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 Innova House Care Home DS0000008702.V307171.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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