Inspection on 15/08/06 for Waverley House

This inspection was carried out on 15th August 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

Waverley House 09/12/09

Waverley House 17/02/09

Waverley House 05/03/08

Waverley House 03/03/06

Waverley House 18/11/05

Waverley House 24/03/05

Waverley House 16/11/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

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Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Waverley House Etnam Street Leominster Herefordshire HR6 8AQ Lead Inspector Denise Reynolds Unannounced Inspection 08:50 15 August 2006 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 Waverley House DS0000060780.V301776.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. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Waverley House Address Etnam Street Leominster Herefordshire HR6 8AQ 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) 01568 612126 01568 620445 Shaw healthcare Ltd Care Home 38 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (31) of places Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 3rd March 2006 Brief Description of the Service: Waverley House is located within walking distance of Leominster town centre and is established as part of the local community. The Home offers a service for up to 38 people over the age of 65 including 7 places in a specialist unit for people with dementia type illnesses. The building was purpose built in the 1960s and does not meet the National Minimum Standards for care homes or the increasing expectations of people needing to live in a care home. The provider, Shaw heathcare Ltd has begun a major project to rebuild the Home and this work is underway. For this reason, no new long-term places are being offered at present. During this period the Home is providing a short stay and respite service. The current weekly fee is £359.15. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the unannounced key inspection for 2006/07. It took place on a weekday from 8.50 am until 4.45pm. Before the visit information was gathered from the pre-inspection questionnaire filled in by the acting manager, the organisation’s monthly visit reports and notifications of events from the Home in recent months. Survey forms filled in by service users (5), relatives (7) and professionals such as local GPs, community nurses and social care staff employed by the Herefordshire Council (11) provided a helpful insight into what people who know the Home well think of it. On the day of the visit the inspector interviewed the manager and three staff and spoke informally to other staff whilst out and about in the building. Two service users were spoken to individually and others chatted to in the sitting rooms. General observation of what was happening at the Home took place at various times throughout the day. What the service does well: We received a lot of information from survey forms that show the positive view people have about the Home – “I was very impressed with the care and help I was given I could see that I would be very happy and cared for at Waverley.” “I could not wish for any better place for my father’s retirement care.” “The respite provided at Waverley is always of a good standard.” “ Have made several one off requests of them and they have always accommodated.” “I have had positive feedback from all service users I have been involved with” “I have always felt that Waverley house staff give exceptionally good care to their service users.” “Excellent conscientious staff” Staff work hard to meet the health and personal care needs of people who live at the Home and go there for short stays. They treat people as individuals and use the care plans and daily records to help them make sure that people have the right care. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 6 Staff also work hard to make life interesting and enjoyable for the people at Waverley House and are looking for new ways to develop this. The provider has made a commitment to this by employing an activity co-ordinator and providing a realistic budget for activities. As a result there are lots of things arranged for people to do both at the Home and out in the community, for example on the day of the visit a group of people went out for a picnic lunch in the local park. “Activities are very good with lots of variety.” “We have a entertainments carer who organises various things eg bingo, keep fit, gardening centre, which we really enjoy.” There is a good relationship between service users and staff and service users who say they know who they can speak to if they have concerns but rarely feel the need. The domestic and maintenance staff are doing a very good job in keeping the accommodation safe, clean and comfortable in spite of the construction work in the grounds. “At present Waverley is in a difficult state with building work etc. The staff do an excellent job under very poor conditions.” The acting manager is a competent and experienced manager committed to providing a high standard of care to people at Waverley House. She has a warm and open approach that service users and staff appreciate. Staff recruitment procedures are thorough and provide the required safeguards against unsuitable staff being employed. Shaw healthcare policies and procedures provide a good framework for the effective management of the service. What has improved since the last inspection? Staff have worked hard to improve the way they gather and record information about the help a person will need so that staff are better prepared to look after them well. Progress is also being made in involving people more in their care plans and including more information about how they want to spend their time. The Home has made progress towards developing the knowledge and skills of staff by making sure that relevant training is scheduled and by better planning to prevent certificates expiring. There has been a noticeable improvement in morale amongst staff. Staff said this is largely due to the acting manager who has made it a happier place to work by being supportive and approachable. One member of staff said, “She is a breath of fresh air”. Staff felt that the improvements for them meant that life was better for service users too. Waverley House DS0000060780.V301776.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. Waverley House DS0000060780.V301776.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 Waverley House DS0000060780.V301776.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1and 3 (standard 6 does not apply to this service) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff obtain adequate information about a person’s needs so they are sure that can offer them the care they need. People considering a stay at the Home are given written and verbal information to help them decide if it is the right place for them. EVIDENCE: The acting manager confirmed that because of the building work the only new admissions are for people having short-term stays at the Home. She has written to people to check they still want to come while the building work is going on. Everyone has wanted to continue coming. Most have been more concerned that the respite facility will no longer be available once the building work is finished. Except in emergency situations staff visit all prospective service users to meet them and find out about the care they will need. One person who had arrived Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 10 a few days before the inspection said she found this very helpful and that she was glad she had chance to meet the manager before coming. People are provided with a copy of the service user guide and a contract before or soon after arrival depending on circumstances. Waverley House DS0000060780.V301776.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 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. Staff work hard to meet the health and personal care needs of service users and use the care plans and daily records to help them do this. EVIDENCE: The manager said that staff are becoming more confident and familiar with the layout of the care plans and is pleased with the hard work they have all put in to improving the quality of these. Whilst there is still some work to be done, staff have laid good foundations for further development. The internal monitoring of the care records by the management team should ensure steady progress with this. The care records contain evidence that staff involve healthcare professional such as GPs and community nurses when this is needed. One person’s records showed that staff worked closely with his doctor prior to him going into hospital and a relative spoke of being told quickly when a GP visit had been requested. Information from GPs, community nurses and social care staff was very positive. Eleven replies were received – which was a high response level. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 12 All eleven were satisfied with the overall care provided and some made very positive comments – • • • • • • Excellent conscientious staff. Waverley is excellent I have been impressed by the quality of the care plans provided by the Home I have had positive feedback from all service users I have been involved with I feel they offer a good service both to our dept and the community I have always felt that Waverley House staff give exceptionally good care to their service users Although one person did indicate that there may be occasional communication breakdowns – • Communication sometimes a problem between senior and care staff ie messages not passed on. This is something that senior staff need to be alert to. When people are unwell or have complex needs staff keep more detailed records and relevant risk assessments are done. This helps staff make sure that essential things like falls, pressure area care, swallowing problems, poor appetite and other care needs are noticed and acted upon. Body maps are used to help staff monitor any known or new skin damage. Work on involving service users in discussing the content of their care plans is also well underway. Three relatives were spoken to on the phone. They all said they are very happy with the care given provided at Waverley House. One service user wrote – “Their job is very hectic at times but I know they get to anyone who immediate help is needed.” Observation of the care during the day the service was visited showed that staff are attentive to people’s needs and that they talk to each other all the time about how people are and what they need doing for them. Waverley House DS0000060780.V301776.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 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 good. This judgement has been made using available evidence including a visit to this service. Staff at all levels work hard to make life interesting and enjoyable for the people at Waverley House and are looking for new ways to develop this. EVIDENCE: The Home provides a very wide range of communal and individual activities. The enthusiastic and energetic Activity Co-ordinator who works four days a week leads this work. She is allocated a monthly budget of £400 which means that she can be very creative. The activities include – • • • • • Individual service users being taken into Leominster to go shopping (one person confirms that she goes once a week to collect her pension) Days out to places of interest such as the Small Breeds Farm and garden centres Picnics (on the day of the visits to the service, four service users went for a picnic in the local park with three staff) Shopping trips to Hereford (one such trip was planned for four people to buy things ready for their forthcoming holiday to Butlins) An in house shop DS0000060780.V301776.R01.S.doc Version 5.2 Page 14 Waverley House • • • • • Film afternoons Manicures Special celebration days – this year these have included Valentines Day, Easter and the Queens Birthday Encouraging awareness of events such as the World Cup Recently two staff at the Home got married and parties were held at the Home so that the service users could mark the occasions In addition, the Activity Co-ordinator and other staff are also working on building in normal daily activities into service users’ care – eg helping people to do things for themselves such as opening their own curtains or cleaning their own room. This is a very good initiative that should help to improve the quality of life for people at Waverley House. All staff are able to get involved in social activities – for example the inspector was told that the cleaning staff often get involved in helping with games of bingo. Going to town and on holidays and trips helps people keep in touch with the community and comment cards from relatives all say they are made welcome when they visit; those spoken to confirmed this eg one family who travel a long way to visit are always offered cups of tea when they arrive. The menus need to be reviewed to check that all food groups included often enough – at present certain foods are shown on the menu too often and others not often enough. Food being served on the day of the inspection was very good – the cook had made beautiful scones with fresh cream, kiwi and strawberries for tea. Lunch was home made steak pie with potatoes and vegetables. The Cook and kitchen assistant were seen preparing one person’s vegetables. This showed that they had a good knowledge of his special dietary needs. In their comment cards, service users said – • • Activities are very good with lots of variety We have an entertainments carer who organises various things eg bingo, keep fit, gardening centre, which we really enjoy. Replies in the comment cards showed that service users enjoyed the food ‘usually’ rather than always but those spoken to said that they liked the food and commented that the standard of the meal that day is what they are used to. Waverley House DS0000060780.V301776.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 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. Service users know whom they can speak to if they have concerns and staff receive the training they need to understand what to do if they think a person may be suffering abuse of neglect. EVIDENCE: The acting manager said no complaints have been received but did discuss some relatively minor things that relatives had raised and that had been ‘nipped in the bud’. It would be beneficial to record concerns at this level as complaints even if they have not been viewed as major issues. This is a good way of building quality assurance into the day-to-day management of the service providing good evidence of the action taken and outcomes. Service users’ and relatives’ survey forms indicate that most know about the complaints process and who to talk to. Service users said they would have no anxiety about raising concerns but have never needed to. One person said she is on the service users’ committee and that staff know that she’s ‘not backwards in coming forwards’. Staff have all had or are about to have training in respect of adult protection. The acting manager has done this training twice herself. Staff spoken to knew about process and what to do. One member of staff had reported a concern that was then dealt with under the local adult protection process and was Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 16 congratulated by the multi agency team for how she had dealt with the situation and how well she explained things at the meeting. The acting manager considered this experience had been a useful way fro staff to understand how the procedure works in practice. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 17 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): 9 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The current accommodation does not meet national minimum standards and will be replaced on a phased basis by a new building that is under construction in the grounds. In the meantime staff are working hard to keep the accommodation safe, clean and comfortable for service users. EVIDENCE: The domestic and maintenance staff work hard to minimise the effect of the building work by keeping the Home clean and making sure that maintenance and safety checks are kept up to date. They take their responsibilities seriously and understand that their jobs are important in making life comfortable for the service user. One of the cleaning staff said they are all trying very hard to keep the Home as nice as possible for the service users. Four of the five service users survey forms received said the Home is always clean and fresh, one person indicated that this is usually the case. A comment in a response from a relative was – Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 18 ‘At present Waverley is in a difficult state with building work etc. The staff do an excellent job under very poor conditions’. The maintenance man gave a clear account of the duties that come within his role including the required fire safety tests and checks and the records of these. The manager said that that filling in the maintenance section of the pre inspection questionnaire had been made easier because all records were up to date. The maintenance man explained that the fire alarm test and call bell test would be done that day. He also explained that the fire alarm test is done when service users are at the table for lunch so they are less likely to be accidentally by fire doors closing. Several staff and service users said how considerate the builders have been and that watching the construction has generated lots of interest and discussion. Two of the foremen from the site come in each day to speak service users who are interested about what they are doing and the progress being made. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 19 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. Staff recruitment procedures are thorough and provide the required safeguards against unsuitable staff being employed. Significant progress has been made towards developing the knowledge and skills of staff. Staff give service users the individual attention they need. EVIDENCE: Records of staff training show that good progress has been made in staff training. Staff interviewed confirmed the training they have done. Information given in the pre inspection questionnaire and on the training database showed that mandatory and care related training is generally up to date. The use of a ‘traffic light’ colour coding system gives a good visual prompt that a training update needs to be booked. The manager showed that she was alert to this and aware of the current position. Staff confirmed that they are having individual supervision every 4-6 weeks and are finding it helpful. The manager described the recruitment process and gave examples of how this works in practice. She explained that while the law allows them to appoint staff on the basis of POVAfirst checks, they do not do this but wait until the full CRB check has been received. She is very happy with the support from the organisation’s central personnel staff and feels they do their part of the recruitment process thoroughly. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 20 Staff said they are very busy but that the workload is manageable. They and the manager mentioned how busy it can be if lots of people are coming and going for short stays. This is partly because of helping them settle in and also because getting to know people who are only at the Home a short time can be more challenging. Just over four of the seven comment cards from service users said staff are always available when they need then; the remaining three said they are usually available. Five of the six replies from relatives said there are enough staff on duty when they visit. Whilst staff will be familiar with the layout of the staff rota it would be improved by showing the shift times (instead of just ‘early’ and ‘late’) and by having a key to explain any abbreviations used. This would be helpful if specific information was needed retrospectively. All the service users spoken to said very positive things about the staff and observation of the staff with service users during the day showed them to be polite, caring and unhurried. All of the service user comment cards received said that staff always listen to them and act on what they say. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 21 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 acting manager is a competent and experienced manager, committed to providing a high standard of care to people at Waverley House. Shaw healthcare policies and procedures provide a good framework for the effective management of the service. EVIDENCE: The Home does not have a registered manager at present. The organisation has seconded a manager from another of their Homes. The length of this secondment has already been extended and the acting manager was unsure of how long she would be staying at Waverley House. In view of the length of this secondment and uncertainty about an end date, the acting manager must make an application for registration. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 22 Morale at the Home has noticeably improved during the last year. A number of staff said it is now a happier place to work and that the acting manager is largely responsible for this – one described her as ‘a breath of fresh air’. Service users and staff made comments about her approachability, willingness to listen and her reliability. The acting manager appears to have improved relationships between staff and Shaw healthcare. Examples of this included better communication about the organisation’s policies and procedures and more stability for staff in respect of duty rotas. It was also noted that the tone of entries in the staff communication book has become more positive and is being used as a more constructive tool than used to be the case. The acting manager views the staff team as very able and considers that providing effective management and support has improved their faith in their abilities. She has tried to lead by example by working with staff as much as she can. The acting manager confirmed she is having monthly support and supervision meetings with her line manager. She explained that the number of staff in level of management above her has been increased which has had a positive effect on the level of support she receives. Involvement by staff in service users’ finances is minimal. Fee payments are dealt with centrally by the organisation. Because the majority of service users are having short stays many people look after their money themselves and only small amounts of spending money are held in safekeeping. There is a good recording system in place to monitor withdrawals and staff who do shopping for service users are expected to produce all receipts which are then kept. Matters relating to health and safety are taken seriously and good systems are in place for training, risk assessment and maintenance. Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 23 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 x 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 2 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 Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP31 Regulation CSA section 11 Requirement The acting manager must submit an application for registration. Timescale for action 31/10/06 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 Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park Worcester WR3 7NW 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 Waverley House DS0000060780.V301776.R01.S.doc Version 5.2 Page 26 - 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. 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