Inspection on 19/07/07 for Royal Care Home

This inspection was carried out on 19th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Royal Care Home 14/07/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Royal Care Home 16-18 York Road St Annes on Sea Lancashire FY8 1HP Lead Inspector Phil McConnell Unannounced Inspection 19th July 2007 10 00 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 Royal Care Home DS0000066041.V339342.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. Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Royal Care Home Address 16-18 York Road St Annes on Sea Lancashire FY8 1HP 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) 01253 726196 K. Whenmouth Limited (T/A Royal Care Home) Mr Paul Vivian Brotherton Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 29 service users in the category OP (older persons 65 and over) 14th July 2006 Date of last inspection Brief Description of the Service: The Royal Care home provides personal care and accommodation for up to 29 older people who do not require nursing care. The home is situated in St Annes, in a convenient location close to the town centre with a shopping area, local community facilities and resources. It is the policy of the registered provider; to encourage social interaction by ensuring service users remain integrated members of the local community. In addition in-house activities are arranged and the service users are free to choose as to whether they participate or not. All service user accommodation is located on the ground and first floor of the building and a stair lift is provided to ensure freedom of movement and ensure service users ease of access to all areas of the home. There are 21 single bedrooms and 4 double bedrooms of which 3 have been provided with an en-suite facility. However currently all double bedrooms are used as single occupancy. Individuals only share twin bedroom accommodation if they have made a positive choice to do so. The home has garden areas to the front of the building that are well maintained and easily accessible. The home is registered for 29 people, with 23 people being in residence at the time of the inspection visit. The current rate of charging is between £332.00 and £408.00. Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the Annual Quality Assurance Assessment, (AQAA) which is a self assessment document completed by the registered manager, an unannounced inspection visit to the service on the 19th of July 2007, which lasted approximately 7 hrs and some questionnaires returned to the commission for social care inspection (CSCI) from service users and relatives. The registered manager Paul Brotherton and the proprietor Kaye Whenmouth were available during the inspection visit. During the visit to the home 5 service users’ files were examined, including the most recent person to go and live at the Royal and discussions took place with some of the service users throughout the day. All of the files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Five staff files were also examined, including the last person to be employed at the Royal, with all documentation being found correct. Throughout the visit there was the opportunity to have conversations with other staff members and a number of visitors to the home including service users’ relatives, a district nurse, ambulance staff and a Roman Catholic Nun, who visits weekly to administer communion. All of the feedback from these discussions was very positive. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: The home’s pre-admission procedures are very good. It is apparent that the in depth assessments carried out are used to compile equally good care plans. Some of the positive comments received help to demonstrate the good relationships that exist between the management, staff and the people who live at the Royal. The home is well managed, with service users’ welfare being paramount. Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 6 The provider is committed to ensuring that employees are appropriately and adequately trained, in order to help guarantee that people receive the best possible care and support. 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. Royal Care Home DS0000066041.V339342.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 Royal Care Home DS0000066041.V339342.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. Standard 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Royal has a thorough and comprehensive pre-admission process in place, including detailed assessment documentation, helping to ensure that peoples’ needs are accurately identified and provided for. EVIDENCE: The home’s admission policy and procedures were examined and they were found to be thorough and up to date. Most of the home’s policies were reviewed in May 2007. Five of the service users’ files were examined including the last person to be admitted to the Royal, (which was on the day of the inspection visit). Peoples’ files contained all of the relevant assessment documentation including: Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 9 admission assessments and medical assessments, contracts, full care plans with informative personal profiles, social services assessments, up to date daily record sheets, risk assessments and medication profiles. The person who was admitted on the day of the inspection had been admitted from hospital and the manager had carried out an assessment before the person was discharged from hospital. In conversation with some of the people in the home and in the comments written in the questionnaires, it was apparent the people were issued with preadmission information and that visiting the home prior to going to stay on a more permanent basis is the normal practice. The annual quality assurance assessment (AQAA) states that an assessment is carried out before offering accommodation and an offer is made in writing only if the assessment indicates that the Royal can meet the person’s needs. One of the visitors said, “the manager went to his relatives home to do the assessment, he was really good”. Royal Care Home DS0000066041.V339342.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 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are thoroughly detailed, with specific health care needs clearly identified. It is evident that peoples’ assessed needs are met, with people being treated with respect and dignity. EVIDENCE: The home uses ‘The Standex System’, which is a comprehensive, thorough and concise information and recording system, with all the necessary information and guidance contained in one file / document to meet a persons assessed needs including: Admission details with any medical diagnosis on admission, The service users’ long term assessment and ‘Care Plan’, GP’s notes and appointments, Individual risk assessments, Dependency profile, with a scoring system, which highlights ongoing needs, Any specific dietary needs, Social Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 11 activities plan, Any personal needs and Daily reports, which were up to date with relevant and appropriate information. Five service users’ files were examined and they were found to be up to date, with thorough and comprehensive care plans, which are reviewed on a monthly basis, helping to demonstrate that individuals’ needs are regularly monitored and assessed, in order to ensure that their needs are adequately met. During the inspection visit a gentleman was admitted to the home from hospital and there was the opportunity to speak to the ambulance staff, “we have been here a number of times and this is one of the best homes we come to” and “everything was readily available for this man moving in today”. One person wrote, “my Granddad was admitted to hospital during the first few months of his stay at the Royal and the staff were very helpful and kept me informed at all times”. A GP wrote, “it’s an excellent home where residents are well cared for” and “it couldn’t be any better it’s really superb” There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Medicines were kept in a secure locked cupboard, which was very well organised and tidy, with separate locked provision being made for the correct storage of the controlled drugs that are being dispensed at the home. The staff that administer medication have received adequate and satisfactory training. The medicine administration records (MAR) were observed and found to be accurate with medication being correctly administered. The controlled drugs register was examined and this also was accurately maintained. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with people responding positively and it was evident that good relationships existed between the service users and the care staff. A visiting nurse commented, “The carer was really nice to the patient. Obviously they had a good rapport and the lady commented, she’s a really nice girl”. another visiting professional said, “I have been coming here for a number of years and I have never heard anyone speak to anyone in a disrespectful way”. Royal Care Home DS0000066041.V339342.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are appropriate, recreational and leisure activities available, demonstrating that people are positively motivated and stimulated. EVIDENCE: A varied number of activities take place within the home to help motivate and stimulate people. There are regular entertainers coming into the home, some of the games available in the home include, large size draughts, snakes & ladders and chess, these all help with people who may have sight difficulties. On the afternoon of the ‘inspection visit’ a fashion show took place, which was very well attended and people were able to purchase various items of clothing at reasonable prices. Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 13 The AQAA document states, “your special interests and hobbies will be discussed during your assessment and noted in you service user plan” and “we organise a range of interesting activities to suit most tastes”. There was also the opportunity to speak with a visiting RC Nun, the sister visits weekly to serve communion, she commented, “people are very caring, they respect the individual, I can’t fault them and the staff always make sure everything is in place for the people who want to receive communion”. It was also stated that representatives from different denominations visit the home. Information was displayed on the homes notice board, regarding events and there was a separate board displaying the weather forecast for the day. Again this helps to promote interest and stimulate conversation. With regard to outings, the manager commented, “People tend to like 1 to 1 outings and this happens on a daily basis”. A key worker (service users have a named worker) system in place; helping to promote trust and confidence between the service user and the staff member, thereby helping to ensure a person’s changing needs are identified and acted upon as quickly as possible. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. One relative said, “we are always made welcome and the staff are very friendly”. There was a choice of menus available, which were seen to be nutritious, varied and appetising. There was the opportunity to have lunch in the home and the meal was good and well presented. People were observed having a choice of different meals and some people had their meals in their rooms. Members of staff were observed supporting people sensitively and in a very calm manner. There was a sign displayed in the kitchen giving specific details of peoples’ different dietary needs. A discussion took place with the home’s cook, who is very well qualified and experienced in the catering industry. She commented that she makes a “conscious effort to speak to everyone on a daily basis” “we don’t use salt and we try to use saccharin in meals” and “we always have fresh fruit available and we serve fresh vegetables every day”. It was evident that good relationships exist with the service users. The comments from service users regarding the meals were all very positive. Royal Care Home DS0000066041.V339342.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory policies and procedures are in place, helping to demonstrate that vulnerable people are protected and safeguarded from abuse. EVIDENCE: A comprehensive complaints policy and procedures is in place regarding the safeguarding and protection of vulnerable adults. No complaints have been received since the last inspection. The home has a ‘Gold Book’ where minor concerns, queries and requests are recorded, with written evidence that these concerns had been acknowledged and dealt with appropriately. Questionnaires indicated that people are aware of the complaints procedure and how to complain if they need to. One person said, “We were given information on how to complain when our Grandfather came to live at the Royal”. People, who were spoken with, knew whom they could speak to if they had a complaint. They were also aware that the inspector for CSCI (commission for social care inspection) could be contacted if they chose to do so. Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 15 There was a thorough policy in place to deal with a suspicion or allegation of abuse. Some staff members were spoken to and they were fully aware of the procedures to follow in the event of any suspicion or alleged abuse and would be confident in the process, to ensure the protection of service users. It was also observed that training in safeguarding adults is made available to staff. Royal Care Home DS0000066041.V339342.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): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The improvements that have taken place in the home are of a very good standard. The planned refurbishments will further improve the environmental standards for the people who live and work at the Royal. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a reasonably good standard, it was clean, homely and fresh smelling. Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 17 Since the last inspection visit a number of positive changes have taken place including, 2 new shower ‘wet rooms’, the dining room has been completely revamped and a lot of work has been put into the front gardens. All of these changes/alterations have been carried out to an excellent standard. The laundry is situated away from the main building, it was well organised, with adequate machines to cater for the home’s needs. All cleaning materials are stored in a safe and secure area of the laundry. The kitchen was clean, hygienic, organised and well equipped to meet the home’s needs. Peoples’ bedrooms contained personal belongings, such as televisions, photographs, ornaments and some of their own furniture items, demonstrating that people are encouraged to bring their own personal possessions into the home, in order for it to be familiar and as comfortable as possible. The décor is generally of a good standard, however some of the first floor is looking ‘tired’, with peoples’ bedrooms being in need of decorating. It was also suggested to the manager and the proprietor that the present ‘energy saving’ bulbs in peoples’ rooms provide inadequate lighting. This could especially cause difficulty for people who have visibility problems. An assurance was given that these issues will be addressed. There was appropriate specialist equipment observed around the home, such as lifting hoists, stair lift, walking frames, bath seats/shower chairs and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. Overall the environmental standard is generally good, with the changes that have taken place since the last inspection being of a good standard. In discussion with the manager and the provider, it is envisaged that more improvements will happen in the near future. Royal Care Home DS0000066041.V339342.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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have been correctly recruited and have the necessary skills and experience to provide a good standard of care to vulnerable people. EVIDENCE: The Royals staffing levels were examined and were found to be adequate and satisfactory. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. There is a thorough recruitment process in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained (this was a previous requirement). It was also observed that all overseas staff have Home Office Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 19 clearance to work in the UK. This helps to demonstrate that vulnerable people are protected and safeguarded, by having a robust recruitment process. Staff files contained information with regards to the experience, skills and training that staff have received with a full and thorough mandatory-induction programme being in place. There was evidence of other relevant training being provided including, Infection control, Dementia Awareness and Avoidance of Abuse of the Elderly. The national vocational qualification in care (NVQ) training programme is ongoing and there was evidence that the provider is committed to ensuring that this NVQ training is accessed for all staff. Two members of staff have recently achieved NVQ level 4 (one being the manager) and with 3 other staff starting on level 3. A new member of staff (medical student) commented, “I have been really pleasantly surprised how well the carers know the residents” and “I have seen that as much as possible people are given choices” “it’s great, everyone is so committed. I really think the experience will help me later on in my career”. The home’s cook said, “I have worked here for 10 months, it’s very ‘family like’, its just like having a big house and family, everyone is very understanding”. All of the feedback from relatives and people living at the home was positive and complimentary. Individual staff supervisions are held on an 8 weekly basis and annual appraisals are also carried out. Royal Care Home DS0000066041.V339342.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): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and organised, ensuring as much as possible that service users are safe and receive a good quality service EVIDENCE: The registered manager has over 20 years of experience in the care profession and has been the registered manager at the Royal for over two years. Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 21 He is adequately qualified and has recently achieved the national vocational qualification in management at level 4, (NVQ) and will soon commence the registered managers award. In discussion with some of the staff members, there was a general opinion that the management is approachable and fair. Some of the comments were, “the manager is an employer and a friend, very approachable” and “the manager is very understanding and always available”. Some of the comments received from relatives were, “the manager is very good with our brother in law” and “the manager and all of the staff have been marvellous, very understanding”. The home’s policies and procedures were examined and they were found to be up to date (reviewed May 2007) and of a good quality. The main office is located away from the main building, “this new office causes little disturbance to staff and service users”. The home continues to maintain the investors in people award; this is an external quality assurance-monitoring organisation. There was documented evidence that all staff have received mandatory training, including: moving and handling, protection of vulnerable adults (POVA), the control of substances hazardous to health (COSHH) and infection control, with refresher courses being available when needed. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher checks and fire drills are carried out regularly, PAT portable appliance testing, emergency lighting certificate and a satisfactory environmental health report from Fylde Borough Council for food hygiene. There was sufficient evidence to demonstrate that the health and safety of people who live and work at the Royal is promoted as much as possible, to help ensure that a safe and healthy environment is maintained. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Royal Care Home DS0000066041.V339342.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NONE 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 Royal Care Home DS0000066041.V339342.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. 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