Care Home: Glebe House Nursing Home

What the care home does well The home is very well decorated and comfortably furnished to meet the needs of residents, with a regular programme of refurbishment and improvement. The premises, both in and outside the home are colourful, homely and attractive. Well-balanced and appetising meals are served and staff provide sensitive and discreet assistance to residents who require it. Residents are supported by a well-trained team of staff. The home has achieved the target of 50% of care staff trained to at least National Vocational Qualification (NVQ) level 2. Compliments received by the home and independent feedback to CSCI, commented on the high standard of care provided by the staff. The home is effectively managed in an open manner and the manager, who is also the provider, is in day-to-day control of the home and is freely accessible to residents, staff and visitors. Feedback from people who use this service and observation at the site visit showed that people living in the Home are treated with the dignity and their choices are sort, respected and acted upon. Staff took time to respond and interacted sensitively to peoples needs and it was clear that people felt able to ask for support. What has improved since the last inspection? Residents now benefit from being given a statement of terms and conditions on or before admission and residents purchasing their care privately now have a contract supplied on or before admission. Residents now benefit from having risks to their safety properly assessed and records are kept to guide staff practice. Residents can now be confident that the stock of medication held in the home accurately match the record held, all administration of medication is recorded and residents are not left without a supply of their prescribed medication. Residents also benefit from improvements to medication recording systems and all nursing staff have now undertaken comprehensive medication administration training to up date their skills. A system is also in place to observe staff practice in medication administration and evidence on going competency in this area. Residents now benefit from having their social and recreational needs review to ensure that activities in the home meet the residents` needs and choices. Residents now benefit from the Home having an updated copy of the Surrey Multi-Agency procedure for safeguarding adults and the Homes own procedure regarding abuse has been reviewed to ensure that it is in line with this. Residents now benefit from improvements to the homes staff recruitment practices. What the care home could do better: Several relatives said they were not formally consulted about their relatives care plan and a recommendation has been made that the Home ensures this is done in all cases. CARE HOMES FOR OLDER PEOPLE Glebe House (Chaldon) Church Lane Chaldon Surrey CR3 5AL Lead Inspector Andrea Leverett Unannounced Inspection 20th December 2007 02:30 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 Glebe House (Chaldon) DS0000013324.V353220.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. Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glebe House (Chaldon) Address Church Lane Chaldon Surrey CR3 5AL 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) 01883 344434 01883 341504 Glebe Care Limited Mrs Sarah Elizabeth Vincent Care Home 43 Category(ies) of Physical disability (6), Physical disability over 65 registration, with number years of age (43) of places Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 4 (four) beds may be used for Palliative Care. Date of last inspection 28th March 2007 Brief Description of the Service: Glebe House is a well-established home providing care and nursing for up to forty- three older people who have a physical disability. The home can also provide accommodation for up to four people who are terminally ill and require palliative care. Accommodation is provided in single or double bedrooms spread over three floors and there is a shaft lift and platform lift to provide access to all areas of the home. There is ample communal space including a large lounge, dining room, and conservatory, which has ramp access to a well-maintained garden. The fees at this home range from £550.00 to £1051.12 per week. Glebe House (Chaldon) DS0000013324.V353220.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 took place on the 20th of December 2007. 6 people who use the service were spoken with as well as 4 relatives 2 staff members and the manager. A tour of the premises was undertaken during the site visit and 5 people who use the services files and staff files were inspected. Judgements about quality of life and choices were taken from direct conversations with and observations of people who use the service, followed by discussion with support staff and evidencing records held at the home. Feedback from people spoken to have been taken into consideration and comments have been reflected in this report. The inspector concluded that people are given a good service at Glebe House. A good standard of support and access to health services is provided here and good progress has been made towards meeting requirements and recommendations made at the last inspection. No requirements and 1 recommendation have been made at this inspection. What the service does well: The home is very well decorated and comfortably furnished to meet the needs of residents, with a regular programme of refurbishment and improvement. The premises, both in and outside the home are colourful, homely and attractive. Well-balanced and appetising meals are served and staff provide sensitive and discreet assistance to residents who require it. Residents are supported by a well-trained team of staff. The home has achieved the target of 50 of care staff trained to at least National Vocational Qualification (NVQ) level 2. Compliments received by the home and Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 6 independent feedback to CSCI, commented on the high standard of care provided by the staff. The home is effectively managed in an open manner and the manager, who is also the provider, is in day-to-day control of the home and is freely accessible to residents, staff and visitors. Feedback from people who use this service and observation at the site visit showed that people living in the Home are treated with the dignity and their choices are sort, respected and acted upon. Staff took time to respond and interacted sensitively to peoples needs and it was clear that people felt able to ask for support. What has improved since the last inspection? Residents now benefit from being given a statement of terms and conditions on or before admission and residents purchasing their care privately now have a contract supplied on or before admission. Residents now benefit from having risks to their safety properly assessed and records are kept to guide staff practice. Residents can now be confident that the stock of medication held in the home accurately match the record held, all administration of medication is recorded and residents are not left without a supply of their prescribed medication. Residents also benefit from improvements to medication recording systems and all nursing staff have now undertaken comprehensive medication administration training to up date their skills. A system is also in place to observe staff practice in medication administration and evidence on going competency in this area. Residents now benefit from having their social and recreational needs review to ensure that activities in the home meet the residents’ needs and choices. Residents now benefit from the Home having an updated copy of the Surrey Multi-Agency procedure for safeguarding adults and the Homes own procedure regarding abuse has been reviewed to ensure that it is in line with this. Residents now benefit from improvements to the homes staff recruitment practices. Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 7 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. Glebe House (Chaldon) DS0000013324.V353220.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 Glebe House (Chaldon) DS0000013324.V353220.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3, People who use the service good quality outcomes in this area. People who consider using this service can be confident that they will have accurate information to make an informed choice about where they live. People who use this service can be confident that their needs will be assessed fully before they move into the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Assessments and care plans were viewed for 5 residents including the most recently admitted residents. Records showed that people’s needs had been properly assessed prior to being admitted to the Home and contracts and terms and conditions had been supplied. Discussions with residents and relatives evidenced that the homes admission policy is followed and relatives Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 10 felt that they had received appropriate information about the Home to enable prospective residents to make an informed choice about living there. Prospective residents and their representatives are encouraged to visit the Home and time is taken to explore people’s individual needs in terms of social and recreational and not just medical and nursing care. Typical comments included: “ I love it here, I have settled in well and all staff are very helpful and kind. My daughter came and visited the Home for me and an assessment was done.” Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 11 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. People who use this service benefit from having comprehensive health; personal and social care needs set out in an individual plan of care, which is followed. The home has a medication policy and medication records are up to date. Medication systems are in place that follows good practice. People who use this service feel they are treated with dignity and respect and their right to privacy is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 12 Assessments and care plans were viewed for 5 residents including the most recently admitted residents. Care plans were detailed and comprehensive and included all needs as detailed in their assessments. Records also showed that these were being regularly reviewed. Good detailed daily reports are also maintained. Although relatives spoken to were generally very happy with the care and support provided, several said that they are not formally consulted about their relatives care plan and a recommendation has been made that the Home should ensure this is done in all cases, subject to residents wishes. Health records show that access to routine and specialist health services are provided and people living in the Home confirmed that they had regular access to Doctors, dentists, optians, speech therapists, physiotherapists and chiropody. Records seen and discussions with residents and relatives evidenced that Glebe House provides a good standard of nursing care and works hard to ensure that specialist and routine health services can be accessed by residents as appropriate. An inspection of the homes medication records and medication storage showed that medication was being administrated appropriately. All staff that administers medication has received appropriate training and medication care plans gave good guidance and information relating to individual medication needs. Medication Administration Record sheets were up to date and accurate. Feedback from people who use this service and observation at the site visit showed that people living in the Home are treated with the dignity and their choices are sort, respected and acted upon. Staff took time to respond and interacted sensitively to peoples needs and it was clear that people felt able to ask for support. Typical comments included: “Mom is very happy here, we are astounded how they manage to keep her without bedsores given that she is now in bed 24 hours a day. Mom sees the physiotherapist once or twice a week and gets her hair and chiropody done.” “We have not seen a formal care plan but staff do tell us of any changes.” “I am very comfortable here, staff are very good.” “ We noticed a big change when our relative came here, staff are very at tentative” “We know that our relative needed to have build up drinks but we were not consulted about the care plan.” Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15 People who use the service experience good quality outcomes in this area. The experiences of people who use this service match their expectations and preferences in terms of social, cultural, religious and recreational needs. People living in the Home are supported to maintain contact with family and friends and are supported to exercise choice and control over their lives. People living in the Home receive a wholesome and appealing diet in pleasing surroundings and at times convenient to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home offers a range of activities in keeping with peoples needs and wishes. Daily records seen and discussions with people who live at the Home showed that social activities are consistently provided. . A monthly list of events is displayed in the entrance hall and this included music and movement Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 14 sessions, sing-a-longs, an art group and a monthly communion service are held at the home by a visiting priest. It was clear that the staff took time to get to know people and explore their needs and wishes in terms of activities. Care plans gave good information about peoples social and therapeutic needs. The dining room is nicely decorated and furnished and people living in the Home were positive regarding the food; people said they could have snacks and drinks whenever they wished. Records are kept of meals taken and individual daily records gave good information to evidence that peoples food intake was being monitored. Health records also showed that people are weighed regularly. Visitors are welcome at any time and feedback from people who live at the Home and the manager showed that people are supported to maintain contact with families and friends. Some typical responses included: “ You get good home cooking here, I eat in my own room because it is my choice to do so.” “ I do exercises and have listened to the guitar and carol singing twice this week. We have 2 cats in the Home and a budgie. I have been out in my wheel chair a couple of times.” “ I go to bed and get up when I like, staff are very kind” “ I see the hairdresser once a fortnight.” “ I like most of the food here, you don’t get much of a choice at lunch time but tea is sandwiches or something hot and breakfast is cereal and toast but you can have a cooked breakfast if you like.” “ The food is good, our relative always used to ask for extras.” “ They don’t offer choices at lunch time but if they know you don’t like something they will make you something different.” “ They cater for moms needs very well even though she has different likes and dislikes.” “There is always something going on and they make a fuss at Christmas, birthdays and mothers day, every one gets a present.” Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 15 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. On the whole people who use this service are aware of their rights with regard to making a complaint and can be confident that their concerns and complaints will be listened to and acted upon. People are protected from the risk of abuse by the home’s Adult Protection policy and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home has a complaints procedure that includes all the information required by this standard. The manager informed the inspector that the Home has had I complaint since the last inspection and records are kept to evidence that this was managed appropriately. Discussions with some people evidenced that on the whole they were aware of their right to make a complaint and would be comfortable doing so. The Home has an adult protection and a whistle blowing policy in place, which is in line with local authorities procedures for dealing with adult protection issues. Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 16 Discussions with one staff member evidenced that they understood their role and procedures for the reporting of suspicion or evidence of abuse. Records seen also confirmed that they had undertaken adult protection training and the manager informed the inspector that this training is ongoing. Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 17 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): 19,26 People who use the service experience excellent quality outcomes in this area. People who use this service benefit from living in a Homely environment, which is maintained and cleaned to a high standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was undertaken and the Home was clean, well presented and odour free. The home is very well decorated and furnished to a high standard and presents as an attractive and comfortable place to live. Two lifts ensure that residents can access all areas of the building, as the home is set over three floors. Spacious communal areas are available, including a lounge, dining room and conservatory. Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 18 Corridors are wide enough to allow for the passage of wheelchairs and large well-equipped bathrooms are available and easily accessible on each floor. Residents’ bedrooms were of varying sizes and many were equipped with an en-suite toilet or toilet and basin, and all bedrooms had fitted wash-hand basins. There are a small number of double bedrooms and moveable screens are provided to ensure each resident’s privacy. A number of resident bedrooms have doors opening onto patios and many overlook the well-kept garden or surrounding countryside. The home was very well maintained, with a number of recently refurbished resident bedrooms. The home has two cats, two budgerigars and in line with the homes policy one resident was able to bring her pet dog with her. Hand–washing facilities with liquid soap and paper towels were available in all appropriate places and a sluice room is available on each floor. Staff were observed to use personal protective equipment, including gloves and aprons, to prevent the spread of infection. A laundry is sited away from the kitchen and food-handling or storage areas and is well equipped with washing and drying machines with appropriate settings. People living in the Home are benefit from an ongoing programme of maintenance, refurbishment and decoration and people spoken to say they liked the Home. Typical comments included: “ It is exceedingly homely here.” Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 19 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. People who use this service can be confident that their needs will be met by sufficient number of staff that is trained and competent to carry out their role. People living in the Home are protected by appropriate staff recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was clear that a full team of staff are employed to meet the needs of residents, including care and nursing staff, housekeeping staff, catering staff and administrative staff. Qualified nurses are employed day and night and lead the staff team on each shift. Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 20 Observation on the day of the site visit and training records seen at the last inspection showed that staff have the skills and are appropriately trained to carry out their roles. Training in the Home is ongoing with staff having undertaken a range of core training, including medication, Health & Safety, Moving &Handling, First Aid, Food Hygiene and Adult Protection. Over 50 of staff is trained at level 2 NVQ or above. A sample of staff files were inspected and these evidenced that all appropriate recruitment checks were being undertaken. Staff files included Criminal Record Bureau checks, 2 written references, application forms and dates of employment. People who use this service were very positive about the staff and felt very supported by them. Typical comments included: “ There are always enough staff when we visit and staff go in and chat to mum and she enjoys the company.” Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 21 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. A staff team that is led by a competent and experienced manager, who ensures that the home is run well, enhances the support of people who live at Glebe House. The health safety and welfare of people living in the Home are promoted and protected and on the Home is run in their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 22 The manager is a qualified nurse, has achieved the NVQ Registered Manager’s Award, has run the home for twenty-two years and has the required knowledge and experience for the role. Staff confirmed that the manager is approachable and supportive and the home is run in an open manner. The manager advised that the last survey of the quality of the service provided was carried out a year ago. As the home is a member of the Registered Nursing Homes Association, a quality survey devised by the association has been used in the past. The association are developing a new survey to link with the revised National Minimum Standards (NMS) and the manager stated it is planned to use this format when it is produced. A number of CSCI feedback forms were supplied to the home within the last 12 months for distribution to residents, relatives or visitors and healthcare professionals and a good response was obtained. Twenty feedback forms were completed and returned by residents, seventeen by relatives or visitors and seven by healthcare professionals. The majority of responses were positive and feedback from residents and relatives at this most recent visit was very positive about the overall care provided. No monies are held for safekeeping for residents, as any additional expenses, such as for hairdressing or chiropody, are paid for by the home and invoiced to the resident or their representative. It was clear from the information supplied and records seen, that systems and equipment in the home are maintained appropriately and to the required frequency, to safeguard the health and safety of all who live and work at the home. No hazards were noted on the tour of the premises and the health and Safety at Work poster and insurance certificate were displayed as required. It was clear that the manager has worked hard to meet requirements and recommendations made at the last inspection and no requirements have been made on this occasion. Typical comments included: “ The manager always spends Christmas day here, we are very impressed with that. Our relative has been here over 2 years and we have never had any thing to complain about. They have supported her enormously during that time.” Glebe House (Chaldon) DS0000013324.V353220.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 3 X 3 X X X 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 4 X X X X X X 4 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 Glebe House (Chaldon) DS0000013324.V353220.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. 1. Refer to Standard OP7 Good Practice Recommendations It is recommended that subject to the wishes of residents, their relatives and or other representatives be formally consulted regarding residents care plans. Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Glebe House (Chaldon) DS0000013324.V353220.R01.S.doc Version 5.2 Page 26 - 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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