Care Home: Fraryhurst

What the care home does well The home welcomes people who will use the service and their families or representatives, to visit the home and look at the facilities of the home. The manager seeks information from external healthcare professionals as part of the assessment where necessary, to ensure that the home is able to meet assessed needs. People moving into the home are assured that the home that they are entering will meet their needs. For example, staff are trained and show perception and professionalism in the way they deliver care, which enables people who live at the home to feel safe and enjoy a varied and companionable way of life. Staff treat people who live at the home with respect; they share their companionship and give support sensitively. Detailed records were in place that gave nursing and care staff information that enabled them to provide the help that individuals need. Health care was promoted through the use of tools that assist with monitoring the nutritional needs of individuals when that was necessary. The home has also developed good working relationships with healthcare specialists.Daily routines in the home were flexible and people who use the service being encouraged to make choices for themselves and exercise personal autonomy as far as was reasonably possible. People who live at the home were positive about the food that the home provided and were pleased with the activities in which they could participate and the condition of the accommodation that they occupied. People at the home, relatives and staff had confidence in the effectiveness of the home`s manager. Systems and procedures in the home worked well including, dealing with complaints, quality monitoring, and health and safety. What has improved since the last inspection? There is now a selection of activities for people who use the service to join in with if they wish. Two requirements for action had been asked for from the last visit to the home. These were the refurbishment of some areas of the kitchen to enable cleaning and maintenance records. It was noted during this visit that these requirements had been met. What the care home could do better: There are no issues raised within the report from this visit. CARE HOMES FOR OLDER PEOPLE Fraryhurst Prinsted Lane Prinsted Emsworth Hampshire PO10 8HR Lead Inspector Mrs Val Sevier Unannounced Inspection 10:00 3 December 2007 rd X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fraryhurst Address Prinsted Lane Prinsted Emsworth Hampshire PO10 8HR 01243 372024 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) Springfield Health Services Limited Dawn Davie Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2006 Brief Description of the Service: Fraryhurst is a care home with nursing registered to provide services for up to twenty-seven residents in the category OP, Old Age not falling into any other category. The property is a large detached extended building sitting in it’s own grounds in the village of Southbourne. The home is situated in a residential area close to local shops. Bus and train services are close by. Accommodation is provided on ground and first floor level; the first floor is accessed via a vertical lift. The majority of rooms are for single occupancy however there are a number of double rooms. The weekly fees range from £580 to £650. Extras include hairdressing, chiropody and newspapers. Fraryhurst is owned by Springfield Healthcare Services Limited. The responsible individual on behalf of the company is Mr Matthew Bennett Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These included: the Annual Quality Assurance Assessment (AQAA) completed by the home, and an unannounced visit to the home, which was carried out on the 3rd December 2007, during which we were able to have discussions with staff and relatives and have interaction with the residents at the home. During the visit we (the commission) looked around the inside and outside of the home, which included a sample of bedrooms and bathrooms. Staff and care records were sampled and in addition to speaking with staff and residents, their day-to-day interaction was observed. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. We were able to speak with the manager who was at the home on the day of the visit and the registered individual Mr M Bennet. What the service does well: The home welcomes people who will use the service and their families or representatives, to visit the home and look at the facilities of the home. The manager seeks information from external healthcare professionals as part of the assessment where necessary, to ensure that the home is able to meet assessed needs. People moving into the home are assured that the home that they are entering will meet their needs. For example, staff are trained and show perception and professionalism in the way they deliver care, which enables people who live at the home to feel safe and enjoy a varied and companionable way of life. Staff treat people who live at the home with respect; they share their companionship and give support sensitively. Detailed records were in place that gave nursing and care staff information that enabled them to provide the help that individuals need. Health care was promoted through the use of tools that assist with monitoring the nutritional needs of individuals when that was necessary. The home has also developed good working relationships with healthcare specialists. Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 6 Daily routines in the home were flexible and people who use the service being encouraged to make choices for themselves and exercise personal autonomy as far as was reasonably possible. People who live at the home were positive about the food that the home provided and were pleased with the activities in which they could participate and the condition of the accommodation that they occupied. People at the home, relatives and staff had confidence in the effectiveness of the home’s manager. Systems and procedures in the home worked well including, dealing with complaints, quality monitoring, and health and safety. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 7 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 Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 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 who are considering using the service are given appropriate information about the service to enable them to make an informed choice. People that use the service can feel assured that their needs will be assessed and that the home has an understanding of their needs using the assessment process. EVIDENCE: We looked at the statement of purpose and service users guide that contains information about the home and its facilities. For example: how to make comments complaints and suggestions, fire safety, who’s who, daily routines and organised activities. The guide also comments on the values of the home, on privacy, dignity, independence, civil rights, choice, fulfilment, ethnic and cultural diversity and security with statements such as: Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 9 “…Before entering rooms staff will always knock. When visitors arrive staff will check to see if the resident wishes to receive the visitor. People who use the service are treated as an individual and are able to exercise choice in all aspects of their care.” An assessment visit is arranged and carried out usually by the registered manager. The assessment includes the following areas: personal hygiene and dressing; safe environment; breathing; eating and drinking and swallowing; control of body temperature; working and leisure; sleeping and aids to ability. It was also noted that there was information gathered from others who are involved in caring and supporting the individual, including the family and other health professionals. After the individual has moved to the home as assessment of daily living is carried out within 24 hours, which is evaluated after a month. Within the assessment are indicators that may lead to further risk assessments. Fraryhurst DS0000065077.V349599.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 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. The records and systems within the home ensure that the personal and healthcare needs of people who use the service are met safely and effectively. Staff working practice helped to ensure that the privacy and dignity of people who use the service is promoted. EVIDENCE: The care plans sampled by us were being used in conjunction with medication records and other health-monitoring tools that are used as part of the care planning for individuals. The care plans that have been developed for the residents were seen to be a working tool, with records of daily life and regular evaluations by the key worker. The documents examined and the plans were based on the assessments the home carried out in order to identify what help individuals needed. Assessments included a range of potential risks to residents e.g. pressure sores; falls; moving and handling; malnutrition; etc. Where a pressure sore assessment indicated that an individual was at risk it was noted that the Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 11 corresponding plan of care for the person concerned referred to the use a pressure relieving aid. The plans examined, set out clearly the actions and support staff needed to take and what specialist equipment was needed to provide the support and assistance each person required. For example where support with movement was identified instructions on numbers of staff needed, equipment and communication was seen. Examples of instructions to staff included “orientate to time and place and value what is said”. There was evidence that the home tries to look at all aspects of life for the individual for example: sleeping not only looked at type of bed, time preferred to go to bed but also preference of blankets, sheets, duvets and sleeping position. It was seen in the care plans that physical health needs are also addressed with recent residents having moved to the home with information from health and other specialists; this information has been incorporated into the care plan at this home. It was also seen that residents have access to opticians and dentists as needed. It was seen that individuals have been assessed regarding risks in their dally lives, and that support had been put in place to minimise the risk for the individual whilst also enabling them to participate in the activity. Records indicated that care plans were reviewed regularly and as needs changed and daily notes referred to the actions taken by staff to provide the needs set out in the plans. Care plans are agreed with the person using the service where possible and their relative or representative. The home had written policies and procedures concerned with the management and administration of medication. Medication was kept in locked and secured medicine trolleys, cupboards and where required in a medical refrigerator. Controlled drugs were stored securely and appropriately. The home dispenses all medication from blister packs and the only staff in the home that dispensed and were responsible for the management and administration of medication on a day-to-day basis, were registered nurses. Medication given on an as required basis was recorded on a separate sheet in the medication records specifically for that purpose. Staff were observed speaking and assisting the residents with dignity and respect. Affection was given appropriately to those residents who sought it. It had been seen on care plans that the preferred choice of name had been recorded and staff were heard to speak to residents by the name they wished. Fraryhurst DS0000065077.V349599.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14 & 15 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 who use the service participate in activities appropriate to their age, peer group and cultural beliefs as part of the local community. Dietary needs are well catered for with a balance and varied selection of food available that meets individual dietary requirements and choices. EVIDENCE: At the start of the visit we were able to spend time in the lounge with the activity coordinator and people who live at the home. The activities person is new to the home having started about two weeks before the visit. She is at Fraryhurst Monday, Tuesday and Thursday and a second person is at the home on Fridays. The activity coordinators for Fraryhurst and its sister home meet each week to discuss activities. The coordinator explained that she tries to link Thursday and Friday’s activity for example arts and crafts – making Christmas cards, and the week of the visit they had planned to make pastry and cut shapes on Thursday and Friday would be baking and decorating them. On the day of the visit it was seen that the staff enabled some of the frailer people to participate in a game of skittles, with the staff showing patience and Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 13 understanding. In the afternoon a sing along took place, which again the staff joined in with residents, and much laughter was heard. The residents spoken with said that they were able to choose what they joined in with and could sit and read or watch television if they wished. Some people preferred to spend the morning in the lounge then rest in their rooms after lunch. We asked if people if they liked it at the home one person said ‘If I did not I would not still be here’. Two people who use the service said that they missed going out into the garden in the summer, as the weather was so bad, that when the weather is good they even stay outside for supper. People that lived at the home told us, that they had enjoyed a fireworks party and they were able to see everything and they had had a special bonfire supper. All residents spoken with who were able to pass comment were complimentary about the food provided. The meals seen looked nice and were presented in a way that looked appealing. The menus and records of food provided indicated that the food was nutritious and there was a wide range of meals provided with a selection of choices every day. In addition special diets and individual preferences and needs were catered for e.g. soft and pureed meals and diabetics. Residents could choose where to eat and some preferred to eat in their rooms. Food preferences, dislikes, food related allergies and nutritional and dietary requirements were recorded in the care plans seen and the information was also readily available to catering staff. The main meal of the day was observed and it was unhurried and staff were sensitive when providing assistance. Fraryhurst DS0000065077.V349599.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 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 who use the service are protected through the open complaints process and the staff’s knowledge and understanding of safeguarding and protection issues. EVIDENCE: The home’s complaints procedure was seen to be available in the information given to people who use the service. There have been no complaints received by the home or by us since the last inspection visit in 2006. The manager advised us that the home promotes an open door approach to relatives and people who use the service, to help resolve complaints and issues effectively. The home uses the West Sussex safeguarding adult policy and staff were seen to have training in adult protection as part of their induction as well as yearly updates. Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 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 who use the service have a pleasant and homely environment to live in which also has had adaptations to meet individual needs. EVIDENCE: We looked around some of the home and we were able to see communal areas such as the dining room, lounge, bedrooms and bathrooms. There are two gardens accessible with wheelchairs. All of the bedrooms seen were brightly decorated and had evidence of individual personalities with pictures and personal photographs on the walls, and other personal effects. People who live at the home are encouraged to furnish the room with personal belongings such as furniture and pictures, to make it feel like home. Consideration is given to the support of needs with the use of equipment. Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 16 Specialist beds are available at the home for those that are assessed as needing them. There is also specialist seating, a lift and adapted bathing facilities. It was noted that in accordance with best practice all communal WCs that were seen were provided with liquid soap dispensers (that were full and working), alcohol gel sanitisers and paper towels. Protective clothing was readily available and staff were observed using gloves and aprons appropriately. The home’s laundry was appropriately sited and equipped and effective procedures were in place for the management of soiled laundry items. The home manages all the laundry with dedicated staff. There was no was no malodour in the home and it was seen to be clean and tidy. Comments from residents about the condition of the premises included: • “They are particular about keeping it clean, the windows ands so on, I think they also look after the building”. • “It is kept spotless and I like looking out of the window. The trees and plants change colours and I can see the birds”. Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 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. People who use the services have their needs met by staff who are trained, supportive and sufficient in numbers. People who use the services are protected by the home’srecruitment procedure. EVIDENCE: The staffing structure provides a broad spread of experience and professionalism: manager, nurses, support workers, kitchen staff, laundry and housekeeping. Other health care professionals support the team from outside the home as needed. Staff spoken with on the day of inspection indicated that they were aware of the needs of the residents who live at the home; they also seemed enthusiastic about working at the home. The rotas indicated that there were sufficient staff to meet the needs of the people at the home. There was evidence that staff have received training in all mandatory areas such as food hygiene, first aid and manual handling, health and safety, vulnerable adults, infection control, continence management, challenging behaviour and dementia. The registered nurses maintain their training through in-house and external courses. Staff receive at last three days training a year and are enabled to access courses either at the home or externally for Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 18 example pain control and the Mental capacity Act. The manager has attended a Moving & Handling trainers course, and training on the Mental Capacity Act which she will cascade to all staff New staff undertake a two-day induction period when mandatory training is undertaken. This is followed by the induction pack, which is supervised by the individual staff members mentor. The time taken to complete this induction pack, which is based on ‘Skills for Life’, depends on the individual member of staff. Modules covered are: layout of the home, health and safety for example fire and incidents, communication for example call bells and methods of communication, procedures, staffing and working with others. Staff are seen monthly whilst undertaking the induction pack, after this period it is every two months. Staff also have a yearly appraisal when training and development needs are looked at for the coming year. The manager also undertakes unannounced observations, the findings of which are fed back in supervision. Records were examined of three staff that had been employed to work in the home since the last fieldwork visit to the home. Records indicated that required pre-employment checks, intended to ensure the safety of those that live at the home, had been completed before the individuals concerned actually started work. The manager explained that after interviewing, references are sent for and the CRB check is requested, a member of staff commences employment after the references are received and under supervision whilst waiting for the CRB check to be completed. The POVA First is included on this check and is returned before employment commences. Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 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 who use the service benefit from a well run home; with systems and procedures in place which monitor and maintain the quality of the service provided and promotes the safety and welfare of everyone living and working in the home. EVIDENCE: The manager has worked in care home settings for 15 years, 11 of these years for Springfield Health Services Limited. For the past 4 years she has been at management level completing her RMA, before coming into post at Fraryhurst in September 2006. There is a clear Management structure with policy & procedures reviewed annually. There were a range of written policies and procedures available for Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 20 staff to refer to as guidance and to inform their practice. These included the following: • Admission, discharge and transfer of residents • Human Rights • Confidentiality and access to personal records • Abuse of the person • Drug administration • Self administration of medication • Infection control • Complaints procedure • Whistle-blowing • Sexuality • Health and safety at work The people who use the service and their relatives or representatives and the staff, are able to discus all aspects of the running of the home generally or on a personal level. This opportunity is offered in resident, relative and staff meetings, and in questionnaires, which are sent out annually. These indicated that relatives and people who use the home wanted more entertainment – twice a month movie time has been arranged. They wanted carers to spend more time talking and spending time with people – staff are now encouraged to spend time with people especially those who choose to remain in their rooms. Staff surveys were also seen and there was a response by the home’s management which was given in staff meetings. Resident’s monies & valuables can be locked in lockable drawers in the resident’s room or in a safe. Records and receipts are kept in the safe. It was noted that the home’s equipment, plant and systems were checked, serviced or implemented at appropriate intervals i.e. passenger lift and hoists; fire safety equipment portable electrical equipment; hot water system; etc. There were contracts in place for the disposal of clinical and household waste. Records were kept of accidents. There was a fire risk assessment for the premises; tests of equipment and regular risk assessments of the premises and working practices were undertaken regularly. Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 22 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 Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Fraryhurst DS0000065077.V349599.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!