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Inspection on 06/12/07 for R Janmayur Care Home

Also see our care home review for R Janmayur Care Home for more information

This inspection was carried out on 6th December 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents feel that they are well cared for and they like living in the home. They each have a plan of care that they have been involved in making. This makes sure that all their needs and wishes are properly recorded and their goals are met. Residents receive personal support in the way that they want. Their health and emotional needs are met because all the people who work in the home know them well, understand what is in the care plans and know how to provide the right support for them to achieve their wishes. Residents make their own decisions about their lives. Each resident is treated as an individual and people who work at the home are responsive to their very different care needs, supporting them to be as independent as they can be and to make the most of their abilities. The lounge/diner is very homely and bedrooms are comfortable. All residents said they like their rooms and they only have to ask the manager for anything they need.

What has improved since the last inspection?

All the maintenance issues identified at the last inspection have been completed. The redecoration and renewal of furnishings has included the kitchen refurbishment, attractive new curtains in the lounge and one bedroom and new comfortable settee and armchairs in the lounge, making sure that residents live in a comfortable, homely environment. A handle has been added to the patio door to assist residents in accessing the garden.

What the care home could do better:

The manager said he would record a risk assessment for a resident who manages their own medications, showing how he makes sure that the medications are kept and taken in a safe way. Residents would benefit if extra opportunities could be developed for them to participate in a wider range of activities. This would give them more choices for social interaction and add more variety to their days. The manager said he would ensure that the laundry room sink is replaced and appropriate hand washing facilities are put in place to maintain hygiene and reduce the risk of spread of infection.

CARE HOMES FOR OLDER PEOPLE R Janmayur Care Home 15, Osmond Gardens Osmond Road Hove East Sussex BN3 1TE Lead Inspector Christine Grafton Key Unannounced Inspection 6th December 2007 09:40 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 R Janmayur Care Home DS0000014227.V348169.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. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service R Janmayur Care Home Address 15, Osmond Gardens Osmond Road Hove East Sussex BN3 1TE 01273 777424 01273 328475 rjemmayur@btinternet.com 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) Dr Ramadas Mr Ramadas Mr Kumarasamy Ramadas Care Home 7 Category(ies) of Old age, not falling within any other category registration, with number (7) of places R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated must not exceed 7 Service users will be aged 65 years or over on admission Date of last inspection 25th April 2006 Brief Description of the Service: R Janmayur is a small family-run care home for older people. The detached property is situated in a residential area close to shops, transport routes and other local amenities. Paid parking is available in the street outside the home. A large lounge/dining room is available on the ground floor, and there is access either via steps or by the side of the building to the garden at the rear of the property. There is no lift to the first floor of the home where four of the six bedrooms are located, and therefore the home is more suitable for people who are mobile. The home provides care, including respite care, for a mixed group of people. It does not provide nursing care. The joint proprietors live on the premises and provide the bulk of the overall staffing. They currently employ two part-time staff. The fees as stated by the provider on 6th December 2007 range from £303.00 to £411.00 per week and there are charges for extras such as hairdressing and chiropody. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report takes account of information received since the last inspection, including a visit to the home. An unannounced visit took place on 6th December 2007 between 09.40 hours and 14.10 hours. The visit included talking to the manager and his wife, who are joint proprietors, all of the residents, looking at some records and undertaking a tour of the home. Observations of the home routines, activities and working practices were made. At the time of the visit there were five residents living at the home. atmosphere in the home was welcoming, calm and relaxed. As the providers work full time in this small home, there are few staff employed and none were on duty at the time of the visit. The manager submitted an annual quality assurance assessment prior to the visit and the information provided was useful in the planning of the visit and has been used in the assessment of this service. The What the service does well: What has improved since the last inspection? R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 6 All the maintenance issues identified at the last inspection have been completed. The redecoration and renewal of furnishings has included the kitchen refurbishment, attractive new curtains in the lounge and one bedroom and new comfortable settee and armchairs in the lounge, making sure that residents live in a comfortable, homely environment. A handle has been added to the patio door to assist residents in accessing the garden. 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. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents are given the information they need to make a fully informed decision about moving into the home. The assessment process ensures that a prospective resident’s needs can be met upon moving into the home. It is not the general policy of the home to admit residents for specialist intermediate care, so standard 6 was judged as not applicable at this inspection visit. EVIDENCE: The manager assesses all prospective residents prior to them being admitted to the home. The pre-admission process is comprehensive and addresses all the necessary areas of assessment, such as: psychological, health and social R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 9 care. Each resident has had a full assessment completed to a good standard, encompassing all needs in appropriate detail and the information has been used to inform the basis of the care plan. A new resident said that the manager and his wife were helping them to settle in and the discussion confirmed the information in the written assessment about their needs. This person’s care plan was in its early stages, but already, much information had been gathered and they had been fully involved with the process. The other residents were all spoken to and felt that they receive good care and that their needs are being met. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The quality of care provided to residents is enhanced by clear and consistent care planning with all the information needed to meet residents’ needs. Residents receive good health care support and they are protected by the home’s procedures for managing their medication. EVIDENCE: Detailed care plans have been drawn up for each resident with their involvement. All five care plans are person centred, with informative life histories and cover a wide range of individual needs, such as: health, nutrition, personal hygiene, continence, mobility, communication, memory, orientation and spiritual needs, with appropriate risk assessments in place. Personal and healthcare needs are well recorded and regularly reviewed on a monthly basis, with the resident’s involvement. A further full review takes R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 11 place on a six monthly basis. Each care plan has a daily diary sheet, records of doctors or district nurse visits with the outcomes of these, and details of spectacles and hearing aids used by the resident. Discussions with each resident confirmed the information recorded in the care plans and indicated that their care needs are being well met in the home. The manager has a good understanding of each person’s needs and gave lots of verbal information, which cross-referenced with that in the care plan records. Discussion with the manager indicated that appropriate medication procedures are followed and the lunchtime medication was given out accordingly. Medication administration record (MAR) sheets had been properly signed. One resident manages their own medication and discussion with them indicated their awareness of what the medications are for, the times due and how they ensure security. At the last inspection, a requirement was made to write a policy relating to self medication and to record a risk assessment for this resident’s self administration, to include the method of receipt and checking on a regular basis that the resident was taking their medications with no gaps. Discussion with the manager and records seen indicated that following the last inspection, the manager had arranged a review with a community health care specialist, but the risk assessment and policy had not been recorded. The manager stated that he arranges the repeat prescriptions, collects the drugs from the pharmacy and does regular checks of the person’s medications. He said he had misunderstood what was required and would write the risk assessment straight away and confirm this to the commission, within one week from the date of the visit. Therefore the requirement has not been carried forward in this report. There is no specific drugs fridge in the home and the manager indicated that any medication requiring to be stored at these temperatures would be kept in a specific box in the fridge. There was no medication falling into this category in the home at the time of the visit. Discussions with residents indicated that their privacy is respected, they can have visitors in their own rooms and that they can make choices over how they wish to live their lives. They felt that their dignity is respected and that they are supported to be as independent as their abilities allow. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The approach to both activities and catering is that which would be found in a normal household, allowing residents to feel part of a family. More emphasis could be placed on the provision of activities to add variety to the residents’ day. EVIDENCE: Residents said that they choose how to spend their days and that although there are few formal activities in the home, the manager takes one of them to the library and others to the shops. They also said that they choose between spending their time in their bedrooms or in the lounge. There is an activities programme that shows activities such as: breathing and exercises, group discussion, drawing and painting, cross words and visits to the park. Four out of the five residents indicated that some of these things do happen and that they are content with their daily lifestyles. The new resident spoke of being bored and wishing there was more social interaction and R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 13 activities. The manager is aware of this and currently looking into ways of meeting this need. One resident goes out to a day centre twice a week. A resident with communication needs expressed that they are happy in the home and that the manager and everyone else who works there understands them well and between them they have developed a suitable system of communicating that makes sure they can do what they want. Care plans identify each resident’s preferred activities. At the last inspection, it was recommended that residents would benefit if further activities could be developed to add interest to each resident’s day. Discussions at this visit indicate that four residents are quite satisfied with their daily lifestyles and that this is being further considered for the fifth resident. The manager said he has the details of ministers of religion, and can access a minister to visit, if residents wish to see them. Residents spoke about going out with their visitors and of having visitors to the home. All residents expressed that their visitors are made welcome. The manager’s wife does most of the cooking. The food is homely and although there is no printed menu, or choices identified, the manager’s wife, stated that being a small home they talk to the residents about the planning of meals, know their likes and dislikes and cater accordingly. Residents confirmed this, expressing that they have plenty to eat and drink and that the food is generally to their liking. Records are kept of what is served on a daily basis. Residents are weighed on a regular basis and the home caters for special diets if required. The kitchen refurbishment has been completed since the last inspection, with new units, worktops, re-tiling and new flooring. The kitchen was clean and well organised. The lunchtime meal was an unhurried affair. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their complaints will be listened to and acted upon and that they will be protected from harm by the home’s procedures and practices. EVIDENCE: The home has a complaints procedure which residents are aware of. There have been no complaints since the last inspection and the manager says that he addresses any concerns residents have immediately so that they do not need to become a complaint. Residents confirmed this, saying that they talk to the manager if they feel things are not right and he deals with any matters raised very fairly. The manager confirmed that the one staff member has had adult protection training and is aware of their responsibilities relating to this. The manager stated that he helps residents to access solicitors, financial advisors and advocates as required. Arrangements had been made for a financial officer from the local authority to visit the new resident. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 25 & 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable and homely environment that suits their current individual and collective needs. EVIDENCE: The tour of the home indicated it is appropriately maintained and that all the things identified at the last inspection have been addressed. One of the ground floor bedrooms has been redecorated with new curtains and new carpet. The lounge/dining room is pleasantly decorated and homely. Since the last inspection, new curtains and some new lounge furniture have been provided. Residents said that the new settee and armchairs are very comfortable. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 16 The lounge accesses the garden through a patio door and there is ramped access to the garden. A small grab rail has been fitted beside the patio doors for residents to hold on to so they do not trip over the door ledge. There are plans to have a new patio laid to further improve access for residents. The home has not been assessed by an occupational therapist as specified at the last inspection, as the manager stated that the resident identified then that may have needed more disability equipment and environmental adaptations has moved out of the home. Current residents have all the aids and equipment that they require to meet their individual needs. Those with bedrooms on the first floor can either manage the stairs independently, or with assistance from one person. Residents occupying those rooms that use walking aids described how they access them and this indicated that the methods used are appropriate for them. Bedrooms are all highly individual and personalised with residents’ own possessions. Bedrooms have a lockable facility and lockable doors and residents have their own keys to these. Each resident said that they like their own bedroom. All rooms have radiator guards to reduce the risk of burns. The manager regularly checks water temperatures to assess the risk of scalding and keeps records of these. The laundry room is located from outside and is on the lower ground floor, below the house. It serves a dual purpose for storage and also houses the boiler. The washing machine and tumble drier are of the domestic type. The washing machine does not have a sluice cycle, but has a hot cycle, so that any soiled linen can be washed at high temperatures to reduce the risk of infection. Following a recommendation made at the last inspection, supplies of water soluble, red alginate bags are now kept at the home, so that any soiled linen can be put straight into them to reduce staff contact and risk from infection. The manager said that currently these are not required. The stainless steel sink unit in the laundry is very badly stained and unhygienic. The manager said that in practice this sink is not used to wash hands, which is done upstairs in the kitchen or bathroom. He indicated he would replace the sink top and ensure that hand washing facilities are provided in the laundry. This is important to ensure good hygiene and protect residents and staff from risk of infection. There were no unpleasant odours and cleanliness within the home was adequate. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 30 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from living in a home where the family members and one other person who form the staff team have a good understanding of their needs and work hard to ensure their needs are met. EVIDENCE: The home is a family run concern with the owners living on the premises and providing most of the care. The family provide the overnight care and cover early morning and evening shifts. The owners’ daughter is employed by the home and the last inspection confirmed that she has gained her national vocational qualification in care (NVQ) level 2. The other part time carer employed, is a trained nurse (but not practising as such in the home). The family and employed carer undertake the cleaning and cooking. The carer has been working at the home for a number of years and knows the residents well. One other staff member was previously employed, but since the last inspection has left and not been replaced, due to a fall in the number and dependency levels of residents. The manager confirmed that all current residents have low night care needs and are able to ring their call bell for assistance at night if needed. The owners’ daughter and the staff member R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 18 provide daytime cover to allow them time off. The case tracking confirmed that none of the current residents have high dependency needs and discussions with residents indicate that the staffing numbers are adequate to meet their needs. The manager stated that this is a small home that works well with current arrangements. The combined evidence indicates that the residents have confidence in the owners and other people who care for them and that the current arrangements have resulted in good outcomes for four out of five residents. The new resident has only lived at the home for a week and said they were satisfied with the support provided by the owners and staff. The and and and home’s annual quality assurance assessment indicates that the owners staff have obtained all the training certificates specified in the standards that they undertake continuous training to update their knowledge, skills competence. Personnel files were not seen on this occasion, but the last inspection indicates that all the required documentation was in place. The manager confirmed that nothing has changed since then and that criminal records bureau (CRB) checks have been completed. A training record was seen for the employed carer that shows that training sessions are regularly undertaken and recent training included adult protection and anxiety and depression. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is managed in a way that safeguards residents’ best interests, promoting and protecting their health, safety and welfare. EVIDENCE: The manager, Mr K Ramadas, is joint owner with his wife, Dr Ramadas, who also works full time at the home. He has attained his national vocational qualification (NVQ) in management and care level 4 and has taken part in other training, including adult protection, moving and handling and medication training. He has managed the home for eight years. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 20 The home is run as a family unit and four out of the five residents said that they like living in a small home, where they feel very much part of the family and that the owners are very nice and nothing is too much trouble for them. The fifth resident is new to the home and currently settling in. Residents confirmed that their views are sought on a day-to-day basis on all aspects of the running of the home. The manager said he also monitors the quality of the service provided to residents, by talking to relatives, visiting professionals and doing his internal health and safety checks. This was confirmed in the home’s annual quality assurance assessment (AQAA) that also indicates there is a business development plan in place and that the home’s policies and procedures are regularly reviewed and revised. Three residents said that they have their own personal spending money and they choose how to spend it. The AQAA indicates that where the home handles a resident’s money, records are kept. A resident confirmed they receive their weekly personal allowance. The AQAA indicates that the home’s equipment has been serviced and all maintenance and safety checks are up to date. Appropriate action has been taken to address the requirements made at the last inspection and no safety hazards were identified on the tour of the home. The manager indicated he would ensure the laundry has appropriate hand washing facilities (see under environment). Fire procedure notices have been put in residents’ bedrooms and one resident described what happens if the fire bells sound. Residents expressed their satisfaction with the way the home is being run and the atmosphere was calm and relaxed. R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x 3 x x 3 2 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI R Janmayur Care Home DS0000014227.V348169.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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