Care Home: Gresham Residential Care Home

What the care home does well Commendable standards were again evident relating to the continuing refurbishment of the home, which has been completed to a high standard. The home is comfortably furnished, well decorated and has a warm, friendly, relaxed atmosphere. The registered providers and registered provider/manager have worked hard to ensure that residents live in a wellmaintained, homely environment. The majority of bedrooms are spacious and all are individual and very attractive. All bedrooms now have en-suite toilet facilities.Staff are enthusiastic about their work and provide a good standard of care. Residents praised the staff, saying they are very helpful and give them the assistance they need, one resident commented `all good carers`. Care staff follow written care plans for each resident, which contain detailed information to ensure that the right care is provided. A varied, balanced diet is provided in pleasant surroundings and residents commented that the food is good and they enjoy their meals. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. What has improved since the last inspection? During the last five years the environment has been transformed, having an excellent effect upon residents` quality of life. Changes completed during the past year include improvement works to the external areas, making all areas accessible to the residents. The roof to the annex of the property has been replaced and all external decoration has been completed. A new central heating system has also been fitted ensuring the heating in the property is adequate and also minimising the chance of heating failure, a pressurised water system and bronze pump has also been fitted. This allows instant hot water to be available. The aerial system has been upgraded to accommodate digital television and the system also incorporates Sky television if a resident wants to purchase a sky box. Laundry room has been upgraded. A new building has been provided as the designated smoking area with access via the conservatory. Newly appointed Deputy Care Manager. Staff training is ongoing. What the care home could do better: The home constantly strives to improve services and provides full support for residents. Action has been taken quickly when any adjustments or requirements have previously been identified through the inspection process. There were no requirements made at this inspection. CARE HOMES FOR OLDER PEOPLE Gresham Residential Care Home 47-49 Norfolk Road Cliftonville Margate Kent CT9 2HU Lead Inspector Sandra Crosby Unannounced Inspection 10:30 23 January 2009 rd 23/01/09 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 Gresham Residential Care Home DS0000035039.V373818.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. Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gresham Residential Care Home Address 47-49 Norfolk Road Cliftonville Margate Kent CT9 2HU 01843 220178 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) greshamrch@hotmail.co.uk Jonathan Anthony Smith Mrs Brenda Anne Smith, Anthony David Smith Jonathan Anthony Smith Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2007 Brief Description of the Service: Gresham Residential Care Home is a detached building with accommodation for residents on three floors. Bedrooms are mainly singles with some double rooms, currently occupied as singles. All bedrooms have ensuite toilet facilities, call bell, television point and some have telephone points. There is a shaft lift to all floors. There is a large lounge/diner, a separate TV lounge, a conservatory area and a small enclosed back garden with fish pond, raised flower beds and seating area. The home is located within easy reach of local shops and all public amenities, with the seafront at the end of the road. This is a family run business that has been operating as a residential care home for 15 years. The staff team consists of the registered provider/manager and a team of carers, who work a rota that includes one staff member on waking duty at night and one person on sleeping in duty. Additional staff are employed for cooking and cleaning. According to the homes statement of purpose, it aims to provide a good, safe environment, with a happy atmosphere, where residents are encouraged to be interested in each other and staff offer encouragement, to enable residents to maintain their independence, but offer care as needed. Information provided by the registered person/manager indicates that the fees for the home range from £320.63 per week to £360.63 per week. Gresham Residential Care Home DS0000035039.V373818.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 star. This means that people who use this service experience excellent, quality outcomes. This report contains the findings of the homes key inspection and takes account of information obtained from various sources since the last inspection of 28 February 2007, including an Annual Service Review dated 20 February 2008 and a visit to the home. The key inspection visit was unannounced and carried out on Friday 23 January 2009 between 10.30 and 13.30 hours, and on Monday 26 January 2009 between 12.30 and 15.30. During the inspection the inspector spoke with the registered provider/manager, staff on duty, and three residents. Various records were seen and an accompanied tour of some areas of the home was made. Information contained in the completed Annual Quality Assurance Assessment (AQAA), was comprehensive and information gained and observations made at the time of the inspection visit has been used when completing this report. The findings of this inspection were discussed with the registered manager at the end of the visit, and overall indicate that this home provides sustained good quality outcomes provision for the residents and in line with CSCI ratings agenda this service has achieved an excellent 3* rating. What the service does well: Commendable standards were again evident relating to the continuing refurbishment of the home, which has been completed to a high standard. The home is comfortably furnished, well decorated and has a warm, friendly, relaxed atmosphere. The registered providers and registered provider/manager have worked hard to ensure that residents live in a wellmaintained, homely environment. The majority of bedrooms are spacious and all are individual and very attractive. All bedrooms now have en-suite toilet facilities. Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 6 Staff are enthusiastic about their work and provide a good standard of care. Residents praised the staff, saying they are very helpful and give them the assistance they need, one resident commented all good carers. Care staff follow written care plans for each resident, which contain detailed information to ensure that the right care is provided. A varied, balanced diet is provided in pleasant surroundings and residents commented that the food is good and they enjoy their meals. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. What has improved since the last inspection? What they could do better: Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 7 The home constantly strives to improve services and provides full support for residents. Action has been taken quickly when any adjustments or requirements have previously been identified through the inspection process. There were no requirements made at this inspection. 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. Gresham Residential Care Home DS0000035039.V373818.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 Gresham Residential Care Home DS0000035039.V373818.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): Standards 1,2, 3 and 6 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can move into the home knowing that their needs have been properly assessed and the home endeavours to meet their needs. EVIDENCE: The Statement of Purpose and Service User Guide were seen. These documents were well presented and contained all information required by regulation. Discussion took place with the registered provider/manager about small amendments that were needed to the two documents. It was seen on the second day of the inspection visit that changes had been made. Management carries out pre-admission assessments of prospective residents, either at their own home, or at hospital. The completed AQAA documentation Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 10 states that a dependency chart has been incorporated into the pre-assessment documentation. Evidence was seen of a thorough pre-admission assessment that had been used to inform the home’s assessment and care plan, documented following admission. Copies of care management assessments are obtained and evidence was seen in files examined as part of the case tracking. Copies of residents terms and agreement of residence were seen in their care plan files. These provide a well-written overview of the services provided, what is included in the fees and any additional charges. The home does occasionally provide intermediate care to persons who require a short term stay. Management completes the pre-assessment, using a respite care care plan. A comprehensive completed document was seen. The home has appropriate accommodation to enable this. Gresham Residential Care Home DS0000035039.V373818.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): Standards 7,8,9 and 10 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system provides staff with the information they need to meet residents’ needs. Residents can be confident that their health care needs are being properly managed. Medications are on the whole well managed and promote good health. Residents’ privacy and dignity is respected. EVIDENCE: Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 12 Two residents individual care plans were case tracked. A comprehensive care planning system has been established. Care plans contain details including: personal profiles, full needs assessments, dependency assessments, risk assessments and monthly weight records. Doctors and other health care professionals are contacted where necessary and their visits recorded. Key workers complete monthly review records and where necessary update the care plans. Daily records are used to inform the care plans and there is appropriate cross-referencing between the different sections of the care plans. The registered provider/manager discussed the new care planning system that is to be implemented in the near future. Staff have recently received training in the use of this new system. Medication administration records were checked and on the whole were well recorded. Medications are provided in a monitored dosage system, with some tablets bottled. Medication storage includes a purpose made metal drugs cabinet, a lockable drugs fridge and another lockable cupboard. The registered provider/manager said that a lockable medication trolley had been acquired and this was seen. Staff that are responsible for the administration of medications have completed a medication training course. Staff spoken to had a good understanding of residents’ needs and several of those residents spoken to were appreciative of the healthcare support provided. Records showed that healthcare support is recorded, and during the visit two district nurses were visiting residents at the home. Residents said that staff treat them well and respect their privacy and dignity. This was supported by the observations of staff practices during the visit to the home. People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect and autonomy over their chosen way of life. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Gresham Residential Care Home DS0000035039.V373818.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): Standards 12,13,14 and 15 were inspected at this visit. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from being given opportunities to take part in a variety of leisure activities. Residents are provided with an appealing, varied and balanced diet. EVIDENCE: Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 14 Residents spoke about their various interests and occupations. One resident enjoys doing the flowerbeds in the back garden and is encouraged with this pastime. Some residents go out to the local shops and one resident enjoys doing errands for some of the other residents. Two residents spoke about joining in with exercises on a Thursday morning, and said the hairdresser visits once a week. They also said that once a month a music session with tambourines is held, and once a month old films are shown. Staff undertake sessions including bingo, quizzes, and ball games. Outings are also arranged for example beach visits, sightseeing and visits to the Walpole Bay for afternoon tea. Residents confirmed that their daily routines are flexible and a resident spoke of liking to spend most of their time in their room. Several residents spoke about their visitors and confirmed that they are always welcomed. Residents spoke of trips out with relatives, or sometimes with staff. Residents spoke about the meals provided, describing what was on the day’s menu. They all confirmed there are choices available and knew what the alternatives were. One resident said lovely pastry and there are always choices available. Two relatives were seen having dinner with a resident on the first day of the visit. On the second day of the visit one resident said that they had had liver and bacon and one said they had fish at lunchtime. All residents spoken with said the food is very good. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Gresham Residential Care Home DS0000035039.V373818.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): Standards 16 and 18 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that their complaints will be listened to and acted upon. Suitable arrangements are in place for protecting them from abuse. EVIDENCE: A complaints notice is prominently displayed in the entrance hall with the address of the registered providers and details of whom else to contact, such as social services and the commission. The registered person/manager updated the information on the complaints notice at the time of the visit. There is also a suggestions box in the hall. Residents spoken to praised the home, saying that the staff are good and listen to them and that they have no complaints. Residents knew who to talk to if they had a concern, saying they would speak to the registered person/manager, or any of the staff. Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 16 It has previously been seen that the home has a detailed policy and procedures on abuse and adult protection. There is also a ‘whistle blowing’ policy and a policy on restraint. A staff member spoken to demonstrated understanding of these policies and knew what to do if there was a suspicion of abuse. The completed AQAA documentation states that staff have started P.O.V.A training and the registered person/manager confirmed that abuse and adult protection procedures are covered in the induction training of new staff. Gresham Residential Care Home DS0000035039.V373818.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): Standards 19,20,21,22,23,24,25 and 26 were inspected at this inspection visit. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home where the routine maintenance, decoration and renewal of furnishings is completed to a high standard. Recent investment and the on-going improvement programme have enhanced residents’ quality of life. EVIDENCE: Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 18 The home was found to be clean, odour free and benefiting from a welcoming atmosphere. The registered providers have an annual improvement programme. Since the last inspection the completed AQAA documentation states that changes include improvement works to the external areas, making all areas accessible to the residents. The roof to the annex of the property has been replaced and all external decoration has been completed. A new central heating system has also been fitted ensuring the heating in the property is adequate and also minimising the chance of heating failure, a pressurised water system and bronze pump has also been fitted. This allows instant hot water to be available. The aerial system has been upgraded to accommodate digital television and the system also incorporates Sky television if a resident wants to purchase a sky box. Several residents commented that they like their bedrooms and it was seen that bedrooms have been personalised and arranged to suit residents’ individual needs. One resident spoke of liking to have a shower and was appreciative of the facility. Another resident said they prefer a bath and stated that they enjoy being assisted to use the specially adapted bath. On the tour of the building various mobility aids were seen, such as grab rails, raised toilet seats and frames, individual aids such as walking frames and wheelchairs. Good standards of cleanliness and hygiene were observed. All areas seen were clean and where there are problems with odour, appropriate systems are in place to deal with them. The laundry room is well equipped with suitable washing machines and tumble driers and has been upgraded providing extra work surfaces and a new wash hand basin. An additional building has been provided as the designated smoking area and this is accessed via the conservatory. Gresham Residential Care Home DS0000035039.V373818.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): Standards 27,28, 29 and 30 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff are appropriate to meet the assessed needs of residents in this home. Residents are protected by the home’s recruitment procedures and commitment to staff training. EVIDENCE: Staff rotas seen and observation at the time of the visit indicated that the numbers of staff on duty were sufficient to meet the needs of the current resident group. Staff on duty at the time of the second visit consisted of the registered provider/manager, four carers, the cook and a cleaner. It has previously been reported that the registered provider/manager uses the Residential Forum Guidance recommended by the Department of Health to calculate the numbers of staff required. Dependency assessments have been completed for all residents and it was seen that these are regularly reviewed. The home has benefited from a stable staff team, although there have recently been some changes. The registered provider/manager confirmed that five Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 20 members of the care staff team have NVQ Level 2 and that four members of staff are undertaking NVQ Level 2 and one member of staff is currently undertaking NVQ Level 3. Two staff files were seen and contained all relevant documentation as required by regulation including for example application form, two written references and contract of employment. It was evidenced that CRBs are appropriately applied for and POVA first check undertaken prior to employment. The home uses the Skills for Care Induction Programme for new staff, and a partly completed induction pack for one member of staff was seen. Carers spoken with confirmed that they had undertaken induction training. The home is committed to ongoing staff training, and information on booked training courses was provided and included Challenging Behaviour booked for 28 January 2009, Fire Training booked for 03 February 2009 and First Aid training booked for 13 March 2009. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Gresham Residential Care Home DS0000035039.V373818.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): Standards 31,32,33,35,36,37 and 38 were inspected at this inspection visit. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well run home, where their best interests, health, safety and welfare are promoted and protected. EVIDENCE: The registered provider/manager has been running this home for five years and during that time has successfully completed each year’s annual development plan, working to clear goals that are prioritised and cover environmental and care objectives. The registered provider/manager confirmed that he has successfully completed the Registered Managers Award. Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 22 The registered provider/manager said that he had recently appointed a deputy care manager to assist with the management role of the home. This person will be responsible for the implementation of the new care planning system. Residents spoken to were appreciative of the regular contact they have with the manager during the week and stated that the other family members (including the registered providers) have regular contact with the home, this being witnessed during the visit to the home. Residents’ comments indicated that they feel the home is well managed, stating that the manager involves them in any plans for changes and keeps them informed about things that affect their daily lives. The inspector heard one relative thanking the registered provider/manager for the care provided to their relative by the staff at the home. Staff were complimentary about the home, saying that this is a good place to work, where there is a good team spirit and nice atmosphere in the home. Staff receive regular formal supervision and occasional residents’ meetings and staff meetings are held. Records of residents’ monies were checked and seen to be appropriately kept. The completed AQAA documentation confirms that all maintenance contracts are up to date and that the building complies with the fire safety requirements. The home has a quality assurance in place, and completed surveys were seen, with the analysis of the surveys being seen completed on the computer system. Information received has led to changes being made for example to the menus. People enjoy as good a quality of life as possible because the home is managed in a way that takes into account and promotes their human rights and equality and diversity needs. This service has consistently provided good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Gresham Residential Care Home DS0000035039.V373818.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 3 3 X X 3 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 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 4 3 4 4 3 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 4 4 4 X 3 3 3 3 Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Gresham Residential Care Home DS0000035039.V373818.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office 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 Gresham Residential Care Home DS0000035039.V373818.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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