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Inspection on 12/04/07 for The Cedars Nursing Home

Also see our care home review for The Cedars Nursing Home for more information

This inspection was carried out on 12th April 2007.

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

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

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

What the care home does well

Residents are given information about living in the home so they can make informed decisions. There is a very good standard of care within the home, which is maintained by good record keeping and clear care plans. The service provides a clear focus on providing quality care for residents who are receiving end of life care and this is demonstrated through the services ethos and specialized training for staff. There is also a trained and safely recruited staff team , who provide care in a respectful, dignified and supportive manner. Residents are able to say how they want their care to be provided, and about the way they want to live their lives. They are able to speak directly to the providers and management team. Residents are give a healthy and balanced diet, and they have choice over the food drink and snacks they are given. Residents said they are satisfied with how their personal care, medication and health care needs are met. Their care in delivered in a clean and well maintained building.

What has improved since the last inspection?

What the care home could do better:

The service may benefit from expanding their quality assurance system to include taking the views of social and health care professionals who visit the home. The proprietors need to produce a monthly report so the manager and us can see how the home is being run and how they aim to maintain the high standards.

CARE HOMES FOR OLDER PEOPLE The Cedars Nursing Home Church Walk, South Street Bourne Lincs PE10 9UQ Lead Inspector Kathryn Emmons Key Unannounced Inspection 12 April 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 The Cedars Nursing Home DS0000002553.V324293.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. The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Cedars Nursing Home Address Church Walk, South Street Bourne Lincs PE10 9UQ 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) 01778 421555 01778 421622 cedars@bournelincs.freeserve.co.uk Cedars Health Care Limited Mrs M H Brewster Care Home 56 Category(ies) of Dementia - over 65 years of age (56), Old age, registration, with number not falling within any other category (56), of places Physical disability (5) The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered to provide personal care with nursing for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) - 56 Dementia - over 65 years of age (DE(E)) - 56 Physical disability (PD) - 5 The maximum number of service users to be accommodated is 56. Date of last inspection 8th February 2006 Brief Description of the Service: The Cedars Nursing and Residential Home is situated close to the town centre of Bourne, which has a range of shops and facilities. The property was originally the vicarage and stands next to the church in its own landscaped grounds, leading down to a river with paths and seating for residents. The building has been extended over recent years and provides accommodation in twin and single rooms all en-suite, on the ground and first floor. There is a choice of lounges for residents to use. There is a circular driveway with car parking to the front of the property. The home is registered to provide nursing care for up to 56 people including older people, people with dementia, adults with a terminal illness and adults with a physical disability. There are also 5 beds contracted with the Primary Healthcare Trust for intermediate care. The registered providers of The Cedars are closely involved in the day-to-day running of the home. Charges made by the home for residential care on 05/04/07 range from: £490 - £718 per week The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place on April 12 2007 and the visit to the home was carried out over 7 hours on one day. Care received by four residents was looked at in detail. This is a method called case tracking. This included looking at their personal records, a range of general home records and staff records. Residents were also spoken to including those whose care was not looked at in detail. Staff and the manager were spoken with and the care they provided was observed. One relative also spoke with us during the inspection. Residents completed comment cards sent to the service by us and the detail in these was also used with the pre inspection questionnaire the manager completed to find out information about living at the home. What the service does well: Residents are given information about living in the home so they can make informed decisions. There is a very good standard of care within the home, which is maintained by good record keeping and clear care plans. The service provides a clear focus on providing quality care for residents who are receiving end of life care and this is demonstrated through the services ethos and specialized training for staff. There is also a trained and safely recruited staff team , who provide care in a respectful, dignified and supportive manner. Residents are able to say how they want their care to be provided, and about the way they want to live their lives. They are able to speak directly to the providers and management team. Residents are give a healthy and balanced diet, and they have choice over the food drink and snacks they are given. Residents said they are satisfied with how their personal care, medication and health care needs are met. Their care in delivered in a clean and well maintained building. The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 6 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. The Cedars Nursing Home DS0000002553.V324293.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 The Cedars Nursing Home DS0000002553.V324293.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): 1,2,3,4,5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a wide range of information available to them to make an informed choice about where to live. The pre admission assessment system assures residents that their needs can be met within the home. The home meets the needs of people admitted for intermediate care and supports their rehabilitation for their return home. EVIDENCE: Information about living at the home is in two documents called the statement of purpose and service users guide. Both of these were up to date and the service user guide is kept in the resident’s bedrooms. The statement of purpose is on display. These enable residents and visitors to the home to have information to make a decision about living in the home and what to expect if they move in. Four residents and one relative spoken with all said they had ample opportunity to ask questions when they came to look around the home. Two The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 9 said they had started living at the home on a trial basis and had decided to stay. The manager confirmed to us that she assesses all residents before they move into the home to make sure their needs can be met. The manager then writes to the resident confirming their needs can be met. We saw contracts for the residents we case tracked and a couple of other residents spoken to said they had contracts in place. The contracts were clear to understand and explained exactly what the service offers. The service provides 5 beds contracted with the Primary Healthcare Trust for intermediate care. This included admitting people who may need symptom control such as pain management through to people who may need some enablement support before returning home from hospital. The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are treated with respect and their dignity is maintained. They are protected by the homes medication systems and their care needs are made known by clear written records. Systems in place provide access to health care professionals. Residents can be confident that their care needs including end of life needs are met. EVIDENCE: All of the residents have a care plan in place. The ones we looked at showed that the resident or their relative had been involved in producing the plan and there are monthly reviews, which were used to update the plan. The information in the plan was in enough detail for the support to be given in a safe way. Residents spoken with said they were satisfied with access to health professionals such as chiropodists, district nurse and doctors. One resident said The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 11 he did not have a dentist but was confident that the manager would find a dentist if he needed treatment. One resident confirmed that they self medicated their medication and a risk assessment was in place to ensure this practice was safe. The home provides nursing care so the nurse in charge of the shift administers medication to all residents. Medication sheets were looked at and these had been completed correctly. Residents told us they were satisfied with how their medication was given to them and looked after by the home. A policy to follow regarding all aspects of medication kept in the home was available and the 2 nurses spoken with said they followed this. Residents told us they were treated with respect and a couple made comments such as “they always treat me kindly” and “they cant do enough for you”. Two care staff were seen assisting a resident to move from a wheelchair to a chair this task was carried out with dignity and in a discreet manner. Carers were seen speaking with residents and this was in an appropriate and valuing manner. The home works to the ‘Gold standards framework’, which is a programme for community palliative care, this commits the home to specialist training and raising standards of care. It is used in conjunction with the ‘The Liverpool Care Pathway’ which is a system used to assist with the care for people who are terminally ill and the staff are trained in implementing these in practice. They ensure that all aspects of that resident’s life are addressed and they are enabled to have the palliative care they would wish for. A relative spoken with said that they had been informed of the services ethos of end of life care and that this gave them confidence that the “level and quality of care will always be high”. The Cedars Nursing Home DS0000002553.V324293.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. Residents are able to make their own choices about how they want to live their lives, and what they want to do. Catering preferences and needs are catered for. Activities are varied to meet the choices and abilities of residents. EVIDENCE: Residents spoken with said that they enjoyed living at the home and “It’s more like a hotel then a care home” and “its good here”. We were given examples from residents about how they spend their days. One resident said they were able to “do what I want with my time and sometimes I go out”. One resident felt they were restricted with going out of the home but this was for a specific reason and a risk assessment needed to be put in place. Residents said they were supported to attend the local churches and that Christian festivals such as Easter and Christmas were celebrated in the home. Residents confirmed they have residents meetings every 2 months and the proprietor and manager attend these. Minutes are in place and residents felt that action was taken on any issues raised. An activities coordinator works in the service for 4 hours a week. At the time of the inspection bingo was taking The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 13 place in one of the dining areas. Other activities seen were listening to music, reading and watching television. Four staff spoken with gave examples of various social and cultural needs of residents living at the service and said that they had sufficient time to sit with residents and support them with activities an example given was taking a resident to the local pub. A policy is in place for race equality and equal opportunities. Currently the mix of staff in the home is both male and female. Residents said that they were confident they could chose who cared for them and that their privacy was maintained at all times. Social history’s are in place and these also inform staff of cultural beliefs of the residents. Visitors are welcomed into the home at all times. A relative said that staff would always enquire how they were and get to know relatives and visitors so they could speak with residents about their families and other visitors to enhance the understanding of the residents life before they came to live at the home. When we visited the home breakfast was still available for residents and residents confirmed that snacks were available at all times. One resident said they would sometimes like a larger meal but also said that they were often offered a second helping. Lunch was seen being served and this was done in a laid back manner and assistance was given to those residents who needed support to take their meals. Morning coffee was served and residents were offered the option of fresh fruit or biscuits. One resident said that fresh fruit was always available and they had a bowl in their room, which was provided by the home. Residents told us “you can’t fault the food”,“Its lovely and always enough” and “I can choose my tea time meal and I get something later if I want it”. The manager told us that a record is kept of what meals are provided and temperatures for the fridge and ovens are recorded. The Cedars Nursing Home DS0000002553.V324293.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, 17 and 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are confident that their concerns will be listened to and dealt with. Safeguarding adult polices and training protects residents. EVIDENCE: There is a complaints policy on display in the home and details are also in the service user guide, which all residents have in their rooms. Residents who completed our comment cards and those who were spoken to on the inspection all said that they know who to speak to if they had any concerns, and were confident that if they raised concerns these would be responded to promptly and the manager would take their comments in a proactive way. A record is maintained of all comments made. Residents said they had their rights upheld and gave examples such as “I’ve got my postal vote card”, and “I can say what I want and have my own opinion”. The group of care staff spoken with were clear on residents rights as citizens and how this fitted in with their care practices. Visitors are welcomed into the home at all times and are asked to sign in and out and wear a visitor pass. One resident said this was a good idea as “it makes you feel safe as you know who everyone is.” The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 15 Staff records showed and discussion with staff confirmed that safeguarding adult training has taken place. Staff from both the administration side and care staff were spoken to and were able to give examples of what abuse meant and what action they would take if they thought abusive practice was happening. The Cedars Nursing Home DS0000002553.V324293.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, 23 and 26. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents live in a clean and pleasant service. The home is furnished, decorated, maintained and cleaned to a high standard .The services infection control and hygiene polices protect residents, staff and visitors. EVIDENCE: During the inspection a tour of the home was carried out. All areas of the home were clean with no obvious hazards, and smelt pleasant. Residents who were spoken to and completed comment cards said they always found the home to be clean and tidy and “always kept to a good standard”. Furniture was in a good state of repair and there were various aids and adaptations like a lift, hoists and handrails to assist residents to move around the home. The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 17 Bathrooms and toilets seen were spacious and had assisted baths. Baths have thermostatic valves fitted to prevent residents from scalding. Alcohol hand wash was in place around the home to minimize cross infection. Gloves and aprons were in place for staff to use. Residents except one told us they were satisfied with the laundry service the home provides. The manager confirmed that a form is in place if laundry becomes mislaid so that staff can find it and return it to the correct resident. The home is set in landscaped grounds, which are well maintained all footpaths were clear form hazards and furniture is available for residents to sit outside in warmer weather. Various communal areas enable resident to receive visitors in private. The kitchen was briefly viewed after lunch and was seen to be clean and tidy. Hazard signs were on display as the floor was wet. Catering staff were seen to be wearing protective clothing. The Cedars Nursing Home DS0000002553.V324293.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 excellent This judgement has been made using available evidence including a visit to this service. Safely recruited, knowledgeable and trained staff look after residents. Staffing levels are sufficient to meet social and care needs. EVIDENCE: The service provides nursing care as well as personal care. Duty rotas we saw showed that there are always 2 trained nurses on duty at any one time. They are supported by care staff who are either care assistants or senior care assistants. There was a good skill mix and staff who were spoken to said that senior cares always worked with carers to ensure that the quality of care given was of a good standard. Residents spoken to said they thought there were enough staff on duty. One resident said that sometimes it took a little while for their call bell to be answered. We tried a couple of call bells and they were answered within one minute. The manager said that trained staff do monitor how long it takes for call bells to be responded to. During the day of the inspection there were 45 people living at the home and 10 staff on the morning shift. Care staff spoken to said that even though shifts were busy they did have time to carry out their work in a calm and unrushed manner. The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 19 Recruitment records were looked at for 3 staff including a new member of staff. Recruitment procedures are comprehensive and a checklist is used to ensure all staff are recruited safely. Files contained all of the necessary documentation and Criminal Record Bureau checks and references were in place. Staff receive an induction programme, which was in their files, and staff told us what the induction programme included. Over half the care staff have gained a qualification in care called a national vocational qualification (NVQ) This gives them a skill and knowledge base to deliver care safely. All staff had a training record in their file and information given to us before the inspection shows that a comprehensive training programme is in place, including training in moving and handling, infection control and care of people who are dying. Discussion with staff, which included giving them scenarios in respect of first aid emergencies, adult protection issues and complaint management, were answered appropriately. Residents all made positive comments about staff such as “nothing is to much trouble” “we all get on here” and “they treat you very well”. From observation it was seen that staff knew the residents well and understood from the behaviours of residents who did not verbally communicate what residents may need. The Cedars Nursing Home DS0000002553.V324293.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, 35,36,38. Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. A manager who has a good rapport with residents, staff and visitors manages the home. Quality assurance systems show how the service is run in the best interests of residents. Residents are protected by the homes health and safety polices and procedures. The staff supervision system enables the manager to assess the quality of care delivery by the staff. EVIDENCE: The home is managed by Helen Brewster who is the registered manager and is a qualified nurse. The manager is referred to as Matron and residents chose to refer to the manager as this. Matron is supported by the deputy manager who is also a qualified nurse. The proprietors visit the home at least three times a week and are involved in the running of the service. The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 21 Staff spoken to said they have a good relationship with the manager and that she was open and responsive to any questions or comments they had. The duty rotas showed that the manager is not included in the staff numbers to enable her to undertake management tasks. Residents told us that they thought the atmosphere is the home was “like a home should be” and “calm and easy” and that they could make suggestions regarding how the home operated. Residents said they found the manager “kind and easy to talk to”. A quality assurance system is in place so residents and visitors to the home can comment on how the service operates. Resident meetings are used to inform residents what action is being taken with any comments made. The manager is considering extending the quality assurance questionnaires to external stakeholders such as social workers, doctors and visiting nurses so that views from outside of the home can be considered. Currently the providers do not provide a written report monthly from their visits and it is suggested that this needs to be carried out so that it can be included in the quality assurance system. The information we were given before we visited the service showed that the service looks after small amounts of money for some residents. At the last key inspection this was looked at and the system was assessed as safe and protected residents monies. The manager confirmed that a supervision system has been set up for all of the staff and that supervision is carried out every 2 months. Staff spoken to confirmed this. Pre inspection information evidenced that polices and procedures are maintained. Records are in place at the home, which show that servicing of equipment and systems such as the fire safety system, heating system and lift are up to date. The Cedars Nursing Home DS0000002553.V324293.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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 4 11 4 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 3 18 4 4 x X X 3 X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X N/A 3 X 3 The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 23 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 The Cedars Nursing Home DS0000002553.V324293.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 The Cedars Nursing Home DS0000002553.V324293.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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