Inspection on 15/01/07 for Shockerwick House

This inspection was carried out on 15th January 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

Shockerwick House 13/03/06

Shockerwick House 23/08/05

Shockerwick House 06/01/05

Shockerwick House 16/07/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Shockerwick House Lower Shockerwick Bath Bath & N E Somerset BA1 7LL Lead Inspector Jill Cornelius Key Unannounced Inspection 15th January 2007 09:30 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 Shockerwick House DS0000020223.V327189.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. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shockerwick House Address Lower Shockerwick Bath Bath & N E Somerset BA1 7LL 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) 01225 743636 01225 744335 holbuttc@bupa.com www.bupa.co.uk BUPA Care Homes (CFCHomes) Limited Mrs Catherine Holbutt Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38), Physical disability (5) of places Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 38 persons aged 50 years and over May accommodate up to 5 Persons aged 18 years or over with Physical Disabilities Staffing Notice dated 30/08/2001 applies Manager must be a RN on parts 1 or 12 of the NMC register Date of last inspection 13th March 2006 Brief Description of the Service: Shockerwick House Nursing Home is registered for 38 residents requiring nursing and personal care. The home is situated in a suburban position and can be accessed by car or bus. Transport is needed for access to local shops and social venues. The home is a converted older property, providing single and double rooms on three floors and communal space in 4 areas. There is a lift to all areas. There is wheeled access to the garden areas around the home. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection conducted as part of the annual inspection process. The inspection lasted one day. During the inspection the inspector spent time in discussions with manager, deputy manager, staff and examined a number of records, including seven residents care plans, and records relating to the day-to day running and management of the home. The inspector spent time observing the residents in the home throughout the course of the visit and spoke with six at length and two visitors. Members of staff were observed on duty and three were consulted individually. What the service does well: Staff were observed as being respectful, warm in manner, good humoured and sensitive towards the residents’ at Shockerwick House. A high standard of personal and nursing care is provided and staff work hard to meet the needs and wishes of the residents. The residents and relatives spoken with during the inspection continue to express satisfaction about the home. The recruitment procedure is robust and serves to protect vulnerable residents. The home is well organised and managed by an effective, stable management team that promote the views and interests of the residents. Staffing levels are increased should the dependency levels of the residents change. The manager and deputy have a good rapport with individuals and are knowledgeable about the care needs of the individuals living in the home. The home’s environment and its surroundings meet the needs of residents and provide great pleasure and enjoyment to them. The home is peaceful, comfortable, tastefully decorated and furnished and well-maintained. Residents appear to be happy with the service they receive and are content with their daily lives. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 6 A regular, varied and stimulating activities programme is provided and this includes time on a 1:1 basis with those residents who are unable to or who choose not to take part in communal activities. Meals are well presented and menus verify a healthy well balanced diet for all residents who benefit from a wide variety of choice. Mrs. Holbutt and the team are therefore to be commended for continuing to provide residents with a service which is well regarded and which has high standards of care. 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. Shockerwick House DS0000020223.V327189.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 Shockerwick House DS0000020223.V327189.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): 1, 3, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents continue to receive clear details of the services the home provides enabling them to make an informed decision about admission. They are also are encouraged to visit the home prior to moving in. The admission procedure ensures that a relevant assessment is undertaken prior to people moving into the home. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 9 EVIDENCE: The statement of purpose and the service user guide to the home were detailed and informative. A number of these documents were observed in residents’ rooms. There is no change in pre-admission assessment practice. The inspector was informed that the manager or deputy visits all prospective service users’ prior to admission to access their needs. A pre-admission form is completed, which forms the basis of the subsequent care plan. In addition all social service placed residents’ placed have a completed CM4 and CM7 assessments from the community services. The inspector reviewed the care documentation of 7 residents currently living in Shockerwick. These documents were very well presented and provided detail of the pre-admission assessment of care needs including the liaison with relevant health professionals, these records had been signed by the assessing RN. These incorporated all the aspects of care required in this standard. Assessment is an ongoing process and following admission to the home a full detailed assessment of the residents care needs has to be established over the initial few days and regularly reviewed. This information forms the basis of the Care Plan (see Standard 7). Care assessments had also been regularly reviewed and updated, this included detail of the Risk Assessments and evaluation. The RNs have a verbal and written handover at each shift. This includes a written synopsis of all the residents immediate care needs and any urgent actions required in the environment: this is good practice. Prospective residents are encouraged to visit the home either for the day or perhaps for lunch dependent on their wishes. A brochure containing a service user guide and statement of purpose is also made available to prospective residents’ and their families. Shockerwick House DS0000020223.V327189.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, 10, 11 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff have a good awareness of individual needs and treat residents in a warm and respectful manner, which means that they can expect to receive care and support in a sensitive way. The home has a very clear policy and procedure for the care and comfort of the dying, which includes resident’s personal preferences. EVIDENCE: All Care Assessments and Care Plan records are provided in file documentation. Seven care plans were examined. There were clear guidelines in relation to each resident’s personal and social needs, such as communication, mobility, Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 11 cognition, interests/hobbies and family and friends. Health care plans included pressure area risk assessments, moving and handling guidelines, wound care, risk assessments for falls and nutritional screening. The ‘Life Story’ section of care plans, is completed by the activity coordinator. See standard 12. The assessments had been fully completed with reviews undertaken. There was recorded evidence of resident’s or their representative involvement in the review. This is to be commended. When touring around the home it was noted that one service user was on bed rest. The inspector was informed that they were observed hourly. Documentation was evidenced to support these monitoring visits. Records of the General Practitioner visits/contacts with resident’s and outcomes were available. The home had access to various pressure relieving equipment and this was documented in the plan of care. Specialist referrals and visits from other professionals were evidenced in care files including Audiologists, Chiropodists, Opticians and Dentists. Risk assessments had been developed to identify potential risks including manual handling and the use of bed rails. It was again evident from consultation and observation that the manager and the deputy manager had built a good rapport with individuals and were knowledgeable about the care needs of the individuals living in the home. Residents stated that staff were responsive to their care needs. The atmosphere in the home on the two days of inspection was relaxed. Staff, the manager and residents were observed to have good relationships. Staff responded to residents in a sensitive and professional manner. Staff were witnessed knocking on resident’s doors before entering confirming respect for the residents individual privacy and dignity at all times. However, it was noted in one care file that the resident had their photo taken whilst still wearing a clothing protector. The manager agreed to change this. The home has a very clear policy and procedure for the care and comfort of the dying, which includes resident’s personal preferences. There was some evidence in documents viewed containing two “end of life” plans. Staff have supportive links with hospice and other professional staff, there is access to the local ministers who attend the home at any time. Hospitality would be offered to relatives if need be where service users are being nursed in the terminal stages of illness. Shockerwick House DS0000020223.V327189.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Shockerwick continues to provide residents with opportunity to experience a stimulating and varied life where various informal activities are regularly made available and where individual needs are strongly recognised and promoted. Visitors are made very welcome. Meals are well managed and provide daily variation, nutrition and social contact for people. EVIDENCE: Shockerwick has a full time co-ordinator who organises the varied activity schedule. Time is spent with the residents gathering information on their likes / dislikes, feedback and suggestions for activities / events. There is a planned event most days which includes visitors / entertainers to the home as well as Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 13 organised trips from the home. These evidence a wide range of activities both for individuals and groups around the care home. Residents spoken with were very complimentary of the activities and said they participated in and enjoyed most events. It was evident from discussions that service users are encouraged and supported in having links with the local community. The home aims to operate a relaxed and open visiting policy. During the inspection, there were a number of visitors throughout the home. Those spoken with informed the inspector of their experiences when visiting the home. Some of these comments were “I am always made to feel welcome; “My mother is well looked after”, “I am kept informed of any changes”. The routines were flexible and evidenced meeting individual service user likes and dislikes. One resident stated that they “liked to get up early in the morning”. A programme of in-house activities is maintained. Posters are displayed advertising monthly programmes. Awareness of what is available is promoted by a weekly activity and newsletter. Also promoted by verbally by staff daily. Some activities over the Christmas period included ‘An evening with the Bathford Choir’, ‘An afternoon finishing the Christmas Cake’, ‘A trip to see the lights’, ‘Christmas Market and Buffet’, Quiz Night’. Two residents’ expressed “their delight with all the hard work from the staff over the Christmas period”. 20 out of 24 feed back forms entitled ‘have your say’ highlighted that the over view was positive about the daily opportunities to have meaningful activities. The home holds a number of annual fetes; coffee mornings; and members of the local community are invited. This was confirmed in the relatives meeting minutes. It was noted that all relatives are invited to the organised functions where food, drink and entertainment are provided. There is a church service that takes place on a monthly basis. Coffee and tea is available and residents spend time chatting or reading magazines. Those unable to participate in activities were observed having one to one involvement with carers at different times in the day. Shockerwick has a library of books and videos that are appropriate for residents accommodated in the home. Each care plan contained details of residents’ family and friends. The ‘life story’ section of care plans, which had been completed, described family/friend relationships in more detail. Staff spoken with said they feel they work closely with each resident’s relative and always keep them informed in relation to their care and support. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 14 The two visitors to the home spoken with confirmed they were always made welcome at Shockerwick. They visited their relative regularly and felt they were able to see them in private, if they wished. The inspector observed lunch being served one of the dining rooms. This meal looked appealing and staff were seen to treat each resident with sensitivity and respect. The inspector did note that there was a relaxed and unhurried atmosphere during lunch and each resident was offered appropriate support to enjoy their meal. All of the residents the inspector met expressed very positive views about the quality, and the choices of food. Examples of comments made included: ‘excellent’, ‘very good’, and, ‘very nice food’. One person also told the inspector that ’the chef seems to know every person’s particular dietary likes and preferences’. Based on the comments made by service users, it is evident the home is providing a quality of meals that service users feel are of an extremely high standard. The inspector reviewed the service users menu. There were ranges of options which were varied and nutritionally well balanced. The inspector also saw the minutes of recent ‘residents’ meetings; that demonstrated residents had been consulted about their meal preferences. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements remain in place for responding to concerns. These are satisfactory so that residents and their relatives and friends can feel that any complaints will be taken seriously. Residents’ legal rights are protected. Staff knowledge and understanding of Adult Protection issues provides a safe environment to protect residents from abuse. EVIDENCE: There is a complaints procedure with a formatted document for recording complaints available. This was viewed and found to be correct with outcomes of complaints completed. Residents’, visitors and staff comments showed that people feel comfortable discussing any concerns with senior staff or management. Residents are able to participate in the political process, and are enabled to exercise their rights by voting during elections. The majority of residents tend to use their postal vote. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 16 The Home follows the Bath and North East Somerset Council guidance addressing the protection of vulnerable adults. The appropriate Policy and Procedures are in place for Adult Protection and Whistle Blowing, staff receives training on Adult Protection during their induction and qualified staff are aware of the procedures to follow. This reinforces the staffs’ awareness and promotes safe practices with the residents’ at Shockerwick House. Opportunity was taken to put a scenario with three members of staff. They were able to respond appropriately. Staff spoken with confirmed the benefit of this training. Training continues to be provided to heighten their awareness of the issues of abuse and on the Whistle Blowing Policy / principles. This policy was held in the policies and procedures file in the office. Evidence seen in staff training records showed the staff attended training on issues around abuse. Four staff spoken with gave a clear understanding of abuse issues and ‘Whistle Blowing’. They felt able to challenge any issues relating to the Protection of Vulnerable Adults. Shockerwick House DS0000020223.V327189.R01.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, 20, 21, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, tastefully decorated and furnished. It provides a safe, peaceful and well-maintained environment for the residents. Homeliness in communal areas and personalisation of individual rooms are both well promoted. EVIDENCE: Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 18 The home has a particularly pleasant location and extensive grounds. The areas immediately adjacent to the house are easily accessible to residents and staff. The residents have mobile call units for the nurse call system or personal call pendants for use when in the garden or quieter areas of the home. . The décor in Shockerwick is of a high standard. Due to the home being very large there are a number of peaceful and relaxed rooms and places for residents to just sit. Residents spoke of being ‘very much at home here’. There is an appropriate choice and adequate provision of bathroom facilities. There is a hairdressing room, which is enjoyed by residents. One person stated, “It was like going to the hairdressers”. It was noted that the home was very clean. This had been noted on previous visits. Shockerwick House DS0000020223.V327189.R01.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, 29, and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from staff who are inducted and who continue to professionally develop their skills by ongoing training and course updates enabling them to provide care and meet the needs of the residents in a skilled way. EVIDENCE: The recruitment process was examined and all staff records examined showed that the home follows a robust recruitment procedure. Records contained application forms, references, POVA (Protection of Vulnerable Adults) first check and a CRB (Criminal Records Bureau) disclosure. The Induction programme is comprehensive and covers all required mandatory training, including Fire, Manual Handling, Health and Safety and the Protection of Vulnerable Adults. The home has a mentor system where all new staff are linked with and shadow a senior staff member during each shift to enable continuity and continued training throughout the induction process. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 20 A very positive approach to staff training and development was evidenced. Staff had undertaken training in infection control, diabetes, dementia awareness, wound care update, male and female catheterisation including Supra pubic catheterisation, medication, syringe driver update, Parkinson’s’ disease, falls and Venepuncture. Nutritional screening is undertaken following the “MUST” Nutrition Screening Tool. Three members of staff were spoken to at length. All were asked the same questions on areas of recruitment, induction, training, care provision and protection of vulnerable adults. Each person was very knowledgeable about these questions. This supports the documented evidence that staff are trained and competent in their roles. Shockerwick House DS0000020223.V327189.R01.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): 31, 34, 36, 37, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from the ethos, leadership and management approach of the home. Residents benefit from effective and efficient management of the business. Staff are supervised appropriately, which promotes safe and consistent practice. Records seen were up to date. The manager ensures that health and safety practices are maintained for the residents and staff protection. Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 22 EVIDENCE: Mrs. Holbutt has been in post for two years. It was evident that Mrs. Holbutt has continued to attend clinical update training appropriately. Residents, their visitors and staff made positive comments about the management. Giving examples of good communication, staff being clear about what is expected from them and practice being consistent between shifts. Financial budgets are managed by the organisation. The managers’ responsibility is to identify valid needs in order to improve, raise and maintain standards for each resident. Staff receive supervision with the Manager or Deputy Manager once every six weeks. An account of when supervision has taken place and recorded outcomes of the meeting were seen for four care staff. Staff members spoken with confirmed this. Fire safety training for staff is given on induction at the recommended given intervals. Staff members on night duty undertake this on a three monthly basis and day staff six-monthly. Fire drills are carried out weekly records viewed evidenced this. The home maintains a log of all visiting health professions. Minutes were looked at from the last two resident meetings, which were informative. All residents’ are invited. The next residents’ meeting is to be held on 24th January. An agenda is made and distributive in advance. Shockerwick House DS0000020223.V327189.R01.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 3 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x X 3 X 4 3 3 Shockerwick House DS0000020223.V327189.R01.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 Shockerwick House DS0000020223.V327189.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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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