CARE HOMES FOR OLDER PEOPLE
Parkhouse Grange 47 Park Road Earl Shilton Leicestershire LE9 7EP Lead Inspector
Kim Cowley Key Unannounced Inspection 28th October 2007 12:00 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 Parkhouse Grange DS0000001679.V351752.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. Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Parkhouse Grange Address 47 Park Road Earl Shilton Leicestershire LE9 7EP 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) 01455 851333 01455 851333 A.L.A. Care Limited Mrs Regina Summerfield Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number disorder, excluding learning disability or of places dementia (10), Mental Disorder, excluding learning disability or dementia - over 65 years of age (10), Old age, not falling within any other category (40), Physical disability (5), Physical disability over 65 years of age (5) Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. No-one under the age of 55 years may be admitted into the home in categories MD or PD. Service user numbers. No person falling within categories MD/MD(E) may be admitted to the home when there are 10 persons in total in these categories/combined categories already accommodated in the home. Service user numbers. No person falling within categories PD, PD(E) may be admitted to the home when there are 5 persons of these categories/combined categories already accommodated in the home. Service Users Numbers No person falling within the category DE(E) may be admitted to the home when there are 20 persons of that category already accommodated in the home. Named Person To admit a named person in category SI(E) as identified in correspondence with CSCI dated 10.5.04 Service User Numbers No person falling within the category DE/E may be admitted to the home when there are 20 persons of that category already accommodated in the home. Named Person To be able to admit a named person in the category SI(E) as identified in correspondence with CSCI dated 10 May 2004 27th July 2006 3. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Parkhouse Grange is a 40-bedded purpose built residential care home. It opened in 1996 and is situated in Earl Shilton, close to a range of local amenities. The home caters for older people, some of whom have mental health needs and/or physical disabilities. All bedrooms are single and 10 have ensuite facilities. There are three lounges, a dining room, and a conservatory downstairs, and a lounge with an adjoining roof garden upstairs. The home is set in 1.5 acres of landscaped gardens. Fees range from £323 to £420 per week. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Owner or Manager. Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, the inspector spent half a day reviewing information relating to the home. During the course of the inspection, which lasted four and three-quarter hours, the inspector checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspector also met four other residents, three relatives, the Manager, the person-in-charge/senior carer, two carers, one of the cooks and one of the cleaners. The Manager has recently carried out a survey of visiting professionals (GPs, the optician and the dentist) to find out their views of the home. Five surveys were returned and all comments were positive. What the service does well:
Parkhouse Grange provides a high standard of accommodation to residents in spacious, purpose-built accommodation. This was an unannounced inspection and all areas inspected were clean, tidy and fresh. Residents and visitors praised the environment and comments included, ‘What I like about coming here is there are lots of little lounges where you can go and have a one-to-one with your relative’, ‘It’s nice and clean here’, and, ‘Always very clean and odour free. Very pleasant decoration and always in good condition.’ Residents and relatives interviewed were all of the view that the home provides good care. One resident told the inspector, ‘I’ll give it 100 for everything.’ A visitor said, ‘My relative has improved since he’s been in here. There’s more stimulation for him than when he was at home and he likes to see things happening.’ And a visiting professional wrote, ‘The general ambience of home is very pleasant and staff are welcoming and helpful when we are treating patients at the home.’ Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 6 Activities provided include singsongs, parties, armchair exercise, board games, and music. In September residents and staff took part in a ‘memory walk’ to raise money for the Alzheimer’s Society, and photographs from this event were on display in the home. All residents’ interviewed made many positive comments about the meals provided. One commented, ‘I enjoy all the food.’ A visitor said, ‘My relative thinks the food is lovely.’ During the inspection staff were observed as being warm, caring and professional, and to have excellent relationships with residents. Residents’, relatives’, and visiting professionals’ comments about the staff included, ‘The staff do a really good job. They’re very patient with my relative and take the time to try and understand what she wants. I can’t praise them enough’, ‘The carers look after me well’, and, ‘My relative always looks smart. The staff go out of their way to make him look nice.’ The Manager has a good rapport with both staff and residents, and is knowledgeable about her role at the home. She has recently been made a ‘Dignity Champion’. This is a person who has demonstrated a commitment to adhere to the principles of the ‘Dignity in our Home’ charter, which is displayed in Parkhouse Grange’s reception area. What has improved since the last inspection? What they could do better:
Some residents are unable to take part in group activities due to suffering from dementia or other medical conditions. Although staff said one-to-one activities
Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 7 are provided, there is no evidence of these being specifically planned or recorded. The activity programme should be reviewed, and where necessary improved. It should be inclusive and cater for all residents who live in the home. Proper records of its implementation should be kept to demonstrate how residents’ social needs are being met. 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. Parkhouse Grange DS0000001679.V351752.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 Parkhouse Grange DS0000001679.V351752.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): Quality in this outcome area is excellent. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. Information about the home is readily available to residents and their representatives. This judgement has been made using available evidence including a visit to this service. (Standard 3 was inspected.) EVIDENCE: The home takes both private and social services funded residents. The Manager assesses new referrals using a standard checklist to determine their needs. The home admits older people, some of whom have mental health needs and/or physical disabilities. Social and health service assessments are taken into account when a decision is made about whether the home is suitable for a particular resident. Since the last inspection the home’s terms and conditions have been changed to reflect that people with infectious diseases may now be admitted at discretion of Manager. Documents relating to a recent admission where examined. This admission was made by social services on an emergency basis. The Manager saw the social services’ assessment prior to agreeing to accommodate the resident.
Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 10 Risk assessments were in place within 24 hours, and a complete set of care plans within two weeks. This demonstrates that staff are effective in ensuring needs can be met when a resident is admitted to the home. Since the last inspection an ‘information station’ has been set up in the home’s reception area. This consists of a rack of printed information, including recent inspection reports, menus, the service user guide, and policies and procedures. Also on view is a photo album, documenting life in the home over the last ten years. This information will help potential residents and their representatives make an informed decision as to whether the home is suitable for them. Standard 6: This home does not provide intermediate care. Parkhouse Grange DS0000001679.V351752.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): Quality in this outcome area is good. Staff in the home, and in the wider community, meet residents’ health and personal care needs. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) EVIDENCE: Since the last inspection a new computerized care management system has been installed. The Manager said this is more effective as photographs of residents can be uploaded, there are more areas of assessment, and care plans are better laid out. Computerised records belonging to three case tracked residents were inspected and found to be satisfactory, with appropriate risk assessments in place. This will help to ensure that residents’ needs are identified and met. The Manager said staff have good relationships with local GPs and District Nurses, who respond promptly if a resident needs a visit. Chiropodists (both NHS and private), a dentist, and an optician visit the home when required. Health care records show that staff are quick to respond should a resident’s health deteriorate.
Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 12 Since the last inspection a self-administration of medication policy/procedure has been created. This is to support residents who wish to be responsible for their own medication. It includes an assessment form, daily records, and a declaration to be signed by a GP. Where relevant, this policy/procedure will help residents to maintain their independence while in the home. Staff are trained to treat residents with dignity and respect. This training takes place during their induction when they shadow experienced members of staff. Induction records showed staff learning to provide personal care discretely, use the correct form of address, and respect personal space. Since the last inspection staff have been working with a local nursing team specialising in palliative/end of life care. They are applying to become part of the Gold Standard Framework (an NHS initiative), which aims to provide the best possible care to people in the last stages of their lives. Parkhouse Grange DS0000001679.V351752.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): Quality in this outcome area is good. Residents’ social and cultural needs are mostly identified and met. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) EVIDENCE: Activities provided include singsongs, parties, armchair exercise, board games, and music. During the inspection care staff were giving some residents manicures. In September residents and staff took part in a ‘memory walk’ to raise money for the Alzheimer’s Society, and photographs from this event were on display in the home. Shops, the library, and Age Concern are close to the home. Mobile hairdressing is available with dates advertised on the residents’ notice board. A mobile library visits the home once a month and changes the supply of books. Church services for various denominations are provided once a month. Some residents are unable to take part in group activities due to suffering from dementia or other medical conditions. Although staff said one-to-one activities are provided, there is no evidence of these being specifically planned or recorded. The activity programme should be reviewed, and where necessary improved. It should be inclusive and cater for all residents who live in the
Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 14 home. Proper records of its implementation should be kept to demonstrate how residents’ social needs are being met. The home has an ‘open house’ policy for visiting. Visitors can stay for meals if they wish and can see residents in their bedrooms or in one of the lounges. Two part-time cooks and a kitchen assistant are employed. Menus are planned every six weeks. Residents’ meetings give residents the opportunity to contribute to the planning process. The food provided is primarily ‘traditional English’ although occasional ‘themed’ evenings with food from different countries are organised. Breakfast is served from 8 to 8.30 am, lunch (the main meal of the day) at 12.30 pm, tea at 5 pm, and supper at 9.30 pm. All residents’ interviewed made many positive comments about the meals provided. One commented, ‘I enjoy all the food.’ A visitors said, ‘My relative thinks the food is lovely.’ Menu records showed healthy and varied meals being served with choices at every meal, including vegetarian, diabetic, and celiac options. Parkhouse Grange DS0000001679.V351752.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): Quality in this outcome area is good. Residents and their relatives are encouraged to talk to staff about any concerns they might have. This judgement has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) EVIDENCE: The home has a Complaints Procedure, which is displayed in the entrance. A copy is given to all residents and their representatives on admission. One relative commented, ‘If there was a problem I’d tell Gina (the Manager). She has always been very approachable.’ One complaint has been received by CSCI since the last inspection. This was passed to the Provider and records showed the issue was resolved. The home has a written policy called ‘Guidelines for the Prevention of Abuse to Residents’. This document provides information on safeguarding residents and explains procedures for passing on concerns to the relevant parties (in accordance with the Public Disclosure Act 1998 and Department of Health Guidance ‘No Secrets’). Since the last inspection the Manager has attended a social services ‘alerters’ course, which trains staff in what to do should an incident of suspected abuse occur. Other staff have been booked on this course, and on a ‘basic awareness’ course. This training should help staff to further safeguard residents. Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is environment. Residents live in an environment that is safe, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) EVIDENCE: The home was purpose built and provides a good standard of accommodation to residents. It is set in extensive landscaped gardens, which are wheelchairaccessible. There is a secure section of garden at the rear of the home, which is suitable for residents who wander. There is a walkway, a lawn, and a patio area with tables and chairs. It has been designed and created to a high standard and provides a secluded, safe area for residents to enjoy. Comments made by residents, relatives, and visiting professionals included: ‘What I like about coming here is there are lots of little lounges where you can go and have a one-to-one with your relative.’ ‘It’s nice and clean here.’
Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 17 ‘There are no odours here and the home is always very clean.’ ‘A high standard of accommodation.’ ‘Always very clean and odour free. Very pleasant decoration and always in good condition.’ Since the last inspection the following improvements have been made to the home: • • • • • A summerhouse has been erected. The Manager said this provides a cool and shady place for residents to sit when the weather is hot. Non-slip wood effect flooring has been fitted in all corridors, bathrooms and toilets on the ground floor. The Manager said this has improved the environment and helps staff to keep the home clean. Cleaning records are kept in the bathrooms/toilets so there is evidence of when each one was last cleaned and by whom. New laundry equipment and a fridge have been purchased. Residents’ photos are displayed on their bedroom doors to make it easier for them to find their rooms. The home’s handyman is shared with two other ALA Care homes. For audit purposes the home is divided into three zones with a senior responsible for each. Details of any work that needs doing is put in the home’s repairs book for action to be taken by the handyman. Contractors maintain the gardens This was an unannounced inspection and all areas inspected were clean, tidy and fresh. Three part-time cleaners are employed to cover a seven-day week. NHS guidance on infection control has been implemented and anti-bacterial hand wash is kept on the front desk for visitors to use. Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. An established staff team meets residents’ needs. Relationships between staff and residents are warm and caring. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) EVIDENCE: The staff team is established and there is a core of experienced staff who have worked at the home for many years. The home is well staffed with three to four staff and the Manager on duty during the day and two waking members of staff on at night, plus a senior member of staff (usually the Manager) on call. Staff turnover is low which gives residents continuity of care. During the inspection staff were observed as being warm, caring and professional, and to have excellent relationships with residents. Residents’, relatives’, and visiting professionals’ comments about the staff included: ‘The staff do a really good job. They’re very patient with my relative and take the time to try and understand what she wants. I can’t praise them enough.’ ‘Very welcoming and caring.’ ‘Always helpful and polite and ready to help when required.’ ‘The carers look after me well.’ ‘The staff really care for my relative.’ ‘My relative always looks smart. The staff go out of their way to make him look nice.’
Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 19 One member of the care staff team told the inspector ‘I love working here. The residents aren’t patients – they’re people. The training is good and I have achieved my NVQ Level 3 in Care.’ In discussion this staff member was knowledgeable about the home’s policies and procedures and knew how best to safeguard residents. The Manager said ‘The staffs first responsibility is towards the residents. They take pride in their training and are dedicated to the residents we care for. I couldn’t ask for better staff.’ When recruiting staff a checklist is used to document the vetting and assessment process. Staff are sent an application pack and asked to come to the home for an interview, bringing with them the necessary documentation. Staff are not allowed to start work without a satisfactory POVA check. All staff are given contracts, the ALA Care Ltd profile and company structure, health and safety information, and an employee handbook. This process helps to provide a safer environment for residents. Staff undergo the TOPSS induction, ‘First Steps’, which leads to NVQ Level 2. Courses in Dementia Care, Basic Food Hygiene, Infection Control, Safe Handling of Medication, and Manual Handling follow. The Manager has the NVQ Registered Manager’s Award, and the majority of staff have NVQ Level 2 or above. All staff have an annual appraisal with the Manager. Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. The home is well run in the best interests of residents by an experienced Manager. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) EVIDENCE: The Manager has 14 years experience in care, four at management level. She has NVQ Level 4 and the D32/33 Assessors Award. She has a good rapport with both staff and residents, and is knowledgeable about her role at the home. She has recently been made a ‘Dignity Champion’. This is a person who has demonstrated a commitment to adhere to the principles of the ‘Dignity in our Home’ charter, which is displayed in Parkhouse Grange’s reception area. The Manager commented, ‘The culture in this home is “residents’ first”. All the staff understand this and it makes for a good atmosphere in the home.’ A relative told the inspector ‘Gina is very approachable and always happy to
Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 21 update me on how my relative is. If there are any problems at all she phones me up.’ Quality assurance questionaires are send out annually to residents, relatives and visiting professionals. The results are analysed and areas for improvement are identified where necessary so action can be taken. Residents’ finances are handled by the residents’ themselves, or their representatives. However, staff at the home will look after small amounts of cash for residents if they need to pay the chiropodist or hairdresser. Appropriate records are kept. There is a range of policies and procedures in place to maintain health and safety in the home. The Manager is knowledgeable about health and safety in a residential care setting and has a proactive approach to keeping the environment as safe as possible for residents and staff. A recent incident when a COSHH product was inadvertently left out was discussed with the Manager, and it was agreed that appropriate action had been taken to prevent this type of incident occurring again. Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 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 4 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 23 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. 1 Refer to Standard OP12 Good Practice Recommendations The activity programme should be reviewed, and where necessary improved, so it is inclusive and caters for all residents. This will help to ensure that residents who are unable to take part in group activities due to dementia or other medical conditions have their social needs met. Parkhouse Grange DS0000001679.V351752.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Tottle Road Riverside Business Park Nottingham NG2 1RT 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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