Care Home: Ashton Lodge

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Key inspection report CARE HOMES FOR OLDER PEOPLE Ashton Lodge 22 St Michaels Road Maidstone Kent ME16 8BS Lead Inspector Helen Martin Unannounced Inspection 17th April 2009 12:30 DS0000023889.V375237.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashton Lodge Address 22 St Michaels Road Maidstone Kent ME16 8BS 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) 01622 677149 ashton.lodge@tiscali.co.uk Mr Ramdass Varathy Ramasawmy Mrs Manoon Ramasawmy Mrs Manoon Ramasawmy Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 12.. Date of last inspection 18th April 2007 Brief Description of the Service: Ashton Lodge can provide care and accommodation for up to twelve older people. The home is located approximately ½ mile from Maidstone town centre with easy access to public transport. The nearest shops, church, pubs, post office are within easy walking distance. Ashton Lodge is a large house that has been converted to a residential home, having accommodation on the ground and first floors. The home has ten single and one double room, each room is fitted with a call alarm and television point. The double bedroom is currently used for single occupancy. The home has facilities for car parking at the front of the building. Mr and Mrs Ramasawmy own the home. Mrs Ramasawmy takes control of the day-to-day management. The care staff work on a roster system, which gives twenty-four hour cover. The owners and staff currently undertake all duties in the home including cooking, cleaning and entertainment. Full information about the fees and costs payable, the service provided and the homes Statement of Purpose are available from the Registered Manager. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Ashton Lodge provides care and accommodation for up to twelve older people. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This Key Unannounced Inspection included a visit to the home in Maidstone on 17th April 2009, where the Registered Manager, two Carers and four Service Users were spoken with. Some judgements about the quality of the service provided were taken from observations and conversation. Some records and documents were looked at together with the premises and facilities of the home. The last Key Inspection was undertaken on 18th April 2007 and an Annual Service Review was completed on 29th April 2008. An Annual Quality Assurance Assessment, AQAA, has been received from the home. Any other information received since the previous Key Inspection has been reviewed. All of the above have been included within this inspection process and some of the gathered evidence is mentioned in this report where appropriate. What the service does well: Residents live in a home run in their best interests. They benefit from a competent, qualified and experienced Registered Manager. Residents enjoy living in clean, comfortable, homely and well maintained surroundings. People who are thinking about moving in are assessed to make sure that the home can meet their wishes and needs. Residents are treated with dignity and respect. They are recognised as individuals and are able to exercise choice over their lives. Residents feel suitably occupied and can choose to pursue their individual interests; they enjoy keeping in contact with their relatives and friends. Individuals changing personal, health and social care needs are met and reflected in care plans. There are systems in place for the administration of medication which aim to protect residents. Residents benefit from a good quality varied diet. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 6 Residents benefit from appropriately recruited, supervised, qualified and trained staff who care for, understand and anticipate their needs and wishes. The views of residents and their representatives are listened to and receive appropriate consideration. People are asked their opinions about the quality of the service provided. People are protected from potential abuse and by the systems in place to protect their finances and health and safety. What has improved since the last inspection? What they could do better: Residents could be better protected by confirmation that there are sufficient staff to meet all their needs on duty every day and by ensuring written guidelines for staff are up to date and easily available. Residents benefit from a safe environment, although a review of the storage of oxygen tanks and the testing of hot water temperatures would enhance this. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 7 Minor changes to recording would enhance the way in which residents’ needs are reflected in care plans. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 People using 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. Residents benefit from assessment before they move in, which ensures that the home can meet their needs. EVIDENCE: People who are thinking about moving into Ashton Lodge are assessed beforehand to ensure that their needs can be met. This can also be done by the local authority. Information is recorded and care plans for the help that people need are developed from this. The Registered Manager explained that the home does not provide any intermediate care. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 People using 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. Residents are treated with dignity and respect. Residents changing personal, health and social care needs are met and reflected in care plans; although minor changes to recording would enhance this. There are systems in place for the administration of medication which protect residents, although this could be enhanced by reviewing the storage of oxygen tanks. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 11 EVIDENCE: Individual plans of care for each resident are developed from assessments undertaken prior to their admission to the home. These aim to identify the action required from staff to meet residents personal, social and health care needs. Three care plans were looked at. These are clear with detailed up to date information, which reflects the needs and wishes of individuals. Any risks to residents are assessed and records show the actions needed to reduce these. Residents changing needs are reflected in notes written by staff on a daily basis. Entries indicate AM, PM or night but do not always specify the actual time that events occurred. The provider is recommended to ensure that specific times of events and entries are recorded in all daily notes. Residents’ health care needs are met. These are monitored and recorded in care plans. Records also show that a range of health and social care professionals are accessed to support staff to meet residents’ needs including consultation and referral to medical professionals. Written policies and procedures are available for staff to provide guidance. Although a few residents, who are assessed as safe to do so, manage their own medication, most benefit from support from staff in this respect. Medication is stored in secure cabinets designed for the purpose. A small amount of medication requiring refrigeration is kept in a locked box in a designated fridge. Although this is not lockable, the room in which it is located is. Administration records are completed appropriately. A written medication policy is available for staff to provide guidance. Some residents require the use of oxygen; tanks are located and signed appropriately, although they are not secured. The Provider is recommended to review the storage of oxygen tanks to ensure they are secured appropriately. All staff who administer medication are trained to do so and assessed annually. Residents are treated with dignity and respect. During the visit, staff were observed to be kind and helpful, attend to residents needs in privacy and respond quickly when needed. Staff spoken with demonstrated a good understanding of individuals needs and described their roles well. Residents spoken with indicated that staff are very good and look after them well. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 People using 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. Residents are recognised as individuals and are able to exercise choice over their lives. Residents feel suitably occupied and can choose to pursue their individual interests; they enjoy keeping in contact with their relatives and friends. Residents benefit from a good quality varied diet. EVIDENCE: People move into Ashton Lodge knowing the nature of the service. Residents are free to choose what to do each day. The pace of daily life is relaxed. They are encouraged to be as independent as possible. People can choose whether to spend time in their rooms or in the communal areas and the routines of the home are generally flexible. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 13 Residents indicated that they felt suitably occupied and can choose to pursue their own individual pastimes or interests. People enjoy crosswords and singing. Entertainment is organised and provided in the home every couple of months. Residents can go out with staff for short walks in warmer weather. There are regular hairdressing and nail manicures available. Staff spend time with residents on a one to one basis discussing both topical and past issues. The Registered Manager assured the inspector that they were currently recruiting for an activities co coordinator and in the process of developing more organised activities for residents. Trips out are currently arranged individually between residents and their families or people are able to go out independently. Residents are encouraged to keep in contact with their relatives and friends if they wish. Visitors are welcome in the home at any reasonable hour. Residents can choose whether to eat in their bedrooms or the communal dining area. There are hot and cold choices for breakfast, lunch and tea. Staff are aware of residents’ special dietary needs, likes and dislikes and any allergies. All residents spoken with indicated that they were happy living in the home and with what they do. One person said they enjoyed living here; had their hair done today; was looking forward to going out with their family tomorrow; liked watching TV; thought the food and the fish were nice. Another mentioned that their family visits often; they have their own phone to contact their family whenever they wish; they have a special adjustable chair so they can sit more easily. Another person described how they liked living here; saw their family quite a lot. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 People using 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 views of residents and their representatives are listened to and receive appropriate consideration. Procedures are in place, which aim to protect residents from potential abuse. EVIDENCE: At the time of this visit, it was observed that residents were at ease talking with staff and the Registered Manager who listened to their views. Staff demonstrated a good understanding of residents. A positive relationship between both staff and residents with a good balance between professionalism and friendliness was observed. There is a written complaints procedure available for residents and their relatives. Residents spoken with did not voice any complaints and none have been received by the home or the Commission recently. All residents spoken with indicated that they are happy living in the home and that staff are very good and helpful. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 15 Appropriate procedures are in place, which aim to protect residents from potential abuse. Written policies and procedures are available for staff to provide guidance. Staff are trained in the protection of vulnerable adults. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 People using 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. Residents enjoy living in clean, comfortable, homely and well maintained surroundings. Residents are protected by a safe environment, although this will be enhanced by the reintroduction of regular testing and recording of hot water temperatures from all accessible outlets. EVIDENCE: Residents enjoy living in comfortable surroundings. All areas of the home are clean and tidy. Since the last inspection, residents have benefited from improvements to the environment such as a new roof and gutters and water Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 17 tanks, resurfacing of the sideway and the upgrading of the electric and gas supplies. In addition there is ongoing decoration and replacement as necessary. The home has a development and maintenance plan. There are sufficient lounge, dining, bathing and toilet facilities. Individual rooms reflect the occupants’ personalities, have personal effects, and are very pleasant and homely. All bedrooms are for single occupancy except one, currently occupied by two people who choose to share. Adaptations and specialist equipment is provided to assist people with their mobility and bathing if necessary. The home is warm, light and naturally ventilated. In order to protect residents, hot radiator surfaces are covered. The Registered Manager explained that although hot water temperatures for baths are tested, other hot water outlets are not, since these had been fitted with mixer valves designed to avoid high temperatures. It was stated that the regular testing and recording of all hot water outlets would be reintroduced. The Provider is recommended to complete their stated intention to reintroduce the regular testing and recording of hot water temperatures from all outlets accessible to residents in order to enhance their protection. The kitchen is maintained in a hygienic manner. The last visit from an Environmental Health Office resulted in a 5* Excellent rating. All residents spoken with indicated that they are happy living in the home; they like their surroundings and their rooms. Some individual comments included, I enjoy living here; I have my own phone in my room, with large numbers so I can see; I have a special adjustable chair so I can sit more easily and I do not have to lie down. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 People using 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. Residents benefit from appropriately recruited, qualified and trained staff who care for, understand and anticipate their needs and wishes. Residents could be better protected by confirmation that there are sufficient staff to meet all their needs on duty every day. EVIDENCE: A good rapport was observed between residents and staff. Residents spoken with indicated that staff are very good and kind. Individual comments included, I enjoy living here; I am very happy; everything is OK. Records show that there are usually two care staff and sometimes three, on duty during the day with two at night, one awake and one sleeping in. Staff shifts are rostered and written down. There are on call arrangements in place for any emergencies. The Registered Manager is usually there most days. There is a domestic member of staff on duty three times a week, although a cook is not employed. The cooking is undertaken by either the Registered Manager or care staff. There are currently twelve residents living in the home. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 19 It was observed that there were enough staff on duty to meet residents’ needs at the time of this visit. It is evident however, that on days when the Registered Manager and the domestic member of staff are not working, the two care staff on duty during the day are responsible for meeting residents personal care needs, preparing and cooking meals, organising residents activities and undertaking the laundry and cleaning. The Registered Manager explained that they were in the process of recruitment and would also review staffing levels for the days when only two care staff are present to confirm that residents’ needs are met. The Provider is strongly recommended to complete their stated intention to undertake a review to confirm that staffing hours are sufficient to meet all the needs of residents at all times; this should include personal care, residents activities, domestic tasks and cooking. The home has a procedure in place which aims to recruit suitable staff who can meet the needs of residents. Records seen show that residents are protected by appropriate pre employment checks. The Registered Manager assured the inspector that they undertook risk assessments about staffing issues when necessary; currently the assessed risk to residents in this respect is low. Induction training is undertaken for all new staff, which is in line with Skills for Care. The home provides an ongoing programme of training for all staff, which is designed to further develop and update their skills. Records show that appropriate courses and qualifications are undertaken, such as moving and handling, the protection of vulnerable adults, challenging behaviour, medication, first aid, food hygiene, diabetes, fire, mental capacity, health and safety, infection control and National Vocational Qualifications. The Registered Manager assured the inspector that one newer member of staff is booked to attend a moving and handling course next week. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37, 38 People using 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. Residents benefit from a competent, qualified and experienced Registered Manager. The home is run in the best interests of residents who are asked their opinions about the quality of the service provided. Residents may be better protected by a review of written policies and procedures to ensure they are up to date and available as guidance for staff at all times. Residents benefit from well supported and supervised staff. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 21 Residents are protected by the system in place for safeguarding their finances. The health and safety of residents is promoted by the testing and maintenance of systems and equipment in the home. EVIDENCE: The Registered Manager has many years experience of working with older people. They have a good knowledge of how the service runs and have obtained the Registered Managers Award. The home has a system in place to assure the quality of the service provided. Residents are relaxed and at ease when speaking to staff and the Registered Manager. The latter explained that they are in the home often and regularly speak with residents and their relatives. The Registered Manager described a more formal system, which uses annual questionnaires for residents, their relatives and health care professionals; the results of which are analysed with any issues highlighted addressed. Sample questionnaires and analysis seen contained positive feedback about the home. All residents spoken with indicated that they are happy living in the home. The Registered Manager ensures that staff are supported to undertake their roles through both informal discussion and formal supervision sessions. This was confirmed by records seen. Staff are also appraised annually. The Registered Manager stated that the home does not hold cash on behalf of residents; either they deal with their own finances or relatives do this for them. It was mentioned that people have lockable facilities available. There are a range of detailed and comprehensive written policies and procedures designed to provide guidance for carers to complete their duties in an effective and consistent manner. Samples seen included medication, safeguarding vulnerable adults, complaints and pressure care. The homes Annual Quality Assurance Assessment indicates review dates between 2006 and 2008. The Registered Manager explained that they are in the process of reviewing and updating policies and procedures at the moment, because of this some are not currently available in the home but will be returned when reviewed as soon as possible. The Provider is recommended to complete their stated intention to review all policies and procedures and to ensure that this process does not prevent there full availability to staff. Records seen indicate the testing and maintenance of systems and equipment within the home. Faults with the fire alarm system are recorded and repaired. The Registered Manager assured the inspector that, in future the detail and Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 22 date of the repair would also be recorded. Other records looked at as part of this visit have been mentioned elsewhere within this report where appropriate. The Registered Manager monitors the premises and the accommodation. This is done so that potential hazards to health and safety can be identified and addressed. Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 2 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 3 3 Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Ashton Lodge DS0000023889.V375237.R01.S.doc Version 5.2 Page 25 Care Quality Commission Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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