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Inspection on 04/06/07 for The Cottage Residential Home

Also see our care home review for The Cottage Residential Home for more information

This inspection was carried out on 4th June 2007.

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

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

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

What the care home does well

Residents are given information about living in the home so they can make informed decisions. There is a good standard of care within the home, which is maintained by adequate record keeping and clear care planning. There is also a trained 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 management team and the provider when he visits the home. Residents are give a healthy and balanced diet, and they have choice over the food they are given. Residents said they are satisfied with how their personal care, medication and health care needs are met.

What has improved since the last inspection?

Residents have access to a clean and tidy home which has recently undergone a maintenance programme, which included building a large decking area and fitting a new bathroom on the first floor of the home along with new bedrooms. An updated service user guide and statement of purpose have been produced. A quality assurance programme has been renewed and update which enables resident and relatives views to be obtained. Staff continue to be trained in National Vocational Qualifications in Care (NVQ ) which enables them to have a skill base and knowledge which can improve the care they provide. A new activities co coordinator had been recruited to provide an activities programme for all of the residents. Building work has been completed and all exits to the home are maintained safely including restricted entry into the home and keypads so that residents are kept safe.

What the care home could do better:

Dedicated time for activities to be provided will ensure that all residents living at the home will have opportunity to do some activities and these not be limited to those who can go out of the home to attend activities in the local community. The bathroom on the ground floor and some of the toilet equipment needs to be renewed so that residents can have a choice where they have a bath and are not at risk from potential cross infection from old and worn equipment Staff records need to clearly demonstrate the audit trail to show a safe recruitment practice is in place, to protect residents.

CARE HOMES FOR OLDER PEOPLE The Cottage Residential Home Nocton Hall Nocton Lincs LN4 2BA Lead Inspector Kathryn Emmons Key Unannounced Inspection 4 June 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 Cottage Residential Home DS0000056118.V337640.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 Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Cottage Residential Home Address Nocton Hall Nocton Lincs LN4 2BA 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) 01526 320887 01526 323055 info@thecottagenocton.co.uk www.thecottagenocton.co.uk BSB Care Limited Mrs Sharon Sills Care Home 33 Category(ies) of Dementia - over 65 years of age (33), Old age, registration, with number not falling within any other category (33) of places The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. BSB Care Limited is registered to provide personal care for service users of both sexes at The Cottage Residential Home whose primary needs fall into the following categories:Old age, not falling within any other category (OP) 33 2. Dementia, over the age of 65 years DE(E) 33 The maximum number of service users to be accommodated at The Cottage Residential Home is 33 19th June 2006 Date of last inspection Brief Description of the Service: The Cottage Residential Home is a period converted two storey building situated seven miles from the south of the city of Lincoln in the grounds of Nocton Hall. The home provides personal care for up to 33 residents over the age of 65 years of age. The home is approached by a long tree lined driveway and is not on a bus route but is within walking distance of the village of Nocton. Car parking is available to the front of the home. There are gardens surrounding the property, which are on one level and easily accessible for pedestrians and wheelchair users. There are also garden chairs and tables at the front of the home and a recently built large decking area towards the back of the home provide additional garden seating. Accommodation is provided on both ground and first floors. The first floor is served by a shaft lift. The care fees range from £348 to £470 per week. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the service took place on June 4 2007. This visit was unannounced and took place over almost 6 hours. Care received by three 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 one of the deputy managers were spoken with and the care they provided was observed. Five residents completed comment cards sent to the service by us and the detail in these was also used to provide information about living at the home. We also sent a pre inspection questionnaire to the registered manager to provide information before we did a site visit but this was not returned before we did the visit. We spoke with two visitors and eight residents on the day of the inspection to discuss their views of the home. We also looked at how the provider makes information about their service, including CSCI reports available to prospective service users. Residents made comments such as ‘the staff are good to me” and “they help us when we need it” and “when I call for help they are there quite quickly”. A comment card stated that “staff are wonderful”. Other comments made by residents and staff can be seen in the main body of the report. What the service does well: What has improved since the last inspection? The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 6 Residents have access to a clean and tidy home which has recently undergone a maintenance programme, which included building a large decking area and fitting a new bathroom on the first floor of the home along with new bedrooms. An updated service user guide and statement of purpose have been produced. A quality assurance programme has been renewed and update which enables resident and relatives views to be obtained. Staff continue to be trained in National Vocational Qualifications in Care (NVQ ) which enables them to have a skill base and knowledge which can improve the care they provide. A new activities co coordinator had been recruited to provide an activities programme for all of the residents. Building work has been completed and all exits to the home are maintained safely including restricted entry into the home and keypads so that residents are kept safe. 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 Cottage Residential Home DS0000056118.V337640.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 Cottage Residential Home DS0000056118.V337640.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, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s have a wide range of current information available to them to make an informed choice about where to live. The pre admission assessment assures residents that their needs can be met within the 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 are on display in the home. A copy of the latest inspection report is also available. 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. One resident had been admitted to the home recently. They told us that they could have visited before moving in but that they decide to come straight from hospital as they already had a relative living at the home. Two visitors spoken to confirmed that when their relative was thinking about moving into the home The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 9 their relative had a look around and was able to ask anything they wanted about living at the home. The deputy manager confirmed to us that the manager or her 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. Comment cards all confirmed that contacts were in place. The deputy manager told us that residents could come for respite care, which is when a resident stays for a few weeks only. The service does not provide intermediate care. The Cottage Residential Home DS0000056118.V337640.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 7,8,9,and 10. 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 written records. Systems in place provide access to health care professionals. EVIDENCE: All of the residents have a care plan in place. The ones we looked at didn’t always show if the resident or their relative had been involved in producing the plan. Two residents spoken to said they remembered the care plan being discussed with them. The plans are written by either the manager or the 2 deputy managers. 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. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 11 Residents spoken with said they were sure a visiting optician came to the home. This was confirmed by the deputy manager and a prescription for an eyesight test was in one of the files viewed. Dental needs are met by calling the out of hour’s clinic or visiting the resident’s own dentist. All of the comment cards received back indicated that residents were satisfied that their medical needs were met and residents spoken to during the visit also confirmed this. From reading care records and talking with residents we were told that the district nurse comes to the home to provide nursing care such as blood tests and wound care when this is needed. Senior staff have received training in managing medication and residents told us they were satisfied with how their medication was given to them and looked after by the home. The deputy manager told us that assessments had been carried out to assess if residents could look after there own medication. One of the residents said they would like to manage their own medication but had had discussion with the manager and understood why they were not able to look after their own medication. This confirms that residents are involved in decisions about their care. The deputy manager told us they are responsible for ordering all medication and keeping records on the stock levels and making sure medicines are returned to the chemist when no longer needed. Daily record sheets which are signed when medication have been given were looked at and had been completed correctly. A policy to follow regarding all aspects of medication kept in the home is available for staff to refer to. Residents told us they were treaded with respect and a couple made comments such as “they always knock on my door”, “They are wonderful” and “always keen to sort anything out”. A carer was seen knocking on a resident’s door and waiting before entering. Assistance with taking lunch was given in a discreet way. Residents were seen to be spoken to in an appropriate and valuing manner. The Cottage Residential Home DS0000056118.V337640.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 12,13,14,15 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 need to be more appropriate for all residents’ abilities and preferences. EVIDENCE: Residents spoken with overall said they were able to chose how they spent their day. One resident said they were able to have a lie in but were encouraged to get up in time to have breakfast at a reasonable time. Examples were given to us to show that choice is given around meal times and where residents spend their days such as in their room or in one of the communal areas. Resident meetings are held and the minutes were on display in the reception area of the home. Adverts were on display for a singer who was coming to the home. Comment cards received back and through discussion with three of the residents suggested that not a lot of activities took place. A new activities The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 13 coordinator has been employed and will be reviewing all residents’ abilities so that a comprehensive activities programme can be provided. Some residents living at the service have dementia and there were not many activities taking place, which were able to engage one of the residents who had a dementia. Another couple of residents said dominoes took place and there was music to listen to and daily newspapers were delivered to the service. A tabletop sale was in place in the entrance to the home. The deputy manager and the provider confirmed that a focus was being placed on improving the activities provided and that residents would be involved in this. Residents and one visitor spoken with said that residents are treated as individuals and personal cultural and religious belifes were respected. Residents and the deputy manager confirmed that residents are all on the electoral role and are assisted to vote. Residents have access to advocates and their solicitors when they chose to. Visitors who were spoken with during the visit said they were able to visit at any time and staff would always be able to give an update on their relatives progress. The home has areas where residents can meet with visitors in private. Lunchtime was observed and residents said their meal was “lovely”, ”the food here is good”. One resident said they felt they were not given any choice at breakfast and would like something different such as a bacon sandwich. The deputy manager said that residents could have what they wanted and would ensure that choice was always offered to residents. Comment cards received made comment such as “good portions and pleased with choice” and “like the food very much”. Meal times are set but residents told us there is some flexibility. Residents said snacks such as fresh fruit are available. The Cottage Residential Home DS0000056118.V337640.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 16 and 18. 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 access to. Residents who completed our comment cards and those who were spoken to on the visit all said that they know who to speak to if they had any concerns, and were confident that concerns would be listened to and acted upon. Two visitors spoken with said they have made comments in the past and these had been addressed immediately and to their satisfaction. Staff spoken to knew what to do if a complaint was made. A record is maintained of all comments made. Safeguarding adult training has taken place and certificates were in staff records to evidence this. Staff spoken to gave examples of what abuse meant and what action they would take if they thought abusive practice was happening. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 19,21,22,26. Residents live in a clean and pleasant service. The bathroom needs updating so that residents can benefit from having choice and access to adequate bathing facilities. Improved garden areas and an ongoing maintenance programme enable residents to enjoy more comfortable surroundings. EVIDENCE: Since the last visit to the service an extension has been built to the back of the home. This has provided additional bedrooms and an upgraded bathroom on the first floor, more communal space and a large decking area for residents to use. All areas of the home were clean and tidy however some carpets and décor were looking worn. A couple of commodes seen were aged and were in need of repair or replacement as paint had been chipped away which could pose a The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 16 infection risk to users. The down stairs bathroom is looking aged and well used and the hoist is in need of minor repair. Safety certificates show this hoist had been recently serviced and was safe however the paintwork is chipped and small pieces of the floor mount are missing. The provider was spoken to during the visit and he has confirmed that the bathroom is being completely renewed and upgraded. This is part of the maintenance plan, which also included the décor. New toilet seats have been fitted to lavatories. Residents said they were satisfied with their bedrooms and those bedrooms seen were well laid out. Communal rooms were spacious with sufficient room for residents who used mobility aids to move freely. The exterior of the home is satisfactory with trees and rose bushes planted. A gardener is employed. Broken furniture and the last of the building supplies are stored at the back of the home and the provider confirmed that these were being removed the following week. Corridors were clear form hazards and spacious enough for residents to walk around the home freely. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 27,28,29,30. Safely recruited, knowledgeable and trained staff look after residents. Staffing levels are sufficient to meet care needs. Audit trails for staff records need to be improved to enable residents to be confident they are in safe hands at all times. EVIDENCE: During the visit staff were seen attending to residents needs. Call bells were answered promptly and residents spoken to all said they were satisfied with the care they received. Residents made comments such as “ They are always busy but help you right away”, “In the morning they are really busy but will help you”. Staff spoken to said they thought there were enough staff on duty to provide care but sometimes this was difficult in the morning as care staff are responsible for dealing with the laundry. This was discussed with the provider who confirmed that this arrangement was already being reviewed by himself and the manager. The duty rota showed that on some occasions that many of the care staff were working a long shift from morning until evening. One staff said currently all staff that work a long day take their lunch break together. This is being reviewed so that staggered lunch breaks will enable residents to have a higher level of cover at lunch times. This is an example of the service being operated for the benefit of the residents. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 18 A sample of staff records were reviewed. All except one showed that staff had been recruited appropriately and all the necessary records and checks had been obtained before the member of staff started work. One file assessed did not contain two references and a Protection of vulnerable adults check (POVA). The deputy manager said that no staff start work without references and checks in place and felt that the checks had been obtained but were not in the file. This was discussed with the provider. It is required that a record is maintained of all checks so that residents can be confident that the staff that care for them all staff have been recruited safely. Staff files showed that regular training has been taking place. Staff spoken to gave examples of the training they had recently been undertaking. An induction system is in place and one staff spoken to gave details of what this consisted of. Another member of staff talked about the National Vocational Qualifications (NVQ’s) that are in place. Staff were able to say what their job role was and how they carried out their work in a safe manner. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 31,33,35,36 and 38. 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 Sharon Sills who is the registered manager and has been the manager since 2004. The manager is supported by two deputy managers and senior care staff. The provider visits the home at least once a week and is contactable at all times. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 20 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 “restful and calm”. A visitor told us they thought it was “busy but friendly”. Residents said they found the manager “ very nice and willing to listen to you”. 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. In addition a written report is produced on the quality assurance results. Records showed that a small amount of money is looked after by the service for one resident. Records and systems protect resident’s monies. The deputy 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. Residents live in a safe environment with entry being restricted by keypad activated doors. This also enables those residents to be kept safe who are at risk of leaving the service without needed support .One resident confirmed they were able to leave the home when they wanted to. Records and certificates were in place to identify that equipment tests such as portable appliance testing and lift servicing were being carried out. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 x 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 2 3 x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations It is recommended that the activities programme be reviewed and started in the home. This will enhance the quality of recreational opportunities for residents. The Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Cottage Residential Home DS0000056118.V337640.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!