Inspection on 28/05/08 for The Old Hall

This inspection was carried out on 28th May 2008.

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

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

Other inspections for this house

The Old Hall 11/07/07

The Old Hall 21/08/06

The Old Hall 02/02/06

The Old Hall 17/08/05

The Old Hall 20/01/05

The Old Hall 09/09/04

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE The Old Hall The Old Hall Malpas Nr Chester Cheshire SY14 8NE Lead Inspector Maureen Brown Unannounced Inspection 28/05/08 09:00 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 Old Hall DS0000054820.V363393.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 Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Hall Address The Old Hall Malpas Nr Chester Cheshire SY14 8NE 01948 860414 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) Mrs Mary Kathleen Friend Mr Thomas Friend Mrs Mary Kathleen Friend Care Home 18 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (18) of places The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 18 service users to include: * Up to 18 service users in the category of OP (Old age, not falling within any other category) * No more than 4 agreed named service users in the category of DE(E) (Dementia aged over 65 years) 11th July 2007 Date of last inspection Brief Description of the Service: The Old Hall is a care home providing care and accommodation for up to eighteen older people. It is a privately owned family run business. The home is in a rural setting in the Cheshire village of Malpas, situated close to a small range of local shops and other village facilities and amenities. The Old Hall is a two-storey building and people are accommodated on both floors. Access between floors is via a stair lift or the stairs. Accommodation consists of ten single and four double bedrooms; all but one have en-suite toilet and bathroom facilities. There are currently thirteen people living at the home so each has a room to themselves. There is a separate lounge, dining area and conservatory that overlooks the garden. The Old Hall has gardens to the rear with steps leading down to the lower levels. Handrails are provided and the top level is fully accessible to people who live at the home. Car park spaces are available to the front of the property. The home has sixteen staff: the manager, senior care assistants, care assistants, a cook and housekeeper. The fees at The Old Hall are between £367.00 and £450.00 per week. Optional extras include hairdressing, chiropody and newspapers. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. An unannounced visit took place on 28 May 2008 and lasted six hours. This visit was just one part of the inspection. Before the visit the home was also asked to complete a questionnaire to provide up to date information about its services. CSCI questionnaires were also made available for people living in the home and staff to find out their views. Other information since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of people who live at the home, staff and a relative were also spoken with and they gave their views about the service. Twenty-four out of thirty-eight standards were assessed and all were met. The previous four requirements and ten recommendations had all been met. What the service does well: There is an established staff team at the home who were keen for high standards to be maintained so the people living there receive good quality care. Residents’ plans of care and individual case notes were well documented so staff know what they should do to meet people’s needs. Day to day supervision of staff was good with the manager working alongside the care staff regularly so they had guidance and support. Staff now receive regular formal supervision so they get support from the manager. Regular staff meetings were taking place so staff could have a say in how the home was being run. Meals were varied and reflected each person’s preference. They offered choice, when requested by the people who use the service, and variety so people living at the home were able to enjoy a varied diet to help keep them well and healthy. The home is clean and well maintained so people live in comfortable, homely surroundings. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 6 People living in the home told us: “this is a very caring home”; “very nice food. The home is clean without a doubt” and “I am a local person and I visited people here before I had to move in. I get excellent care”. Other comments included: “I usually like the meals and there are sometimes enough activities available”; “the staff are exceptionally helpful”. Relatives told us in comment forms: “the staff are cheerful and the food is good. They have a good laundry service and the staff welcome visitors.” Staff said: “it is a very friendly home and the owners, carers, residents and families know each other well. We can discuss any problems any of us have”; “I am being given suitable training. There are always enough staff to meet service users needs” and “the home cares for people well.” What has improved since the last inspection? The information in the home’s statement of purpose and service user guide is reviewed annually to make sure it is up to date. These documents are also now available in other formats such as audiotapes to help people to understand them more easily. Formal reviews are now being undertaken on an annual basis for all people, to ensure their needs are being met. To ensure peoples health and safety is promoted, “when required” medication that has not been used for over six months is now returned to the pharmacist. Also creams and eye drops that have been opened now have that date written on the pharmacist label so staff know when they become out of date. Over 50 of care staff have obtained NVQ level II in care and the staff who had not received training on safeguarding adults at the last inspection have now received this training. Mandatory training and appropriate specialist training is being under by staff to make sure that the people who live in the home receive care from competent staff. Staff meetings now happened regularly and staff are given formal supervisions and annual appraisals to make sure they are well supervised and supported by managers. Regular residents’ meetings are now being held and their views about the home are obtained, together with those of relatives and others, to make sure the home is run in the best interests of the people who live there. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 7 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 Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3. Standard 6 is not applicable. People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Sufficient information is provided for people to make a decision about moving into the home so they know what services are offered and whether their needs can be met there. EVIDENCE: The statement of purpose and service user guide was produced in a bound folder and had a picture of the home on the front. It is written in plain English and large print format. Copies were available on the table in the entrance hall along with a current copy of the last inspection report. Following a previous recommendation regarding other formats, the manager had produced a wellpresented audio copy of both documents. The service users’ guide is produced in an A to Z format, which is easy to read and understand. It covers all the areas that a person looking for a service would need to know about including the complaints procedure, fees charged The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 10 (these are dependent on type of room and individual needs), fire safety procedure and all other information relating to the home. A review sheet was inside the cover of each document showing that they had been reviewed in April 2008. People who use the service told us in surveys that: “I am a local person and I visited people here before I had to move in”; “I moved here to be closer to my family”; and “being a local person I knew I wanted to come here”. Some people who use the service confirmed that they were involved in their care planning process. During discussions with staff it was evident they were aware of people’s needs. There was an assessment document in each person’s file that detailed their needs. Information gathered included personal and next of kin details, GP details, family involvement, social interests, communication needs and personal and healthcare needs. The assessor signed this. The manager confirmed that intermediate care was not provided at The Old Hall. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service and relatives were satisfied with the support they received from the manager and staff. People’s health, personal and social care needs are met in such a way that their privacy and dignity is maintained. EVIDENCE: Three people’s care files were checked in detail to see what care they needed and how this was provided. These files contained all the information necessary to ensure that people’s needs are met. The care plans were clearly written. The daily records were good and staff noted changes to people, activities undertaken and the details of visitors were also recorded. The care plans had significantly improved and been maintained since our last visit. Formal reviews of the care provided for people who pay for their own care at the home were now up to date and comments made by people who use the service and their relatives were signed by them. Annual reviews of people who use the service who are supported by the local authority were up to date. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 12 All files seen had up to date care plan reviews. Some of the people at the home were not able to confirm that they had been involved in the care planning or review process. However they were able to confirm that staff helped them when they needed it, such as with personal care tasks and that staff “gave excellent care” and “are usually available but they cannot be here all the time”. The medication system used at the home is a monitored dosage system. The medicines are stored in a drug trolley, which is locked in a separate walk-in cupboard. Unused medication is returned to the pharmacist each month. The manager confirmed that staff had received medication awareness training and staff files examined showed medication training undertaken. Previous recommendations regarding some creams and tablets that were prescribed to be used ‘as required’ and had pharmacy labels dated 2006 and creams were opened with no opened date on them had been met. Visits from medical professionals visits were recorded and it was seen that the GPs, district nurses, optician, audiologist and the chiropodist visited people living in the home regularly. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service were able to take part in a range of activities so they could stay active and stimulated. Personal and family relationships were encouraged and the staff team supported people with this. EVIDENCE: The staff provide activities each morning and these include movement to music, jigsaws, beauty therapy, hairdressing, card making, reminiscence, scrabble and crosswords. Currently the manager is looking for an activities organiser, to provide some alternative stimulation three afternoons a week. The staff shop for people each Monday and Friday. The mobile library visits every month and a wide range of books were available for people to read, including a number of large print books. Also the talking book service is available. A range of local shops is within walking distance from the home and staff are available to accompany people to them. Relatives told us, “the staff are cheerful and the food is good. They have a good laundry service and the staff welcome visitors” and “it would be good The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 14 have more entertainment during the day and an occupational worker, but perhaps this is too expensive for a small home”. People who live at the home said: “there are not many activities but in a small home I think it can be difficult to arrange and costly”; “sometimes there are activities but not a lot”; and “there could be more activities”. The visits from families and friends were recorded in the daily record sheets. These were seen during the visit. People who live at the home were offered choices in various ways. For example: the time they get up in the morning and retire to bed at night; by choosing the clothes they wear; by deciding whether or not to join in planned activities and by deciding how they wished to be addressed. Samples of menus were seen before we visited the home. These were on a four-weekly basis and showed that a varied diet of a traditional nature was provided. At our visit we observed lunch being served. The meal consisted of braised steak, mashed potato, broccoli, cabbage and carrots. Fruit crumble and custard was the desert. It was noted that the vegetables served were fresh. After the meal people who use the services confirmed they had enjoyed it. They said: “very nice food”; “I usually like the meals”; and “the meals are adequate but bland. More fresh vegetables needed. I do feel the catering staff need help to put out meals that are pleasant and nutritious”. Breakfast is served people’s bedrooms when they wake up. The main meal of the day is lunch at 12.30pm and the evening meal is at 6.00pm. Drinks are available throughout the day and supper is provided before people go to bed. Staff interactions with the people who live at the home were observed during lunchtime. The staff were attentive to people’s needs and helped them as required. The general atmosphere within the home was warm and friendly. The cook confirmed that, as this is a small home, she knew each person’s individual preferences. For example, she knew who preferred a smaller meal and who did not like gravy. During lunch, a range of portion sizes was served according to people’s preferences. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who live at the home and relatives were satisfied with the support they received from the manager and staff. Clear policies are in place to ensure that residents were protected from abuse, neglect and self-harm. EVIDENCE: The staff files showed that training on safeguarding adults had take place and the manager confirmed that she had purchased a DVD on Adult Abuse, which staff had watched and then completed questions relating to what they had learned. The previous recommendation regarding staff receiving POVA awareness training has been met. The safeguarding adults policy and “No Secrets” guidance were in place. The home also had policies on abuse, violence and aggression, violent incident procedure, guidelines on use of restraint and whistle blowing. The complaints procedure was seen and this contained details of how to contact CSCI. Neither the home nor the Commission had received any complaints about this service since our last visit. People who live at the home confirmed they would contact the manager if they had any problems or concerns. The Old Hall DS0000054820.V363393.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 & 26 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is well maintained so that people live in clean, comfortable and safe surroundings. EVIDENCE: A tour of the premises was undertaken. All the communal areas were seen and a number of the bedrooms. The home was found to be clean and odour free. Rooms had been personalised by people who live there with their own furniture, pictures and mementoes. It was noted that the home is in a very good state of repair and that the décor is good. However, a couple of chest of drawer fronts in bedrooms needed repair and some the arms of the chairs in the lounge needed re-varnishing. These were discussed with the manager who confirmed she was aware of these and that they will be dealt with in the near future. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 17 People confirmed that they liked their bedrooms and that, “we have a good laundry service”. They told us: “the home is clean without a doubt”; “the home is always fresh and clean”; and “the home is very well kept.” The home was light, airy and was warm. We spoke with a group of people who live at the home and they confirmed that the temperature in the home is warm enough for them. The Old Hall DS0000054820.V363393.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 & 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are protected by the homes recruitment policy and practices. Staff that have adequate training so that they are competent to give appropriate support the people live in the home. EVIDENCE: The staff rotas showed the staff on duty over the week. This appeared to meet the needs of the people who live in the home. They confirmed that enough staff were around to help them and observations made during this visit showed staff were attentive to people’s needs. Three staff files were examined. These had all pre-employment checks in place. The manager told us that recruitment was difficult due to the geographical area of the home and some people not wanting to work weekends or unsocial hours. However she is currently negotiating for two staff from abroad who are nurses in their own country and she hopes that this will alleviate some of the recent staffing problems. There has been significant improvement in training. The manager has obtained DVDs on fire safety, infarction control, moving and handling theory, adult abuse and caring for people with confusion. The required mandatory training had taken place with the staff team. Other specialist training included The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 19 oral health care, continence promotion, dementia care and first aid. The requirement made regarding mandatory training has been met and the recommendation regarding specialist training has been addressed. The manager said she was due to get a DVD on Dementia care from the Alzheimer’s Society and would look into obtaining further training in areas relating to the current needs of the people who live at the home. Staff commented about the training on offer: “I am being given suitable training”; “I am given regular training and my manager meets regularly with me”; “Induction was very well done. Training is relevant to my role; helps me understand needs of people and keeps me up to date with new ways of working”; and “as we have service users with diabetes some training based on this would be good.” The manager said that new staff are not part of the rota for their first two weeks. They are issued with a Skills for Care – Common Induction Standards book that they should work through as part of their induction. The previous recommendation made regarding completing these books has been addressed. Good progress has been made with NVQ training. Eight out of fourteen staff had NVQ level II or above in care, and the previous recommendation for 50 or more staff to be trained to this level has been met. People who live at the home told us: “this is a very caring home”; “staff are usually available but they cannot be here all the time”; “staff are always about if you need them”; and “the staff are exceptionally helpful”. A relative confirmed, “the staff are cheerful.” Regular staff meetings are held. The last one was March 2008 and it was noted that their discussion included meals, care practices, staff supervision and annual leave of staff. The previous recommendation regarding staff meetings has been met. The Old Hall DS0000054820.V363393.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health, safety and welfare of the people who use the service are protected. The home is well managed and the people who live there are able to give their views to make sure that it is run in their best interests. EVIDENCE: The manager provides clear leadership to the staff team and is supported by senior care staff, care staff, cook and domestic assistant. The manager is an RGN, RMN, and has NVQ level 4 in management. She had worked for 15 years in the care of the elderly. She is the co-owner of the home with her husband and she is the registered manager. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 21 A quality assurance process was in place. Since our previous visit a system has been developed to circulate annual satisfaction surveys to people who live in the home. Surveys were completed in January 2008 and focussed on the meals provided. Overall people who use the service stated that they were happy with the times of meals. Most said meals were appetising, nutritious and enjoyable. The analysis produced concluded that changes to the supper menu were needed. Changes were completed in consultation with people live at the home to ensure their preferences were taken into account. The manager confirmed that she keeps no money on behalf of the people who live in the home. People manage their own money or families are invoiced on a monthly basis. Safe working practices were in place. Up to date safety checks on fire extinguishers and the fire protection system were in place. There were up to date certificates for gas safety, electrical wiring safety, annual tests of hoist and the stair lift. The home had policies relating to safe working practices including a range of risk assessments, COSHH, moving and handling assessments and first aid. Following a previous recommendation the smoking policy has been amended to reflect recent changes in legislation. Day to day supervision is good, with the manager frequently working alongside the staff team. Significant improvements have been made in formal supervision and direct observations. Following a previous requirement, regular formal supervision was now being carried out with all staff and records of this are kept. A range of direct observations of staff practice have been undertaken and appraisals are due to be completed in June 2008. The previous recommendation regarding appraisals is being addressed. The Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X 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 3 13 3 14 3 15 3 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 X 3 X 3 The Old Hall DS0000054820.V363393.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 Old Hall DS0000054820.V363393.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Old Hall DS0000054820.V363393.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. 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!