Inspection on 31/10/05 for Longworth House

This inspection was carried out on 31st October 2005.

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

Longworth House 30/11/06

Longworth House 18/04/05

Longworth House 05/10/04

Longworth House 20/04/04

Longworth House 27/05/03

Similar services:

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Longworth House 28 Eversfield Road Eastbourne East Sussex BN21 2DS Lead Inspector Debbie Calveley Unannounced Inspection 31 October 2005 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 Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 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. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Longworth House Address 28 Eversfield Road Eastbourne East Sussex BN21 2DS 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) 01323-729700 Mr Aleem Siddiqi Mrs Arifa Siddiqi Mrs Marie Madigasekera Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty (20). That service users must be aged sixty-five (65) years and over on admission. 18 April 2005 Date of last inspection Brief Description of the Service: Longworth House is a converted former family home situated in a residential area close to Eastbourne town centre. It has been adapted to accommodate twenty older people needing nursing care. The resident accommodation is situated on three floors and consists of twelve single rooms and four double rooms. None of the single rooms have ensuite facilities, but all the double rooms do have an ensuite facility. Three of the top floor bedrooms are below the minimum size requirement. A lift provides level access to all areas of the home; there is a large lounge for the residents with a dining area at one end. A conservatory has been built, which has increased the communal day space to an acceptable level. There is no on-site car parking, but there is unrestricted car parking outside the home, the train station is approximately ¼ of a mile away and local buses stop nearby. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 31 October 2005 at 10:00 am. There were eighteen residents in the home with two residents in the local district hospital. The staff on duty consisted of the manager, who was also the trained nurse in charge, four carers, two of who are presently on the adaptation course, a chef and two ancillary workers. The methodology of the inspection included a tour of the building, inspection of documentation and records, the delivery of care for six residents and informal interviews with six residents, six relatives and four members of staff. It was a positive inspection where it was found that the standard of care has been maintained to a high standard. The feedback from residents, their relatives and the staff on duty was open and honest and the inspector would like to thank them for their time and their insight in to life at Longworth House. What the service does well: What has improved since the last inspection? Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 6 The bedroom doors previously wedged open have had appropriate door guards fitted, and the fitting of door guards is to continue. The maintenance of the premises continues to improve providing a safe and comfortable environment for those living and visiting Longworth House. 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. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 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 Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. The comprehensive Statement of Purpose and Residents Guide give prospective residents the information required enabling them to make an informed choice about where they live. A contract/statement of terms and conditions is given to all residents on admission, which confirms the facilities offered and care agreed. A pre-admission assessment is undertaken on all prospective residents before admission to ensure the home can offer them the care they require. EVIDENCE: The Statement of Purpose and Residents Guide were viewed, it was found to be up to date and contained information that prospective residents need to make an informed choice of where to live. There is a written contract/statement of terms and conditions that all residents receive on admission to the home. This contract is confirmation of the room booked, the type of admission, either respite or permanent and the fees to be Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 9 paid. The manager undertakes all the pre-admission assessments, they are clear and contain the information as required in Standard 3.3. They are signed and dated on the day they are completed which then acts as a baseline for their plan of care. The prospective residents’ are seen either in their home or hospital before admission and the manager confirmed that wherever possible the family or representative is involved. Two relatives confirmed that they were consulted about the pre-admission visit and were given the opportunity to attend. The manager was able to verbally demonstrate her knowledge and awareness of the different specialities required in the home and ensures that the Registered Nurses employed have attended relevant courses to deal with the needs of the elderly and also specialised courses for certain diseases. Trial visits to the home can be arranged. The manager confirmed that selffunding residents are invited to a trial period to ensure suitability of the home; this is clearly stated in the Statement of Purpose and in the statement of terms and conditions. This practice is not adopted by the social services when placing clients, but if a resident placed by Social Services is not settling in to the home it is reviewed and an alternative placement found. This had happened recently when the home felt that they could not meet the residents’ needs in full. The manager ensures that she personally meets all prospective residents and when asked all six residents and six relatives knew who the manager was and of her role in the home. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. All residents have an individual care plan, which meets their health, social and recreational needs. The medication systems in place are well-managed promoting good health and the safety of the residents. The residents are treated with respect and courtesy in all aspects of their care. EVIDENCE: Six care plans were viewed, and were found to be clear and informative. All were found to have a comprehensive plan of care, which is generated from the initial pre-admission assessment. The care plans clearly identify the specific health, personal and social care needs of the residents. The risk assessments were clear and were seen to have been updated on a regular basis. The home have a range of paperwork available to monitor tissue viability, and the prevention of skin breakdown, e.g. nutritional scoring, “waterlow” score, and monthly weights. These were seen to have been correctly completed and reviewed regularly. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 11 There is evidence of resident/representative consultation in individual plans. Two residents said they had been involved in the discussions regarding their care plan, one said that he had not been consulted, but his wife had, and that it had been his choice at the time. From the information gathered from the care plans and then meeting those residents, it was found that the health needs of the residents were met. Specialist equipment was found in place where required, e.g. air mattresses, cushions and various hoists with different slings. One resident said “staff were very conscientious and always made sure she had everything she needed” as she was unable to leave her bed. Another said that he felt he “was well looked after”. One resident said that the ‘staff are wonderful and look after him very well’. The clinical room was clean and tidy, the equipment well-maintained. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and room are recorded daily and of an acceptable temperature to maintain dressings and medications. Also viewed were the books for returning controlled medication and the medication for disposal. The Medication Administration Charts were found correctly completed. A selfadministering policy is in place, but there were no residents at this time selfadministering their medication. Throughout the inspection it was observed that residents were treated with dignity and respect. One relative said that “ the staff always show respect to residents and nothing was too much trouble”. A resident remarked that” she felt the staff respected her feelings and that she never felt she was a nuisance”. Two relatives said “the care their relative received was very good and the staff were always very kind and respectful”. Another relative said the “care could not be better”. One resident and his wife said that the “girls were great”. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. The residents are enabled to exercise the choice and control of their every day life. For the majority of service users, the lifestyle experienced in the home matches service users expectations and preferences and the activity programme in place meets their social, religious and recreational needs. The dietary needs of residents are well catered for and offer a balanced and varied selection of food that has been updated in line with the personal likes and choices of residents. EVIDENCE: All of the residents spoken to, were aware of the activities offered and were complimentary regarding the range and those that attended thoroughly enjoyed them. The music sessions were mentioned as being the most enjoyed. There was no mention of any trips out and this may be an area that can be explored by discussions with the residents. It was confirmed by talking to residents that the routines of daily living have a degree of flexibility; residents can request meals at a different time if they are going out and in their preference for getting up and for going to bed. They can choose when they have a bath, and how many baths they want. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 13 There is open visiting and two relatives said they were welcomed to the home, whenever they visited. One son said the “staff are all very good, always made him welcome and kept him informed of his mothers’ condition”. Another relative said “the staff were very hospitable and her mothers’ care was good”. Three relatives come at lunchtime everyday, and have lunch with their relative, “the food is always good and I get to participate in caring for my mum” was one relatives comment. Residents are able to handle their own finances if they wish to, and if they are able. In every bedroom there is a lockable facility to safeguard valuables. All residents are made aware of an advocacy service provided by Age Concern. Two residents were aware of this service. Furniture and other belongings are welcomed by the home if the resident wishes to bring them with them. Certain rooms have been personalised. The chef has been in post for a year and is due to move on soon to a larger home to gain more experience. He was found knowledgeable about the likes and dislikes of the residents and keeps a daily record of the amount eaten and of the food returned. The menu was viewed and was seen to be well balanced and nutritional. The mid-day meal was seen to be well presented, and was enjoyed by the residents. The mealtime observed was unhurried and staff were seen to give assistance to residents in a dignified and respectful manner. One relative said that “the food was wholesome and tasty, old fashioned recipes”, which are appreciated by the residents. Two residents said that the food was always tasty, and one said the cooking was nearly as good as hers. Another grumbled that due to “his diet, he missed out on his favourite food”. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. The complaint procedure in place enables residents and their families to share their concerns formally and confidentially. There are systems in place to protect residents from abuse. EVIDENCE: There are appropriate policies and procedures in place and it was confirmed that these are followed when investigating any concerns raised at the home. The staff interviewed, were knowledgeable of the complaint procedure and of how to start the process if the manager is not available. The complaint book was viewed during the inspection. Three of the residents referred to the Service Users Guide when asked if they knew how to make a complaint, whilst one resident said “she didn’t know of a proper procedure, but would go the senior nurse and that it would be dealt with”. Two relatives said that if they did have a complaint they would go straight to the manager, they have found her approachable and always takes their concerns seriously. There have been no complaints received by the CSCI. The Adult Protection policy in the home was found to be up to date and staff interviewed were knowledgeable about the systems in place to protect vulnerable service users. There is on-going training for all staff in adult Protection. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. The home provides a comfortable, clean and safe environment for those living there and for those visiting. Residents are enabled and encouraged to personalise their room, and rooms are homely and reflect the residents’ personalities and interests. There is specialist equipment in the home for residents’ use to maximise their independence. EVIDENCE: The home is well furnished with good quality co-ordinated furniture. The residents are encouraged and enabled to personalise their rooms with furniture and pictures, and this was evident during the visit. All personal items are listed in the individual care plans. Residents are offered the choice of having a lock and key for their bedroom, risk assessments are in place for this. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 16 All rooms have a lockable facility for the storage of personal items and valuables. Two residents said they felt this increased their independence by keeping personal papers themselves rather than handing everything over to the home. There is an ongoing maintenance programme and the home was found well decorated and maintained at this time. New carpets were being fitted on the day of the unannounced inspection, and new windows have recently been fitted throughout the premises. The home provides adequate attractive communal space. There is a large dining area, which also doubles as the main lounge. It was both clean and well decorated; the furniture is of a good quality. There is a conservatory at the rear of the house, which is used more in the summer. This increases the communal space available for residents to an acceptable level. When asked three residents said that they preferred the main lounge area, but in the summer they did go to the conservatory. There are toilet, washing and bathing facilities to meet the needs of the service users, including showers and assisted baths. Specialised equipment to encourage independence is provided e.g. handrails in bathrooms, hoists, wheelchairs and a lift to all areas of the home. A call bell facility is in place and during the inspection the call bells were found in reach of the residents. Though those residents that can not physically ring for help, need to have an appropriate risk assessment in place. The lighting in the home is of domestic quality and there are above bed lights as well as the main ceiling lights. Beds and chairs were seen to be placed appropriately for maximum benefit of those wishing to read. Hot water temperatures are controlled and monitored regularly and a record kept. Random temperatures were taken and were of the recommended level. Polices and procedures for infection control are in place and are updated regularly. The home was clean and free from offensive odours on the day of the inspection. Good practice by staff was observed during the day and there were gloves and aprons freely available in the home. The residents and their relatives spoken to were complimentary regarding the standard of cleanliness and the improvements that were being done to the home. The provider sand the manager have worked hard over the past eighteen months to upgrade and improve the environment of the home. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. The staffing levels in place were adequate to meet the assessed needs of the residents. Robust recruitment procedures address the protection of the residents. Staff are provided with training pertinent to the needs of the residents. EVIDENCE: The staffing levels on the day of the announced inspection were found to be adequate for the needs of the residents. The manager regularly assesses the staffing levels and adjusts them according to the documented needs of the residents. The staff spoken to said they felt the staffing levels were sufficient to ensure a good standard of care. They also said that if more staff were needed for a poorly resident it would be provided. One resident said that she never had” to wait long if she rang for assistance” and during the inspection there was a prompt response to all call bells. Two relatives said they had no concerns regarding the level of staff, they also mentioned that the staff seemed to stay and so they got to know them. A further two relatives said that they felt that there was enough staff on, and that the staff team was consistent. They have never seen any agency staff in the home. The staffing rota was viewed. The manager confirmed that they have not had the need to use agency staff. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 18 Five staff files were examined and it was proven that rigorous recruitment procedures are in place and these demonstrate that correct employment practice and legislation is adhered to. Staff informally interviewed were able to discuss the training they had received whilst working in the home. One carer said she had had training in moving & handling, infection control, fire safety, and also study sessions on different illnesses that they care for in the home. She had had her induction training and she felt “well supported by the senior staff and that the training and supervision she had received had enabled her to give a good standard of care”. Another carer said she felt the standard of care in the home is high and that the senior nurses were pro active in providing relevant training. Another carer said that the induction training she received was a good introduction to the home and the job. All care staff employed in the home have a qualification equivalent to the NVQ level 2 in care. A training programme was available and evidenced the training that has taken place. The manager continues to provide training in house and also accesses courses externally that are pertinent to the care needs of the residents. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. Residents benefit from a Manager who is competent and runs the home efficiently and effectively. The ethos of the home is open and transparent enabling residents to participate in the running of the home, should they wish to. All aspects of resident’s health, safety and welfare are protected and promoted. EVIDENCE: The manager is a registered general nurse and has completed the NVQ level 4 management course. The manager informed the inspector that she regularly attends training sessions to update her skills and knowledge. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 20 The atmosphere of the home on this announced inspection was positive, calm and inclusive. The staff were observed doing their work competently and showing respect to their colleagues and the residents. The residents and relatives spoken to were appreciative of the manager and her staff. Regular staff meetings and supervision sessions encourage the staff to communicate their views and if appropriate acted on. Relative and resident meetings are held regularly and are well attended and beneficial. Handover sessions at every shift are greatly valued by the staff and enable staff to be brought up to date on any changes or problems. The registered provider visits the home regularly and completes a document of his visit on a monthly basis, however this document needs to be expanded to detail which residents and staff were spoken to and their comments to meet the standard. A quality assurance system is in place and has proved beneficial in the running of the home. The manager continues to provide a training programme that is suitable for her staff and for the needs of the residents. The staff stated that they receive a variety of training, which has helped them to provide a good standard of care. The staff training files were seen and displayed a wide variety of training for the staff. The manager has a teaching qualification and conducts training sessions within the home on a regular basis; she also accesses courses through the local hospital and other venues. The home has a comprehensive set of policies and procedures, which govern the running of the home. Staff are supported by the manager on a daily basis and more formally through supervision. They receive regular supervision and annual appraisals, which are in a written format and copies are kept in the staff files. The manager confirmed and the staff training records show that all staff are kept updated on the Health and Safety policies, the manual is available to all and clearly defined. The staff are issued with certificates for Manual Handling, for Fire Safety and Food and Hygiene. All relevant legislation and procedures are in place and in accordance with the Standard. The records required by regulation for the protection of the residents are in place and accurate. Individual records and home records are kept secure and up to date and are maintained in accordance with the Data Protection Act 1998. The manager is very organised and has a thorough understanding of the National Minimum Standards and the accompanying regulations. Good practice was observed throughout the inspection in respect of health and safety. The first aid boxes are checked regularly, all fire exits were found clearly marked and free from obstruction. The equipment used for residents are regularly serviced and kept in good condition. Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 21 Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 3 3 3 3 3 3 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 3 2 X 3 3 3 3 Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 23 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. 1 Standard OP33 Regulation 26 Requirement That the Regulation 26 visits are fully documented. Timescale for action 31/10/05 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 Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 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 Longworth House DS0000014015.V249108.R01.S.doc Version 5.0 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. 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