Inspection on 12/12/06 for The Dales

This inspection was carried out on 12th December 2006.

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

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

Other inspections for this house

The Dales 28/01/09

The Dales 13/02/08

The Dales 21/01/06

The Dales 07/06/05

The Dales 21/02/05

The Dales 17/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Dales Main Street Ellenborough Maryport Cumbria CA15 7DX Lead Inspector Nancy Saich Unannounced Inspection 08:15 12 December th 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 Dales DS0000022548.V304743.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 Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Dales Address Main Street Ellenborough Maryport Cumbria CA15 7DX 01900 817977 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) Dales Care Homes Limited Mrs Joan Margaret Iredale Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability over 65 years of age (1) of places The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 40 older people (OP), 1 of whom may have a physical disability (PD(E)). 21st January 2006 Date of last inspection Brief Description of the Service: The Dales is an older property that has been adapted and extended to provide a home for up to forty older people. It is situated in the centre of Ellenborough, a residential area of Maryport. Residents’ accommodation is on two floors, and most rooms are accessible by the passenger lift. Accommodation is in single rooms and the home has a number of shared areas around the home. The Iredale family owns the home and they each have a management role in the home. Mrs Joan Iredale is the registered manager. Charges range from £322 to £385 per week. Further information can be obtained from the home. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main or ‘key’ inspection of the home for the year. The lead inspector sent out some questionnaires and a form for further information from the manager some weeks before the inspection. None of this was returned before the visit to the home. However the manager explained that they had completed a major survey around the time she received these questionnaires and they were giving the residents and relatives some ‘breathing space’. The questionnaires had been sent on the day of the visit along with a newsletter. The inspector visited the home and spoke to residents, staff and management. She toured the building and spent time just observing what was happening in the home. She sat with residents at breakfast and at afternoon tea. She spoke to residents privately in their rooms. She also read files and documents that backed up what she saw or what was said to her. She was given a number of documents on the day that are used as evidence in this report. What the service does well: This home is good at getting to know new residents by visiting them and inviting them to the home. They then make sure they get to know residents and their families so that they can meet everyone’s needs. One person said: • ‘I felt at home straight away’. This home is good at both helping people to stay well and in supporting them when they needed any kind of treatment. The inspector also spoke to someone from the local health centre and she said the home was good at making sure the residents had the best of care. This service has what a visiting professional called: • ‘A mature and highly motivated staff team who really care for their residents.’ A visitor said that they really appreciated the dental care given to their relative on admission. The residents were very complimentary about the staff too: • ‘The staff are very nice…always seem to know what I need’. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 6 • • ‘ The lasses are easy to get on with – and are really very good with us all…’ ‘They seem to know when I need help’. The residents were all very cheerful and relaxed in the home. They were all well groomed and nicely dressed. Overall the residents were very well cared for and were able to express themselves. The inspector judged that the residents in this home are given the rights, privacy and dignity they deserve. And as one person said: • ‘We know how we should be treated – and we do get the right kind of care and attention’. One resident said: • ‘Living at The Dales means that we have a nice room, a clean bed, good food – and plenty of it – decent people to help us and interesting things to do’. The inspector thought this summed up all the things she saw or heard on the day. Residents are given nicely prepared meals and have plenty of choice: • ‘They feed us up well here…no stinting on food’. They get up or go to bed when they choose. They can join in or stay in their rooms. A lot of plans concentrated on giving people support in getting privacy or in sharing things with others. Every person’s personality and choice is taken into account. As one person said: • ‘It’s homely, not stuffy and I feel relaxed’. Visitors are made welcome – there were lots of names in the visitors’ book and the residents said a lot of people like to visit for afternoon tea. The inspector met a number of visitors and they all agreed they were made very welcome. Local churches come to the home and residents were happy with the spiritual care they received. The home has held an exhibition recently and residents enjoyed inviting the community in to their home. This exhibition was a chance for residents to show people in the community some of the projects they had been involved in during the year. They said they’d enjoyed doing the local history project and that people were impressed with their craftwork exhibition. One person said that it was nice to have local schools use the exhibition as a way of children learning about the past and about growing older. The inspector felt that it was extremely positive to meet residents who had such varied and interesting lives and who could make choices on a daily basis. The home is good at making sure that residents know they can make a complaint and that it will be listened to and that staff won’t think less of them for having complained. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 7 The residents live in a clean, well-maintained and safe home where they all seem relaxed and comfortable. Several people said how much they enjoyed spending time in their own rooms and staff help people to do this if they choose to. They said that they had plenty of choices of lounge to sit in if they didn’t want to be alone and they spend a lot of time in the dining room. The home employs staff who just look after residents when they are in the dining room so that they can have drinks and snacks as they want. The home has a well-established staff team who were asked their opinion about how they worked. They said that they were very committed to ‘their’ residents, enjoyed coming to work, worked well as a team and were good at communicating residents’ needs. They said they weren’t afraid to speak up and could talk to any one of the owners if something needed changing. The inspector saw a well-organised and well-led team of hard working staff who genuinely cared for residents and put their needs first. She also felt that the two senior carers really made sure that staff gave the best care possible. One of them was on duty and she felt that they did work well together but took the lead from the registered manager. There was lots of evidence to show that this leadership worked really well. The manager is experience and skilled and takes a lead on the good delivery of care and on the excellent civilities on offer. Residents felt that she was a genuine and caring person and both they and the staff had a lot of faith and trust in her. The family members each have a role to play in the management of the home and generally things run very well. Residents’ finances and health and safety were in order when they were checked on the day What has improved since the last inspection? The manager and the senior carers had made sure that all the written plans that explain residents’ needs were up to date. These showed that staff pay attention to all the small things residents need help with but also explain the more complicated or subtle things that people need or want. The management team have really improved the way they make sure that no one is abused in the home. The inspector thought that the surveys they sent out were very open and that this meant that residents or their family or friends could discuss any issues in a safe way. The home has really improved their quality monitoring and the inspector was impressed with the resident and relative surveys they sent out. She also thought that their new newsletter was a good idea. The home has invested in a new computer system and look forward to improving and streamlining the way they keep records. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 8 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 Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 9 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 Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This home is good at making sure they can care for any new person and that they will fit into the home. EVIDENCE: The inspector spoke to two new people and to a relative. They said that they were visited by the manager and invited to the home for a look around and to share a meal with the other residents. They said they were happy with the way they were admitted to the home. The inspector then spoke to one of the senior carers and she said that they continued to assess people’s needs once they came to the home. She said they ask people about all the small things that are important and that one of the seniors makes sure they spend time with them to get to know them, their The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 11 needs, their background and beliefs. They also pride themselves on making relationships with families. There were good records showing how they did this. The information was there and the files also showed that social workers and doctors were asked to contribute to this. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents felt that the staff team treat them all as individuals and that they get excellent levels of care and services. EVIDENCE: The senior carers had made sure that the written plans that tell staff how to care for people were detailed and up to date. The inspector read a good number of these ‘care plans’. She saw that they contained information about how to help with personal and health care but that they also included things like ‘emotional and sexual needs’. The plans gave details of the small things that are really important to us all but also showed the resident as a person who was part of a family and who had a past, a present and a future. Many of the residents were aware of these plans and the plans were signed by residents or relatives. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 13 Residents said that they saw the doctor or nurse when they needed. One person spoke about the treatment he had received that had ‘changed his life’ and he talked about the support staff gave him. The inspector spoke to a medical professional who was in the home on the day and she was very happy with the care given to residents. She also said that the local surgery came to review medicines and to give residents check ups to make sure that any health problems were prevented. The inspector checked on the medicines kept on behalf of residents and found them to be ordered, given out and disposed of properly. She also judged that the home didn’t give people sedative or strong medicines lightly and would always ask the doctor to check again after a month or two The inspector met and spoke with the staff team. She also watched them as they worked with residents. She saw a lot of discreet and sensitive interactions between staff and the residents. Residents responded to staff with affection and there was a lot of laughter and good-natured chat going on in the home. Residents were very happy with the staff team. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This home provides residents with a lifestyle that really celebrates their rights as older people who still have a part to play in life. EVIDENCE: When the inspection started at 8:15 there were only two people in the dining room. They both said they were early risers. Staff said because the weather was bad a lot of people were still in bed. Residents said they could get up and go to bed when they wanted. Care plans showed when people preferred to get up or go to bed. A number of people had breakfast on a tray. Some people preferred to sit up at the table and have a ‘full English’. Generally residents were very happy with the food provided and despite having had a good breakfast most people managed not only a good lunch but were ready to eat a homemade cake mid afternoon. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 15 Residents said that ‘ The Dales are famous for their cakes’. The staff said that they thought it was more than that but that the home was good at ‘hospitality’. A lot of visitors come for the tea and cakes in the afternoon, as it’s a nice way to socialise with their relatives Residents had been making their own Christmas cards and had been out to activities in the area. They spoke about all the activities planned and several people said that the Carol service was ‘something very special’. The inspector also heard about other activities that went on all year round. Residents said they could go out to local shops and further afield sometimes. They said they went out to activities in the community from time to time. The residents felt that local churches of all denominations came to the home to conduct services and also to see people individually. They felt that this met their spiritual needs. The residents have been involved in a yearlong craft project and there was evidence of this in the home. This had been part of an exhibition held in the home. They had also put together displays about the history of the village. The inspector saw photographs of this and learnt from a resident that there had been 300 visitors to the home of all ages. This person said she’d enjoyed explaining how they had made the pottery and she also said she couldn’t wait to get involved with some other community project. Residents also said they liked simple pleasures – chatting to each other, watching TV, reading and listening to music. The home gives people opportunities to do all this in groups but also makes sure those things like ‘…likes to watch videos in his own room….’ are written into the care plans. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 16 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents in the home know they can speak up and that complaints and concerns will be listened to and acted upon. EVIDENCE: Residents said that they would complaint to the manager, the seniors or a member of the family. One or two people said they had complained about minor things and that they had been acted upon. They felt that they could talk to all the staff but said they would ‘go straight to Joan’ [the manager] if something really worried them. All levels of staff spoken to had received training on how to spot, prevent and deal with abuse. They could talk about how they would manage anything of the sort and the inspector felt that they would act quickly and with integrity. The residents and staff said that nothing of the kind was going on in the home. The manager had sent out questionnaires to residents and relatives, asking ‘do any members of staff make you feel uneasy…. or make you feel you are difficult to care for…or ever upset you….’. All the replies showed that there were no concerns. The inspector thought that this was a good way of double-checking how people received care. No one had any problems with this and they all felt confident that the entire team wouldn’t let this happen. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 17 The management had also sent out further copies of the complaints and protection procedures with their quality monitoring surveys. These gave details of outside agencies to contact. They plan to do this at least annually and this is a good way of making sure that people feel secure and protected. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This house is a comfortable home where residents feel relaxed and secure. EVIDENCE: The shared areas in the home were clean tidy and well decorated. Residents were very relaxed in these areas. The dining room is very much the centre of the home and people spend a lot of time there. Even people who like to spend time alone come down for meals and for coffee and afternoon tea. The residents said that the lounges in the home have very different purposes. Two lounges are very cosy and snug and residents like to watch TV there. The large lounge is used mainly for entertaining and the conservatory is popular in good weather. All around the home there are smaller lounges where activities The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 19 take place or where smokers can relax. The upstairs lounge is useful to receive visitors privately. The inspector checked on most of the bedrooms during the day. These too are clean, nicely furnished and generally well kept. Beds were checked and the linens were all fresh and clean. Some people have special ‘rise and fall’ beds. Staff were aware of the need to stop infection spreading and they dealt with the task of changing beds and dealing with linens and cleaning rooms first thing in the morning in an efficient and discreet way. There were no bad odours in the home. One or two residents said that sometimes their clothes didn’t come back from the laundry. The manager had already said that was something they weren’t quite getting right. They had highlighted this in their quality monitoring and were trying to work on improving this. Residents said things were ‘usually found’ and their clothes were washed and ironed properly. Every person was seen on the day and they were dressed in smart, clean, well-tended clothes. The inspector judged that the areas where residents spent their time were all as tidy as one would expect ‘at home’. However this home is a large, rambling building and some areas that aren’t used very often by residents are a bit untidy, as was the main office. These things didn’t worry the residents but one or two people felt that there was ‘a bit of clutter around’. The inspector thought that to stop this becoming a problem the Iredale family might want to try to tidy up and dispose of unwanted items both inside and out. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home has a well trained and committed staff team who make the residents feel cared for and cared about. EVIDENCE: The inspector looked at the rostered hours for November and December. She judged that there were enough care staff on duty to care for residents. The home also have a full time cook and domestic staff. The staff said that they worked hard but that they coped with the work. Residents said that sometimes they had to wait but that they understood this and it was never too long. One or two people thought that an extra pair of hands in the laundry might improve matters. The inspector read the files for two new members of staff. Both of them had worked in the home in the past and had chosen to come back. Despite them being know to the Iredale family they still had all the necessary checks to prove that they were decent people who could be trusted with vulnerable older people. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 21 New staff are given ‘induction’ training that tells them what is expected of them and how they should behave with residents and relatives. After this staff do basic training. The staff had been to a number of short courses through out the year. Once staff are established in the home they complete their National Vocational Qualification in care. One of the family had just finished a five-day course on manual handling and had started to work with staff on updating their skills and knowledge of how to move people. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home is managed with residents’ happiness in mind and the management team is aware that some areas need to be worked on to allow this to continue. EVIDENCE: The registered manager is Mrs Joan Iredale. Residents all appeared genuinely fond of her and she in turn knew them all well and treated them with respect and dignity. The staff and residents said she was the real heart of the home. She has done this for the last twenty years and has completed various training courses. She has a wealth of understanding and experience to call on. Residents and relatives were all very complimentary about her skills and The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 23 knowledge. Her name was mentioned all day long and often residents saw ‘going to Joan’ as being a way forward in their lives. The company had completed a very good quality monitoring exercise and they all felt that after being established for twenty years they needed to look at this and make some changes. They are still working on these and the family agreed to keep the inspector informed of any changes they were going to make. The residents’ surveys done as part of this were very good and helped the family look very honestly at how the home worked. The home doesn’t routinely look after residents’ finances. Families or solicitors do this. The inspector checked on some cash held safely on the behalf of residents and this was fine. Social Services finance department had audited residents’ money in September and there were no problem seen at that visit. The home has good policies and procedures in place but some of their record keeping needs tidying up and reorganising. The home has a very up to date new computer system but needs to make sure they just sort out all their paperwork and strengthen some written records as well as getting to grips with new technology. The home has good maintenance records in place and they make sure that staff are aware of things like food hygiene and fire safety. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 25 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 OP19 Good Practice Recommendations It is recommended that the Company dispose of unwanted items and tidy some areas of the home. The Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 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 Dales DS0000022548.V304743.R01.S.doc Version 5.2 Page 27 - 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!