CARE HOMES FOR OLDER PEOPLE
Montague House Montague House 10 Brockenhurst Road Ramsgate Kent CT11 8ED Lead Inspector
Christine Grafton Unannounced Inspection 15th April 2008 09:20 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 Montague House DS0000023499.V361115.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. Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Montague House Address Montague House 10 Brockenhurst Road Ramsgate Kent CT11 8ED 01843 591907 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 Roy Edward Howse Mrs Susan Rule Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th April 2007 Brief Description of the Service: Montague House is a detached two-storey building with 19 bedrooms, 2 of which are doubles. 17 bedrooms have ensuite facilities of a toilet and washbasin; all rooms have a call bell and television point. There is a stair lift to the first floor. There is a large garden to the front and rear of the building, providing a number of areas for residents to sit, with an off-street parking area to the front. The home is located in a quiet residential area of the town, close to the cliff top promenade. The nearest shops and amenities in the town centre are within easy reach. Montague House admits people with low to medium dependencies and does not accept people who are wheelchair dependent for mobilisation and cannot stand without lifting equipment to move them. The home does accept people who use aids such as walking sticks and walking frames. The staff team work a rota that includes one person on waking duty and one person on duty sleeping in at night. Information provided by the manager in April 2008 indicates that the fee range starts at £320:63 per week and additional charges are made for hairdressing, chiropody and newspapers. Montague House DS0000023499.V361115.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 1 star. This means that people who use this service experience adequate quality outcomes.
This report takes account of information received since the last inspection, including a visit to the home. An unannounced visit took place on 15th April 2008 between 09:20 hours and 16:00 hours. The visit included talking to the manager, staff, residents and observing the home routines and staff practices. Some records were looked at and we looked round the home. Information sent to us by the manager prior to the visit, in the homes annual quality assurance assessment (AQAA) has been used and information from the previous inspection referred to. At the time of the visit there were 18 residents living at the home. What the service does well:
The atmosphere in the home was welcoming and relaxed. Residents’ comments included: “All the staff are lovely”; “the food is good, we have lots of choice, the staff are good, we have a laugh, I have no complaints”. Residents expressed that they can do what they like and that there are no rules or restrictions in the home. Residents’ religious needs are supported and community contact is being developed. Contacts with families and friends are encouraged. Residents expressed that they are comfortable to approach any of the staff if they have a problem, or request, and are confident that any issues raised will be dealt with. Residents have been able to personalise their bedrooms, bringing in their own possessions. Some have brought in items of their own furniture that have not only been put in their own room, but in other communal areas as well, giving them a sense of ownership. Residents commented positively about the stable staff team, saying that staff are responsive to their needs. They feel that the staff understand them and give them the support they need. Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 6 They also expressed their confidence in the management of the home and appreciate the manager’s accessibility to them. They indicated that they could speak to the manager about anything, knowing that it would be dealt with promptly. What has improved since the last inspection? What they could do better:
The manager has already started to identify some of the things that the home could do better in the AQAA. A number of things were identified at this
Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 7 inspection that have been discussed with the manager, who recognises that further changes are necessary. These include: Making sure that all the relevant information from care management assessments is transferred to the home’s care plans, so that important things do not get missed and all of the residents’ needs are met. Care plans are to be developed to include individual personal profiles that cover important life events, such as anniversaries, achievements, skills and interests. This can then be used to develop more personalised care that recognises the uniqueness of the individual and makes sure that interests are continued where possible, or new ones started. The provider needs to make sure that the maintenance and refurbishment programme is continued to make sure that all areas of the home remain safe and homely. The manager needs to make sure that suitable hand washing and drying facilities are provided where necessary throughout the home, to protect both residents and staff from the risk of spread of infection. This should include the provision of liquid soap and either paper towels or hot air driers in all communal toilets, bathrooms and in the laundry room. The manager is to devise a method to identify which staff need to attend mandatory health and safety courses and when refresher training is due. Staff should also receive regular formal supervision at two monthly intervals to monitor their work and identify training needs, to make sure that staff are competent. The home’s quality monitoring processes are to be formalised and an annual development plan implemented. The provider also needs to complete monthly visit reports to monitor the quality within the home. In this way the management could demonstrate how the home is improving. 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. Montague House DS0000023499.V361115.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 Montague House DS0000023499.V361115.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, 3, 5 & 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People considering moving into the home are given the information they need to make an informed choice when deciding if the home is right for them. The assessment process has been developed since the last inspection, so that people considering moving in will know that staff have enough information to meet their needs. It is not the general policy of the home to admit residents for specialist intermediate care, so standard 6 was judged as not applicable at this inspection visit. EVIDENCE: The statement of purpose and service users’ guide clearly reflects what the home has to offer and describes the day-to-day life at the home. Most of the
Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 10 contents were up to date, but it does not reflect the changes to the building, with the provision of three extra bedrooms, during the past year. The manager said she would rectify this. The pre-admission documentation used to assess three new residents, admitted since the last inspection, was looked at as part of the case tracking. This provides the basic information necessary to make a decision about whether the home can meet the person’s needs. A full assessment is then completed on admission and was seen to contain all the relevant details, including: health, personal care, mobility and risk assessments. Some relevant information in the care management assessment of one new resident had not been transferred into their care plan. This was discussed with the manager and senior carer who expressed that the information had been given to staff verbally. Care plans indicate that care needs are identified and show actions taken to address needs, but they are not person-centred and do not contain personal profiles. Therefore they do not fully reflect people’s equality and diversity needs. The manager has recognised this and realises that some of the records do not fully support some of the things that are happening in practice that have led to good outcomes for people living in the home. Improvements to the record keeping have been identified as an area for development in the home’s annual quality assurance assessment (AQAA). A new resident described their admission process that had included a visit beforehand, to help them decide if the home was right for them. The person also had been given a guide that told them everything they needed to know. They were pleased to be able to bring in items of their own furniture and expressed how staff were very attentive, helping them to settle in, saying that nothing was too much trouble for them. From the discussion it was quite clear that this had been a positive process for them and that they view Montague House as their home. Montague House DS0000023499.V361115.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 adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from having a plan of care that provides staff with most of the information needed to make sure that their health and personal care needs are met. They are protected by the home’s policies and procedures for dealing with medicines and practices to ensure their privacy and dignity are maintained. EVIDENCE: Three care plans were looked at and as well as talking to those residents, we discussed their needs with a senior carer and manager. The care plans are well organised, cover all aspects of daily living, including psychological needs, and contain guidelines on how best to assist residents to meet their needs. Any personal safety issues and risks are identified, along with dependency assessments and regular reviews are recorded.
Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 12 The manager has identified that daily records could be improved and has included this as an area for development in the AQAA. Daily records are variable, some contain good relevant details, but some are very brief, not providing much of a picture of the person as an individual. Details of contacts with healthcare professionals are recorded, such as doctors, community nurses and the chiropodist. Evidence was seen in the care plans of health and personal care needs being met and was confirmed in discussion with staff and the residents spoken to. For example, diabetic risks are identified and a resident confirmed that staff know what to do in the event of a hypoglycaemic attack occurring. The lack of personal profiles already referred to under the previous section, Choice of Home, was identified as an important omission in one case. A personal bereavement had not been recorded in the care plan, so that staff are not made aware of important anniversary dates, without the resident reminding them. This should be recorded if the home follows a ‘person centred’ care planning approach. Medication storage and procedures were seen to be good. Staff that administer the medications have attended relevant training. The medication administration sheets were well recorded. A couple of issues were discussed with the senior carer and manager, which they confirmed they would address. Risk assessments are in place for self-administration and a resident confirmed they have lockable storage for this. Residents spoken to expressed that staff treat them with respect for their dignity. They were particularly appreciative of the stable staff team, saying that all the staff are approachable and responsive to their needs. This was confirmed by observations made during the visit. For example, the manager dealt sensitively with a resident who was anxious about something that was worrying them. Issues relating to equality and diversity could be better covered within the care plans and this was discussed with the manager as an area for further development. Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they will be able to lead their lives in the home the way that they want. They can be assured that contacts with their families and friends will be encouraged and supported. Residents benefit from being offered a choice of food and receiving a nourishing and balanced diet. EVIDENCE: The majority of residents spoken to expressed that they are happy living at the home and how for them the home meets their expectations. Two residents spoken with were still settling in, one felt it would probably be the right place for them. One person was experiencing difficulties in the transition to residential care and had some dietary issues that staff are doing their best to respond to.
Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 14 There is an activities programme displayed, which residents confirmed does take place. Some residents spoke about enjoying the twice-weekly bingo sessions and armchair movements to music. Others spoke of their choice not to join in and pursue their own interests instead. At the last inspection, it was identified that there were limited activities available for the more dependent residents. At this visit, during the morning, out of the eight residents sitting in the lounge, three were reading and the others were either listening to the radio, or sleeping in their armchairs. The manager has identified in the AQAA that they could improve upon social activities. This is important to ensure equality for those more dependent residents. Residents said they have lots of visitors to the home. A minister of religion visited to give a resident private communion in their bedroom during the visit. Ministers from other denominations also visit the home. The majority of residents spoken to expressed that the food is good. They have a choice of two options at lunch and tea times and a wide choice at breakfast time. Meals are served in congenial surroundings in the dining room, or residents can have their meals in their rooms if they wish. The breakfast mealtime has been changed and brought forward by half an hour at the residents’ request. Evidence was seen showing that the home is trying really hard to meet the needs of a vegetarian resident. Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 15 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 adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that any complaints will be listened to and acted upon, and they will be adequately protected by the home’s procedures and practices to safeguard them from abuse. EVIDENCE: Residents spoken to said that they had no complaints and would talk to any of the staff if they had a concern about anything. The manager works on shift, alongside staff, for a lot of her time and is therefore readily available for residents to speak to her. This was confirmed in the conversations with residents, who said that they have complete confidence that any concerns would be quickly dealt with. Since the last inspection, some staff have attended training on abuse. The manager stated that she has noticed improvements in staff practices since they attended this, and various other training courses, during the past year. She also feels this has made them more aware of how to make sure residents are protected. A staff member demonstrated a good understanding of the procedure to be followed if abuse is suspected and also described the whistle blowing procedure. Observations of staff interactions with residents and practices also confirmed this.
Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 16 The manager recognises that the care plans still need further development to include reference to equality and diversity and make them more ‘person centred’. One care plan had an omission that could place the resident at risk if certain things are not understood and recognised by staff. Another care plan should have a behaviour record added, so that it can be used to inform the care plan and highlight if any further action is needed. Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 17 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, 24 & 26 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents have benefited from the recent improvements to the environment, which is comfortable and homely, suiting their individual and collective needs. The improved practices to maintain hygiene and prevent the spread of infection within the home now provide residents and staff with adequate protection from risk of harm. EVIDENCE: At the last inspection there were a number of maintenance and refurbishment things identified for attention. Since then, the provider submitted an improvement plan and the tour of the home showed where some bedrooms have been redecorated, carpets replaced and some new furniture provided.
Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 18 There has also been a new three-bedroom extension that has been completed to a good standard. Bedrooms are all highly individual and personalised with residents’ own possessions. Radiators are either of the low surface temperature type, or have had guards fitted to reduce the risk of burns. Three residents said how much they like their bedrooms and that their rooms meet their individual needs. Externally, the fire escape, guttering and woodwork have been repaired. There are still some areas that need attention to make sure the building is well maintained and homely for residents. These include: the worn carpet in the corridor adjacent to the laundry; the chipped paintwork on the doorway to the dining room; the flooring in the ground floor bathroom has split open at the seams and needs replacing. The manager stated that the provider is working through a programme of redecoration and refurbishment. The last inspection identified poor infection control procedures that did not adequately safeguard residents and staff. Since then, the manager has sought advice from the Health Protection Agency and put in place a new procedure for dealing with soiled items of laundry. Observations and discussion with staff confirmed that staff are following the procedure. However, there was no liquid soap in the laundry and no liquid soap or paper towels in the nearby bathroom, or adjacent toilet, for the staff or residents’ use. The manager indicated she would discuss this with the provider and consider if hot air driers, or paper towel dispensers, could be added to protect people from the spread of infection. Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 19 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 adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that there are enough staff on duty to make sure that they receive the support that they need. Improvements in recruitment practices and recent staff training mean that residents are better protected. EVIDENCE: Residents spoken to were appreciative of the stable staff team, saying that staff understand them and know what to do, giving them the support that they need. The improvements to staffing levels noted at the last inspection have been maintained, with some further changes made for the benefit of residents. This has included putting an extra carer on duty on Sundays, as a result of listening to residents, to ensure residents’ needs are met. Further planned changes include the recruitment of two new staff, one night carer and one cleaner. The manager has recognised a need for an extra cleaner now that the building has been extended, to make sure the home is always kept clean and homely for the residents. Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 20 A senior carer supports the manager and deputises in her absence, helping with the supervision of staff. Residents spoken to said this gives them assurance that there is always someone in charge during the day. Since the last inspection, a number of staff have completed various short courses relevant to residents’ needs and safety, with others planned for the coming months. The manager stated that this has resulted in improved outcomes for residents, because it has heightened staff knowledge and made them more aware of indicators of poor health, abuse and safety risks. However, staff have not yet put the principles of person centred planning into practice and therefore some residents’ equality and diversity needs are not being recognised. Three staff files were checked and seen to contain documentation indicating full recruitment checks are completed before staff start working at the home. Basic induction records were seen in the staff files checked, all of whom are existing staff. The manager confirmed that induction for new staff will meet the Skills for Care specification. At previous inspections it has been identified that the manager did not have a system to show what staff training has been completed and when training course refreshers are due, other than to check through each staff file individually. Since the last inspection, individual staff training files have been developed and she stated her intention to devise a staff-training matrix, so that it can easily be seen when refreshers are due. Supervision meetings have not always been completed at two monthly intervals. The manager has identified this as an area for improvement and plans to record staff development needs Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 21 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 & 38 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Management improvements to the way the home has been run, since the last inspection, have benefited residents, so that their health and safety is better protected and their best interests are promoted. EVIDENCE: The manager has a suitable care management qualification and has managed the home for a number of years. She has created an open and positive approach to the running of the home and residents value her daily contact with them. Staff and residents are able to influence the way the home is run, via
Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 22 regular informal daily contacts, staff handover meetings and the occasional staff and residents’ meetings. The completed AQAA provides most of the information we asked for, although there were some areas where more supporting evidence would have been useful to underpin some of the statements made. It shows where improvements have been made and has identified some things they could do better, with some plans for future development indicated. The six requirements made at the last inspection have all been met. However, the home still does not have an annual development plan, so that the aims and outcomes for residents are clearly recorded. This would show indicators of the success and efficiency, or otherwise, of the management and business arrangements and could then be used as a tool to identify when changes need to be made. The manager understands the principles of person centred planning and equal opportunities, but this needs to be better transferred into practice to make a difference in the outcomes for residents. The quality assurance process also needs further development. Surveys have been sent out to relatives, but the information has not been collated into a report. The provider visits the home four days a week, but monthly visit reports are not completed. These would provide a quality assurance check and could contain additional evidence to show how any resident, staff and safety issues identified are dealt with. At the last inspection, the manager indicated that the home does not become involved in the financial affairs of people that live in the home. The manager has stated in the AQAA that residents’ financial interests are safeguarded. The AQAA indicates that the home’s equipment and safety precautions are maintained. Staff training to support safe working practices is currently being updated. Moving and handling training is planned and a number of refresher courses have been completed during the past year. However, this needs to be better planned to make sure that all staff have regular updates at the correct intervals. Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 23 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 2 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 x x x x 3 x 2 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 2 x 2 Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 24 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 Montague House DS0000023499.V361115.R01.S.doc Version 5.2 Page 25 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
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