CARE HOMES FOR OLDER PEOPLE
Overcliff House 2 Cellars Farm Road Southbourne Bournemouth Dorset BH6 4DL Lead Inspector
Marjorie Richards Unannounced 10 May 2005 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 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. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Overcliff House Address 2 Cellars Farm Road Southbourne Bournemouth Dorset BH6 4DL 01202 424929 01202 426523 overcliffhouse@hotmail.com Mrs Marilyn Cooper Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) CRH PC - Care Home Only 18 Category(ies) of DE(E) Dementia - over 65 (18) registration, with number MD(E) Mental Disorder -over 65 (18) of places Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None. Date of last inspection 9th September 2004 Brief Description of the Service: Overcliff House is a care home providing personal care and accommodation for 18 older people who have mental disorders or dementia. The home is owned and personally managed by Mrs Marilyn Cooper. It is situated in a pleasant residential area of Southbourne, Bournemouth in an elevated position (sloping walk up to front entrance,) offering views of the sea. Local amenities, e.g., shops, post office, churches, doctors surgeries and cliff top walks are all within easy reach. Car parking is provided for visitors to the home and further parking is available on nearby roads. A bus stop is situated close to the home with buses from Southbourne to Bournemouth, Christchurch and beyond. Overcliff House is a large detached property that has been adapted to provide residential care. Accommodation for residents is provided on the ground and first floors, with a stairlift to assist access between floors. All residents have single bedrooms, seven of which have en-suite facilities. The home also has a dining room and separate lounge which overlooks the sea and sufficient baths, a shower and toilets to meet the needs of residents. The home has very attractive gardens to the front and rear of the property, which are well maintained, easily accessible and well used by residents. Overcliff House is also home to pet cats, a cockatiel, a tortoise, a hamster, ducks and ducklings. Overcliff House provides 24 hour care, all meals, laundry and domestic services. The home offers stimulation in the form of regular activities and occasional outings, entertainment, garden barbeques etc are also arranged.
Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over eight hours on the 10th May 2005 and was one of the two anticipated inspections carried out each year. The main purpose of the inspection was to check that the residents living in the home were safe and properly cared for. A tour of the premises took place and a variety of records and related documentation were examined including the care records for four residents. Time was spent talking with six residents, as well as Mrs Cooper, the staff on duty and a visitor to the home in order to get a real feel of what it is like to live at the Overcliff House. What the service does well:
Information about Overcliff House is available for prospective residents to help them decide if the home is right for them. Pre-admission assessments are carried out to ensure that only people whose needs can be met are offered places within the home. Every resident has a care plan, which sets out in detail the individuals care needs and how these are to be met. Residents and their relatives are encouraged to contribute to assessments and care plans. Staff carry out monthly reviews of care plans to ensure they are regularly updated as necessary. Copies of these reviews are sent to close relatives to keep them informed and to invite comment. Residents confirmed they are well cared for and treated with respect and dignity. Staff were observed throughout the inspection to be treating residents with courtesy, patience and kindness. A range of activities is provided within the home. Some of these are planned, but others take place spontaneously such as having a sing-along. Residents can participate with tasks such as washing and wiping dishes, laying tables, gardening etc, if they wish. Outings are arranged approximately quarterly, to which relatives are invited. A resident commented, There is always plenty to do, but they do not make you do it if you do not want to. Meals are varied and take into account the likes and dislikes of residents. Mealtime arrangements are flexible enough to accommodate individual preferences and any social activities etc. Residents speak highly of the meals provided, e.g. I had never eaten so well before I came here. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 6 Overcliff House and is set in very attractive, well-kept grounds and is close to the sea. Seating is provided and residents also have access to patio areas and a summerhouse. The home is well maintained but further improvements are always being sought to ensure that residents live in safe and comfortable surroundings. Mrs Cooper works very much hands-on within the home and is assisted by a team of experienced care, catering, cleaning, gardening, clerical and maintenance staff, including some members of her family. The needs of residents are well met by the numbers and skill mix of a staff team well trained and competent in their work. One staff member commented, All of the training I have done has helped me to understand my job much better and to be a much better Care Assistant. All of the care staff working in the home have National Vocational Qualifications at level 2 and above, which is a considerable achievement. Mrs Cooper leads by example to ensure that residents receive a consistently high standard of care. Her management style provides clear leadership and promotes a happy, relaxed atmosphere where residents are at ease. Good management practice ensures the health and safety of all in the home. Staff said, Mrs Cooper is an excellent manager. She always has time to listen and help. This is a very happy place in which to work. I enjoy my job and look forward to coming to work. What has improved since the last inspection?
The home continues to function at the high standard noted at previous inspections. However, Mrs Cooper is always looking to make improvements that will enhance the lives of residents within the home. To this end, she invites feedback and suggestions from residents, relatives and other visitors to the home. Requests for a large screen television and a walk in shower room have been actioned since the last inspection. Mrs Cooper is currently in the process of replacing all bedroom furniture. New high-quality furniture is now in place in ten bedrooms and the remaining rooms will be completed in the coming months. A new boiler has been installed and a programme to replace existing radiators has been commenced. Since the last inspection, all of the care staff have now achieved National Vocational Qualifications. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 7 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. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3 Standard 6 is not applicable as Overcliff House does not provide intermediate care. Information provided about Overcliff House and a thorough admissions procedure allows prospective residents to make informed decisions about admission to the home and ensures that only those whose needs can be met by the home are offered places there. The home assures prospective residents in writing that their needs can be met. EVIDENCE: The Statement of Purpose and Service User Guide contain all of the information required about the home and its facilities. The Service User Guide gives a good indication of what a resident can expect from the home. It is displayed in the entrance to Overcliff House and a copy is also available in every residents bedroom. A visitor to the home confirmed that the information provided had proved to be helpful and informative when choosing a care home. Overcliff House has a written admissions policy. Individual care records are kept for each resident and four of these were examined. All showed that, prior
Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 10 to moving to the home, care needs had been fully assessed. Written assurance is given where the home feels that care needs can be met. The information contained in pre-admission assessments and also any assessments supplied by Social Services, is then used to draw up a detailed plan of care. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 Overcliff House has an excellent care planning system in place, which ensures that staff have the information they need to meet the needs of residents. Health needs are also well met, with evidence of good support from community health professionals. Residents are treated with respect and their privacy and dignity is promoted at all times. EVIDENCE: All four of the care plans examined flow from the assessments made earlier and are clearly set out, informative about the needs of each resident and how staff are to meet these needs. Relatives are encouraged to contribute to the development of care plans by providing important background information, social history etc. Evidence was seen to show that at least once a month, care plans are reviewed and updated where necessary. Relatives are encouraged to contribute to this review process every month, when the home sends them a copy of the monthly review. They are asked to sign the review and send it back, making comments if they wish.
Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 12 Care plans show that where care needs change, appropriate professionals have been consulted to carry out further assessments etc. Records demonstrate that residents have access to GPs, district nurses, psycho-geriatricians, chiropodists, opticians, etc and attend for hospital appointments, eye clinic etc. Records show that risk assessments are in place and appropriate steps are taken to minimise any risks identified. Staff were observed throughout the inspection to be treating residents with courtesy, patience, kindness and respect. Staff always knock at bedroom doors. Toileting activities are carried out very discreetly and continence products are stored out of sight in bedrooms so that visitors cannot see them. All residents were well presented and wearing jewellery, hearing aids and spectacles where appropriate. Residents have their own single bedrooms, thereby offering an opportunity to be on their own if they wish, or allowing privacy for any visitors or personal care needs. One resident commented, I can be on my own if I choose to. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 A flexible approach is taken to the running of the home. A range of social activities provides variation and interest for residents living in the home. Overcliff House provides pleasant surroundings in which is served a balanced and varied selection of food that meets residents’ tastes, choices and special dietary needs. EVIDENCE: From the time of the original pre-admission assessment, as much information as possible is sought about the social history of residents. This helps to inform the home about hobbies and interests and assists in the planning of activities. Some activities are spontaneous, such as the sing-along during the morning of the inspection. Residents also enjoy playing bingo, quizzes and taking gentle armchair exercise to music. A flexible approach is taken to the running of the home to fit in with residents needs and wishes. Some residents like to help with tasks in the home such as washing and wiping dishes, laying tables and folding serviettes etc and this is encouraged. They can help in the garden too if they wish. Important dates and events are celebrated, such as birthdays, Valentines Day, Easter, Halloween and more recently, VE Day. Summer barbecues take place in the garden and outings are arranged approximately quarterly, to which relatives
Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 14 are invited. One resident commented, There is always plenty to do, but they do not make you do it if you do not want to. Arrangements are made for clergy to visit individual residents if required. Residents like to watch the Church service on television as well as Songs of Praise. Lunch on the day of inspection was chicken and mushroom pie, with roast and mashed potatoes, baby carrots and broccoli. This was followed by chocolate and cream desert with macaroons or ice cream. A range of alternatives is always available and this list of items is displayed in the dining room, next to the daily menu. Menus take into account the changing preferences and needs of service users, as well as seasonal variations. Residents may choose where in the home they eat their meals, including the garden. Meals are seen as social occasions and the lunchtime meal took place in a relaxed, unhurried atmosphere with discreet staff assistance provided wherever necessary. Mrs Cooper and her staff spoke of the importance of a wholesome, well balanced diet and strive to ensure that all residents eat at least five portions of fruit and vegetables a day. Fruit juices are always offered with lunch. Residents commented, I enjoy my meals, we have lovely food here, and I love my jungle juice, (fruits of the forest) we have fresh juice every day. Another said, I had never eaten so well before I came here. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 A system is in place for dealing with any complaints. Residents are confident complaints would be listened to and dealt with appropriately. EVIDENCE: The home has a complaints policy and procedure that is included in the information provided to residents or their representatives. No complaints have been received by the home or the Commission since the last inspection. Residents spoken to said they had no concerns, “There is nothing to complain about here.” One resident said, “If I was worried about something, I would tell the lady in charge and she would put it right.” A visitor confirmed that Mrs Cooper was always approachable and willing to talk about any concerns that might arise. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 16 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 standard(s) 19, 20, 24, 25 and 26 Continuous investment in the upkeep of the home results in a well-maintained, comfortable and safe environment for residents, where standards are constantly improving. The home provides access to a variety of communal areas, including attractive gardens that are easily accessible to residents. EVIDENCE: Overcliff House is set in very attractive, well kept grounds which are close to the sea. Seating is provided and residents also have access to patio areas to the front and rear of the home and a summerhouse. Inside, a new large screen television has been purchased for the lounge. This room is comfortably furnished and has patio doors leading directly onto a decked area overlooking the front garden. The adjoining dining room also provides some armchairs, as does the entrance hall, where residents like to sit and watch the comings and goings. Maintenance records show that continual work is carried out to keep the home
Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 17 and grounds in good condition. Since the last inspection, work has been completed on converting one of the first floor bathrooms into a walk-in shower room. Plans are in progress to replace existing bedroom furniture and a programme to replace radiators is commencing. All radiators are guarded to ensure resident safety. A new boiler has been installed which does not store hot water, so there is no risk of Legionella. Residents bedrooms are attractively presented and well personalised. One resident said, “I love my room, it is so cosy. I can see the sea.” Each bedroom has its own dedicated bed linen. Bedroom carpets are replaced whenever a new occupant is admitted, or sooner if necessary. The home is clean and there are no unpleasant smells, making life within the home more pleasurable. Suitable facilities and procedures are in place in respect of laundry and the disposal of clinical waste. Residents commented, They keep everything very clean and tidy here. They are always dusting and polishing, I like to help them sometimes. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 The numbers and skill mix of staff are sufficient to meet the needs of residents. The home acknowledges the importance of staff training and ensures that staff are well trained and competent to do their jobs, so that residents are in safe hands at all times EVIDENCE: Mrs Cooper works very much hands on within the home and is assisted by a team of experienced care, catering, cleaning, gardening, clerical and maintenance staff, including some members of her family. The weekly staffing roster shows sufficient staff on duty throughout the day, including two wakeful staff at night. A resident said, “They are always there when you need them.” A visitor said Mrs Cooper and her staff provided “excellent care” and described the home as “Exemplary.” Mrs Cooper takes staff training very seriously. All care staff have now achieved at least National Vocational Qualifications (NVQ) at level 2. Six staff have NVQ level 3, three staff have NVQ level 4 in care and two staff have NVQ level 4 in management, which is far in excess of the standard required. Induction and foundation training is well planned and fully documented. Staff then undertake further training, such as dementia care, moving and handling, first aid, health and safety, infection control, risk assessment, basic food hygiene, personal hygiene and use of a hoist. This is provided through a mixture of external and in-house courses, as well as distance learning. Overcliff House attained the Investors In People award in September 2002.
Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 19 Staff speak highly of the training provided, I have done lots of training since I started work here. I find it very helpful in my work. All of the training I have done has helped me to understand my job much better and to be a much better Care Assistant. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33 and 36 and 38 Mrs Cooper leads by example to ensure that residents receive a consistently high standard of care. She is supported well by senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The home regularly reviews its performance and actively seeks the views of residents, staff and relatives to ensure the home is run in the best interests of residents. Staff are well trained and supervised and good management practice ensures the health and safety of all in the home. EVIDENCE: Overcliff House is a well established home and Mrs Cooper has considerable management experience. She has successfully completed her NVQ level 4 in management and care and is also an NVQ assessor and mentor.
Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 21 A full range of policies and procedures is in place to offer advice and guidance to staff and these are regularly reviewed and updated as necessary. (A recommendation was made about linking some policies together, to make access easier for staff.) Discussions with staff show that they are clear about roles and responsibilities within the home. They speak positively about Mrs Cooper and her management approach. Mrs Cooper is an excellent manager. She always has time to listen and help. I like the boss here. She is very helpful and supportive to all staff. A visitor confirmed that Mrs Cooper was always approachable and a resident said, She is a very nice lady, I like her very much. Management of Overcliff House is a team effort, with senior staff encouraged to take responsibility for different aspects of the running of the home, such as medication, training and health and safety. The home has a happy, relaxed atmosphere, which is beneficial to residents. One member of staff commented, This is a very happy place in which to work. I enjoy my job and look forward to coming to work. Mrs Cooper and her staff frequently spend time talking with residents informally to obtain their views. Quality Assurance questionnaires are sent quarterly to relatives of service users and any comments or suggestions are discussed, actioned wherever possible or carried forward if necessary (perhaps until funds are available). Examples of suggestions from relatives that have been recently implemented include the new shower room, the use of antibacterial gel and installation of a large screen television in the lounge. Responses to questionnaires are also fed in to the Annual Development Plan. Formal staff supervision takes place every two months and quarterly staff meetings also provide opportunities for staff to express their views and ideas. Overcliff House has an ongoing training programme, covering topics such as moving and handling, health and safety, infection control, and basic food hygiene, to promote health and safety within the home. Entries in the accident book are well detailed and correspond with appropriate entries in care records. Keypad locks are provided on some doors, for example the laundry, to prevent entry to unauthorised persons and ensure resident safety. Fire records show regular maintenance of the fire warning system, emergency lighting and fire fighting equipment and checks being carried out at the correct intervals. Each member of staff has an individual record of fire training and this is carried out quarterly for all staff. The home is commended for its very detailed records of fire drills, which include feedback from those taking part and any actions taken as a result. The staffing roster shows that a first-aider is always on duty every shift, including nighttime. Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3
COMPLAINTS AND PROTECTION 3 3 x x x 3 3 3 STAFFING Standard No Score 27 3 28 4 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 3 x x 3 x 3 Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. 1. Refer to Standard 22 Good Practice Recommendations It is recommended that the Overcliff house premises be assessed by a suitably qualified person to ensure that the homes adaptations and equipment are suitable to meet the needs of residents. It is recommended that related policies and procedures are grouped together for ease of use by staff. 2. 33 Overcliff House D55 S3967 Overcliff House V229246 100505 Stage 2.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole Dorset BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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