Inspection on 21/05/07 for Kingsthorpe Grange

This inspection was carried out on 21st May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Kingsthorpe Grange 21/01/10

Kingsthorpe Grange 26/10/05

Kingsthorpe Grange 09/05/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Kingsthorpe Grange Kingsthorpe Grange 296 Harborough Road Kingsthorpe Northampton NN2 8LT Lead Inspector Irene Miller Key Unannounced Inspection 21st May 2007 11:15a 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 Kingsthorpe Grange DS0000064133.V327954.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. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingsthorpe Grange Address Kingsthorpe Grange 296 Harborough Road Kingsthorpe Northampton NN2 8LT 01604 821000 01604 821492 kg_ks_ss@yahoo.co.uk 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) St Matthews Limited Ms Katrina Elizabeth Shaw Care Home 50 Category(ies) of Dementia - over 65 years of age (27), Old age, registration, with number not falling within any other category (23) of places Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No further Service Users in the category of OP may be admitted when there are already a total of 23 Service Users accommodated in this category No further Service Users in the category of DE(E) may be admitted when there are already 27 Service Users accommodated in this category A maximum number of 50 service users to be accommodated within the home. 26th October 2005 Date of last inspection Brief Description of the Service: Kingsthorpe Grange is a home situated in Kingsthorpe, a suburb of Northampton. The home is within walking distance of community resources, which include churches, shops, pubs and restaurants. The home has recently changed ownership, and is registered to provide Nursing care for service users with a variety of needs over 65 years of age. Accommodation is provided across two floors, there are 48 single rooms and 1 double room with 26 rooms providing en suite facilities. The home consists of a large older house, which has been extended to form 4 house groups, each area consisting of bedrooms, and lounge/dining facilities. Access to the first floor of the home is by passenger lift. The home has a rear garden which is accessible to service users, and has car parking to the front and rear. The current scale of charges range from £427.78 to £650 per week. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections visits undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for service users and their views of the service provided. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 and the Care Homes Regulations 2001, for homes providing care for older people. The primary method of inspection used was ‘case tracking’ which on this occasion involved selecting three residents, and reviewing their health, social, emotional and physical care needs. The care plans of the three residents chosen to ‘case track’ were sample checked (a care plan sets out how the home aims to meet the, personal, health, social and emotional needs of the resident), and discussion took place with residents were possible and staff and observations of general care practices carried out. Before this visit took place The Commission for Social Care Inspection sent out satisfaction surveys to residents and their representatives for completion and the registered manager completed a pre inspection questionnaire that provided information on the management and administration systems in place within the home. During the visit policies and procedures and records in relation to staff recruitment, training, complaints, medication management, and general maintenance and upkeep of the home were sample checked. The registered manager Katrina Shaw was available at the home on the day of inspection. What the service does well: Person centred care is promoted in all aspects of the care provided at the home, observations of staff to resident interactions and resident to staff interactions demonstrated that the homes philosophy of practicing person centred care was actively followed. Residents living with dementia were observed to spend time with staff on a one to one basis and the support that the residents were observed to receive showed respect of their individuality. Residents were observed spending time Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 6 with each other in small groups sat at the table within the dining area and there was a relaxed atmosphere within the home. Visitors spoken with said that they were always made welcome by the staff, praising the staff on the excellent care that their relative was receiving at the home, one of the visitors said that it was like ‘one big family’. Diversity is fully celebrated within the home, that ensures that residents ethnic and cultural and spiritual needs are fully met. There is a full and varied programme of activities available and under the leadership of the activity co-ordinator there is a devoted volunteer group in operation within the home, the volunteer group organise day-to-day activities such as a gardening club, pottery club, carpet bowls, bingo and quizzes The care plans contained sufficient detail to inform the staff on individual residents care needs. There was detailed information available on the nursing care provided and there were assessments in place to monitor residents physical and emotional healthcare needs. Alternative therapy’s are promoted an aroma therapist visits the home weekly to provide relaxing massage for residents who suffer from aching joints and muscle stiffness. There is pro active approach to risk management, accident report are followed up with a review of the risk assessments to identify high-risk areas to individuals due to their physical and mental dependency levels and any environmental hazards that may contribute to accidents occurring. Work was in progress to improve and create an environment that had sensory stimulation for residents. The management and administration of the home ensures that residents live in a home that is run in their best interests and their health safety and welfare is promoted and protected. What has improved since the last inspection? What they could do better: Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 7 Residents and their representatives need to be made aware of the location of the homes statement of purpose and service users guide (that sets out the aims and objectives of the home and the range of facilities and services it offers) to enable them to be fully informed of the range of services and facilities that the home offers to residents. 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. Kingsthorpe Grange DS0000064133.V327954.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 Kingsthorpe Grange DS0000064133.V327954.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): Standard 3 (Standard 6 is not applicable to this service) Quality in this outcome area is good. Prospective residents can be assured that admission into the home will only take place once it has been established that the home can fully meet their health, personal and social care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the care plans viewed there was evidence that full pre assessments had been carried out to prior to admission and the assessments had identified the range of care required by the people that use the service. The Commission for Social Care sent out satisfaction survey questionnaires to residents and their representatives prior to the inspection visit and the returns provided information that confirmed that many of the residents and their representatives feel that they had received enough information about the care Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 10 home prior to moving in to help them make an informed choice as to whether they felt that the home could fully meet their needs. Within the front entrance lobby to the home there was a copy of the homes statement of purpose and the service users guide (that sets out the aims and objectives of the home and the range of facilities and services it offers) and there was copies of the two most recent inspection reports available. However when speaking with residents and visitors to the home they could not recall having seen the homes statement of purpose and service users guide, this was discussed with the registered manager so ensure that residents and their representatives were made aware of the location of the documents and the information contained within them. Kingsthorpe Grange DS0000064133.V327954.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 & 10 Quality in this outcome area is good. Resident’s health and personal care needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Comments received in the satisfaction survey indicated that residents were satisfied with the care and support that they received, and residents and visitors spoken with during the visit said that they were happy with the level of care and support provided. A sample check of the care plans evidenced that there was sufficient detail for staff to inform them of the individual care required by each resident living at the home. Within each care plan there was needs assessments in place that identified health care risks such as nutritional intake and the risk of developing pressure ulcers. Where residents had been identified at risk of not receiving sufficient nutrition intake, support had been obtained from a speech therapists and dietician, and where residents were at risk of developing pressure ulcers, Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 12 their care regime reflected the preventative measures that had been put into place to prevent skin tissue damage and pressure relieving equipment had been implemented. An aroma therapist visits the home on a weekly basis and when speaking with relatives and staff they praised the benefits that the therapeutic massage brings to residents who suffer with aching joints and muscle stiffness. Accident records showed that follow up checks for injuries are carried out which indicate appropriate monitoring of residents health and well-being. The registered manager reviews the accident reports on a regular basis to identify high-risk areas to individuals due to their physical and mental dependency levels and any environmental hazards that may contribute to accidents occurring. A sample check of the residents’ medication against the medication administration records (MAR) sheets, confirmed that prescribed medication was being correctly administered to residents. A check was made of the controlled drugs held within the home, there was one controlled medicine in liquid form that had been opened and had not been used for several months, the need to ensure that medication with a limited shelf life once opened is replenished within the correct time frame was discussed with the person in charge, records in relation to the administration of controlled drugs were in good order. The staff were observed to treat the residents with respect and their dignity and independence was promoted. Observations of staff to resident interactions and resident to staff interactions demonstrated that the homes philosophy of practicing person centred care was actively followed. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 Quality in this outcome area is excellent. The home ensures that every opportunity is available for residents to lead a lifestyle that matches their expectations and preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Diversity is fully celebrated within the home, there was a mix of staff from many ethic backgrounds and on the day of the inspection visit, staff and volunteers were making preparations to hold an African day, at which the staff planned to wear traditional clothes and residents having the opportunity to sample traditional African dishes. There was a stand on display within the front entrance of the home that gave information to residents and visitors on the cultural traditions within Africa and its regions. The home had a full schedule of seasonal activities that marked days such as St Valentines, St David’s, St Patrick’s, and St Georges days and Easter celebrations had taken place that had included an Easter card Challenge and Easter Bazaar. Activities of planned to take place included the African Day, A Midsummer Party, an Hawaiian day, a Summer Bazaar and a scarecrow party. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 14 In addition to the in-house activities that take place the home had a range of visiting musical entertainers that come to the home and there was information on up and coming events on display throughout the home. The registered manager works closely with the homes activity co-ordinator to ensure that there is a full and varied programme of activities available and under the leadership of the activity co-ordinator there is a devoted volunteer group in operation within the home, the volunteer group organise day-to-day activities such as a gardening club, pottery club, carpet bowls, bingo and quizzes Residents that resided within the dementia care units were observed to spend time with staff on a one to one basis and the support that the residents were observed to receive showed respect of their individuality. One resident was engaged in ‘nursing’ a baby doll, the resident clearly enjoyed looking after the doll and to get a sense of comfort and satisfaction from ensuring it was well looked after. A member of staff was observed to speak to a resident who had originated from Italy in their first language and residents were observed spending time chatting with each other in small groups sat at the table within the dining area and there was a relaxed atmosphere within the home. Visitors spoken with said that they were always made welcome by the staff, praising the staff on the excellent care that their relative was receiving at the home, one of the visitors said that it was like ‘one big family’. The registered manager has began to put together life histories in collaboration residents and their families, one of the books was viewed that included information on life events such as births, marriages, previous work occupations, family holidays and other life events. One of the volunteers was preparing to hold an afternoon session of carpet bowls when asked about the benefits of volunteering they said that they had seen improvements in residents self esteem and social skills through enjoying a game of carpet bowls, the volunteer had been visiting the home for a number of years, following the loss of his wife who had previously lived at the home. The meal on the day of the visit was Shepard’s pie and mixed vegetables, when asked about the choice and the standard of the meals the residents said that they were pleased with the meals available, one resident said that they would have generally had their main meal in the evening and have a lighter meal at lunch time, this individuals preference was discussed with the deputy manager at the time of the visit. Some of the residents had swallowing difficulties and were unable to receive food and drinks through oral methods, in such instances they required to receive their nutrition and fluid intake through percutaneous endoscopic gastrostomy tubes (PEG tubes) There was evidence within the care plans that Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 15 such artificial feeding systems were taylored to the individuals needs, and that support was available from healthcare professional and that the PEG tube feeding systems were carefully managed and monitored. Kingsthorpe Grange DS0000064133.V327954.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): Standards 16 & 18 Quality in this outcome area is good. Residents and their representatives can be assured that their rights will be protected and any concerns or complaints they may have, will be listened to and acted upon by the management of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure was available within the front entrance lobby of the home, and within the service users guide that was also located within the same area of the home. There were records available that demonstrated that complaints are responded to and that the home takes all concerns and complaints seriously the records detailed the action taken to address the concern or complaints. The Commission for Social Care Inspection had not received any complaints about the home since the last visit to the home. The satisfaction survey feedback confirmed that residents and their representatives know who to speak to if they are unhappy and comments from relatives showed that they were aware of how to raise concerns. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 17 Training was provided through induction and refresher training on the protection of vulnerable adults, when speaking with staff they were aware of the need to ensure that residents rights were respected and to be protected from abuse. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is good. Residents live in homely surroundings, which are well maintained and clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A limited tour of the building was carried out and all communal areas appeared clean and well maintained. The home had sought the co-operation of visitors and families in personalising resident’s bedrooms through having small items of furniture and personal possessions within, in some of the bedrooms family photographs included the names of the people within the photographs on display. Some of the bedroom doors had a photograph on display of the resident that occupied the room; this was in an effort to aid residents in identifying their own rooms. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 19 There was several large and small communal seating areas throughout the home and within one of the corridors in the dementia care unit work was in progress to develop an area to have sensory objects available for residents to, look at, pick up, touch, and feel. Theses objects included items that appealed to the visual, touch and auditory senses The pre-inspection questionnaire identified that regular maintenance checks are carried out on the emergency lighting, call systems, gas, water and electrical systems and that equipment is regularly maintained such as hoists, hydraulically operated beds and the central lift. An automated dosing system was in operation within the laundry that allows clothing to be washed at lower temperatures whilst still disinfecting them. The main kitchen was viewed an was seen to be clean and tidy, and there were records available of food safety monitoring systems being followed on a daily basis. The satisfaction survey feedback indicated that residents and their representatives found the home to be clean and well maintained. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 20 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 & 30 Quality in this outcome area is good. Residents are supported by a staff team that are skilled and competent to fulfil their roles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the visit there was sufficient staff on duty to meet the needs of the residents. A selection of staff recruitment files were viewed and the information available demonstrated that recruitment and selection procedures were robust, all of the files looked at had evidence that checks had taken place with the criminal records bureau (CRB) and the vulnerable adult protection register and that staff references had been obtained prior to staff taking up employment at the home. There was an annual training programme in place that included mandatory training on health and Safety, food hygiene, moving and handling, medication management, fire safety and first aid. Training had been provided on specific nursing procedures and dementia care training had been provided through the use of a training package supplied by the Alzheimer’s Society entitled Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 21 Yesterday, Today, Tomorrow that focuses on providing care person centred care for people living with dementia. In discussion with staff it was evident that they enjoyed working at the home, and took a pride in providing a high quality of care, staff spoken with that worked within the dementia unit said that they found their work very rewarding, and enjoyed helping residents to maintain as much independence as possible. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 22 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 & 38 Quality in this outcome area is excellent. Resident’s live in a home that is run in their best interests and promotes and protects their health, safety and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has the relevant skills knowledge and experience to manage the home; staff spoken with said that they were fully supported by the registered manager and the registered provider. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 23 The registered manager is committed to ensuring that person centred care is practiced at all times and holds a recognised qualification to provide dementia care accredited training to staff, there was records available to demonstrate that dementia care training had been provided to staff and staff spoken with said that they the dementia care training was very thought provoking and useful. Quality assurance audits are carried out bi annually to include management and administration systems within the home to ensure that residents receive a high standard of customer care. The satisfaction survey feedback received by the Commission for Social Care Inspection indicated that overall residents and their representatives were fully satisfied with the service provided at the home. The home does not hold money on behalf of residents therefore the residents financial affairs were managed through individual arrangements between families, advocates and placing authorities. There was a commitment to individualised care and observations made during the inspection visit established that residents were enabled to choose how to spend their time, and activities were planned to meet individual’s preferences and abilities There was a proactive approach to risk management within the home, which balanced people’s rights to take risks based upon their level of abilities and understanding. Relatives spoken with said that they could speak with the registered manager at any time, and that she was always approachable and willing to help. Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 4 13 4 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 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Kingsthorpe Grange DS0000064133.V327954.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!