Care Home: Grenville Court

What the care home does well A nice hall at the entry to the home with fresh flowers both in the front and in the entrance hall provided a nice look and smell. Traditional features, a statue, a traditional type post box and pictures drawn by the residents made the atmosphere really pleasant. In the hall nice, leather furniture, a lot of information in booklets and in the home’s statement of purpose, available in large print too, provided a clear picture of the home and care in it. After some problems with a local GP practice, the home transferred all residents to a new practice and it proved to work much better. All residents spoken to confirmed that they preferred new surgery. Appropriate admission process ensured that both new referrals and the home were sure that the needs of the admitted person could be met. The manager reported in their AQAA: “We work closely with the service user’s families and relatives from admission of the service user to ensure every detail is obtained so that we are able to provide quality care and continue to inform the service user’s family of any changes that may occur in their health and wellbeing. We arrange for the appropriate professionals to meet the healthcare needs of our service users.” Activities were conducted in an excellent way: activity coordinator organised a clay moulding session and accommodated two residents who preferred to read newspapers to do so in the company of others. The very patient and understanding activity coordinator made residents’ lives interesting and Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 stimulating. The AQAA added: “Local trips into the community are organised by the activities co-ordinator. Coach outings to various places of interest, fetes and coffee mornings, musical entertainment are arranged for service users who can invite family and friends to participate. Schools and community organisations visit the home. Regular church services and individual communion is arranged.” Staff were properly checked before they started work, than attended well structured inductions and continued with appropriate training. Being regularly supervised and encouraged to learn more, their devotion and attitude helped residents settle in the home so well. What has improved since the last inspection? The home scored a good rating on the previous inspection with three recommendations. They created an action plan and followed it until they met and exceeded issues addressed in recommendations. They even modestly reported in their AQAA: “We feel we have improved considerably in all areas and have improved the quality of life for our service users by doing this. We encourage service users to participate in activities that are held in the home and brought to us by entertainers from the community.” The observed care process, the checked files and documents and collected comments from residents and visitors determined the excellent rating based on excellent outcomes for residents. What the care home could do better: There are no issues that needed to be addressed to drive improvements forward, as the home identified and acted on all areas they, together with residents, considered to have room for further improvements. Key inspection report CARE HOMES FOR OLDER PEOPLE Grenville Court Horsbeck Way Horsford Norwich Norfolk NR10 3BB Lead Inspector Mrs Susan Golphin Key Unannounced Inspection 10:00 16th June 2009 DS0000066022.V376038.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. Grenville Court DS0000066022.V376038.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 Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grenville Court Address Horsbeck Way Horsford Norwich Norfolk NR10 3BB 01603 893499 01603 893694 karenward@alphacareservices.com 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) Alpha Care Management Services Limited Mrs Cherie Anne Steptoe Care Home 64 Category(ies) of Dementia (5), Dementia – over 65 years of age registration, with number (64), Old age, not falling within any other of places category (64) Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home providing Personal Care – Code PC To people of the following gender: Either Whose primary needs on admission to the home are within the following categories: Older Person, not falling within any other category – Code OP Dementia, over the age of 65 years – Code DE(E) Dementia – Code DE – for upto five people between the ages of 60 and 65 years of age. The maximum number of people that can be accommodated at Grenville Court is: 64. 17th July 2007 2. Date of last inspection Brief Description of the Service: Grenville Court is a home for older people with 64 rooms accommodating up to 20 people with age related difficulties and 44 people with symptoms associated with dementia. Accommodation is grouped into 5 units across two floors, each unit having bathing and dining areas of its own. Rooms are spacious, with en suite facilities. The home is of modern design and is purpose built. It is situated in a residential area of Horsford, a village north of Norwich. There is ample car parking to the front of the building and a secure garden area to the rear. Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. We arrived in the morning and stayed in the home till after lunch time. We observed 7 residents downstairs and 7 upstairs. We observed breakfast, activity, staff administering medication and staff using moving and handling principles to help a resident. We checked 3 residents’ files, 3 staff files, three residents’ money records, medication records and health and safety records. We spoke to the manager, to 2 care staff, to a maintenance man, to a visitor, to 3 residents and collected some comments from the quality assurance survey. We checked some documents and used the home’s self assessment, AQAA, to inform this report. What the service does well: A nice hall at the entry to the home with fresh flowers both in the front and in the entrance hall provided a nice look and smell. Traditional features, a statue, a traditional type post box and pictures drawn by the residents made the atmosphere really pleasant. In the hall nice, leather furniture, a lot of information in booklets and in the home’s statement of purpose, available in large print too, provided a clear picture of the home and care in it. After some problems with a local GP practice, the home transferred all residents to a new practice and it proved to work much better. All residents spoken to confirmed that they preferred new surgery. Appropriate admission process ensured that both new referrals and the home were sure that the needs of the admitted person could be met. The manager reported in their AQAA: “We work closely with the service user’s families and relatives from admission of the service user to ensure every detail is obtained so that we are able to provide quality care and continue to inform the service user’s family of any changes that may occur in their health and wellbeing. We arrange for the appropriate professionals to meet the healthcare needs of our service users.” Activities were conducted in an excellent way: activity coordinator organised a clay moulding session and accommodated two residents who preferred to read newspapers to do so in the company of others. The very patient and understanding activity coordinator made residents’ lives interesting and Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 6 stimulating. The AQAA added: “Local trips into the community are organised by the activities co-ordinator. Coach outings to various places of interest, fetes and coffee mornings, musical entertainment are arranged for service users who can invite family and friends to participate. Schools and community organisations visit the home. Regular church services and individual communion is arranged.” Staff were properly checked before they started work, than attended well structured inductions and continued with appropriate training. Being regularly supervised and encouraged to learn more, their devotion and attitude helped residents settle in the home so well. What has improved since the last inspection? What they could do better: 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. Grenville Court DS0000066022.V376038.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 Grenville Court DS0000066022.V376038.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4, People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided excellent information to residents allowing them to make an informed decision about their choice of home. They were fully assessed prior to admission, ensuring that their needs would be fully met, once they were admitted. EVIDENCE: The statement of purpose displayed in the hallway, was produced in large print and contained all necessary information about the home, written in plain English, making it easy for potential residents to get all the information they need. Residents’ files checked, contained detailed descriptions of initial assessments carried out prior to admission. Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 9 These details were used to create a care plan in consultation with residents and their relatives. A holistic approach to the assessment ensured that all needs, including healthcare, social, spiritual and dietary needs were appropriately addressed and reviewed frequently during the initial phase in the home. A relative commented to the home in his letter: “I thought I would drop you this short note to say how well dad seems to have settled in his new home. He says by his own statement, he accepts that life must now be like this and says how well he is looked after and how thoughtful and attentive your staff are towards him.” Grenville Court DS0000066022.V376038.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): 7,8,9,10,11 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents healthcare needs were appropriately assessed, recorded and met in an organised way that promoted their well being, independence and with full respect for their dignity that exceeded expected basic standards. EVIDENCE: Three residents’ files were checked and all contained care plans and risk assessments based on initial assessment. The home recently introduced a new format for care plan and these checked files confirmed that the plans were comprehensive. One file showed that a resident came back from a hospital with pressure sores. The pictures were taken, external professionals, in this case a district nurse, was called in to monitor and apply necessary treatment. The pictures showed great improvement over 2 weeks. Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 11 The home had some problems with previously used GP surgery, but consulted relatives and residents and changed the surgery to one that could afford to send a GP on a weekly basis to the home to review all residents. They reported in their AQAA: “We have transferred all of our residents to another local GP Surgery. The GP’s visit the home on a weekly basis to carry out a clinic, and we feel we are receiving an excellent service which benefits all of our residents and ourselves.” All residents spoken about this change stated that they are more satisfied with the new surgery. The AQAA stated: “We have introduced medication checks on boxed medication which has helped to eliminate any medication errors. Various charts have been reviewed. Good auditing of health and personal care is in place.” Medication for 4 residents were checked and the storage, process of administration and records were appropriate. A senior staff member was observed administering medication. She was closely followed by a resident, but showed him appropriate attention without being distracted. Her patience and concentration showed that staff can do multiple tasks when concentration is high and understanding of residents is present. When the resident walked in to the medication room, the staff offered him a seat while she completed all checks on medication. This interaction in special circumstances exceeded minimum standards and showed a very high level of respect for residents’ dignity. Another example of this respect was observed in a corridor where two staff were guiding a confused resident to the activity room, patiently, slowly, allowing her to walk independently, but with support at hand. It took three of them 4 minutes to walk 10 meters, but staff retained smiles and encouragement and constantly spoke to the confused resident bringing her back to reality. The activity coordinator tried to engage all residents in the activity room into clay moulding therapy. Two residents did not want to take part. The activity coordinator talked to them and they asked for newspapers to read. She gave them the papers and smiles on their faces showed how effective this interaction was. All checked files contained notes on agreed funeral arrangements, discussed not only with residents but with their relatives, too. Grenville Court DS0000066022.V376038.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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ wishes were respected and helped the home organise daily life according to residents’ preferences, while maintaining an appropriate level of support and care that ensured the safety and well being of residents. The home exceeded these standards. EVIDENCE: Observing activity in the home provided evidence of the outcomes. Five residents were engaged in the clay therapy. Music from the 1950’ and 60’ was playing in the background. A resident “danced” in a chair with a clay moulding tool. This activity engaged residents who were confused and suffered from dementia to find contact with reality. A coordinator successfully guided the session creating a positive atmosphere for all present. In their AQAA the home reported about other activities that made residents feel respected and stimulated them to engage with each other and with staff: “We strive to provide a lifestyle for residents which satisfies their social, cultural, religious and recreational needs; to help residents to exercise choice Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 13 and control over their lives. A list of daily and weekly activities is displayed in the reception area for relatives’ information and on each floor for the residents. We try to involve the village community in various activities, i.e. fetes, coffee mornings, etc. A communication book is written up daily by our Activities Coordinator which is available for residents and their families to view on request. Also the Activities Co-ordinator tries to incorporate into activities life histories for each resident. Local trips into the community are organised by the activities co-ordinator. Coach outings to various places of interest, fetes and coffee mornings, musical entertainment are arranged for residents who can invite family and friends to participate. Schools and community organisations visit the home. Regular church services and individual communion is arranged. Residents are given the choice of when they rise and retire to bed. We have a choice of menus that are wholesome and balanced. Special diets catered for. Snacks and drinks are available. Residents are involved in creating their menus. Residents choose where they would like to eat and which lounge they would like to sit in. All bedroom doors have the residents’ preferred name on. We continually strive to improve all areas of communication for our residents by picture and signs and this is ongoing practice. Residents are encouraged to bring their own possessions into the home to help them adjust and settle into their new surroundings.” Grenville Court DS0000066022.V376038.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. Dealing with complaints was appropriate, residents and their relatives were confident that they could complain if they wished. Residents were protected from potential abuse. EVIDENCE: The complaints procedure was displayed in communal areas in the home. The manager reported that there were 2 complaints, both fully investigated and outcomes used to further improve the service. All residents spoken to confirmed they knew how to complain. A visitor, too, stated that she knew how to complain, but “do not have any complaints whatsoever.” There were no allegations, or POVA (Protection of Vulnerable Adults) referrals. Properly conducted staff checks ensured good protection of residents. The home’s procedure on residents’ finances was appropriate and, where involved, the home ensured all records were accurate, as seen in 4 checked cases. The AQAA also reported: “Staff have received the relevant training and depravation of liberty training to ensure the protection of our vulnerable residents.” Grenville Court DS0000066022.V376038.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 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. The home provided a well maintained, pleasant, comfortable and clean environment where service users could use all their abilities to remain as independent as possible. EVIDENCE: The AQAA reported and the tour of the home confirmed: “The physical environment of the home is designed for residents’ convenience, comfort and is purpose built. We maintain the buildings and grounds in a safe condition by having adequate maintenance staff. We maintain a clean and hygienic home and make detailed arrangements for all areas of the home to be clean and comfortable for our residents and their families. Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 16 We carry out a weekly check on all areas of the home which is recorded. We also do a monthly facilities audit and both of these will highlight any areas of concern which can be corrected immediately.” A new sensory garden expanded opportunities for residents to fully, independently enjoy good weather outside. A maintenance man was spoken to and showed us his records of health and safety issues, including fire checks, hot water records, maintenance records and replacement plan. Grenville Court DS0000066022.V376038.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. 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. The home was constantly reviewing the staffing level to ensure that increased residents’ needs would be answered. Residents trusted staff and felt well treated, respected and supported. EVIDENCE: Exceptionally patient staff observed during the site visit that were present wherever residents needed them, determined the high rating of this group of standards. A senior staff member dealing with medication and with a resident who followed her, two staff patiently supervising a confused resident; another staff member, stopping in the corridor when a resident wished to change her slippers for sandals and helping her to do so, all were smiling and constantly talking to residents, creating a pleasant, positive and inclusive atmosphere, where residents felt fully respected. Although the number of staff with completed NVQ was 11 out of 35, the manager reported that “almost all staff without this qualification are on the course”. Four checked staff files demonstrated that the recruitment was carried out carefully and that all necessary checks on staff were conducted prior to deployment. Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 18 Staff training was also much improved since the last inspection and certificates seen in the files and training records showed that staff were receiving appropriate training. Grenville Court DS0000066022.V376038.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 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. The home ensured residents were well protected by the safe working practices that were constantly monitored. EVIDENCE: A new manager was in post since the end of May and continued with good practices that were in place. The manager had the skills and experience to run the home, as she was a registered manager in another home. The ethos of the home was remarkable, with staff devoted and skilful to deal with residents’ conditions and needs. Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 20 Always positive and patient, as observed, well organised and respectful towards residents, staff were a real asset to the home. Quality assurance included 6-monthly reviews through surveys and the action plan helped the home raising the standard of service to the residents’ satisfaction. The AQAA reported: “We have a wide variety of systems (audit tools) and good practice in the home and recognise the lives and lifestyles of our residents have significantly improved. Documentary evidence supports effective auditing across all areas of the home. Service users and their families and friends stay on to comment on the warm and friendly atmosphere when they enter the home. A ‘comments and thank you’ file can be found in the main reception for service users and visitors to read. Staff also feel more confident due to continuous training throughout the year. The Management Team are committed to ensuring that the high standards of the home continue to be maintained in all areas. We feel this has to be an ongoing process.” The AQAA also provided modest comment on progress: “We feel we have improved considerably in all areas and have improved the quality of life for our service users by doing this. We encourage service users to participate in activities that are held in the home and brought to us by entertainers from the community.” Four records and money kept by the home on behalf of residents were checked and all were accurate. Supervision record was on the table at the time of the site visit and showed a regular pattern of these supportive sessions. Maintenance man provided records that showed that health and safety procedures were in place and were followed to ensure safety and welfare of residents. Grenville Court DS0000066022.V376038.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 4 X 3 4 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 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 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 3 X 3 Grenville Court DS0000066022.V376038.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 Grenville Court DS0000066022.V376038.R01.S.doc Version 5.2 Page 23 Care Quality Commission Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastern@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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