Inspection on 08/06/07 for Kiln Lodge

This inspection was carried out on 8th June 2007.

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

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

Other inspections for this house

Kiln Lodge 27/06/06

Kiln Lodge 10/11/05

Kiln Lodge 11/04/05

Kiln Lodge 27/10/04

Kiln Lodge 02/06/04

Kiln Lodge 26/04/04

Kiln Lodge 04/08/03

Kiln Lodge 11/09/02

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Kiln Lodge 66 Kiln Road Fareham Hampshire PO16 7UG Lead Inspector Pat Griffiths Unannounced Inspection 8th June 2007 10:00 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 Kiln Lodge DS0000012314.V338711.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. Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kiln Lodge Address 66 Kiln Road Fareham Hampshire PO16 7UG 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) 02380 233 808 Mr Mark Cowling Mrs Jean Cowling, Mr Steven Cowling Rosemary Kingdon Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2006 Brief Description of the Service: Kiln Lodge is a care home providing personal care for older persons and older persons with mild to moderate dementia. The people who live in the home are encouraged to maintain their independence and treat Kiln Lodge as their own home. Kiln Lodge is an older house, which has been converted to meet the needs of the people living there. The accommodation is over two floors, which are accessed by the stairs or passenger lift. There is a lounge and dining room on the ground floor and bedrooms are on both floors, there is also a small flat on the second floor, which is accessed by the stairs or a chairlift. The bedrooms provide a mix of shared and single accommodation, some with en suite facilities and all with wash hand-basins. There are bathrooms and lavatories on both floors. There is a large rear garden with a lawn and patio area that provides a pleasant seating area for people living in the home. The front of the property is set back from the road and has ample parking for several cars. The home is close to a busy road in a residential area of Fareham that is backed by open fields and overlooks the motorway. There is a small local shop a short distance from the home and the town centre is nearby. The fees at the home were £395 per week at the time of the inspection and residents are responsible for paying for their own toiletries, hairdressing, chiropody and items of a personal or luxury nature. Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced site visit to the home was made on 8th June 2007. During this visit the inspector spoke with several residents and observed the interactions between residents and staff. The inspector also spoke with the responsible individual, the manager, a deputy manager and members of staff that were on duty. The inspector looked at some of the bedrooms, furniture and communal areas in the home. Documents relating to the running of the home were also inspected during the visit. Other evidence used to write this report was gained from a review of the information that the provider has sent to the Commission for Social Care Inspection (CSCI) since the last visit. This information included incident reports, an annual quality assurance assessment and comment cards from several residents, their relatives and their care managers. What the service does well: What has improved since the last inspection? The information contained in the residents’ contracts has been improved and now includes the number of the room that is being occupied. The preadmission assessment forms have been expanded and now contain enough information to properly assess the needs of potential residents. This ensures that their needs are properly assessed and the manager can decide if these needs can be met before a place in the home is offered. The care plans have Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 6 also been developed to provide clearer information about the daily lives of the people in the home. Medication administration practices have improved and there is now a clear audit trail of the medication that is received into the home. A new accident report book is available in the home, which provides confidentiality of information. 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. Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 7 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 Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 8 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): Standard 3 was assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People wishing to use this service benefit from having a comprehensive preadmission assessment of their needs before moving into the home. EVIDENCE: Prospective residents and their relatives or friends are given a brochure about the home, a copy of the service users guide and a ‘blank’ copy of a contract to ensure they are fully informed about the home before moving in. On admission the information in the contract is completed and includes the room number, the fees payable and by whom and the rights and obligations of the resident and the provider if there is a breach of contract. An action point had been raised at the last visit because the contracts did not include the room numbers; contacts seen on the day of the visit confirmed that this has now been rectified. Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 9 An action point was also raised about the lack of information provided in the pre-admission assessments. The manager showed the inspector the new preadmission documentation, which has been expanded to cover subjects such as the potential residents health, personal and social needs, as well as religious and cultural needs, nutrition, dietary likes and dislikes, mobility, sight and hearing. A medical history is obtained as well as details of the person’s current medication. The home then has the information that is needed to ensure that the needs of potential residents can be met before they move into the home. Files seen by the inspector included the new paperwork and the manager agreed that it did provide more information and informed the decisions made about admitting new residents. Standard 6 was not examined as the home does not provide intermediate care; however it does have two ‘step-down’ beds for people who are discharged from hospital and waiting for a ‘care package’ to be arranged for them at home, or to allow a carer or relative to have a holiday. Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 10 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 assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provide sufficient information to ensure that the people in the home have all their needs met. EVIDENCE: The care plans of three residents were looked at and were seen to contain information about their personal histories, strengths and abilities, and covered all aspects of their healthcare and social needs. The plans contained information about the current medication that the resident was taking, details of their doctor, their next of kin and a colour photograph of them. Their abilities and needs regarding dressing, washing, bathing, mobility, orientation, motivation, sleeping, oral hygiene, hearing and eyesight were also detailed. The manual handling assessments were colour-coded for each resident, so staff could see at a glance what sort of help was needed when people were Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 11 getting up from a chair or moving around the home. Risk assessments had been completed where necessary and included in the care plans. Staff complete a daily record for each resident, providing written evidence that care has been delivered effectively and that all needs have been met. Social needs such as hobbies, interests and spiritual needs were also recorded. Some families had written small ‘potted histories’ about their relatives, which provide some insight for the staff about the person they are caring for. The home’s medication policies were clear and comprehensive. The manager is responsible for the stock levels and ordering of medication in the home, which is delivered weekly from the local pharmacy. The storage and management of medication is effective and records demonstrated that all medication coming into and going out of the home is now monitored and documented. The medication received for each residents is recorded on their MAR sheets, with the amount written in and dated and signed by the responsible person, which provides a clear audit trail of the medication used in the home. The medication administration records [MAR sheets] of all medication administered to the residents were seen to be up-to-date and accurate. The residents are registered with two local GP surgeries, but may keep their own GP if they wish and the GP is agreeable. Visiting healthcare professional include the dentist, optician and chiropodist. Residents that spoke to the inspector felt that staff supported them well, were respectful and made sure they were able to maintain their privacy and dignity as much as possible within the home. Staff were seen to speak quietly and appropriately to the residents. Comments from care managers included: – ‘every resident is treated as an individual. The care plans are updated as and when needed and then put into practice’ - ‘Kiln lodge take some very challenging people, health-wise, that other homes refuse, but Kiln Lodge will never turn away a person if they are within their registration category. They will give them the utmost care and attention’ - ‘staff have been very accommodating to meet specific needs’ A resident commented – ‘I am very happy about the care and all the staff’ Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 14 and 15 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good quality food and their diverse needs are generally well supported EVIDENCE: The people who live in the home are encouraged to maintain contact with their friends and families and care plans emphasised the need for staff to support residents in this. Residents spoken with felt they were able to receive visitors at any time and that their visitors were welcomed into the home. The visitors’ policy was clear about the rights of residents to receive visitors and to meet with them in private. The inspector saw several visitors during the day of the visit, all of whom were very positive about the care being provided in the home, one commented ‘I am more than happy, she looks better and her health has improved since she moved in here’ Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 13 Meals were well-presented and individually served in adequate portions and included fresh vegetables. The lunch meal that was observed was a sociable occasion, the dining room is quite large and residents sit at three separate tables in the room. Staff support was available throughout the mealtime for people who needed it and this support was provided in a discreet, respectful and sensitive manner. Residents spoken with said the food was of very good quality and that there was always ‘more than enough’ and that the staff knew their likes and dislikes. The manager confirmed that the menu was based on their likes and dislikes and alternatives were always available. The residents also commented that if they wanted to they could have their meals in their bedroom, instead of joining the others in the dining room. The residents said that they were happy with the activities provided, if they wanted to do anything there was generally something going on the home and the staff are happy to organise things for them. Planned activities included indoor ball games, skittles, bingo, quiz’s, movement and music, dominoes, walks to the local shop, shopping trips, card making and the very popular ‘beer garden’, when everyone goes out into the garden for a glass of beer or drop of sherry. One resident commented ‘I am very happy – they let me sit by the back door and smoke’ The manager said that staff helped the resident to the smoking area and supervised their smoking sessions, so there was no risk to that resident or any others in the home Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 14 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): Standards 16 and 18 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff training in adult protection, and the knowledge that all complaints are dealt with appropriately usually safeguard the people who use this service. EVIDENCE: Residents that spoke to the inspector were aware that the home had a complaints policy and that they could complain to the manager or other staff on duty, and were happy that they would be listened to. The home has a clear and accessible complaints policy, with an effective system in place for recording and responding to complaints and the manager confirmed that there had been no complaints received during the last twelve months. The procedures in the home for responding to instances of suspected abuse were clear and staff that spoke to the inspector were clear about their role within the procedures and about the nature of abuse. Training records demonstrated that all staff received training on adult protection and abuse issues as part of their induction as well as further, ongoing, training throughout their employment. The manager and one of the deputies are going to do ‘cascade’ training in adult protection in August and will then lead the training in-house for all staff. The home has a copy of the local authority adult Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 15 protection procedures and the manager said that she has applied for the more up-to-date version. Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 16 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): Standards 19 and 26 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service live in a safe, well maintained, clean, and hygienic home. EVIDENCE: The inspector was able to see the kitchen, laundry, lounges and some of the bedrooms. On the day of the visit the home was seen to be clean and tidy, with no malodours. The manager said that routine maintenance is carried out and the home has a rolling programme of repair and refurbishment. The furniture was in a satisfactory state of repair and the people who live in the home were happy with the recent redecoration of the lounge and dining room. The kitchen was clean and tidy and suitably equipped for the number of people that are catered for in the home. The laundry has an industrial washing Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 17 machine and two tumble driers, with labelled boxes and hangers for the residents clothing. Dirty laundry is not taken through the kitchen or food preparation areas. A new bathroom has been fitted and following discussions with the people who live in the home an ‘easy access’ bath was fitted, which contains a seat and has a door in the side so that people can step into the bath, sit down and then wait for the bath to fill with water. The main accommodation is over two floors and there is a lift to enable staff and residents to move easily between the two floors. There is a second floor apartment, which accommodates only one of the residents, and is accessed by stairs or the stair-lift. The lifts are maintained regularly and the passenger lift was spacious enough for staff to push wheelchairs in and out of it comfortably The residents’ bedrooms that were seen were clean, pleasantly decorated and contained comfortable furniture. Most residents had also personalised their rooms with their own televisions, bedspreads, pictures, ornaments and small pieces of furniture. Radiator covers had been removed from some radiators that were not in use, as part of the refurbishment programme, and the manager said that they would all be refitted when the decoration was complete. An upstairs window that opened out on to a flat roof did not have an opening restrictor fitted and the manager spoke to the owner during the visit who said that one would be fitted the next day. The home now has a gardener who visits the home weekly. The garden borders have been replanted, the lawn is mowed regularly and there are hanging baskets, window boxes and pots, which were all a riot of colour on the day of the visit. There are ramps in place to provide access to the patio area of the garden, where there are seats, tables and umbrellas. The manager said that this was a popular spot in the garden, as it is used as a ‘beer garden’ and where they had BBQ’s during the summer. A care manager commented– there is a ‘homelike’ environment, with staff that listen attentively. There is a welcoming approach which generates a relaxed atmosphere’ A relative commented –‘ don’t look at the paintwork – it is not important – look at how happy the residents and staff are – that what a good care home is all about’ Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 18 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): Standards 27, 28, 29 and 30 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment practices and staff training protect the people who use this service. EVIDENCE: The rotas seen by the inspector showed that during the day there are usually three care staff on duty, as well as the cook and the cleaner and there are two staff on duty at night. The registered manager is supported by two deputies, so there is always a member of the management team available during the day. The manager said that they had not used agency staff during the last three months. The inspector looked at staff records, which demonstrated that the home has a robust recruitment procedure and all necessary checks, such as obtaining references from previous employers and Criminal Records Bureau disclosures, are completed before staff start work in the home. The manager said that the recruitment policies were being reviewed and updated to reflect current employment legislation. The staff receive regular supervision, although the manager said that it was not as often as it should be. The manager said that the deputy managers are Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 19 also going to undertake some of the carers’ supervision to ensure that it was done more often. Training records showed that staff are able to access a wide range of training and those staff spoken with said the training was of a good quality. The records indicated that all staff had attended mandatory training such as manual handling and fire safety and other training such as health and safety, anger management and food hygiene. Training sessions arranged for the rest of the year include dementia awareness and the protection of vulnerable adults. The manager said that the district nurse was also coming in to talk to the staff on incontinence and diabetes. Four of the care staff have completed a National Vocational Qualification [NVQ] at level 2 and six are currently undertaking the course. Staff that spoke with the inspector said that they felt they were well trained and able to provide the necessary care for the people who lived in the home, and during the talk indicated that they know what to do should they see poor practice or suspect that abuse has taken place. Staff were seen to interact well with the residents and spent a lot of time talking to them and ensuring they were comfortable and had something to do. The approach of the staff in the home was very positive and contributed to a calm and supportive atmosphere. One of the residents commented: ‘I would like to say that I am very happy and the staff are very happy and amiable and nothing is too much trouble for them, they treat us as we would expect to be treated in our own homes’ Comments from relatives of the people who live in the home included: ‘they look after my dad and I trust them with his welfare’ ‘what an excellent team of staff – they were all ‘angels’ in my aunts twilight years. She was treated with respect and dignity and always with a smile from the carers’ ‘they seem caring and genuine when dealing with individuals, my father always seems to be well cared for whenever I visit. The staff seem to have a good relationship with my father’ Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 20 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): Standards 31, 33, 35 and 38 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service have their privacy, independence and dignity promoted are usually safeguarded by good management. EVIDENCE: The registered manager of the home has no formal or NVQ care or management qualifications, but has twenty years experience in care of the elderly and is a registered trainer and an NVQ assessor. She has managed the home for two years, operating an open-door style of management and is currently looking at training resources with a view to obtaining a management qualification. Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 21 Staff and residents that spoke to the inspector said that they would not hesitate to approach her if they had problems or concerns. The quality assurance system is in place and residents and their relatives have completed questionnaires. The manager said that the results have not yet been collated, but they will be made available to any interested parties. The people living on the home usually manage their own finances or have them managed by a nominated representative. The manager does look after some personal money for three of the residents, which is kept separately in individual envelopes with receipts and clear records of all monies spent. The balances were checked and found to be correct. Health and safety issues are well managed within the home and staff receive regular health and safety related training. Records showed that all equipment in the home was regularly serviced, the landlords certificate was seen for the servicing of the central heating system, which was an action point following the last inspection. The fire records were seen and demonstrated that all equipment is regularly tested and emergency plans were in place. The manager showed the inspector the new accident report book, obtained following a suggestion made at the last visit, which will provide confidentiality of information and ensure compliance with the Data Protection Act. A relative commented – ‘I cannot praise the manager and her wonderful, happy, staff enough’ Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 22 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 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 3 X X X X X X 3 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 Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 23 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 Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Kiln Lodge DS0000012314.V338711.R01.S.doc Version 5.2 Page 25 - 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!