Inspection on 18/05/07 for Pytchley Court Nursing Home

This inspection was carried out on 18th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Pytchley Court Nursing Home 05/11/08

Pytchley Court Nursing Home 19/06/06

Pytchley Court Nursing Home 26/10/05

Pytchley Court Nursing Home 14/04/05

Pytchley Court Nursing Home 06/12/04

Pytchley Court Nursing Home 03/08/04

Pytchley Court Nursing Home 18/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Pytchley Court Nursing Home Northampton Road Brixworth Northants NN6 9DX Lead Inspector Mrs Kathy Jones Unannounced Inspection 18th May 2007 09:00 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 Pytchley Court Nursing Home DS0000012634.V337260.R02.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. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pytchley Court Nursing Home Address Northampton Road Brixworth Northants NN6 9DX 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) 01604 882979 01604 882993 Southern Cross Healthcare Services Limited *** Vacant *** Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability over 65 years of age of places (40) Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service user numbers: No one falling within category PD(E) may be admitted into Pytchley Court Nursing Home where there are 40 persons of category PD(E) already accommodated in this home. Service user numbers: No one falling within category OP may be admitted into Pytchley Court Nursing Home where there are 40 persons of category OP already accommodated in this home. To admit a named person: To be able to admit the named person of category PD named in variation application number V38930 dated 13 February 2007. 19th June 2006 (key inspection) 2. 3. Date of last inspection Brief Description of the Service: Pytchley Court is a purpose built home in the village of Brixworth. There are local facilities and amenities including shops and there is a bus service that runs through the village to the main towns of Northampton and Market Harborough. It provides accommodation for up to forty residents in need of nursing care; within this they are registered to provide personal care only for up to eight residents. The home provides care for people who are over the age of 65 and who require support due to old age, physical disability or terminal illness. Accommodation is provided over two floors with a passenger lift and staircase for access to the first floor. On the ground floor there is a large communal lounge and separate dining room, with a further lounge and dining facility on the first floor. Over the two floors there are 36 single and 2 shared bedrooms, all have ensuite toilet and wash hand basins. The following fees were provided by the manager as being current on 22 May 2007: Local Authorities who are funding residents are charged at a set rate of £288.45 to £331.60 depending on assessed needs. Those requiring nursing care are charged £344.78 plus any additional nursing contribution. Residents funded by the local authority will be asked for a ‘top up’ fee, which varies according to their ability to pay. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 5 Privately funded residents are charged between £525 and £625, with those requiring nursing care charged up to £650 plus any additional nursing contributions. The actual fee is dependent on the resident’s assessed needs. The fees include personal care and where applicable nursing care, meals and accommodation. Chiropody, hairdressing services, and newspapers can be arranged and are charged separately. Other costs would include clothing and toiletries. Information about the services provided including the complaints procedure is displayed in the foyer of the home. This includes the statement of purpose, which as detailed in the body of this report is currently under review. A copy of the last inspection report was not on display at the time of inspection, however the inspector was informed that this is usually also available. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Standards identified as ‘key’ standards and highlighted through the report were inspected. The key standards are those considered by the Commission to have a particular impact on outcomes for residents. Inspection of the standards was achieved through review of the information held by the Commission for Social Care Inspection as part of the pre-inspection planning and an unannounced inspection visit to the service. The preinspection planning was carried out over the period of half a day and involved reviewing the service history, which details all contact with the home including notifications of events reported by the home, telephone calls, letters, and details of any complaints and concerns received. The report from the last key inspection carried out on 19th June 2006 and the report of the random inspection, which was conducted on the 30 August 2006 to monitor compliance with requirements made following the inspection in June 2006, were reviewed. The findings of the inspections were taken into account when planning this inspection. The unannounced inspection visit covered the morning and afternoon of a weekday. The inspection was carried out by ‘case tracking’ which involves selecting residents’ and tracking their care and experiences through review of their records, discussion with care staff and observation of care practices and the environment. The inspector spoke with several residents throughout the inspection three relatives and staff about the care provided. Observations were made of their general well being, daily routines and interactions between staff and residents. Records reviewed included a sample of staff files to check the adequacy of the recruitment procedures. Feedback on the findings of the inspection was given to the Operations Manager who was present in the home on the afternoon of the inspection. What the service does well: One of the main strengths of the service is the staff team who work well together in the best interests of the residents’. Residents’ and relatives spoken with were happy with the care provided. Review of residents’ care plans, discussion with staff and observations confirmed that resident’s receive a good standard of care. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 7 Visiting arrangements are flexible and visitors are made welcome, helping to encourage visitors and improving the daily lives of residents. Arrangements for activities are also very good in that they take account of the preferences of individuals. In addition to the organised activities, the activity organiser makes time for a daily chat with each resident. Lunch on the day of inspection looked and smelt appetising and residents confirmed that it tasted good also. Those spoken with were all happy with the meals. Good standards of cleanliness were being maintained, providing a clean and fresh environment for residents’. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pytchley Court Nursing Home DS0000012634.V337260.R02.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 Pytchley Court Nursing Home DS0000012634.V337260.R02.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): 3, standard 6 was not assessed, as intermediate care is not provided. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are made welcome on arrival and the admission process provides assurances that their needs can be met. EVIDENCE: Information about the services provided is contained within a statement of purpose and a service user guide. These documents were available in the entrance hall and also on the first floor. The content of the documents is currently under review and therefore not reviewed during this inspection. A resident who was admitted to Pytchley Court on the day of inspection said that they had received sufficient information prior to moving in. They said that the manager who also carried out an assessment of their needs had given information about the home during a visit. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 10 Records for the recently admitted resident included the assessment of needs and a draft care plan which provided staff with sufficient information to make a judgement about meeting the resident’s needs. Observations and discussion with nursing staff confirmed that ongoing assessment and review of the residents’ care needs was continuing following admission. A new resident was welcomed by staff on arrival and the resident confirmed that she had been made comfortable on arrival. Pytchley Court Nursing Home DS0000012634.V337260.R02.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care and health needs are kept under review and they receive a good standard of care. EVIDENCE: A sample check of residents’ care plans, discussion with staff and observations and discussions with residents’ confirmed that the care plans are reflective of their needs. The care plans were reviewed regularly and where changes in needs were identified they were updated. This helps to ensure that staff are aware of and can meet resident’s individual care needs. Care plans include residents preferred routines and where assistance is required with personal care they identify tasks that the resident is able to manage independently. This reduces the risk of their independence being taken away unnecessarily. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 12 Relatives and residents spoken with during the inspection were happy with the care provided. Care records confirm that residents’ health is monitored and indicate that health care and health care advice is accessed appropriately on behalf of residents. The majority of residents are registered with the General Practitioner surgery situated next door to Pytchley Court. However residents are able to remain with their current General Practitioner where practicable and staff were understanding of resident’s right to choose. Nursing staff advised that a General Practitioner visits the home once a week, however if residents’ need to see a doctor in between visits they visit the surgery if they are well enough or a General Practitioner will visit. Requirements in place following the last inspection, relating to the management of medication have been met. Systems are now in place to record medication received, administered and disposed of, providing a clear audit trail. Medication stocks were not excessive and medication was appropriately stored. In most cases the date of opening had been recorded on eye drops with a limited storage time once opened, however in two cases this had not been done. The nurse on duty immediately removed these drops from use. Checks of a sample of residents’ medication against the medication records confirmed that the management of medication has improved since the last inspection. This also confirms improved staff practice and competence in the management of medication, providing better safeguards for residents. As part of the admission process for a new resident, their independence was respected and their ability and preferences in relation to the management of their medication discussed and agreed with them. Staff were observed to respect residents’ privacy and dignity, they knocked on doors before entering and were heard to speak to residents’ in a respectful manner. Residents confirmed that they had no concerns about how they were spoken to or treated by staff. Pytchley Court Nursing Home DS0000012634.V337260.R02.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a range of suitable activities; their visitors are welcomed and a good standard of food is provided. EVIDENCE: Discussion with residents’ indicated that their lifestyle meets with their expectations and that staff where possible take account of their preferred routines. A sample check of activity records confirmed that a range of activities is offered according to individual preferences, which include group activities and one to one time. On the day of inspection some residents’ were taking part in a game of bingo in the lounge. The activity organiser also spent some one to one time chatting to residents. A monthly newsletter details planned activities with outside entertainers, which for May included; Fred on the organ, musical movement with the parish nurse and Christian fellowship. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 14 Other group activities include skittles, reminiscence and quizzes, with quizzes being particularly popular. Discussion with the activity organiser confirmed that she is aware of the importance of the inclusion of activities with an element of appropriate physical exercise and mental stimulation. Visiting arrangements are flexible and staff were welcoming towards visitors which helps residents’ to maintain contact with their friends and relatives. Residents’ and relatives spoken with were happy with the visiting arrangements and confirmed that they are able to receive visitors either in the lounges, dining rooms or to see them in the privacy of their rooms. Residents’ choice about where to spend their day is respected, with some residents’ preferring to stay in their rooms for the majority or all of the day and others spending time in the shared lounges. The lunch time meal on the day of inspection was fish, chips and peas or meat balls. The meal looked and smelt appetising and several residents spoken with all confirmed that they had enjoyed their lunch and that the food is usually very good. A resident who was admitted on the day of inspection had also been pleased with the lunch time meal and said she felt she was going to enjoy the food in the home. The cook confirmed that information about the dietary needs of new residents is given to the cook in order that any special requirements or preferences can be taken into account. The cook advised that she works to a menu produced by the organisation, however makes some adjustments according to residents’ preferences. For example, where sausages are on the menu this may be substituted for sausage and herb pie. The cook has recently undergone training on a computer tool, which calculates the nutritional content of individual meals and menus. When implemented the tool will provide confirmation that residents’ nutritional needs are being met and also provide the cook with suggestions of meals for residents who may require a special diet, for example a low sodium or high fat diet. Pytchley Court Nursing Home DS0000012634.V337260.R02.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and staff are aware of their responsibilities for safeguarding the residents’ in their care. EVIDENCE: The Commission for Social Care Inspection were contacted in March 2007 about concerns, which related to communication and the care of a resident over a six day period at the end of December 2006. The complainant was referred to the primary care trust for investigation of their complaint. The manager is not yet aware of the outcome of their investigation. Two complaints have inspection. Letters of complaints are taken to improve things for been received directly by Pytchley Court since the last response seen during the inspection indicate that seriously and where appropriate remedial action is taken residents’. There is a copy of the complaint procedure prominently displayed in the hallway. Information and contact details are given for making a complaint either in the first instance to the manager or to the operations manager. Advice was also given to consider including the role of the funding authority in investigating any complaints about the care of an individual. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 16 Residents’ spoken with during the inspection had no concerns about how they are spoken to or treated by staff and felt able to raise any concerns that they might have. Staff training records show that some staff have received training in safeguarding vulnerable adults. Discussion with a staff member who had not received the training, confirmed that they were aware of their responsibilities in protecting the residents’ in their care and the actions to take if they had any concerns. Pytchley Court Nursing Home DS0000012634.V337260.R02.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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment was clean, comfortable and in good decorative order providing a pleasant place for residents to live. EVIDENCE: The general appearance of the home has improved considerably since the random inspection in August 2006. Carpets and flooring have been replaced in several areas, and some re-decoration and refurbishment has been carried out with additional work planned. The improvements have provided residents with a comfortable and pleasant place to live. At the time of the inspection work was in progress to tidy up the garden area and quotes had been obtained for some additional fencing to make the garden a secure and pleasant area for residents’ to use during the summer months. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 18 Shared lounges, dining rooms, corridors and a sample of residents’ rooms seen during the inspection were all clean and there were no unpleasant odours. Residents spoken with confirmed that their rooms were always kept clean. The staff training matrix indicates that staff have not received training in infection control. However observations and discussion with staff identified that staff are aware of the importance of following good infection control procedures to minimise the risk to residents of infection. Pytchley Court Nursing Home DS0000012634.V337260.R02.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are supported by a caring and competent staff team who work together in their interests. EVIDENCE: On the day of inspection observations indicated that there were sufficient staff on duty to meet residents’ needs. Discussion with staff, residents and relatives confirmed that this is usually the case. All staff, including nurses, care staff, administration, cooks, domestic staff and maintenance were observed to communicate and to work very well as a team in meeting residents’ needs. They appeared confident and competent in their roles and aware of their individual and collective responsibilities towards residents. The good team working and staff attitude created a happy and relaxed atmosphere benefiting residents. Relatives were very complimentary about the staff team and the care they provide to residents. Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 20 Review of the staff training matrix identified that there are currently some shortfalls in staff training. Review of the management validation audit confirmed that this had been identified and discussion with the administrator identified that training has been booked to address these shortfalls. The operations manager confirmed that staff attendance at planned training would be monitored to ensure that staff receive appropriate training to meet the needs of residents. A sample check of staff files confirmed that a thorough recruitment process is followed, with references and criminal record bureau clearances being obtained prior to staff working in the home. This provides good protection for residents. Pytchley Court Nursing Home DS0000012634.V337260.R02.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): 33, 35, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pytchley Court is managed in the best interests of residents’. EVIDENCE: There is no registered manager in post and as standard 31relates specifically to the role of a registered manager it was not assessed. However in view of the importance of the management of the home in ensuring residents needs are met, the management arrangements were reviewed as part of the inspection. At the time of the inspection carried out in August 2006, the manager from another large care home was also overseeing the management of Pytchley Court. A permanent manager has been in post since January 2007 and the Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 22 inspector was informed that an application for registration is due to be submitted. Pytchley Court has been without a registered manager for some time and has existed on temporary management arrangements until the current manager’s appointment in January 2007. Since the last inspection the organisation have arranged for some redecoration and refurbishment of the home, improving the appearance of the home considerably. This combined with the appointment of a permanent manager who has worked with the staff team has contributed to the improvements identified during this inspection. These improvements have clearly boosted staff morale and benefited residents through improved standards of care. Various quality assurance tools are in place to measure the quality of care provided. These include monthly unannounced visits carried out by a representative of the organisation which is usually the operations manager who reports on the conduct of the home and the care provided. These visits are considered to be an important part of the quality assurance programme and enable the organisation to monitor the quality of care provided to residents’. Small amounts of money are held on behalf of residents’ to assist them with paying for things such as chiropody and hairdressing. A sample check confirmed that the money is held securely and records of transactions kept. No health and safety concerns were identified during a sample check of the premises. Some of the training identified through review of the training matrix, and referred to in the staffing section, identifies the need for updated training for some staff. This includes areas, which affect the health and safety of residents such as movement and handling. It was however confirmed that this training has been booked. The inspector was also informed that first aid training has been arranged. Pytchley Court Nursing Home DS0000012634.V337260.R02.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Pytchley Court Nursing Home DS0000012634.V337260.R02.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 Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pytchley Court Nursing Home DS0000012634.V337260.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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