Inspection on 09/08/06 for Wide Cove

This inspection was carried out on 9th 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

Wide Cove 01/08/07

Wide Cove 06/02/06

Wide Cove 09/09/05

Wide Cove 15/02/05

Wide Cove 13/09/04

Wide Cove 08/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Wide Cove 20 Brook Street Runcorn Cheshire WA7 1JJ Lead Inspector Maureen Brown Key Unannounced Inspection 9th August 2006 10:10 Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 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 Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 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 Adults 18-65. 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. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wide Cove Address 20 Brook Street Runcorn Cheshire WA7 1JJ 01928 572635 01928 572635 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) Mr Denis Edward Price Mrs Lynn Julia Price Mrs Doreen Elizabeth White Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1) of places Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This service is registered for a maximum of 8 service users to include:* No more than 8 service users in the category LD (Learning disability) * 1 named service user in the category LD(E) (Learning disability - over 65 years of age) 6th February 2006 Date of last inspection Brief Description of the Service: Wide Cove is a care home providing personal care and accommodation for eight service users with a learning disability, one of whom is over 65 years of age. Privately owned, the home is located close to shops, pub and other local amenities. It is a detached three-storey building with access between the floors via the stairs. The service users are accommodated in six single and one shared bedroom. These are individually furnished and decorated. The area to the side of the home is used as a car park. The garden area to the rear of the home is secure, well-maintained and accessible to service users. Although the postal address for Wide Cove is Brook Street, the home is accessed via Edgerton Street. The fees at Wide Cove are £570.00 per week. Optional extras include newspapers, books, tapes, clothing, toiletries and hairdressing. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was carried out on 9th August 2006. The total time on site was five hours fifty minutes. The inspector spent half an hour planning the inspection by reviewing the previous inspection report and the service history. The site visit included a tour of the communal areas and two bedrooms, inspection of records and discussions with residents, the registered manager and the support workers on duty. Twenty-three out of forty-three standards were assessed and all were met. All the key standards were assessed. Eight service users, five relatives and three GP comment cards were received. Feedback was given to the registered manager at the end of the site visit. What the service does well: The staff team were keen for high standards to be maintained. Residents’ plans of care and individual case notes were well documented and reflected each resident’s needs. The staff managed daily activities and entertainments well and provided a wide range of choice. Residents confirmed by discussion and through surveys that they were pleased with the choices on offer. The residents said that they liked living at the home. Most of the residents have lived at Wide Cove between twelve and twenty years. Residents said “I can do what I want to during the day”, “the staff listen to what I say” and “if I am not happy or have a complaint I would go to the staff”. Some of the comments received by relatives include “I am so impressed by the kindness and consideration and welfare given”, “the attention of all the staff is most impressive” and “Wide Cove is well managed”. The staff team were all white British but this reflected the current service user group. The care plans were person centred and reflected the diverse needs of the individual residents. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 6 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. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Sufficient information is provided for residents to make a decision about moving into the home. EVIDENCE: The home’s statement of purpose and function, service users guide and a copy of the most recent inspection report were available for the residents and prospective residents. The statement of purpose and service users guide were last reviewed in November 2005. They contained all information needed to make an informed choice on whether this home could meet the needs of the prospective resident. They included information on the home’s environment, how rights would be maintained and aims and objectives. Also included were personal and health care information, daily life and social activities, complaints procedure and staffing details. A brochure of the home included details of the home, the care provided, the staff team and the philosophy of Wide Cove. All residents were aware of the service users guide and a copy of the last inspection report was available on request. Some residents confirmed that they were involved in the care planning process. During discussions with staff it was evident they were aware of service users needs. Within each service user file a pre-assessment document was available which detailed their needs. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this area outcome is excellent. This judgement was made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Two residents’ care records were seen during this site visit. These were comprehensive and well presented in individual folders. Each was subdivided into sections that included care plan, risk assessments, medication and reviews. These were drawn up in consultation with the residents and were based on their assessed needs and risks. The care plans were reviewed on an annual basis and in conjunction with the residents. Person centred plans for dying and death had been fully developed. Risk assessments were in place for all the relevant activities that residents undertook. These included bathing, showering and going out alone. These were seen on the care plans and were up to date. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 10 Daily record sheets showed that information was recorded in respect of each resident. These were detailed and covered all areas of daily living and were accurate, clearly written and signed by carers. The residents spoken with confirmed they had been involved in the choice of décor and furniture within their bedroom and this was seen to reflect each resident’s personality and preferred tastes. The inspector saw that regular house meetings are held and the last one was dated 28th May 2006. Issues discussed included service user surveys, menus, hairdresser, maintenance of the home and holidays and days out. The previous meeting was held on 22nd March 2006. Minutes were kept of all meetings. The residents and staff had signed to show attendance and reading the minutes of the meeting. Service users within the home were able to confirm that they had been involved in the care planning or review process and that staff helped and supported them when they needed it, such as with personal care tasks. Also staff “listen to what I say”, “Staff team are very friendly” and “the staff are brilliant and supportive”. I asked a service user if I could see her file, she agreed and went and got the file herself. She showed me what was in each file and said that I could read these. Observations made during the site visit included seeing staff knock on the bedroom door before entering and staff interactions with service users during lunch and throughout the time on site. The staff were attentive to service users needs and helped them when required. Often guidance and support rather than help was given to service users, enabling them to achieve tasks for themselves within their own time and limitations. Empowerment was very evident throughout all dealings seen between the staff team and service users. The general atmosphere within the home was warm and friendly. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 15, 16 & 17 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Personal and family relationships were encouraged by the home and the staff team supported residents with this. EVIDENCE: All the residents have access to the local community. On the day of this site visit six of the eight residents were out at local day centres and working in the community. Of the residents who were at home, one was having a day off from work and the other person preferred to stay at home. From the service users surveys it was noted that family and friends visited and were made welcome by the staff. Residents shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared areas of the home. The visits from families and friends were recorded in the daily record sheets. These were seen during the site visit. One service user told me about the weekends she spends with her father and how she enjoyed these visits. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 12 The documentation seen regarding daily routines showed that this was good. The residents were supported with daily living tasks as appropriate and a rota had been set up to assist with the completion of household chores, which the inspector saw. All residents had keys to their bedroom doors and residents confirmed that they could lock their doors. They were aware that staff could override this in an emergency. Residents confirmed that mealtimes were flexible. During the inspection one resident was supported in making Tuna Pasta and the other resident requested cheese on toast. One service user said “the meals are good here, plenty of variety and we choose the menus for the week. If you don’t like what is on then an alternative meal is offered”. The manager confirmed that each person chooses different days meals. Copies of menus were seen and reflected a wellbalanced range of foods. The manager stated that advice is given by the staff team on some healthy options and use of fresh fruit and vegetables. The kitchen was seen clean and tidy and fridge, freezer and hot food temperatures were taken and recorded. Activity sheets were seen for two service users. This was a weekly sheet that detailed activities undertaken during the week by the individual. Other activities which could be on a one to one basis with staff or in small groups included going out bowling, canal trips, shopping trips to Widnes, going shopping locally and to the bank and library, holiday in Wales, going to Norton Priory, Blue Planet Aquarium and Albert Docks. During discussions with service users they confirmed they liked going out and about and I was shown photographs taken by a service user of the trip out to the Blue Planet Aquarium. The Princes Trust had recently helped redesign the garden and service users were helping to keep it tidy and weeding. Also the manager had provided a greenhouse and is currently looking at providing a small vegetable garden and service users are interested in this. Service users said they liked being out in the garden in the nice weather. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this area outcome is excellent. This judgement was made using available evidence including a visit to this service. Residents received support from the staff for personal care in accordance with their stated preference. EVIDENCE: The care plan records included Health Action Plans, which were very detailed and covered all areas of health needs. Since the last visit these had been developed for all service users. The information was well documented and included visits to GP, chiropodist, opticians, dentist and medical appointments. Residents spoken to said that these services were accessed in the local community with the support of staff if required. The medication system is the Venalink monitored dosage system and the drugs are supplied on a weekly basis and signed by the person in charge. Drugs are returned to the pharmacy on a monthly basis. Staff are trained in medication awareness. The medication is kept in two medication cupboards within the main office. Staff confirmed that they had received medication awareness training. Also staff files examined showed medication training undertaken. Homely remedy procedures were in place. The home had a medication policy and access to the Royal Pharmaceutical Society guide to administration of medication. Medication sheets (MAR) were seen and appropriately completed by staff. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Residents were satisfied with the support they received from the manager and staff and were protected from abuse, neglect and self-harm by the procedures in place. EVIDENCE: The home’s policy on complaints was seen and this contained details of CSCI and the ombudsman. It was reviewed on 12/12/05. Residents spoken to said that they would speak to the staff if they had a complaint. Staff confirmed that they were aware of the procedure and would pass concerns to the manager. The home had not received any complaints since the last inspection. CSCI had received one anonymous complaint. The issues related to hygiene of the home; residents going for days out and paying for staff and their families; misadministration of medication and staff drinking on duty. These issues were investigated during this visit and discussed with the manager. None of the issues raised were substantiated. All relevant paperwork was available in the event of a complaint being received by the home. The residents said that they “felt concerns they had would be dealt with appropriately”. This was confirmed in the service users surveys. On examination of two staff files it was evident that POVA training had taken place. On discussions with the staff team they were able to explain what abuse was and that they would let the manager know if they were concerned about any service users. The manager was able to demonstrate her knowledge of Halton’s “No Secrets” policy, Halton’s policy on anti-bullying and the homes Abuse Policy. All these were available for the staff to read. The manager and staff confirmed that they had received awareness training in Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 15 POVA. The “No Secrets” video is used and the manager has devised a questionnaire for staff to complete after viewing. Service users spoken with confirmed they would contact the manager if they had any problems. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The home provided a clean and comfortable environment for people to live in. EVIDENCE: The home was furnished in a domestic style. Residents confirmed their bedrooms were decorated to their preferred style. The garden areas were well kept. Residents said “they liked living at the home” and that “they were happy with the environment”. They said that staff had a free and easy rapport with them and this was seen during the site visit. The atmosphere within the home was very good and staff chatted to residents in a friendly manner. A full tour of the communal areas and two bedrooms were seen. The home was found to be fresh, clean and odour free. Bedrooms seen had been personalised by the service users with their own furniture, pictures and mementoes. One service user was in their bedroom during the tour. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 17 During the morning service users worked alongside the staff doing chores and their own washing of bedding. The home was light, airy and was warm. On discussions with service users it was confirmed that the home was warm enough for them, they agreed it was. Improvements made since previous site visit included: 1. New toilets and hand basins in the downstairs toilets; 2. Renovation of the garden including a pergola, hanging baskets, tubs and a new seating area. This was very nice and significantly improved the area for the service users; 3. Replacement of five windows (on a rolling programme); 4. A new shower tray; and 5. The redecoration of one service users bedroom. These improvements had significantly improved the environment available to the residents. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Recruitment policies have been consistently followed resulting in residents receiving care from staff who have been properly vetted. The manager provided clear leadership. Records were well maintained. Staff received support to enable them to meet residents’ needs. EVIDENCE: The staff rotas showed the staff on duty over the week. It also recorded the Registered Manager and owners hours. This appeared to meet the needs of the service users. Service users confirmed that enough staff were around to help them and observations made during the site visit showed staff were attentive to service users needs. At the time of this inspection the agreed staffing levels were met. The home’s manager was on duty with two residents in the home. Another staff member was due in at lunchtime. According to the rota when the other residents are in there are two care staff on in the morning, one in the afternoon and one person sleeping in. The recruitment procedure followed ensured that all the staff employed were suitable to work with vulnerable people. Two staff files were examined and these showed that pre-employment checks were carried out. Amongst the documentation available were two references, Criminal Record Bureau checks Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 19 and a medical questionnaire. Copies of certificates of courses undertaken were also available. The files were up to date and well presented. Observed day-to-day supervision of staff was good and the staff team confirmed they were supported by the manager in their delivery of care to residents. The staff said that formal supervision was conducted on a regular basis and records were kept. The last sessions had been completed during June and July 2006. Staff appraisals were also undertaken and records seen. These had been completed during August 2005 and the manager stated that reassessments would take place in October to coincide with the new staff contracts. Three of the five staff have either obtained NVQ level II or III in Care. Mandatory training included training on Person Centred Planning, Learning Disabilities and Dementia, NVQ level II & III, promoting independence, equal opportunities, medication, fire training, epilepsy and food hygiene. All staff had completed mandatory training. Health and Safety and Adult Protection were other courses most staff had undertaken. Staff induction consisted of spending time in the home, fire awareness, about the staff member’s role, Health and Safety and policies, procedures and guidelines. New employees worked alongside other members of staff until they were ready to work unsupervised. This process took up to the first three months of employment. Staff meetings take place on a regular basis usually every two months. The last meeting was held on 26/4/06 and issues discussed included team building, documentation, records and communication book, service users surveys and residents holidays. The previous meeting was held on 13/3/06. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The arrangements in place fully protect and promote the residents’ safety and welfare. Residents’ views were used in the planning for the home. Decisions are influenced by the information obtained from the completed satisfaction surveys and from conversations with residents. EVIDENCE: Safe working practices included visits from the fire safety officer and the environmental health officer, which had been completed satisfactorily. The insurance certificate was in place and up to date. Fire alarm tests were being undertaken on a weekly basis and records kept. Emergency lighting tests were also being carried out on a monthly basis with records kept. The gas safety and electrical safety certificates were up to date following an immediate requirement made during the previous visit. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 21 Records seen were kept in good order. These were in line with the Data Protection requirements. Residents confirmed they were aware of information kept about them. Residents’ files were kept secure. Care plans were discussed with the residents and staff said that residents give full input into the plans, which a resident confirmed. The record keeping policy included data protection information. Every six months the manager gives satisfaction surveys to residents. These details were kept on each resident’s files. The manager said that the information would be used to improve the service provided. Surveys covered information about the staff, running of the home, privacy, independence, visitors, complaints, activities, heath care needs and other comments. A policy on monitoring service quality was seen at this inspection. Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 23 No Are there any outstanding requirements from the last inspection? 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 Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Wide Cove DS0000005201.V293028.R01.S.doc Version 5.1 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!