Inspection on 11/06/08 for Lydfords Care Home

This inspection was carried out on 11th June 2008.

CSCI found this care home to be providing an Good service.

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

Lydfords Care Home 22/08/09

Lydfords Care Home 23/07/07

Lydfords Care Home 02/05/06

Lydfords Care Home 16/11/05

Lydfords Care Home 13/05/05

Lydfords Care Home 18/10/04

Lydfords Care Home 26/04/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Lydfords Care Home 23 High Street East Hoathly Lewes East Sussex BN8 6DR Lead Inspector Kathy Flynn Unannounced Inspection 24th June 2008 11:00 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 Lydfords Care Home DS0000014016.V365428.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. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lydfords Care Home Address 23 High Street East Hoathly Lewes East Sussex BN8 6DR 01825-840259 01825 840997 lydfords@fshc.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) Tamaris (South East) Limited (a wholly owned subsidiary of Four Seasons Health Care Limited) Vacant Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fifty (50). That service users should be aged sixty five (65) or over on admission. 23rd July 2007 Date of last inspection Brief Description of the Service: Lydfords Care Centre was originally a Victorian private family home that has been extended and adapted with two purpose built extensions. It is a home registered to provide both nursing and social care for fifty residents, and is situated in a village location in a semi rural position. The accommodation is divided into two units, Firs and Orchard and is on two floors with level access provided by a lift and a chair stair lift. There are four double rooms without an ensuite facility and forty-two single rooms, twentyfour of which have an ensuite bathroom. There is ample communal space consisting of a large dining room, two lounge areas and an activity room, which are on the ground floor and central in the home. On the first floor and on Orchard unit, there is a comfortable quiet lounge; also on Orchard unit there are two areas with comfortable chairs, which are used by families and residents. The gardens are natural, large and are to the side and rear of the property. There are car-parking facilities to the front of the home for approximately fifteen cars. The village shops are 200 yards away and there is also a public house and church in close proximity to the home. A local bus service runs through the village and Uckfield town centre is approximately five miles away. Current fees charged per week for residents funded by a placing local authority range from £355 to £486; this does not include the nursing contribution. Fees for self-funding residents range from £695 to £737 for nursing care and £603 to £640 for personal care. Previous inspection identified that fees do not include the cost of toiletries, hairdressing, massage, chiropody, newspapers and outside activities such as visits to the theatre. Full information about the fees payable, the service provided, the home’s Statement of Purpose and the latest inspection report by the CSCI are available from the Acting Manager. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The reader should aware that the Care Standards Act 2000 and the Care Homes Regulations 2001 use the term ‘service user’ to describe those living in care home settings. However for the purposes of this report those living at Lydford Care Home will be referred to as ‘residents’. This unannounced inspection was carried out on the 24th June and took place over nine hours. The inspection included a tour of the home, a review of pre-admission assessments, care plans, staff records and training, medication records, activities, and menus. There were 47 residents at the home during the inspection. Twelve of the residents were spoken with and two visitors to the home were happy to discuss the support provided. The manager, registered nurses, care staff and cook were happy to discuss the care and support they provide at the home. The Annual Quality Assurance Assessment (AQAA) was completed by the manager, within the required timescale, and identified areas where improvements have been made, and where others are planned for the benefit of residents. What the service does well: Lydfords Care Home offers residents a comfortable and homely place to live. The environment is clean and residents are able to personalise their rooms with their own possessions if they wish. Communication between residents, relatives and staff was relaxed and friendly, and residents said they were comfortable and happy with the support provided during the inspection. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 6 Residents spoken with said the staff ‘are excellent’, ‘are very good’ and they provide the help they need, ‘they look after us very well’. Visitors were equally positive and said they are always made welcome when they are at the home. 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 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 5. Standard 6 is not applicable Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is available so that prospective residents and their relatives can decide if the home offers the support they want, and they are encouraged to take part in the pre-admission assessment, which assesses if the home can meet their individual needs. EVIDENCE: A brochure with information about the home is sent out to individuals who enquire about the home, and the Statement of Purpose and Service Users Guide is available for prospective residents and their relatives. The residents spoken with said they had not been involved in picking Lydfords Nursing Home, but family members had visited the home and suggested that it Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 9 was a ‘nice home’. They all said they were comfortable and happy with the choices made on their behalf. A pre-admission assessment is completed for all prospective residents, these are completed with their involvement, and their relatives, with places at the home offered only if the home can meet their individual needs. The manager confirmed that residents and their relatives are encouraged to visit the home, and they can live there for a trial period before they decide to stay permanently. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system enables staff to provide the care and support residents at the home need. Medication training is provided for trained staff to protect residents. EVIDENCE: Five care plans were viewed and all were found to include relevant information regarding the needs of the residents and the support offered by staff. Risk assessments were in place, including moving and handling with details of hoists or aids to be used: falls assessments with action to be taken to ensure residents safety while not restricting them; and Waterlow scores with information about the pressure relieving mattress and chair cushions used to prevent pressure damage. Residents’ social and spiritual interests were recorded as well as the activities that they have participated in. There was Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 11 evidence that the care plans are reviewed regularly and that residents and their families are involved in decisions about the care they receive. Nutritional assessments were completed, fluid and food charts are used if required and staff ensure that residents are offered meals that are appropriate to their specific needs, which may be smaller meals throughout the day and night. Residents are registered with GP’s and have access to allied health professionals, including the Tissue Viability Nurse and chiropodists. Policies and procedures are in place for the ordering, receipt and administration of medicines. The medicine administration records (MAR) charts were viewed, a list of nurses’ signatures was in place, photographs of residents were at the front of their charts, and the charts viewed were completed appropriately. Systems are in place to enable residents to be responsible for their own medicines, one resident is able to do this and records are kept to support him. The registered nurse advised that they have attended training. Staff were noted to treat residents with respect and protected their dignity when assisting them with accessing toilets or using lifting aids, to transfer them from armchairs to wheelchairs for lunch. However it was noted that some residents were inappropriately dressed, wearing soiled cardigans and clothing that did not match. The manager confirmed that this is not acceptable and will be providing further training for staff. The residents spoken with said the staff are ‘very good’ and ‘look after us well’. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A varied programme of activities is provided for residents to participate in if they wish. The meals at the home are varied, offering choices and meeting the specific dietary needs of residents. EVIDENCE: A varied programme of group and individual activities are offered to residents and there are plans to develop this further to include more one to one sessions at the weekend. Residents sitting in the activity room discussed the activities they have taken part in, these included painting and making paper flowers, and said they enjoyed these very much. There are two activity organisers, one was on holiday and one does not work on Tuesday, therefore no activities were organised for residents. Some of those sitting in the lounges were watching tennis in the afternoon, others were talking, while some were taking advantage of the sunny, warm weather and Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 13 sitting in the garden. The manager advised that although the activity staff have developed the programme and usually provide the activities, all staff members should be able to involve residents in an activity of their choosing, or if they prefer, sit and chat to them in their own rooms. The expectation is that staff roles will develop to ensure that staff are much more flexible in the support they offer to residents. Visitors are welcome at any time and the manager is actively developing links with the local community. An open day had been arranged for the previous Saturday, with the Deputy Mayor, members of the Women’s Institute and other people from the village visiting the home, as well as the residents relatives and friends. Residents and staff spoken with said the day was a great success. The manager has visited the village primary school to talk about the home and the residents, the children were invited to take part in a competition, and residents at the home will decide who are the winners and award prizes. A summer fete is being organised for July, which will also include competitions for local children, and there is an open invitation to anyone in the village. Residents are encouraged to make choices about all aspects of their day to day lives. They choose how they spend their time, some sitting in the lounges while others prefer their own rooms. All those spoken with have personalised their rooms with ornaments and pictures, and are ‘very comfortable’ at the home. The residents said the meals at the home are good, they are offered a choice and they can change their mind if they wish. They were offered choices during lunch and dinner and the meals were attractive, special dietary needs were catered for, including pureed meals, and staff were assisting some residents. Most of the residents used the dining room for lunch, the atmosphere was relaxed, with staff and residents chatting and clearly enjoying the meal. Other residents chose to sit in the activity room or their own rooms. A resident was given sandwiches for supper, which she does not like, her daughter asked for something different and the staff were happy to change the meal. The manager advised that staff should be aware of the residents individual likes and dislikes, particularly those residents who may not be able to respond to questions about what they would prefer, she confirmed that she will be addressing this. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate complaints policies and procedures are in place. Training in protecting vulnerable adults is provided for staff to protect residents. EVIDENCE: Residents spoken with said they didn’t have anything to complain about, and visitors were equally positive about the support and care provided by the home. They said ‘the staff are very good’ and my relative ‘is very comfortable here, so couldn’t ask for more’. One resident said she had made a complaint and the manager had dealt with it to her satisfaction. Training in the protection of vulnerable adults if provided, including issues linked to the Mental Capacity Act. Staff spoken with said they have attended and were aware of what to do if they had any concerns. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a homely and comfortable environment for residents, training in the control of infection is provided for staff to protect residents. EVIDENCE: Lydfords Nursing Home is divided into two units, Firs and Orchard, and offers residents a comfortable and homely environment. The residents spoken with said they are happy in the home, they have personalised their rooms with pictures, ornaments and small pieces of furniture, and can choose where they spend their time, several were sitting in the attractive rear garden. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 16 There are four double rooms without an ensuite facility and forty-two single rooms, twenty-four of which have an ensuite bathroom. There is ample communal space with good quality furniture, consisting of a large dining room, two lounge areas and an activity room on the ground floor. On the first floor there is a quiet lounge and two smaller areas with comfortable chairs, which are used by families and residents. There is also a hairdressing salon, which sometimes doubles as a treatment room for chiropody. Mobile hoists and other aids are provided to enable staff to assist residents safely, and there are sufficient assisted bathing and toilet facilities. A shaft lift and stair lift enables residents to have access to all parts of the home. To the rear of the building there is a smoking room available for residents. The manager stated that appropriate risk assessments are in place and residents are supported to use this facility if they wish. An offensive odour was noted when entering the home. Carpets in this area have been cleaned and some have been replaced to try and address this but this has not been successful. The manager is now looking at purchasing systems that will provide air circulation along this corridor, and disperse fresh odours into the atmosphere safely. It was quite warm on the day of the inspection and it was noted that some residents have fans in their rooms, with one of the leads on the floor in front of the sink. Risk assessments should be completed for each of these to ensure they are situated appropriately, and that the electrical leads do not put residents at risk. The manager confirmed that she would be addressing this immediately. The manager confirmed that some of the commodes will be replaced because it is difficult to ensure they are cleaned effectively; the hoists and pressure relieving pumps will be cleaned regularly, and the plastic bags hanging in residents rooms for the benefit of staff will be removed. The requirements made at the last inspection concerning sluice and laundry doors have been addressed, with the provision of key pads for access to these areas. Training in the control of infection is provided for staff. Those spoken with said they have attended this and are aware of the homes policies for the use of aprons and gloves to protect residents. The manager confirmed that staff are required to attend all the training provided at the home, and records are kept of their training needs. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment procedures are used to protect residents, and new staff are required to complete induction training to ensure they are aware of their roles and responsibilities. EVIDENCE: The manager confirmed that decisions about the staffing numbers in the home are based on the needs of the residents, and if their needs change then staffing numbers are increased to meet them. Staff spoken with during the inspection said that there were enough to ensure that the residents received the support the need. Residents and visitors spoke positively about the staff, saying they offer the support that is needed, and communication between residents, visitors and staff was noted to be relaxed and friendly. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 18 Some residents said that at times staff seem ‘very busy’ and ‘a bit rushed’. The manager advised that the home offers a 24 hour service, and the care they provide should be based on the needs of the residents at the time. She said the expectation is that the culture of the home will change as they develop the service and provide staff training, so that the residents feel they are there to support them rather than get the work done. Staff spoken with demonstrated a good understanding of their role and confirmed that they feel supported in providing a good level of care for residents. Staff on duty included trained nurses and carers, with ancillary staff for catering, laundry, maintenance, administration and housekeeping. Robust recruitment procedures are in place. The staff files viewed were found to have all the required information, including Criminal Records Bureau disclosure (CRB) and Protection of Adults (POVA) checks. Two references and completed application forms, with interview records were also in place, and the manager confirmed that staff are not employed in the home to work with residents until all the necessary information has been obtained, and they have completed appropriate training for their roles. New staff complete an induction training that is in line with Skills for Care, the staff member spoken with during the inspection had done moving and handling that morning and would be doing further training before she is allocated to work without supervision. The manager confirmed that training is arranged to provide staff with the appropriate skills to meet residents’ needs, such as adult protection, infection control, moving and handling and medication, for staff providing personal support. As well as food hygiene for the cook, and training in the control of hazardous substances for housekeeping staff. Staff are encouraged to develop their skills, and 4 have completed National Vocational Qualifications (NVQ’s) and others are working towards these or are planning to do so. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management style at the home is open and inclusive with residents, relatives and staff are encouraged to participate in developing the services provided. Systems are in place to protect the health and safety of residents. EVIDENCE: The manager is experienced and knowledgeable about the needs of older people who require nursing and personal care, she is a registered nurse, has a degree in care management and previous experience of managing a care Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 20 home. She has been managing Lydfords Nursing Home for 5 months and has a clear vision of how the service will develop for the benefit of the residents. The management ethos of the home is open and encourages residents, relatives and visitors, and staff to be involved in decisions about the services provided. The residents and visitors spoken with said the management of the home was good, one of the residents said the manager ‘is very good. I can ask her anything’. Regular residents, relatives and staff meetings offer people a forum to discuss the services provided and raise any concerns they may have, or any suggestions for improvements. There is a quality assurance and quality monitoring system in place, which enable the management to objectively evaluate the service and ensure it is run in the residents best interests. Questionnaires are sent to residents and their relatives, internal audits are undertaken for all aspects of the services provided, and representatives of the Care Provider undertake visits to the home. The manager has started a programme of regular staff supervision and those spoken with said they had attended this and found it useful. The manager advised that responsibility for supervision will be delegated to senior staff in the home over the next few months. The home does not take responsibility for residents finances, some are responsible for their own and others have deposits in the Residents Bank Account’. The system was reviewed following the last inspection and the requirement made has been addressed. Formal supervision of staff is undertaken and is on-going and members of staff spoken with and records seen confirmed this. The manager stated that this took place every two months. The manager confirmed that systems are in place to ensure the health and safety of residents, including appropriate staff training and ongoing maintenance of the home. Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 21 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 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 22 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 Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lydfords Care Home DS0000014016.V365428.R01.S.doc Version 5.2 Page 24 - 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. 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