Inspection on 11/04/08 for Sunrise Operations Tettenhall Ltd

This inspection was carried out on 11th April 2008.

CSCI found this care home to be providing an Good service.

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

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

CARE HOMES FOR OLDER PEOPLE Sunrise Operations Tettenhall Ltd 73 Wergs Road Tettenhall Wolverhampton West Midlands WV6 9BN Lead Inspector Rosalind Dennis Key Unannounced Inspection 11th April 2008 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 Sunrise Operations Tettenhall Ltd DS0000070741.V363798.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. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunrise Operations Tettenhall Ltd Address 73 Wergs Road Tettenhall Wolverhampton West Midlands WV6 9BN 01902 774 100 01920 774 101 tettenhall.wsc@sunriseseniorliving.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) Sunrise Operations Tettenhall Ltd Manager post vacant Care Home 25 Category(ies) of Dementia (25) registration, with number of places Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only To service users of the following gender: either Whose primary care needs on admission to the home are within the following categories: 2. Dementia over 55 years of age and over (DE) 25 The maximum number of service users to be accommodated is 25. Date of last inspection First key inspection Brief Description of the Service: Sunrise Operations Tettenhall Ltd is part of the Sunrise Community that opened in the USA in 1981 and expanded both in the USA and Europe. Sunrise Operations Tettenhall Ltd was first registered with the Commission for Social care Inspection in October 2007 and incorporates an Assisted Living and Reminiscence ‘neighbourhood’-these are registered with the Commission for Social Care Inspection as two separate services and are available as two inspection reports. Both services work closely together and this is reflected in the content of the inspection reports. The purpose built service provides spacious accommodation of a high standard. The Assisted Living service is registered to provide accommodation and personal care to seventy older people and the Reminiscence service is registered to provide care to twenty-five older people with dementia. Accommodation is provided in apartment style rooms and each apartment is very well-equipped with its own spacious hallway, kitchenette and en-suite shower and toilet facility. Some of the apartments are shared in that people have their own private bedroom, but they share en-suite facilities, kitchenette and hallway areas. The service is surrounded by well-kept gardens and patio areas and there is a fully secure sensory garden which is accessed from the Reminiscence unit, which requires use of a ‘key pad’ lock to enter and leave. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 5 Information on fees is included within the ‘Residents handbook’. Prices vary according to the type of apartment, services and level of care required by the person. The reader is advised to contact the home to obtain up date information on the fees charged. People can obtain information about this service from the home’s Statement of Purpose and Service User Guide (‘Residents Handbook’). Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Sunrise Operations Tettenhall Ltd, Assisted Living and Reminiscence units was conducted by one inspector over two days, during which all ‘key’ standards were assessed - that is those areas of service delivery that are considered essential to the running of a care home. The inspection of the Reminiscence unit involved observing interactions between staff and people living at the home, speaking with relatives, staff, and the management team and looking at records. Although many people living in the Reminiscence unit are unable, because of their illness, to provide accurate feedback on their views of the home and care they receive, all people living here appeared content, well cared for and staff attentive in meeting their needs. This service is considered to be still developing, however what is apparent is an enthusiasm and commitment to ensure people receive high quality care and support within an excellent environment. The manager of the Assisted Living service, Ms Bev Turner is currently providing managerial guidance and input on the Reminiscence unit until the appointment of a new manager for this service. Ms Bev Turner and all the staff on duty offered their fullest co-operation and assistance with the inspection process. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes What the service does well: People living at Sunrise Operations at Tettenhall benefit from a purpose built care service, furnished to a very high standard. Staff are provided with training to equip them with the skills and knowledge to meet people’s needs and these skills are applied to every day practice to achieve positive outcomes for people living at the home. Staff working at the home have a good understanding of people’s different needs and capabilities and enable people to make choices as part of their daily lives. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 7 The service places great emphasis on ensuring people receive well-balanced and highly nutritious meals. There is clear and consistent care planning in place, which focuses on the individual needs of people living at the home and provides staff with the information they require to meet people’s needs. People living at the service are able to enjoy a range of activities, based on their capabilities and preference. The routines of the home are very flexible and staff assist people to exercise choice as far as possible and according to their differing capabilities. 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. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good assessment and admission procedure, which focuses on achieving positive outcomes for people and ensures that people’s needs can be met. EVIDENCE: We looked at the care files for two people recently admitted to the service, this shows that assessments are undertaken jointly by the manager and another senior member of staff before people are admitted. The information from these assessments is then used to develop a care plan and identify potential risks to the individual’s health, safety and welfare in the form of a risk assessment, with emphasis placed on promoting independence. Relatives of people who were unable to communicate their views, spoke of their satisfaction with the admission process. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 10 There is a range of information available, including a ‘statement of purpose’, which provides clear information on the aims and objectives of the service and a ‘Resident handbook’ which is informative and easy to read. Both documents are available in alternative languages or formats, such as large print. Information on how Sunrise structures its fees and care packages is included within the ‘Resident handbook’ as well as information on services which incur additional cost. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is clear and consistent care planning in place, which focuses on the individual needs of people living at the home and provides staff with the information they require to meet people’s needs. EVIDENCE: Time was spent on the Reminiscence unit observing staff interactions with people who live in this part of the home. The atmosphere was cheerful, people appeared content and well cared for and the staff group were responding to people appropriately and with kindness. Staff responded well to an incident, which occurred during the inspection when a person slipped to the floor, the staff used appropriate moving and handling equipment and took great care to ensure the person’s dignity was not compromised during the procedure. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 12 We looked at a selection of care files in both services and found that information within care plans was clear and set out in detail how people want their needs met and the action needed by staff to meet their needs. For example detailed information was included on the level of staff assistance needed to safely bathe and move people and whether equipment was needed. Information was also included within care plans about people’s individual preferences, likes and dislikes. We also found that the home identifies risks to the individual’s safety and these risks are documented in the form of a risk assessment, which clearly identify how the risk is to be managed. People living in the Assisted Living ‘neighbourhood’ spoke of how they are able to maintain their independence, but ‘feel safe’ knowing that if they need help, staff are available. People were aware of their care plan and confirmed that staff consult with them on a regular basis to discuss their care needs. People described all staff as good and helpful and spoke of particular members of staff with great fondness. All people seen during the inspection appeared welllooked after and showed signs of well-being. We looked at a selection of medication administration records (MAR) charts, these showed that medication had been recorded accurately with all medication signed and accounted for. If people are assessed as being able to administer their own medication then the home has robust processes in place to enable this to be carried out safely. Observation of the home’s two medication rooms shows that medication is stored appropriately and at the correct temperature. Staff who are involved in the administration of medication undertake training to provide them with the skills for this role. In addition there are regular assessments of staff competency to ensure staff adhere to policy. The service does not provide nursing care but has designated staff with nursing qualifications (‘wellness team’) who oversee individual healthcare needs and liaise with relevant healthcare professionals such as District Nurses as appropriate. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the service are able to enjoy a range of activities, based on their capabilities and preference. The routines of the home are very flexible, staff assist people to exercise choice as far as possible and according to their differing capabilities. The meals at the home are excellent, offering variety and catering for different nutritional needs. EVIDENCE: On both days of the inspection activities took place, which people appeared to enjoy. A visit by a representative from a cosmetics company proved popularone person who was unable to communicate fully was seen enjoying having make-up applied, other people chatted to each other about this activity. The staff on the Reminiscence unit are knowledgeable about advances in Dementia Care, for example the home has found ‘doll therapy’ beneficial for some individuals-this was seen to be used and monitored appropriately during the inspection. Objects seen throughout the unit are placed to promote and encourage responses from people living here. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 14 There is an excellent sensory garden, which provides people living at the home with a safe outside space specifically designed to promote sensory awareness; raised flower beds enable people to smell and touch plants with different textures. There is a room called a ‘snoozleum’ room, which has comfortable seating and is fitted with sensory and tactile objects to promote relaxation and enhance well-being. A discussion with one of the activity co-ordinators identified that the person has the relevant skills for this role as well as an enthusiastic approach to ensure people have access to a range of activities and events which suit their individual needs and capabilities. People are informed of planned activities via a ‘news letter’ and an events plan is also placed within the main reception and other notice boards-this was seen to be updated on both inspection days. There is an excellent range of events such as yoga, flower arranging, exercise, baking, computer activities, arts and crafts, religious and spiritual observance, as well as opportunities for visits to the wider community. There is an inclusive atmosphere within the home, which enables people with varying skills and abilities to ‘try and out’ and be involved in activities if they choose. There is a large reception with a ‘concierge’ desk where concierge staff are located and available between the hours of 8am and 8pm to answer telephones and direct queries to the correct staff member or department. Visitors were seen coming and going and all confirmed that they are made to feel very welcome. A very high standard of restaurant style dining is provided. The meal served on both days of inspection was exceptionally well presented and people spoke of their satisfaction with the standard and quality of the food. A menu is displayed to enable people to make an informed choice and alternatives to the menu are always available. If people are less able to make choices than the home seeks to establish individual likes and dislikes and keeps records so that staff are aware of these. From observations and discussions with people it is apparent that the home places great emphasis on ensuring people receive well-balanced and highly nutritious meals. A pianist visits each evening to play music in the dining areas on both the Reminiscence and assisted living units. A Bistro area is open 24 hours a day for hot and cold drinks and snacks. Throughout the inspection staff were seen providing people with drinks between meals and giving prompt and sensitive assistance at mealtimes. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that people have access to a clear complaints procedure, which enables concerns or complaints to be dealt with promptly and professionally. Staff are provided with training to equip them with the knowledge and skills to safeguard adults from the risk of abuse or neglect. EVIDENCE: Information packs are provided at the time of admission and these contain copies of the complaints procedure. All people spoken with during the inspection confirmed they would feel comfortable in raising any concerns with either the manager or other staff at the home. People who have brought minor concerns to the attention of the management team viewed that these had been dealt with promptly and appropriately. Observation of the process, which will be used to record and respond to complaints shows that the home has the processes in place to act on complaints. On commencement of employment staff receive copies of relevant procedures and policies to safeguard adults from the risk of abuse and to support staff to report poor practice (whistlebowing). Staff also receive training in adult protection/abuse awareness ‘in-house’ using a specific training package Sunrise Operations Tettenhall Ltd DS0000070741.V363798.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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides excellent accommodation, which fully meets the needs and abilities of the people who live there and provides people with the opportunity to maximise their independence wherever possible within a safe environment. EVIDENCE: There was opportunity to speak with relatives of people living at the home and all spoke of their satisfaction with the environment. People are encouraged to view the home as their own and are able to have a key to their apartment if they wish and dependant on their capabilities. Some people have chosen to personalise their rooms with their own furniture. There are different types of apartments, which vary in size and cost and this flexible approach means that people can choose the apartment type best suited to their needs. Each apartment is very well-equipped with its own Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 17 spacious hallway, kitchenette and en-suite shower and toilet facility. Some of the apartments are shared in that people have their own private bedroom, but they share en-suite facilities, kitchenette and hallway areas. The manager explained that people who choose to share can use their living space as they wish-for example some people may want to use just one of the bedrooms and use the other bedroom as a lounge area. We looked at a selection of bedrooms and communal areas, such as lounges and found that the furniture, fixtures and fittings in all parts of the home is of an excellent quality and promotes a ‘homely atmosphere’. The home is fully accessible to people in wheelchairs: corridors and doorways are wide, a lift provides access between floors and there is level access onto the garden and patio areas. The home has a good range of specialised equipment to meet individual assessed need. There are sufficient toilets and bathrooms including ‘spa’ baths –the frequency of accessing this facility may incur additional cost. The home is surrounded by well-kept gardens and patio areas, which mean that people are able to walk around the grounds. People living on the Reminiscence unit are kept safe as the unit is self-contained and the sensory garden is fully surrounded by fencing. Staff receive training in infection control and observations made at the time of inspection shows that staff put training into practice during everyday activities. All parts of the home were very clean. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.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. Training opportunities within the home are good which ensures that staff are appropriately skilled and competent to carry out the duties for which they are employed. EVIDENCE: Staffing levels appeared satisfactory on the day of inspection, people had their needs attended to promptly and sufficient staff were available to supervise people if they walked around. Two visitors to the Reminiscence unit spoke of how there had been occasions when it didn’t appear there were sufficient staff on duty and staff on this unit also described occasional short staffing but visitors and staff were positive that this was being resolved with the home’s ongoing recruitment of staff. Discussions with senior management provided reassurances that staffing levels are based on the needs and dependency of people accommodated and that levels are constantly reviewed. Interviews for prospective staff were noted to be in progress during the inspection. Staff spoke positively about the good training opportunities provided by Sunrise and all confirmed they had received an induction on commencement of their employment. An example of a completed induction programme showed that the induction is comprehensive and meets Skills for Care Standards. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 19 We observed a training matrix, which showed the wide range of training which is provided-this includes training in safe working practices such as fire safety, moving and handling, first aid as well as more specific training, for example Dementia care and pressure area care. Staff are supported to study for a recognised qualification in care (NVQ), the majority of staff have attained NVQ Level 2 in care and are now progressing to Level 3. Senior staff confirmed they are also supported with their own development. We looked at the process used to recruit and appoint staff and this demonstrates that Sunrise operates a robust recruitment procedure. The staff personnel files observed contained all required pre-employment checks. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.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, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although this service is currently without a Registered Manager, there are appropriate systems in place to ensure the service is run effectively and provides people with good quality outcomes. EVIDENCE: The Registered Manager of the Assisted Living unit, Ms Bev Turner is currently providing managerial input and guidance on the Reminiscence unit for the interim period until a manager is appointed on this unit. Ms Turner, the care staff team and an executive director for the company are ensuring the unit runs smoothly and that people receive good care. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 21 People and their representatives are provided with opportunities to comment on different aspects of the service through ‘Residents Council’ meetings as well as regular social events and ‘support meetings’. Ms Turner also spoke of how the home intends to obtain feedback through surveys. Senior representatives from Sunrise also undertake regular unannounced visits to the home to monitor the quality of the service and to audit processes -observation of the reports of these visits shows they are comprehensive, noting deficits and if action is needed. Staff confirmed they have access to supervision, which enables regular reflection on care practice to take place as well as looking at their personal and development needs. Staff spoke of the approachability of Ms Turner and executive director and all staff felt positive about the aims of the service and that everyone works to ensure people receive high quality care. Observation of maintenance and servicing records shows a very well organised process to ensure all parts of the home are safe and equipment consistently well-maintained. Sunrise Operations Tettenhall Ltd DS0000070741.V363798.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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X 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 X 18 3 4 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 4 Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No. This is the first inspection 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 Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Sunrise Operations Tettenhall Ltd DS0000070741.V363798.R01.S.doc Version 5.2 Page 25 - 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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