Care Home: 72 Eltham Avenue

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What the care home does well This is a happy home where residents are given good quality care by a cheerful team of workers. The whole of the staff team work well together and are highly skilled and experienced. They know the needs of residents well and are liked and trusted. The home is clean and attractive and offers residents a comfortable place to live. Residents use the well-kept gardens during nice weather. Each person has their own bedroom, which has been furnished and decorated with their personal wishes and preferences in mind. One resident says that they like living in their own flat. Written records are good and help staff to know what care residents need. There is always something to do at the home and people say they like to watch television, DVD`s or listen to music. The staff are very good at helping the residents to make things and to join in the shopping, cooking and other activities. Residents go out to day services where they meet other people and make new friends. What has improved since the last inspection? Since the last inspection the Statement of Purpose and Service User Guides have been updated to provide residents with more up-to-date information. All residents have a copy of their contract. Staff have received more training about epilepsy and safeguarding adults. They have been reminded about their responsibilities in relation to the safety of residents. Staff records are now kept in the home so that inspectors can see them during an inspection. A Manager from the Organisation is visiting the home monthly and writing a report on how well the home is running. A copy of reports on accidents is kept in the home. What the care home could do better: There were no new requirements arising from this inspection. CARE HOME ADULTS 18-65 72 Eltham Avenue Cippenham Slough Berks SL1 5UP Lead Inspector Julie Willis Unannounced Inspection 4 & 23rd July 2008 10:00 th 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 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 72 Eltham Avenue DS0000069482.V366970.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 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. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 72 Eltham Avenue Address Cippenham Slough Berks SL1 5UP 01753 822483 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) ibrooks@adepta.org.uk www.pentahact.org.uk PentaHact Limited trading as Adepta Mrs Isobel Brooks Care Home 6 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2007 Brief Description of the Service: 72 Eltham Avenue is a purpose built home for six residents with a learning disability, some of whom may also have associated physical disabilities. The home is located on a residential housing estate in Cippenham, Slough, and provides accommodation and care for up to six residents of either gender, though at the point of inspection, four residents were present, all of whom were female. A range of specialist adaptations have been made to the home in order to meet the needs of residents with physical disabilities, Adepta operates the home, within premises owned by Windsor and Maidenhead Housing Association. The residential care component of the fees, paid for by residents at the time of this inspection was £63.95 per week plus an additional contribution towards the cost of the home’s leased vehicle, from mobility allowance, though the rates for this had yet to be determined. The resident’s local authority provides the balance of fees. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. This unannounced inspection took place over two days. On the first day the 4th July the inspector was present at the home between 10:00 am and 1:45pm. The inspector returned to inspect the home on the 23rd July between 12.20 pm and 2:45pm in order to meet the Manager, check staff files and to gather further information. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. Prior to the visit an AQAA (Annual Quality Assurance Assessment) questionnaire was sent to the Manager, which provided the inspector with information about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met all of the residents. The inspector also spent time talking informally to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service has a good awareness and understanding of equality and diversity issues and would be able to provide positive outcomes for residents in the areas of race, ethnicity, age, gender, sexuality, disability and belief. The inspector gave feedback about her findings to the homes Manager at the end of inspection. There were no legal requirements made as a result of this inspection. The Commission has received no information concerning complaints since the last inspection. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: There were no new requirements arising from this inspection. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 8 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 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1 &2 People who use the service experience good quality outcomes in this area. All prospective residents are provided with sufficient information, in an appropriate format to enable them to decide if the home will be able to meet their needs. People are fully assessed prior to admission to ensure that staff have sufficient information to provide the right care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From examination of the Statement of Purpose and Service User Guide it is evident that prospective users of the service are provided with sufficient information to decide if the home is right for them. The Service User Guide has been provided in a user-friendly pictorial format. It contains a copy of the written contract, which sets out in detail what is included in the fee, the role and responsibility of the provider and the rights and obligations of the individual. The Statement of Purpose is specific to the home and clearly sets out the homes objectives and philosophy. Although there have been no new admissions to the home for a number of years and admission documentation has been archived it was evident from discussions with staff that people were fully assessed prior to their admission to the home. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 10 The home has a comprehensive admissions policy in place which details the comprehensive and holistic assessment that will take place and the need to fully involve the person to be admitted, their families, advocates and a multidisciplinary team of professionals. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 9 People who use the service experience excellent outcomes in this area. People using this service are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations and lifestyle choices of people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination and case tracking of three peoples care evidenced that the records were up-to-date and well written. The daily records clearly reflected the content of care plans and were highly detailed. The care documentation was person-centred, comprehensive and holistic and provided sufficient information for staff to provide the appropriate care. Although some of the residents are non-verbal it was evident that the staff have tried to involve them in the development of their care plan. This has involved using picture symbols and photographs. Staff confirmed that an effective key-worker system operates at the home and helps individuals make 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 12 a worthwhile contribution to the planning of their care. If people need someone to advocate on their behalf assistance is sought from appropriate organisations and their input is clearly documented. Members of the South Eastern Advocacy Project meet with residents when needed and their input has been found to be most helpful when decisions need to be made. From discussion with residents and observation of practice it is clear that people are fully supported to make decisions about their every day lives and to achieve their personal goals. From examination of documentation and discussion with staff it was evident that the home positively encourages people to develop independence. This has led to a degree of risk taking. The content of care plans evidenced that people are supported to take risks as part of their everyday life style and these risks have been fully assessed. In the case of one resident the risks associated with use of kitchen equipment, declining medication and absconding were well documented and there were effective behavioural support guidelines in place to address and minimise any challenging behaviours that may be exhibited from time to time. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16, 17 People who use the service experience good outcomes in this area. Residents are able to make choices about their lifestyle and are supported to develop life skills and independence. Social, educational, cultural and recreational activities meet individual’s expectations. People are provided with a menu that is nourishing, varied and meets their individual and cultural need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector spent time with one of the residents who was able to express how they felt about their quality of life at the home. The resident clearly liked living at Eltham Avenue and enjoyed an active social life. The inspector was shown the residents individual flat and was told of the resident’s forthcoming holiday plans. Staff had supported the resident in choosing the destination, the hotel and who would support them during the holiday. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 14 From discussion with staff and examination of documentation it was evident that people at the home are provided with the opportunity to engage in activities that are stimulating and worthwhile. Most attend local day centres several times a week where they are encouraged to participate in a range of small group activities or are provided with one-to-one support. People’s attendance at each session is well documented and their progress forms part of their care plan review. At home residents are supported to listen to music, watch television or DVD’s, or to go for walks to visit local shops. There is a fully equipped sensory room in the home which one of the residents particularly enjoys. Daily records of activities evidenced that residents make good use of communal facilities including local restaurants, cinemas, sports facilities, swimming pools and public houses. All residents use the house vehicle, which is shared with another home or public transport to access the community. Residents have taken several trips recently to Bournemouth and other destinations with ‘Out and About’ transportation. One resident told the inspector they do their own shopping within a fixed budget. They are supported to plan their own menus and prepare their own food on a daily basis. This has significantly enhanced their level of independence and the outcomes are well documented. The home provides a nourishing menu, which meets the cultural needs of the residents. Residents are provided with choice and variety and are regularly consulted about the menus, which they help to prepare and cook. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 18, 19, 20 People that use the service experience good quality outcomes in this area. Peoples physical and personal support needs are well met at this home and a well-trained and competent staff team deal with medication safely and appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This home has a good track record of providing positive outcomes for its residents. Staff are well trained and have received the specialist training they require to meet the needs of the residents effectively. The training provided includes epilepsy awareness, PEG feeding, management of challenging behaviours and person-centred care. From examination of care records it is evident that residents physical and personal care needs are well met by the home. All care and support provided to individuals is well documented in the daily records. Staff ensure that personal support is flexible, consistent and responsive to the changing needs of residents. All residents are supported to remain as independent as possible. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 16 One resident was able to confirm that their care is provided in a manner, which maintains their right to dignity, privacy, independence and choice. They have freedom to choose what they do and when they do it and any restrictions are agreed as part of their on-going care plan. Aids and equipment are provided to encourage maximum levels of independence and specialist advice and support is sought when necessary. Examination of resident’s documentation and discussion with staff and management indicated that all residents are registered with a local doctor. Regular health checks and routine screening and treatments are offered by the practice and several residents regularly see the practice nurse for blood tests and other advice and treatment. The doctor also offers residents regular vaccinations against flu and other illnesses and the decision as to whether or not to have treatment is documented in the resident’s records. There was evidence that residents also have regular dentistry, podiatry and attention to their vision and hearing and their attendance is appropriately recorded in the care records. A number of the residents are regular attendees at hospital. Details of the outcome of these appointments and any changes in treatment or medication are well documented in the care plans and daily records. The home has a robust medication policy, procedure and practice guidance in place. Staff are aware of their responsibilities in relation to the safe administration of medication and have been properly trained. None of the current residents self medicate. The system used for the safe administration of medication is the monitored dosage system. This system reduces the likelihood of medication error and provides an accurate record of administration. All staff have been fully trained in the safe use of the system. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 22 & 23 People that use the service experience good quality outcomes in this area. The residents are safe and protected by the policies and practices within the home and residents views and comments are listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an easily accessed complaints procedure, which has been produced in easy to read pictorial format. Each resident has been provided with a copy of the homes Service Users Guide that contains details of the complaint process and time scales for action. Staff have received training in how to recognise complaints and how to deal with them effectively. There have been no complaints made to the home and the CSCI has received no information about complaints or safeguarding issues at the home since the last inspection. The home has a copy of the ‘Safeguarding Adults’ strategy and staff are aware of its content and how to respond to suspected abuse. All staff have received the necessary training to protect users of the service from harm. One person at the home told the inspector that they liked living there and felt safe and well cared for. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 24 & 30 People using this service experience good quality outcomes. The physical design and layout of the home enables residents to live in a safe, wellmaintained and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home evidenced that the home was clean and hygienic throughout. Communal areas were spacious, light and airy and pleasantly furnished and decorated. The gardens were well kept and well used by residents. The home was purpose built to meet the needs of residents with a range of physical and learning disabilities. The home is equipped with the necessary aids and adaptations including rise and fall baths, assisted showers and track hoists. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 19 Staff are mindful of the need to involve residents with the choice of decoration and furnishings in the home. All bedrooms were highly personalised to reflect the individual interests and preferences of residents. One of the residents showed the inspector their flat which was relatively selfcontained and had been decorated to their particular colour choice and theme. The resident told the inspector that they liked living at the home, which they said was “good”. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34, 35 People who use the service experience good outcomes in this area. There were sufficient numbers of staff on duty at the time of inspection to meet the needs of residents effectively. The skill mix of the staff team was appropriate for the size, layout and purpose of the home. Recruitment policies and procedures at the home are robust and transparent and ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The rosters at this home are designed flexibly to ensure that there are sufficient numbers of staff on duty at busy times of the day or to accommodate the residents busy activity schedules. Agency staff use is kept to a minimum but because the home has vacancies for permanent workers the same agency staff are used to cover gaps in the roster whenever possible to aid consistency. Examination of the staff recruitment and training files for three workers evidenced that staff were appropriately recruited, inducted and trained. Selection and recruitment procedures at this home are robust. Records evidence that all necessary checks are carried out on staff to ensure that they 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 21 possess the necessary attributes to care effectively for the residents. Records were well kept and met the required standard. The staff team work well together to benefit residents. Staff appeared to have a good understanding of how their individual role benefits the work of the team and a thorough knowledge of the key values that underpin their work with residents. There was evidence that all staff had an up-to-date ‘Training Plan’ and that staff are properly supported and supervised. The records indicated that the support offered in one-to-one sessions was frequent, resident focused and appropriate. In addition staff have the opportunity to express their opinions openly in staff meetings and staff handovers. The inspector had the opportunity to read the minutes of the last four meetings and to observe a staff handover. The staff on duty confirmed that they are provided with plenty of opportunity to express concerns, share information and to feel included and involved in the way the service is delivered. Staff say that they are offered opportunities to gain professional qualifications to further enhance their knowledge and skills. Several staff had already achieved a National Vocational Qualification at Level 2 & 3 and a number of staff were near completion. Staff told the inspector that they have been supported to access fast track training through UK E learning. There was evidence in the training file that all staff are provided with refresher training in core skills at regular intervals, including fire safety awareness, first aid, medication, safeguarding adults, health & safety, first aid, manual handling and infection control to ensure resident safety. Observation of practice concluded that staff have very positive relationships with the residents based on valuing the individual, mutual trust and respect. The key-workers of individual residents have built a good rapport with them and have the necessary skills and experience to effectively meet their needs. The staff approach was consistent, professional and based on establishing and maintaining the resident’s independence and autonomy. Staff supported and enabled residents to maximise their quality of life, to take risks and to make appropriate decisions. Residents have confidence in the way that staff care for them. One resident commented that staff at the home were, “good” and “nice”, 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39, 42 People who use the service experience good outcomes in this area. The home is safe and well managed by a competent manager and professional staff team. The home seeks and focuses on the views of its residents on an ongoing basis. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff on duty were able to confirm that the Registered Manager is experienced and competent and runs the home in an open and transparent way which values the thoughts and opinions of staff and residents. The home has an ethos of being ‘person centred’ and staff have been recruited and trained to a high standard to support the aims and objectives of the home. 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 23 Although the Registered Manager was not on duty on the first day of inspection professional and skilled workers competently managed the home in her absence. Quality assurance is monitored through regular resident meetings, staff meetings, key worker meetings and monthly auditing of the home by senior management. The home has a regular quality assurance service review which is updated six monthly. The review helps to identify any shortfalls in the quality or consistency of the service and to identify areas that need improvement. Examination of a number of health & safety records indicated that all necessary checks and servicing of equipment is routinely undertaken to safeguard the health and welfare of people using the service. Unnecessary risks to residents are identified using a comprehensive risk assessment. So far as possible the risks are reduced or eliminated by putting in place effective guidelines, policies and procedures. 72 Eltham Avenue DS0000069482.V366970.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 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 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 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 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 25 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 72 Eltham Avenue DS0000069482.V366970.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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