Inspection on 16/10/06 for Urmston Cottage

This inspection was carried out on 16th October 2006.

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.

Other inspections for this house

Urmston Cottage 25/03/10

Urmston Cottage 19/01/10

Urmston Cottage 07/05/09

Urmston Cottage 08/09/08

Urmston Cottage 07/04/08

Urmston Cottage 14/11/07

Urmston Cottage 17/03/06

Urmston Cottage 10/11/05

Urmston Cottage 23/09/04

Urmston Cottage 15/04/04

Urmston Cottage 21/10/03

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

CARE HOMES FOR OLDER PEOPLE Urmston Cottage Greenfield Avenue Urmston Manchester M41 0XN Lead Inspector Sue Jennings Key Unannounced Inspection 16th October 2006 10:00 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 Urmston Cottage DS0000006729.V309787.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. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Urmston Cottage Address Greenfield Avenue Urmston Manchester M41 0XN 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) 0161 747 3738 no fax Urmston Cottage (Mcr) Ltd Mrs Marguerite Wendy Thomas Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (1) of places Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users shall be aged over 60 years except for one named person who requires nursing care by reason of physical disability. A maximum of 25 service users who require general nursing care can be accommodated. Staffing levels as specified in the Section 13 (5) Notice dated 9 August 2005, shall be maintained. 17th March 2006 Date of last inspection Brief Description of the Service: Urmston Cottage is a care home providing nursing care and accommodation for 45 residents. The home is a Victorian house with an extension. Bedrooms are on 2 floors with access to these by a passenger lift. The home had well-kept grounds. The home is near the centre of Urmston close to a number of shops. The outdoor market is close to the home. It is close to local bus routes and the Metro link. Parking space is at the side of the house. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social Care Inspection in relation to this home prior to the site visit. The visit was unannounced and took place over the course of 5 hours on Wednesday 16th October 2006. During the course of the site visit time was spent talking to the manager, the responsible individual 2 residents a visitor and 5 members of staff to find out their views of the home. We are currently testing a method of working where ‘Experts by Experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ is used to describe people whose knowledge about social care services comes directly from using them. Mr Tommy Walsh an Expert by Experience joined the inspector on this site visit. Mr Walsh spoke to residents and observed resident and staff interactions his comments and observations are added to this report and can be identified in bold text. The inspector spent time examining records and the residents and staff files. A tour of the building was also made. The requirements from the previous inspection had been addressed and there was evidence that the home was continuing to work hard to develop the service. During this inspection the key National Minimum Standards were assessed What the service does well: The home carries out an assessment of need on all prospective residents before an offer of a place is confirmed. Residents are able to attend religious services either in the local community or a minister of their chosen faith can visit them in the home if preferred. The home holds regular meetings with residents, relatives and staff. There is an ongoing training and development programme for staff. There is an activity programme in place with dedicated staff. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 6 The home has a quality assurance monitoring system in place. The home has a complaint procedure and information about how to make a complaint is included in the home’s statement of purpose and function. Expert by Experience It is a well run home and all I met were happy to be there and my final comment to the Manager was that if I had ever to go in a home that would be the one. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Urmston Cottage DS0000006729.V309787.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 Urmston Cottage DS0000006729.V309787.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care needs are assessed and met by the home. EVIDENCE: The home provided an easy to read booklet detailing the services provided. This was sent to all prospective residents and gave information about fees, what services were available and meal times. The brochure contained photographs of the home and residents. Residents had agreed to their photographs being used and there were signed agreements on file. Residents’ files were sampled during the site visit and care managers’ assessments of need and the home’s own assessments were seen on file. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 9 The manager said that prospective residents were visited in their own environment and also invited to visit the home prior to making a decision about admission. During the site visit a relative visited the home unannounced to have a look around with a view to their relative being admitted. Staff were observed providing written information about the home and discussing what the home provided. The relative said that she planned to visit a number of homes on behalf of her mother before returning to Australia. She said that the home appeared welcoming and she had noted that there were a lot of activities going on for residents. Although the home did not have any residents from a minority background there was some evidence that the manager was aware of issues around diversity and equality. Both the manager and the cook said that they would research various cultures in order to meet any cultural needs of residents. The home did not provide intermediate care. Urmston Cottage DS0000006729.V309787.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of the residents were being met at the home. EVIDENCE: The medication was stored in a metal trolley, which was secured to the wall. The Medication administration sheets were examined and were up to date and accurate with no gaps in recording. Controlled medication was appropriately stored and records well maintained. Each individual file was found to contain an up to date photograph of the resident for easy identification. The plans of care were found to be detailed, informative and clearly set out the action that needed to be taken by staff to ensure that all aspects of health, personal and social care needs of the Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 11 residents were met. The residents’ care plans included appropriate risk assessments. All residents were registered with a local General Practitioner (GP). Residents could be seen in the privacy of their own room. There were arrangements in place for dental, optical and chiropody services for all residents. Nutritional screening, continence assessments and oral hygiene needs of residents were undertaken on admission and a plan of care had been implemented where appropriate. Expert by Experience The inspector asked me to talk to the residents about how they felt about living in the home also to enquire what activities were provided for them and to observe the interaction between staff and residents. My first impressions were of a very friendly atmosphere and the home was very clean and airy. The residents looked very happy and all of them were well dressed and looked very relaxed and well kept. Urmston Cottage DS0000006729.V309787.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provided a good environment for the residents who live there with a wide range of activities. Residents were able to maintain contact with family and friends and were able to exercise choice and control over their lives. Meals served at the home appeared to be nutritious, well balanced and offered a healthy and varied diet for residents. EVIDENCE: Staff were observed undertaking activities on a one-to-one basis with residents. Two female residents were sat in the small quiet room having a hand massage. There were photographs of residents having a pampering session where foot spas and massages were given. One resident said, “This is nice. It is very relaxing they are all very good - especially this one” indicating the deputy manager. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 13 During the site visit a game of carpet skittles was underway and the winner received a small prize. The game was observed to be competitive and benefited residents in a number of ways in particular providing light exercise. A great deal of laughter was heard and all residents even those observing appeared to enjoy the event. The ‘winner’ said, “It was very good. I didn’t think I would win though”. The cook said that the home has applied for a grant and intend to purchase a parachute blanket. This is a large piece of lightweight colourful material that residents sitting in a circle hold onto and raise up and down. The aim of this is to improve/increase upper body mobility/flexibility. After lunch the meal tables were moved into one room to make one large table. Residents and staff sat around the table and took part in a quiz about the Royal Family. All residents were encouraged and assisted by staff to take part and seemed to be having a good time. One resident said, “I have been here for almost two years and last Christmas was the happiest I have had for 14 years”. “The staff are lovely I am very happy here and the food is very good”. The cook was very enthusiastic and we spoke about her photographing meals so that residents can make a more informed choice about which meal they wanted from the days menu choice. The cook said that each day she made more meals than required because sometimes when a meal was served not everyone wanted the meal they had chosen and requested the alternative. The cook also carried out activities in the home and there were a number of photographs displayed around the home evidencing various parties and outings. A new large screen T.V. had been purchased since the last inspection and residents said that they enjoyed watching films on this as it was much easier to see. Residents spoken to said that they were able to go to the local market and the local cafés for tea/coffee with staff. The manager said that one of the residents had asked the family to bring their china coffee set to the home. The plan was for three or four residents at a time to sit in the small quiet lounge and have coffee, cakes and a chat. During the site visit the resident was keen for the manager to look at the coffee set and agree the plan. The manager looked at the china and said she would make arrangements for the coffee mornings to be added to the programme of activities already in place. The meals in the home were made using fresh ingredients and the cook produced a ‘prove it’ sheet. This included a detailed account of how the meal was prepared and cooked and included cooking times. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 14 All pureed diets were presented with vegetables and meat pureed separately so that individual food items were identifiable. The home had an open visiting policy and visitors could be seen in the privacy of resident’s own room or in any of the communal areas. Residents spoken to confirmed this to be the case. However, the manager did ask that visitors avoid mealtimes. There was evidence that staff are able to meet the diverse needs of the service users in particular in relation to religious observance. A number of residents attend church services in the community and for those who are unable to go out ministers from various faiths visit the home on a regular basis. The home did not have any residents from minority backgrounds but the manager said that she and the staff would contact religious leaders to ask for advice and guidance and support for the person to attend a religious service. There was evidence of residents and staff meetings in the form of minutes. Expert by Experience I had asked the Manager could I take a meal with the residents, which I would gladly pay for. I spoke to the cook and arranged this. The cook went on to show me the sort of menu, which was provided and how the system worked for residents to select their meals day by day. The menu was varied and interesting, on top of which, fresh fruit was available daily. If residents wanted cooked breakfasts it could be provided and in fact on Sunday mornings some asked for bacon butties etc. One of the other roles that the cook did was to organise activities each day and on the day I visited, she had arranged a quiz in the afternoon with questions involving the Royal Family and I was able to see this activity as I stayed for part of the afternoon. During the morning I had watched residents take part in 10-pin bowling and they all appeared to enjoy this very much. A number of activities were provided by arranging entertainers from the local area to come in and do sing a long sessions, which again the residents said that they enjoyed very much. Furthermore a trip had been arranged for Friday of this week to take those that wanted, to go to Blackpool lights. I saw photographs about the home showing parties that had been held for residents to enjoy their Birthday and a cake drinks and refreshments were provided by the home. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 15 Already plans were in hand to celebrate Christmas and that a local school choir would be singing for them on the run up to Christmas and that a Christmas party would be held for Residents and their Family and friends. I then went on to note that there was few large print books in the library although I had been told a number of the residents did read. Newspapers were bought by the residents for their own use the home also provided 2 free newspapers. Urmston Cottage DS0000006729.V309787.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a complaints procedure and the policies and procedures to protect residents from harm. EVIDENCE: The home has a complaint procedure that residents were aware of. Copies of the complaint procedure were included in the home’s brochure and displayed in the home. The Commission for Social Care Inspection had not received any complaints about this service and the manager stated that the home had not received any complaints since the last inspection. The home had an Adult Protection Policy and Procedure in line with the local Adult Protection Policy and Procedure. Copies of these documents were seen in the home and were accessible to staff. All staff employed to work with Vulnerable Adults had received training in Adult Protection Procedures. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 17 Expert by Experience Whilst I was having my lunch, which was very well cooked and sufficient, I noticed bruising on the arm of one lady and she said it was caused by a carer. The bruising on the arm of one resident was taken up by the Inspector who asked the Manager for the care plan of the patient and the bruising had been recorded. It was a result of attempting to encourage the resident to use a walking frame who had then stumbled and had to be grabbed by the carer. This issue was raised with the manager during the site visit and the resident’s care plan was examined. There was evidence to show that the bruising had been sustained when the resident became unsteady when walking and the staff had attempted to save her from falling. The bruising was noted in the care plan. Urmston Cottage DS0000006729.V309787.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are safe and the homes environment, including the standard of hygiene, was well maintained both internally and externally. EVIDENCE: The home felt comfortable and homely. All areas of the home were tastefully decorated and furniture was of a domestic nature and of a good standard. The home had a programme of routine maintenance and renewal of the fabric and decoration. The manager said that following a health and safety risk assessment a resident could bring items of furniture into the home. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 19 Aids and adaptations had been provided for residents. Residents who had identified needs in the area of mobility were referred to the physiotherapist via their general practitioner for a professional assessment. There were sufficient toilets situated around the home. They were clearly marked and close to the communal areas and bedrooms so that residents could access them easily. There was a small gated patio area at the rear of the building which provided a secluded and safe area for residents to use. This area had been re-paved since the last inspection. An emergency call system was fitted to all bedrooms and communal areas so that residents could summon help if needed. Expert by Experience Regarding laundry some of the residents had their family see to that although my visit to the laundry indicated a large number of residents had laundry done by the home. One resident said that her family were waiting for the home to provide nametags so that they could attach them to her clothes. The manager confirmed that if the resident’s family paid for the nametags staff in the home would make sure they were sewn onto clothing. The deputy manager was also observed informing a visitor of the need for nametags to make sure clothing was not lost in the laundry. I had to visit a toilet during my stay and saw that toilet rolls were not in the holder but placed in positions around the ‘loo’ also no paper towels were available although there was a dispenser on the wall, empty. This issue was raised with the manager who said that the paper towel holder should be full she apologised for the lack of paper towels. The manager stated that they had used the toilet roll holders in the past but residents had difficulty accessing the paper and it was much easier for residents to access the toilet paper if there were a number of rolls placed in toilet that they could just reach for and did not have to struggle to pull the paper from a holder. Urmston Cottage DS0000006729.V309787.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff appeared sufficient to meet the needs of the residents accommodated and appropriate training is available to all staff. EVIDENCE: A random sample of staff files were examined there was evidence that staff completed induction training when first employed. The training is comprehensive and includes in-house training by the Local Authority Social Services Department. Staff files provided evidence of vocational training in service related areas, e.g. moving and handling, food hygiene, safe administration of medicines and fire safety. Staff spoken to confirmed that they had attended induction training and some study days. Training needs were identified during supervision and the home provided ongoing refresher training. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 21 Criminal Record Bureau (CRB) checks had been completed for all staff employed to work in the home. There were two written references on files. The manager had an understanding that any gaps in employment must be checked. Urmston Cottage DS0000006729.V309787.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s quality monitoring systems protected residents and the home had systems and procedures in place, which safeguarded and protected residents financial interests. EVIDENCE: A quality assurance and quality monitoring system was in place. Pictorial questionnaires had been sent out to residents and their relatives/representatives in an attempt to gain their views. The comments received were all positive. Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 23 Evidence was seen that the manager ensures the health, safety and welfare of the residents and staff are protected at all times. A health and safety policy was in place and risk assessments of the premises and safe working practices had been carried out. This was to ensure that both residents and staff had relevant information to enable them to live and work in a safe environment. The manager said that resident’s families assist with managing finances and the home has secure storage for any personal allowances held in the home. Receipts are retained for all transactions made on behalf of residents. Residents said that the manager and staff were approachable. Staff said that they received supervision about every three months and on the job supervision on a day-to-day basis. One member of staff said that she had an annual appraisal. The home’s certificates of registration and public liability insurance had been displayed in the entrance hall. These were accurate and up to date. Fire equipment had been regularly maintained and staff had received fire awareness training. Fire alarm systems are tested on a weekly basis by staff in the home and annually by the local Fire Officer. A health and safety policy was in place and risk assessments of the premises and safe working practices had been carried out. This was to ensure that both residents and staff had relevant information to enable them to live and work in relative safety. Relevant certificates were on file to show that appropriate servicing of equipment used by residents in the home had been carried out. Urmston Cottage DS0000006729.V309787.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 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 4 13 4 14 4 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 Urmston Cottage DS0000006729.V309787.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. Refer to Standard Good Practice Recommendations Urmston Cottage DS0000006729.V309787.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Urmston Cottage DS0000006729.V309787.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!