Care Home: Ashley House

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What the care home does well This is a small home and has a homely, relaxed atmosphere. The people we spoke to who live at Ashley House said they liked living there; that they get on well with the staff and are well cared for and supported. Risk assessment and rehabilitative planning was particularly good and this is reflected in the way that people`s lives have improved since living there. People are encouraged to keep in touch with their family and friends. The home is well managed in a positive, proactive and systematic way. Staff, residents and visiting professionals acknowledged this. What has improved since the last inspection? This is the home`s first key inspection since it was re-registered as a limited company by the same owners in 2007. There were no requirements outstanding. What the care home could do better: No new requirements were made at this inspection. CARE HOME ADULTS 18-65 Ashley House 57 Broadwater Road London N17 6EP Lead Inspector Margaret Flaws Unannounced Inspection 25th July 2008 09:45 Ashley House DS0000069880.V368108.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 Ashley House DS0000069880.V368108.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. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley House Address 57 Broadwater Road London N17 6EP 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) 020 8352 1027 020 8352 1027 ashleycarehome@yahoo.co.uk Ashley House Care Homes Ltd Angela Dadzie Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 3 Annual Service Review 8/02/08 Date of last inspection Brief Description of the Service: The home is situated in a residential area of Tottenham near to Bruce Grove and is registered to provide care for up to 3 people with a mental disorder. It is owned by Ashley House Care Homes Limited and the Responsible Individual is Mr John Dadzie. His wife, Mrs Angela Dadzie, is the Registered Manager. The home comprises of 3 bedrooms, with a shared lounge, dining area/kitchen and a rear garden with a patio area. Support available to the people who use the service includes support with personal care, domestic tasks, access to health care and support with finances. Ashley House is located near shops, recreational facilities and public transport links. The home’s Service User Guide states that it provides support for people to be part of the local community and to develop leisure and social activities. The fees are normally between £500 and £850 for each placement per week, and the people who use the service are expected to pay separately for items such as hairdressing and clothes. The service was newly registered in 2007 when it changed to limited company status but has been operating for several years before. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was undertaken over one day. During the visit, the Registered Manager and one staff member on duty assisted us. We spoke to them and to two residents who were at home. The inspection also comprised a tour of the grounds and the building, a review of written records including the care files of three residents, two staff and other home records. An Annual Quality Assurance Assessment (AQAA) was completed and returned to CSCI earlier this year, prior to the CSCI Annual Service Review. This AQAA was useful for this key inspection. The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. What the service does well: What has improved since the last inspection? What they could do better: No new requirements were made at this inspection. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 6 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. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 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 Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living in the home have had their individual aspirations and needs fully assessed. Prospective residents can be confident that they would be given all the information they need to make a decision about living in the home. EVIDENCE: No new residents have moved into this small home since 2004. Three men live there and, on the day of the inspection, two people were at home in the morning and another resident came home in the early afternoon. There is good information available for prospective residents. The home’s Service User Guide gives good information about what is offered and what needs the home can meet. There is a clear assessment procedure in place. We examined the care files for all three people living in the home. These contained full needs assessments, which formed the basis of clear care plans and risk assessments. These assessments had been completed for all residents prior to their admission. Placing authorities had provided statutory assessment information, which is kept on each file and further information had been gathered from the multidisciplinary teams involved with each person. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 9 The Registered Manager said that the assessment, including risk assessment, procedures had been reviewed to ensure they take into consideration the new Mental Capacity Act. Each person had a signed contract on their file. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 10 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): 6,7, 9 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living in the home are involved in decision making about the life of the home and about their own lives. People have individualised, accessible care plans that set out their needs and these are regularly reviewed, in consultation with them. Good written risk assessments are in place, risks are appropriately assessed and managed, to help people develop and to protect them from harm. EVIDENCE: To gain a picture of how people live at Ashley House, we reviewed the care files of two residents and spoke to two people who were at home. Each person’s file included clear written care plans, which had been reviewed regularly (at least every six months and, in some instances, monthly). They were of a good standard and addressed important areas of people’s lives. The Registered Manager and the staff member on duty demonstrated an excellent knowledge of the individual needs of each person living in the home, Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 11 which was reflected in the quality of the care plans and risk assessments. The residents had agreed and signed off each section of these plans. The residents we spoke to described how they planned for their goals and how staff supported them to achieve them. Reviews by the placing authority social workers and care managers were up to date and were all very positive about the effectiveness of the home in supporting the residents’ rehabilitation and wellbeing. The reviews included feedback from interviews with residents and one described the home as having “the best carers he’d ever known”. In each person’s case, there was clear and consistent progress noted by the placement reviewers in people’s wellbeing and behaviour over time. During the inspection, staff were observed supporting the residents with their choices, for example, their choices about smoking. Residents were comfortable coming into the office and spending time chatting with staff there. This was part of the relaxed and friendly atmosphere in the home. Individual choices were documented around food (including cultural choices), involvement in routines, sexual preferences and needs, religious and spiritual needs, voting rights, and financial management. The staff said that all the residents have their own bank accounts and generally manage their own finances, with some support, such going to the bank. The care plans outlined what each person would do by themselves and what they would like staff to do. There is a policy and procedure for discussing and recording people’s preferences of what they want to happen should they die. Risk assessment and risk reduction plans were very good, with each risk outlined simply and clearly on a separate sheet. Actions to reduce the risk were detailed below. Examples of risks identified included self neglect, noncompliance with medication, hallucinations, suicidal thoughts, challenging behaviour and other behavioural risks, and low motivation. Each risk assessment included the phone numbers of professionals to contact in an emergency, an example of good practice. There was also a way of calculating dependency and risk, which was recorded. The residents had made their own comments on the risks and how they would like to be supported around them. Staff demonstrated how they explained to residents the issues involved in managing risks, including respecting their rights and recognising their responsibilities. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16 and 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living in the home have the opportunity to develop as people and maintain important personal and family relationships. Individual rights and choices are supported by the home and its ethos. EVIDENCE: The inspection took place during the day, when two residents were at home. One person was at day centre but came back in the early afternoon. There is no formal activity programme in place and people living in the home pursue their own interests and activities, with staff support. Residents and staff make weekly activity plans and the Registered Manager said that additional staff are bought in as and when needed to accompany residents out. Regular day trips are a feature of the summer and a holiday together, usually at the seaside. Residents are also supported to go overseas, if they wish. One resident generally needs support when going outside the home. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 13 The other residents usually go out on their own but with support for some activities, in line with the home’s rehabilitative ethos. We reviewed two care files, which included activity records, and talked to the residents about how they spent their time. They said that they enjoyed going out, for example, to cafes and to the shops said they felt supported to do so. Regular activities include watching TV, listening to music and reading at home, playing games like chess or cards, occasional gardening, Residents are supported to maintain contact with relatives and friends. Two residents have contact with their families and one person has access to an advocate in the absence of family. There was information about advocacy services available in the home. Food in the home appeared to be of reasonable quality. There was an average quantity of food on hand and some fresh fruit and vegetables. Cooked breakfasts are always on offer and menu planning by residents is part of the daily life of the home. One resident always accompanies the staff on the shopping trips. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 14 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): 18,19,20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living in the home have their physical and emotional healthcare needs met through good quality planning and supportive intervention. Staff encourage people to be independent and to take responsibility for their own personal care needs. Medication policy and procedures are sound and protect people living in the home. EVIDENCE: Residents are quite independent, so staff mainly prompt them for personal care and help them with motivation in their routines. This support is well documented in the care plans. The home has a form that residents fill in indicating their preferences in ‘intimate care’, including their choice of the gender of the staff member providing the care. The residents spoken to said that the staff respected their privacy. This respectfulness was observed in interactions between residents and staff. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 15 The two written records examined had very good information on people’s health care needs and how they are monitored. There was evidence of regular check-ups and appointments, for example, with dentists, doctors and opticians. Weight and blood pressure monitoring are recorded. The residents we spoke were able to describe how some of their health care needs are met. Health care appointments were also discussed in the residents’ meetings and the discussions minuted. Each person’s mental health needs are clearly the subject of ongoing discussions between staff and residents. These discussions were documented in the care files. Each person has a Mental Health Relapse Plan in place to enable staff to monitor potential warning signs. Medication policies and procedures in the home are safe and protect the people living there. Medication is stored appropriately in a locked cupboard in the office. The Medication Administration Records (MAR charts) were good, with no gaps or errors noted. Medication cupboard temperatures were monitored and recorded. We observed the lunchtime medication arrangements, which were straightforward. Staff explained the procedures confidently. One resident said about his medication: “they prompt me to take my medicine but often I remember early and prompt them”. He said he was very happy with the arrangements. Some residents go to the local community mental health clinics for regular medication by injection. The Registered Manager described how the home worked closely with each person’s psychiatrist if there were any changes to their medication or compliance issues. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 16 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): 22 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home has an open culture that supports people living there to express their views and concerns in a safe and understanding environment. People living in the home say that they are happy with the service, feel safe and well supported. People living in the home are protected by the home’s safeguarding adults policies and procedures. EVIDENCE: There is a clear complaints procedure on the home’s noticeboard. We checked the complaints records. No complaints were received by the home since the previous inspection. We spoke to two residents, who said they knew how to express their views and concerns and said they do so easily. Safeguarding adults policies and procedures are in place. The home has a copy of the local authority’s safeguarding procedure on the office noticeboard. The Registered Manager said that she is waiting for updated information from the local authority. Staff are trained in safeguarding adults. The Registered Manager described how she checks staff understanding of safeguarding by using scenario based learning in one to one supervision sessions. Staff gave a good account of what they understood by abuse and what actions they would take to protect the people living in the home. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 17 Ashley House DS0000069880.V368108.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): 24 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home is a comfortable, homely and well-maintained environment suitable for the residents’ needs. Sharon House is well lit, clean, hygienic and fresh. EVIDENCE: We made a tour of the home with one resident. The home has a big kitchen, bathroom, laundry and comfortable lounge with television with Sky TV, DVD player, books, magazines and newspapers. There is an attractive private garden, which appeared well maintained, with comfortable outdoor furniture. The home has provided a ‘smoking shed’ for residents who smoke. During the inspection, residents spent time in their rooms, in the lounge or the garden, as they wished. Each person has their own bedroom. One resident showed us his bedroom, which appeared comfortable and he said that he liked it very much. The other resident commented that he liked the home environment. New beds have been purchased. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 19 The house was clean, fresh and well maintained. Staff are trained in infection control, food hygiene, handling dangerous substances and health and safety practices. Incidents and accident records are kept but none have been recorded since the last inspection. Ashley House DS0000069880.V368108.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): 32, 34 and 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living in the home are supported by sufficient numbers of properly recruited, trained and supported staff. EVIDENCE: There were two staff on duty at the time of the inspection, including the Registered Manager. The rota reflected that this was the normal staffing level for the home. The staff appeared to have sound relationships with the residents and were observed in positive interactions with them. There have been no new staff since the last inspection and there is low staff turnover. There is a sound recruitment procedure in place should new staff be needed. Residents are invited to participate in staff recruitment interviews for homes in the Ashley Care Homes Limited group and one resident said that he taken part in a manager’s recent interview. We checked two staff files. These had had all pre-employment checks completed including Criminal Records Bureau and reference checks, and interview notes indicated thorough recruitment screening. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 21 Most staff have NVQ 2 qualifications; several staff have or are working towards NVQ 3 and one senior staff member is due to enrol in NVQ4. There is a rolling training programme in all core areas and staff were up to date. Their certificates are held on file. Staff are due to have additional training in the Mental Capacity Act and Equality and Diversity. There is annual training plan. Fire safety training was provided for both staff and residents. The safeguarding training includes work on managing challenging behaviour. Staff are appropriately supported and supervised. Supervision sessions are held every two months. These are well documented with actions and followup by each person. Staff said they found these sessions very helpful and productive. They also said that there is a very good relationship between the staff and that “rubs off on all the relationships in the home, which are very good”. Ashley House DS0000069880.V368108.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): 37,39 and 42 People who use this service experience good quality outcomes. We have made this judgement using a range of evidence including a visit to this service. The service is well planned and well focused on the needs of people living in the home. People’s views are formally and informally assessed and their health and safety needs protected. EVIDENCE: The registration status of the home, which has been operating for several years, changed in May 2007. At this time, the Registered Provider changed status from a private individual to a limited company, Ashley House Care Homes Limited. The Registered Individual is the same, Mr. John Dadzie. The Registered Manager runs the home on a day-to-day basis. Angela Dadzie is also the Registered Manager of Emmanuel House (9 Chalgrove), another home in the Ashley House Care Homes Limited group. This home is currently non-operational. We discussed the management arrangements that she anticipated putting in place once this other home has people living in it. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 23 She said that she will work half a week at each base and rotate the days, with extra care staff in place in each home. Mrs. Dadzie said that this arrangement, which was agreed at her Registration interview, would be kept under review. She is currently completing her Registered Managers’ Award and has enrolled to study for a degree in Social Work. There is clear business plan in place for the service. The Registered Manager said that the results of the annual staff appraisals are fed into each year’s business plans. Staff spoke positively about the management of the home. Staff meetings are well documented and staff said that they were constructive forum for discussing good practice and for considering the needs of the residents. Some joint meetings are also held with both staff and residents. These were also a venue for interactive discussion around people’s needs, wishes and rights, as evidenced in the minutes we saw. A quality assurance process is in place, with a simple survey of relatives, residents and care professionals. The Registered Manager stated in the Annual Quality Assurance Assessment that any changes needed that come out of the survey are put into an action plan. Pictorial survey forms returned by the residents were on file and were positive. The last survey was completed in July 2008. Formal, minuted residents’ meetings are held monthly. We saw the minutes of the most recent meeting, held in June 2008. It was clear from these minutes that the residents were confident in expressing their views and that their wishes were honoured. There are weekly meetings held to discuss menus and the residents’ plans for the week. Health and safety practices in the home protect the people living there. Equipment and health and safety certifications are up to date, according to the Annual Quality Assurance Assessment (AQAA) provided by the Registered Person. This was confirmed by checks during the visit. The home has a fire safety risk assessment. Fire safety compliance is internally assessed each month. Fire drills are carried out quarterly; alarms are generally tested weekly and fire equipment checks done. Annual fire safety equipment testing was due within the month of the inspection. The home’s inclusive approach was demonstrated by residents attending a fire safety training day with the staff. Residents now have fire safety training certificates and had said the training was of value. Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 24 Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 25 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 x 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 4 3 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 Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 26 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 Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashley House DS0000069880.V368108.R01.S.doc Version 5.2 Page 28 - 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. 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