Inspection on 26/09/07 for Kendal Bank Care

This inspection was carried out on 26th September 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

Kendal Bank Care 22/01/07

Kendal Bank Care 04/01/06

Kendal Bank Care 26/08/05

Kendal Bank Care 09/03/05

Kendal Bank Care 16/11/04

Kendal Bank Care 18/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Kendal Bank Quarr Gillingham Dorset SP8 5PB Lead Inspector Maxine Martin Key Unannounced Inspection 26th September 2007 9.45am 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 Kendal Bank DS0000026828.V351510.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. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kendal Bank Address Quarr Gillingham Dorset SP8 5PB 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) 01747 825666 01747 825002 care@kbc.gb.com Mrs Pamela Mary Halstead Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 0ne place for a named service user - category MDE(Mental Disorder [Elderly]) 22nd January 2007 Date of last inspection Brief Description of the Service: Kendal Bank is located in an attractive rural area of North Dorset, five minutes away from the A303 trunk road and ten minutes away from Gillingham town, which is on the main Waterloo train line. The home is registered to provide care and accommodation to three older people with low care needs. The home overlooks a pretty garden, paddocks and fields. The service user accommodation is comprised of three single bedrooms, bathroom, lounge and a dining area in the kitchen all located at ground floor level. Kendal Bank is also the home of the proprietors and their family and a very homely, comfortable environment is provided. The fees are available from the home on request. This information was given on the 22 January 2007. Readers of this report may find it helpful if they have any queries about fees to contact the Office of Fair Trading www.oft.gov.uk. The manager had copies of the last report available within the home. The report of this inspection is available from enquiries@csci.gsi.gov.uk. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection was the first within the year 1 April 2007 to 31st March 2008. It was conducted in line with the Care Standards Act 2000 and the Inspecting for Better Lives. The inspection lasted four hours commencing at 9.45am and finishing at 1.45pm. During the inspection discussions were held with all residents, one staff member and the manager. Records, files and any relevant documentation seen and care practice observed. The medication procedure was checked and a tour of the premises undertaken. Prior to the visit the previous inspection report of 22nd January 2007, the Annual Quality Assurance Assessment (AQAA), four comment cards and service history data were used to inform the inspection process and provide evidence for this report. The inspector would like to thank the resident’s, manager and staff for being supportive throughout the process. What the service does well: Residents can be confident that the home can meet their care needs prior to moving in, because the home only admits people after the social worker has completed an assessment and where necessary the home undertakes their own assessment to ensure they can provide an appropriate service. Detailed records are kept that support positive care practice which means residents are supported in all aspects of their health and personal care. The medication processes and procedures in place are maintained in line with regulations and best practice guidance so that residents can be safety supported. Staff are trained in medicines management to support their care practice. Residents are well cared for, residents comments included about the care staff “nice people” and that they are “very well treated”. Throughout the inspections residents appeared very happy and settled they enjoyed talking about their home. An advocate said about the home: “ enables residents to live in a safe homely environment…treats as individuals”. Residents are enabled to make choices and have the opportunity to remain as independent as possible whilst receiving support to meet their identified needs. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 6 Residents maintain contact with family and key people on a regular basis. This promotes residents individuality, facilitates control and enables residents to have a life-style they are happy with. Healthy food and homely environment support the residents to enjoy their food in a social and appropriate way. Resident’s comments in relation to food included: “lot’s of nice things” “ lovely cups of tea” “awfully good”. Polices and procedures are in place and used to support positive care practice which enables residents to be supported appropriately. Residents live in a clean, pleasant, comfortable environment that reflects their individuality and provides specialist equipment to meet their identified needs and ensures their well being and safety. Appropriately checked and trained staff support the residents ensuring that their needs are met and that they are in safe hands. Resident’s benefit from the experience, training and commitment of the manager who is striving to ensure a high quality care service. Detailed procedures and systems support the health, safety and welfare of the residents, which enables residents to be safe, happy and well cared for. One health professional comment card received back said in relation to what the home does well “To be honest they provide an excellent care service in all aspects”. A relative said relating to what the home also does well; `Caring for my relative, always clean and tidy and healthy food’. What has improved since the last inspection? What they could do better: Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 7 At the end of this report no requirements or recommendations are made. 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. Kendal Bank DS0000026828.V351510.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 Kendal Bank DS0000026828.V351510.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using the evidence from the last inspection report of 22nd January 2007, as there have been no new admissions since that inspection. Therefore these standards were not formally inspected this time and the judgement below is taken directly from the last report. “Service users can be confident that the home can meet their care needs prior to moving in, because the home only admits people after the social worker has completed an assessment and where necessary the home undertakes their own assessment. The home does not provide any intermediate care, or have any plans to do the same”. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 10 EVIDENCE: In January 2007 the inspector detailed the following: “All three of the service users records that live at the home were reviewed. It was noted on all service users files that there social services assessments in place. The manager said that she received copies of these prior to service users being placed. The manager was able to evidence that the home supported this process by undertaking their own assessments of service users need. It was noted that plans are developed from these assessments”. Kendal Bank DS0000026828.V351510.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): Standards 7, 8, 9 and 10 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Positive care practice is supported by detailed records, which mean residents are supported in all aspects of their health and personal care, ensuring residents can be assured their needs are fully met. Medication processes and procedures are maintained in line with regulations and best practice guidance so that residents are safety supported. EVIDENCE: Resident’s files contained care plans based on the assessment of their needs. The files evidenced monthly reviews by the manager and annual reviews by social services were seen and included other key people. The manager always gets any care professional to sign when they have been and if there are any changes to the care plans. Reviews also detailed the involvement and signature of the resident. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 12 Health records were seen which evidenced regular contact with a range of health professionals including: GP’s, Psychiatric nurses, chiropodist, occupational therapist, and physiotherapist. Records were kept of resident’s weight it was discussed that keeping them on a separate sheet to the daily logs might support the home in quick reference of the information. The daily logs were up to date, signed and dated. Although brief in detail they contained any significant changes. One health comment card received back said in relation to what the home does well “To be honest they provide an excellent care service in all aspects”. The size of the service means that there is an increased awareness of residents changing wishes and needs. The staff team is consistent and the fact that the manager is there most of the time enables detailed knowledge of the individuals to be developed. In discussions with the residents they all confirmed that they have choice and are very happy with the care provided. One resident discussed recent medical treatment and how it was improving their quality of life. Positive comments were made including: “very well treated”, “very happy here”. Two comment cards were received back from relatives predominantly the feedback was very positive. One relative answered ‘always’ in response to all the questions, another mainly answered always but detailed ‘sometimes’ in relation to the area of choice and if any concerns needed to be raised. No relatives or key people wished to speak to the inspector. Comments relating to what the home does well included ‘Caring for my relative, always clean and tidy and healthy food’. The medication procedure was inspected and one person’s medication checked against the Medication Administration Chart (MAR) and found to be correct. The current system continues to be in good order as detailed in the previous report. The manager has set in place very thorough systems to ensure the safe administration of medication. Medications are securely stored, detailed signed records are kept and there are clear audit trails to ensure ongoing monitoring. Colour coding is used to support the recognition of resident’s medication and provide a secondary confirmation system. No one currently self medicates. Records of communication with medical professionals were seen showing clear review of medications. The manager advises that on a yearly basis (if the GP has not seen the resident for sometime) they arrange for the GP to review the resident and ensure any current medication is still required. Records contained regular correspondence with a range of health professionals. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 13 The manager has also supported the two members of staff to attend a safe medicines course to ensure that they are also competent in this matter if there is an occasion when the manager is not there. Residents commented about the care staff “nice people” and that they are “very well treated”. Throughout the inspections residents appeared very happy and settled and enjoyed talking about their home. An advocate said “Enables residents to live in a safe homely environment…treats as individuals”. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 14 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. This judgement has been made using available evidence including a visit to this service. Residents are enabled to make choices and have the opportunity to remain as independent as possible whilst receiving support to meet their identified needs. Residents maintain contact with family and key people on a regular basis. This promotes residents individuality, facilitates control and enables residents to have a life-style they are happy with. Healthy food and homely environment support the residents to enjoy their food in a social and appropriate way. EVIDENCE: During the inspection the residents were observed being supported in their daily routines. Two residents were keen to show the inspector the bird watching area and a pheasant who has made it’s home there with a baby. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 15 One resident went out for a daily walk, which was detailed in the care plan. All three residents spoke keenly of members of the manager’s family and watching the horse riding. The residents had been out with the managers on Sunday for a pub lunch, which they all independently discussed with the inspector and had obviously enjoyed. One resident spoke of a particular garden centre they like to go to where there are nice flowers and refreshments. Care plans contained information of similar activities to those discussed by the residents. Two residents keep contact with family members and this is supported by the manager and staff team as necessary. The manager said visitors are very welcome and they actively encourage residents to keep contact with relatives and friends. In discussions with the manager she advised that they have tried different activities in the past and it all depends what the residents want to do. At weekend the staff member is encouraged to do activities with the residents as they feel they want to. Due to the nature of the service being that of a residential provision within a family home, the manager discussed how often residents will go out to the shops if they are going or for drives in the car. That at key times of the year the residents, if they wish, join in events such as parties and Christmas with the manager’s extended family. Lunchtime was observed, the residents were given choice about where they wanted to eat. The meal was freshly cooked and nicely presented. Records of meals are kept by the manager and clearly evidenced individual choice by the residents one example is one resident likes fish on a particular day and this had been provided. In discussions with the resident’s comments were made including “lot’s of nice things” “ lovely cups of tea” “ awfully good”. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place, which are supported by appropriate care practice that ensures the safety and well-being of the residents. EVIDENCE: There have been no complaints since the last inspection or any adult protection referrals. The previous inspection confirmed that the service users all had a copy of the complaints procedure in their possession and that family members were informed on how to make a complaint. The manger advised that any small concerns are addressed immediately. The comment cards received evidenced that relatives and other agencies all knew how to make a complaint but that there had been no issues to date. The home has current policies and procedures in place including an adult protection policy. The manager and staff have all completed training in protecting vulnerable adults. An open door policy and regularly contact with other professional supports a culture of positive protective care that works to safe guard residents. Kendal Bank DS0000026828.V351510.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, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, pleasant, comfortable environment that reflects their individuality and provides specialist equipment to meet their identified needs and ensures their well being and safety. EVIDENCE: On arrival the home was very clean and the overall environment is furnished to a good standard and provides a comfortable setting. The lounge area was very pleasant with the view over the bird feeding area that residents enjoy. Individual rooms were seen and evidenced resident’s choice and individuality, they were also laid out in the way residents had requested. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 18 Specialist equipment was available for use by named residents. In discussions with the manager an appropriate health professional or an advisor from the company had assessed most of these. In discussion it was suggested that for all equipment needs an OT assessment is obtained. Risk assessments were seen on the file that supported the safe use of equipment. Pressure relieving mattress had been obtained for one resident and pressurerelieving cushions were seen in use by two residents. One resident’s mobility has been deteriorating and the manager has ensured that a mobile hoist is in place to support the person and in case they ever fall. The manager is very aware of the increasing needs of the residents and the need to adapt care practice and the environment to address the same. The wireless alarm system is in place and all residents who needed it had one to hand and there was one in the bathroom. The laundry room is off the main kitchen and where the family’s dogs live. The manager advised they currently now have five dogs. The manager advised they do not come into the house. The manager washes each residents clothes individually as a routine practice as she prefers to do this. They have red bags available should they require them. Records viewed evidenced appropriate maintenance of equipment and systems. Kendal Bank DS0000026828.V351510.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriately checked and trained staff support the residents ensuring that their needs are met and that they are in safe hands. EVIDENCE: The staff remain as before the last inspection. Two part-time care staff, the manager and her husband, who is also registered as manager. Discussion held with the staff member reflected a positive environment to work in. She stated they had been on training and that they have regular supervision as well as daily discussions if necessary with the manager. The manager feels the current staffing levels are adequate to meet the needs of the residents. She advised that the rare occasion they have to go away that the staff are very flexible and provide cover; the staff member present confirmed this. At the end of the last inspection there were two requirements relating to the training of staff and one recommendation relating to infection control. These have now been removed, as during this inspection there was clear evidence Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 20 that the staff have all completed detailed training to support their care practice and ensure they were clearly aware of infection control management. The manager had found a training provider who provides correspondence training courses in all mandatory and other related courses. The staff had also accessed other locally available courses. The manager showed the inspector an example of the type of workbooks the staff and herself had completed and commented that they were then also handy as a point of reference once qualified. These were then marked and certification awarded accordingly. All certificates were seen that were completed in the first six months of 2007. These included training in: infection control, food hygiene, moving and handling, health and safety, medicines management, dementia, vulnerable adults, Mental Capacity Act. Since the last inspection the manager has invested considerable effort into ensuring the staff are up to date with basic and additional training. Both staff now hold an NVQ 2 and the manager is encouraging them to consider the next level. Documented evidence of an induction process was seen and that the staff are given time to read all the policies and up date on practice issues. The manager had recently taken one staff to a briefing by environmental health. Staff files were viewed that held copies of training certificates, which had been signed to say the original, had been seen. Supervison/appraisel records were seen also the manager advised that often-informal discussions are held regularly with staff due to the size of the home. The member of staff had confirmed this earlier in the inspection. Kendal Bank DS0000026828.V351510.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 and 38 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from the experience, training and commitment of the manager who is striving to ensure a high quality care service. Detailed procedures and systems support the health, safety and welfare of the residents, which enables residents to be safe, happy and well cared for. EVIDENCE: The managers stated during the inspection their commitment to providing an excellent care service for residents in a homely setting. Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 22 The manager was very organised on the day of the unannounced inspection and able to co-ordinate plans to support the inspection process. All documentation viewed was very organised and reflected the needs of the residents. All documentation was safely secured away and the manager was always keen to discuss how to improve it to benefit their overall care practice. The manager has ensured her own professional development since the last inspection as well as that of her staff. Observed interaction between the manager and the residents was of a caring, professional nature. Mr. Halstead, who holds the NEBOSH certificate and is a current technician member of IOSH, continues to ensure the health and safety maintenance of the environment. Records viewed stated that Environmental Health had advised that they no longer needed to test the water temperatures, as they had been doing, as they only have a small tank. Historic records indicated that the water could get to 59 degrees, which is higher than the recognised standard. In discussions with the manager she was clear as to how the safety of residents is ensured in this matter. Portable Appliance test records were up to date, fire checks and records were as required. It was noted that although staff had completed fire safety training a fire alarm practice should be undertaken involving them. The manager completed this on the 30th September 2007 and records have been viewed that confirm this. All records viewed indicated that the home is managed in an appropriate manner to ensure the health, safety and welfare of residents. The manager advised that all financial matters are dealt with either by extended family members or executors. In relation to quality assurance the manager had completed the Annual Quality Audit Assessment form and in discussions with the previous inspector had agreed to use this as their quality assurance tool, due to the small size of the home. Equally conversation with residents and staff confirmed that they can discuss any areas they wish to raise on an informal basis. The ongoing commitment of the manager for improvement, the up dated training of the staff and all the documentary records seen evidence an appropriate management and administration system are in place. Kendal Bank DS0000026828.V351510.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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 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 3 x x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 x x 3 Kendal Bank DS0000026828.V351510.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 Kendal Bank DS0000026828.V351510.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Kendal Bank DS0000026828.V351510.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!