CARE HOMES FOR OLDER PEOPLE
Langlea House Langlea Terrace Denholme Gate Road Hipperholme Halifax West Yorkshire HX3 8LG Lead Inspector
Lynda Jones Key Unannounced Inspection 3rd May 2007 10:40 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 Langlea House DS0000039476.V333407.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. Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Langlea House Address Langlea Terrace Denholme Gate Road Hipperholme Halifax West Yorkshire HX3 8LG 01422 205795 01422 200088 langleahouse@aol.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Bhye Hassen Koomar Mrs Jacqueline Lorraine Koomar Miss Bibi Nazima Koomar Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: Langlea House is situated in Hipperholme, behind the Jet garage on Denholmegate Road. The local shops, amenities and pubs are within walking distance. There are good public transport links to Halifax town centre. Langlea House is a care home for older people. It was a former private residence which has been adapted and extended to provide accommodation for 14 older people. The building is well maintained, pleasantly decorated and comfortably furnished. There is one lounge, dining room and conservatory on the ground floor. The conservatory is the designated smoking area for people who live at Langlea. An extension to the home was completed in 2005. There is now a visitors’/hairdressing room, office and laundry on the ground floor. There are eight single bedrooms and three double bedrooms, all of which have en suite toilet facilities. Bedrooms are well decorated and furnished to a good standard. There is a shower room on the ground floor and an assisted bathroom on the first floor. The daughter of the owners is the registered manager. The manager and the homeowners live with their families in their homes within the grounds of Langlea House. The fees are between £323 and £450 per week; this includes activities, entertainment and outings. There is an extra charge for hairdressing, chiropody personal toiletries, newspapers and magazines. Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The last inspection of the home took place on 26 February 2006. We have not made any visits to the home since then. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection took place over approximately 4.10 hours. The methods used in this inspection included discussions with people who live at Langlea, discussion with care staff and the manager, observation of care practice, examination of records, and a tour of the home. A pre-inspection questionnaire was sent to the home prior to the visit, the information provided has been used in this report. Surveys were sent to people who use the service and their relatives; these provide an opportunity for people to share their views of the service with us. Comments received in this way are shared with the owner without revealing the identity of those completing them. Ten relatives and nine people who use the service wrote to us with their comments. Information from the surveys has also been used in this report. What the service does well:
Langlea House is small, homely and very comfortable. The people who live there and the staff are all very friendly and they make visitors very welcome. People told us they liked the fact that it is a relatively small home. One relative said, “being a small home, it makes residents feel at home”, another said, “the hands on approach by the owners is a great advantage”. People who live at Langlea House told us they were very satisfied with the service provided. They told us they received the care and support they needed and they felt that the staff listened to what they had to say. In the surveys, people made the following comments “I like the staff, they are all very helpful”, “I am happy here”, “I have no complaints at all, it’s very good all round”. One of the relatives said, “the owners work tirelessly to make sure every resident is well looked after”. The home provides excellent opportunities for people to take part in activities. The staff are very good at engaging with people, there is usually lots of
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 6 laughter and everyone enjoys themselves. Relatives also thought the home performed well in this area. The home is appropriately staffed to meet the needs of everyone who lives there. Staff recruitment procedures are thorough; everyone is checked to make sure they are suitable before they start work. People who live at the home like the staff and get on well with them. They told us “the staff are helpful and supportive”. The staff take part in regular training to keep their care practice up to date. One of the relatives told us “they train their staff to a high standard”. The home is well managed. People who live at the home, their relatives and the staff all have a say in the way the home is run. The management team listen to what people have to say; they welcome comments and any suggestions for improvements. In the surveys, people told us “it’s a nice home, well run”, “the care home gives very good care”. One relative said, “I’m really pleased with Langlea House, I know my relative is safe. This is a care home that really cares”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Langlea House DS0000039476.V333407.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 Langlea House DS0000039476.V333407.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): 1,2,3,5. Standard 6 is not applicable. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are appropriately assessed before they move into the home to make sure that their needs can be met. The information provided about the service is very useful for people thinking of moving in, it helps them to make an informed choice about the home. EVIDENCE: We asked people who live at Langlea if they had been given enough information about the home to help them decide if it was the right place for them to move into. In the surveys, everyone told us they had been provided with sufficient information. The Statement of Purpose and Service User Guide are good; they provide people who are interested in taking up residence with details of the services the home provides. This means people can make an informed decision about
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 10 moving into to the home. The owners said people are very welcome to visit the home first, this provides an opportunity to view the accommodation and talk to other residents and staff about life at Langlea. The home’s admission procedures are good. Individuals are fully assessed before they move into the home. This ensures that their care and support needs are planned for and can be met. One person said, “when I first came here, they asked what my needs were”. Everyone has a written contract/terms and conditions of residence document which gives information about the fees, room to be occupied etc. This information is important because it tells people who use the service about the room they will occupy, what the fee covers and about their rights and what will happen if the contract is breached. Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Individual care plans are detailed and give staff the information they require to meet people’s needs. The health care needs of people who use the service are being met, health care professionals are involved whenever necessary. Medication is well managed, people are given their medication at the prescribed times. Personal support in this home is given in a way that promotes and protects people’s privacy and dignity. EVIDENCE: People told us the care they received was very good. In the nine returned surveys, everyone said they always received the care and support they needed. One person said “I am happy with the care and support”, another said “It’s very good all round”. A relative who completed a survey said, “I have always felt Langlea does their very best to meet my mother’s needs”.
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 12 There was agreement amongst relatives that the staff always kept them up to date with important health related issues. They said they were always contacted if there had been an accident or their relative needed to go into hospital. One person commented “If anything is needed or we need to know anything they get in touch,” another relative said, “I have always been contacted straight away if there has been a problem”. When we asked people who live at the home if the staff listened and acted on what they had to say, they said “always”. They said, “I like the staff, they are all very helpful” and “they are very, very good”. During the course of the visit, a member of staff was always present in the lounge where most people were sitting. Some individuals chose to spend time in their rooms and staff checked on them regularly to ask if they needed anything and to make sure they were alright. We wanted to know if this was their usual experience and in the survey we asked people if the staff were available if they needed them. People told us they were always available. One person said “someone is always on hand to depend on”. Three sets of records were looked at to see if the care and support that people said they were receiving was written in their care plan. In each case, the care plans identified the needs of each person and set out in detail what action that staff must take to make sure these needs are met. One person had very recently moved into Langlea House and considerable effort had gone into gathering information about this person’s daily routines and preferences to make it easier for him to settle in with minimal disruption. Included in each person’s plan is an outline of what is an “average day” for them. This information is based on what each individual and their relatives tell staff about how they prefer to spend their time. The information is well written and very useful, it helps staff to know when people like to get up and tells them how much support or prompting each person needs to get washed and dressed. The emphasis is on assisting people to continue to be as independent as possible. Valuable information is recorded about individual preferences for baths and showers which ensures that the staff provide support as consistently as possible. The records show that the privacy and dignity issues are given high priority. We asked if they received the medical support they needed and everyone who completed a survey said “always”. The records demonstrate that health care needs are being identified and met. The care plans document visits from GPs and district nurses and the advice that has been given. Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 13 In the surveys, we asked relatives if they thought the service met the needs of different people. For example, we asked them to consider issues of race and ethnicity, age and disability. Five relatives replied “always”. As well as care and support needs, information is also recorded about individual interests, likes and dislikes in relation to food and where each person prefers to have their meals. A monitored dose system is used for the administration of medication. Medication records are well maintained and show that everyone is getting their medication at the prescribed times. Langlea House DS0000039476.V333407.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): 12,13,14,15 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to choose their lifestyle. The staff respect their preferred routines, people do not have to fit in with the running of the home. A range of interesting and stimulating activities are on offer everyday, people can choose whether they want to take part or not. EVIDENCE: Routines are very flexible; people who use the service are supported to live the life they choose. They decide how they want to spend their time and the staff work around their preferred routines. People said they get up and go to bed when they choose, they have their meals in the dining room or in their room if they prefer and they decide whether they want to spend time with others or in their rooms, depending on how they feel. Langlea excels in the provision of meaningful, stimulating activities. An entertainments diary is displayed on the notice board in the dining area. It lists
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 15 the daily activities that people can take part in and gives details about the entertainers that are booked to perform at the home. Daily activities include quizzes, board games, cards and scrabble, chair exercises and watching films amongst many other things. Activities also include watching sport on TV, going out for a walk to the local shops and to the pub for a drink. This is not just a list of suggested activities, there is a genuine commitment to offer some stimulation and engage people in leisure and recreational activities that they enjoy. People do not have to join in, one person said “I don’t take part in activities, the staff respect this”. Other people said they really enjoyed taking part. One of the relatives said “we feel that the care home keeps our relative’s mind active and busy”. The staff are very patient and good at engaging people, they take time and encourage people who have difficulty recalling things, and they are skilled in getting people to talk about their life experiences. In the morning, a member of staff was sitting with six people using “Let’s Talk” cards. The cards provide prompts to encourage people to share information with each other with questions such as “what was the funniest thing that ever happened to you?” and “what did you spend you pocket money on?”. The responses were fascinating and everyone had a good laugh together. After lunch one person went out to the local shop with a member of staff and later everyone prepared to celebrate a birthday of one of the people who lives at Langlea. Birthday signs were on the notice board and on display in the dining room, a buffet and drinks were prepared for teatime and a pianist was booked for the afternoon. Everyone joined in the singing, including the people who usually spend time in their rooms. One person said “we all have a good time here”. Relatives can call at the home at any time. They told us they were always made to feel welcome by the staff when they visit. People who live at the home are supported to keep in touch with relatives and friends who live some distance away. There was evidence in the daily records to show that staff help people to write letters to friends. One of the homeowners prepares the meals for everyone. The menu for the day is on the white board in the dining room. The menus show that a varied, nutritious diet is on offer. People said, “the food’s good here” and “they serve it nicely”. The dining room is pleasant, three staff were on hand to serve meals and make sure everyone had everything they needed. The mealtime was relaxed and everyone had plenty of time to finish their meal. Langlea House DS0000039476.V333407.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): 16,18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service and their and relatives know about the complaints procedure. They feel confident that they could talk to staff if they were unhappy with any aspect of the service provided. EVIDENCE: Details of the complaints procedure are displayed in the entrance area and included in the Service User Guide. When we asked people living at the home if they knew how to complain, everyone said they did. Some said they would talk to the owners of the home, others said they would tell a member of their own family first. We asked relatives the same question and, although the majority said they knew about the complaints procedure, two relatives did not. It would be useful to remind people that the procedure is on display. Relatives told us they had not needed to complain about anything. One person said, when they raised a concern with staff, it was dealt with immediately. According to the information provided before the inspection, all staff have received adult protection training within the last year. Arrangements are in hand to make sure any staff that have recently taken up post also have access to this training. New staff are told about their responsibilities in this area as part of their induction to the home.
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 17 Langlea House DS0000039476.V333407.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): 19,20,23,24,25,26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The standard of accommodation and quality of the furniture and fittings is very good. People who use the service live in a clean, well maintained and pleasant home. EVIDENCE: The home is very well maintained internally and externally. The gardens are attractive and well kept, there is an outside decking area where people can sit in safety and enjoy the good weather. There is ramped access to the side of the building. Bedrooms are at ground and first floor level. There is no passenger lift; people with mobility difficulties use a stair lift to gain access to the first floor.
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 19 There are eight single and three double bedrooms, all with en-suite facilities. All bedroom doors are fitted with locks but only two people choose to lock their doors. There is also lockable drawer space in the bedrooms. Every room is differently decorated and furnished and equipped to a very good standard. The rooms are very comfortable and have been set out to suit personal needs and preferences. Everyone has lots of photographs, ornaments and other personal possessions around them in their rooms and some people have brought small items of their own furniture with them when they moved in. On the ground floor there is a lounge, dining room and conservatory. The conservatory is the designated smoking area. These rooms are well furnished, comfortable and clean. There are two televisions, a music system, video and piano in these rooms for people to use. Everyone who completed a survey said the home is always fresh and clean. Visitors said they called at different times of the day and this was always the case. I talked to three relatives who called at the home; they said they were very impressed with the appearance, décor and standard of cleanliness at the home. One relative said the cleanliness and presentability of the home was something the owners and staff managed really well. Langlea House DS0000039476.V333407.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): 27,28,29,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The staff are skilled and well trained. There are sufficient staff on duty at all times to meet the changing needs of the people who live there. The recruitment process is very thorough. Procedures are in place to make sure that all staff are appropriately checked before they start work at the home; this is to make sure that staff are suitable and to make sure that people who live at the home are safe. EVIDENCE: In the surveys, people who use the service said there were always staff around if they needed them. There are three staff on duty in the mornings plus the owners, manager and housekeeper. In the afternoons, there are two staff plus the manager and, in the evenings, there are two staff on duty and the manager is on call. The daughter of the owners manages the home. She lives with her family next door to the home. The owners also live in a property in the grounds. They are all available on call when they are not on duty within the home, including during the night when there is only one member of staff on duty. They can be contacted directly by ringing through to their respective homes.
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 21 From observation during the visit, staff are always close at hand. They had time to organise activities and take part and they appeared to manage their other duties very efficiently. We wanted to check that the staff recruitment procedure was as thorough as had been noted on previous visits to the home. To do this, three staff files were looked at relating to recently appointed staff. In each case, detailed applications had been completed, references had been taken up and checks had been carried out with the Criminal Records Bureau and Protection of Vulnerable Adults register. All of this was done before the staff started work at the home to make sure they were suitable to work with older people. The home has a good record for ensuring that the staff have the training they need to enable them to do their work and keep up to date with good practice. A record of the training that has taken place over the past year was provided before the visit to the home. All staff, with the exception of the new starters, have completed NVQ training, although arrangements are in hand for the new staff to register for training within the next two weeks. We asked relatives if they thought the staff have the right skills and experience to look after people properly. They commented “they are excellent in what they do, we think they are extremely good”, “I have always seen the staff look after residents in a proper way, usually doing more than they have to do because they are very caring”. Langlea House DS0000039476.V333407.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): 31,32,33,35,38. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is very well managed and it is run in the best interests of the people who live there. The views of people who use the service and the staff are listened to and respected by the management team and all of the staff. The safety of residents and staff is protected. EVIDENCE: The registered manager has the required qualifications and experience to run the home. She has completed the Registered Managers Award and she keeps
Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 23 herself up to date with good practice by attending additional training courses and seminars. Together, the manager, deputy manager and homeowners form an excellent management team. Each person has a specialist area of responsibility; they possess a range of skills and work well together. The manager ensures that the staff follow the home’s policies and procedures. The views of the staff are listened to and valued. Staff meetings take place and all staff receive regular supervision. Record keeping is of a good standard and all of the records that were looked at during the visit were up to date. People who live at the home and their relatives were complimentary about the staff team and the way the home is run. One person said, “the management and staff are all very helpful, we are very satisfied”. People who use the service are consulted about the way the home is run. Meetings take place with them on a monthly basis and their views are encouraged and taken on board. One person told us they were involved in the residents’ meetings. All relatives and people living at the home take part in the annual Quality Assurance system. The results of this year’s survey were being collated at the time this visit took place; the manager said they would soon be available to share with everyone. Relatives deal with most of the finances relating to people living at Langlea House. They deposit money to pay for hairdressing and chiropody etc. A record is kept of all income and expenditure. Health and safety is given high priority at the home. All staff have received health and safety training within the last twelve months and regular updates are planned. The records of the servicing of equipment that were provided showed that servicing was up to date. Fire alarms are tested weekly and all staff receive regular training on fire safety issues. Langlea House DS0000039476.V333407.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 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 X X 3 4 4 4 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 4 X 3 X X 4 Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 25 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 Langlea House DS0000039476.V333407.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Paul’s House 23 Park Square (South) Leeds LS1 2ND 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
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