Care Home: Hartland House

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What the care home does well Hartland House has a warm friendly atmosphere and all the residents we spoke to told us how pleased they were to have found such a lovely home. The home has a good admissions procedure that takes into account the needs of all those already living there before offering a place to any prospective resident. This ensures the comfort and security of those who have already made Hartland House their home.The care planning system ensures all the assessed needs are documented so that those supporting the residents are aware of the changing needs and able to meet them. All healthcare needs are met by a good working relationship with the local doctors and district nursing service. Optical service is provided through domiciliary visits and those residents that do not have their own dentist are able to attend the hospital should the need arise. Chiropody services are available, the cost of which is included in the fees. People we spoke to said they could please themselves how they spent their day and felt they were supported by the staff to make the decision. All residents confirmed that the food was excellent and that there was a choice at every meal. Hartland House is the residents to appointed rooms personalised with homes. situated in a quiet area of Milnthorpe with lovely gardens for enjoy. The home is extremely well maintained with well and excellent quality furnishings. Residents` rooms are items of furniture, pictures and ornaments from their ownThere are regular residents` meetings and a newsletter that gives information about the home, any forthcoming activities and details about what is happening in the community. What has improved since the last inspection? A new state of the art loop system has been purchased and installed. This will considerably enhance the lives of many of those living in Hartland House. One of the lounges has been completely refurbished to include new furnishings and curtains. Bedrooms have been redecorated and the programme of redecoration is ongoing. A resident`s newspaper has been introduced giving information about what`s on in the home and also what is on in the community. CARE HOMES FOR OLDER PEOPLE Hartland House Beetham Road Milnthorpe Cumbria LA7 7QW Lead Inspector Mrs Margaret Drury Unannounced Inspection 3rd July 2008 09:30 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 Hartland House DS0000022645.V367084.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. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hartland House Address Beetham Road Milnthorpe Cumbria LA7 7QW 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) 015395 62251 015395 64891 abbeyfieldhh@aol.com Abbeyfield Lakeland Extra Care Society Limited Mr Derek Nichols Care Home 24 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (24) of places Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 24 service users to include: up to 24 service users in the category of OP (Old age, not falling within any other category) up to 7 service users in the category of DE(E) (Dementia over 65 years of age) Date of last inspection 10th July 2006 Brief Description of the Service: Hartland House is owned by Abbeyfield Lakeland Extra Care Society Ltd and is managed on a day-to-day basis by Derek Nichols. It is situated on the outskirts of Milnthorpe in South Cumbria. The home is registered to care for up to 24 older people, 7 of whom may have varying forms of dementia. Hartland House is a modern detached building that has been extended and adapted for its present use as a care home. There are 22 single bedrooms and 1 double, all with en-suite toilet and shower facilities. There are extensive communal areas, including small sitting areas where residents can just sit or meet with their visitors in private. There are well kept gardens with patio areas and garden furniture. Hartland House DS0000022645.V367084.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 the people who use this service experience excellent quality outcomes. This was the main or ‘key’ inspection of the service, with this unannounced During the visit we (the commission) visit taking place on the 3rd of July. toured the building, spoke with residents, staff and the management. We looked at care, medication, staffing and management records. We saw how people were spending their day, and observed lunch and talked about any planned activities. Prior to this inspection the manager had completed and returned the Annual Quality Assessment Audit (AQAA) that we had requested for the Annual Service Review that took place in December of last year. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also sent surveys out to some of the people who live in the home, their relatives and to staff. We received 5 back from relatives, 10 from those living in the home and 8 from members of staff. The findings of the surveys are included in this report. We also receive monthly reports from members of the committee and the contents of these were also taken into account when writing this report. The fees for this service range from £465 to £520 per week according to the dependency level. The fees include the cost of hairdressing, chiropody and newspapers. What the service does well: Hartland House has a warm friendly atmosphere and all the residents we spoke to told us how pleased they were to have found such a lovely home. The home has a good admissions procedure that takes into account the needs of all those already living there before offering a place to any prospective resident. This ensures the comfort and security of those who have already made Hartland House their home. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 6 The care planning system ensures all the assessed needs are documented so that those supporting the residents are aware of the changing needs and able to meet them. All healthcare needs are met by a good working relationship with the local doctors and district nursing service. Optical service is provided through domiciliary visits and those residents that do not have their own dentist are able to attend the hospital should the need arise. Chiropody services are available, the cost of which is included in the fees. People we spoke to said they could please themselves how they spent their day and felt they were supported by the staff to make the decision. All residents confirmed that the food was excellent and that there was a choice at every meal. Hartland House is the residents to appointed rooms personalised with homes. situated in a quiet area of Milnthorpe with lovely gardens for enjoy. The home is extremely well maintained with well and excellent quality furnishings. Residents’ rooms are items of furniture, pictures and ornaments from their own There are regular residents’ meetings and a newsletter that gives information about the home, any forthcoming activities and details about what is happening in the community. What has improved since the last inspection? What they could do better: There were no requirements or recommendations made as a result of this inspection and we are sure Hartland House will continue to provide the excellent care and support already in place. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 7 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. Hartland House DS0000022645.V367084.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 Hartland House DS0000022645.V367084.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 2, 3, 4, & 5 were assessed. Standard 6 is not applicable to this service. Standards Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a sound admission process, which ensures people are in the right place and are helped to settle in quickly. EVIDENCE: Peoples’ health, personal and social care needs are assessed prior to them being offered a place in the home. This is to ensure the home is suitable for them and that staff will be able to meet all their care needs. The manager or deputy manager complete all the assessments and always take into account the needs and dependency of those already living in the home before offering a place. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 10 All residents have a contract and terms and conditions of residency with a copy kept on their file and one available for each individual. Prospective residents and/or their relatives are invited and encouraged to visit the home to view the facilities and accommodation. This also gives opportunity to meet the management and staff. Some residents have enjoyed a short stay break at the home before moving in. Discussions with the deputy manager/head of care confirmed that staff do all they can to make the moving in process as easy and pleasant as possible. The service does not provide intermediate care. Hartland House DS0000022645.V367084.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): Standard 7, 8, 9, 10 & 11 were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are thoroughly detailed with specific health and social care needs clearly identified. It is evident that peoples’ assessed needs are being appropriately met with privacy, respect and dignity. EVIDENCE: The care plans for four of those living in the home were examined during the visit and found to be well detailed and up to date. There was evidence that they are regularly reviewed and all contained relevant information and guidance on how to provide the support and care to meet the individual needs. Wherever possible residents are involved in the care planning process and sign their care plans. All care plans were developed from the initial assessment of needs and the home uses the ‘Waterlow’ system to help complete this initial assessment. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 12 This assessment looks at the ongoing needs in detail in order to ascertain the level of care required. Any changes are noted immediately and the level of care provided is adjusted accordingly. The home has an ‘end of life’ policy and procedure in place for both expected and unexpected events. External training has been completed and the ‘Liverpool Care Pathway’ care plan is put into place as soon as this is required. Staff have also received training in ‘end of life care’. The manager confirmed that the local G P surgeries give an excellent service to the home and we were able to speak to one of the doctors during our visit. There was evidence that staff had taken on board advice from these professionals and incorporated any necessary information into the person’s care plan. The district nurses keep a file at the home on those residents they are visiting, which means that up to date information is always to hand. Other professional healthcare is also to hand via physiotherapists, occupational therapists and community psychiatric nurses. All doctors’ visits take place in the privacy of the resident’s room to ensure dignity is maintained at all times. We observed the interaction between the staff and those living in the home and found it to be warm and relaxed. It was obvious that the staff and management knew the residents very well and enjoyed a joke with them whilst still preserving their dignity. The residents responded well to the attitude of the staff. Residents we spoke to during the visit told us they were happy with the care and support they received and some of their comments included, • • • ‘ The girls are so lovely and very helpful’ ‘I can see my doctor whenever I want to’ ‘ The staff are wonderful and always pleasant’ Comments on the returned surveys included, • • ‘The staff listen to what I say’ ‘The staff are available when I need them’ The doctor we spoke to during the visit told us it was a pleasure to visit the home and found the care to be excellent. We checked the medication records and found them all to be in order. The medication is supplied by a local pharmacy in a monitored dosage system. All the staff who are responsible for giving medication have been trained to level 2. The Commission have not received any notification of any errors and the records confirmed this. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 13 Although there are currently no prescribed controlled drugs there is a policy in place to deal with these and the correct recording paperwork. All returned medication is listed and signed for when collected from the home. The dispenser from the pharmacy visits regularly to check the records and also conducts an annual audit. The deputy manager confirmed that the home makes every effort to keep the medications held at the home to a minimum to reduce, as far as possible, any waste. This is with particular reference to medication prescribed ‘as required’. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 14 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 & 15 were assessed Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are free to spend their days as they chose and are enabled to join in with group activities or pursue their own interests. The provision of meals was highly praised both for choice and quality. EVIDENCE: The routines in the home are very flexible. People are able to choose how to spend their day, with some making full use of the communal rooms, whilst others choose to stay in their bedrooms and just come out for meals. The flexibility is always within the remit of the care plan and assessed needs. Some residents had their breakfast, which is served between 8am and 10am, in their rooms. They told us that this enabled them to “take their time to get up and about”. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 15 There are activities provided for those wishing to join in although some residents do prefer to sit in their rooms reading or watching television. The July programme included, bingo, a film afternoon, board games, a beetle drive, tai chi and weekly visits from the hairdresser. There are daily walks in the garden or into town for a coffee when the weather permits. There is also a resident’s newspaper produced on a regular basis with copies on display around the home. Religious support is provided through communion whenever possible and visits from the local minister. There are always plenty of visitors to the home and they are always made very welcome. Comments received via the returned survey forms included, • • • ‘I think my parents are very happy at Hartland House’ ‘ They provide good food, assistance and good care’. ‘ Hartland House has staff who have the necessary patience, compassion and understanding to look after the elderly’. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 16 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): Standard 16 & 18 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People knew how to raise concerns or complaints and were confident that management would address any worries promptly. People felt safe and well cared for and said that staff listened and acted on what they said. EVIDENCE: The home has an appropriate complaints procedure in place and every resident is given a copy. Copies are also on display about the home. There is a complaints log but there have been none to record and the Commission have not received any either. The last complaint received by the home was a minor internal matter, which was settled within 10 days of being raised. The documentation was produced for us to examine. When we spoke to residents they told us they would speak to Derek (manager) or Suzanne (head of care/deputy). People knew how to raise concerns or complaints and were confident that management would address any worries promptly. People felt safe and well cared for and said that staff listened and acted on what they said. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 17 Staff receive training on safeguarding people as part of their induction and National Vocational Qualification course. There were also specific in-house training days available on safeguarding and protection. Training in abuse and challenging behaviour has been completed at Kendal College. Through discussion with staff it was evident that people understood the principles of safeguarding and were aware of local reporting procedures. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 18 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 & 26 were assessed Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is clean, hygienic and regular investment in the building and grounds ensure it is extremely well maintained. This ensures that people live and work in a safe, comfortable and pleasant environment. EVIDENCE: We conducted a tour of the building and throughout it was found to be of an excellent standard with high quality furniture and fittings. The manager and/or deputy conduct regular inspections of the home and note any repairs that may be required. One of the lounges has been completely refurbished, including carpets and curtains and bedrooms have been redecorated when required. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 19 All of the bedrooms have en-suite bath/shower and toilets and there are also communal bathing and toilet facilities available. The home has specialist equipment for those residents requiring them. These include, handrails on corridors, assisted bathing, raised toilet seats and hoists. All of these facilities ensure the residents live in safe, comfortable and suitable surroundings. The bedrooms are well furnished and personalised with special items brought from the residents’ own homes. The residents confirmed that this made their ‘settling in’ period much easier. There is plenty of communal space with a large lounge/diner, another lounge and conservatory. There are also extra sitting areas around the home for the residents to use. There are very well kept gardens also with sitting areas and the home uses a self-employed gardener to ensure the outdoor space is always pleasant and safe. The home employs a housekeeper who ensures it is always clean and hygienic. We were able to speak to her during the visit and she confirmed that she is always able to access plenty of cleaning materials to ensure the environment is kept up to the standard the management expect. Infection control training has been completed and the deputy manager is now organising refresher courses that will ensure all staff are aware of the importance of this. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 20 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 & 30 were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff team have been correctly recruited and have the necessary skills and experience to provide an excellent standard of care to vulnerable people. EVIDENCE: The staffing arrangements within the home are very good with 4 members of care staff on duty from 7.45am to 3.30pm and 3 care staff on duty from 2.30pm until 10.00pm. In addition there is a lead senior and a care coordinator on duty plus the manager and deputy/care manager. There is also a team of catering and ancillary staff who, together with the registered manager and care staff, provide a qualified and experienced workforce, well able to meet the needs of those living in the home. There are 2 members of staff on duty at night, one of which is a senior carer. If any resident has an early hospital or doctor’s appointment extra staff are available. The home has an established staff training programme with an annual training budget in place and the inspector was able to examine the records detailing staff development. Training in the following disciplines has been completed, equality and diversity, first aid, moving and handling, dementia, challenging behaviour, diabetes and infection control. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 21 There is an in-depth recruitment and selection process with no member of staff starting work before all the legal checks, including enhanced criminal records bureau, are completed. National Vocational Qualification training is ongoing with over 80 of the staff qualified to levels 2 and 3. The deputy manager is qualified to level 4 and is currently studying for the Registered Manager Award. All of this results in a diverse staff team that has the balance of skills and experience to meet the needs of people living in the home. Discussions with the staff evidenced that they all work as a team and support each other, although they are aware of their own roles and responsibilities. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 22 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 & 38 were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. There is an effective quality assurance system that ensures residents are fully satisfied with the care and support they receive. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager has the required qualifications and experience, and is highly competent to run the home and ensure it meets its stated aims and objectives. He has the best interests of the residents at heart and has a clear vision of the home that is based on the organisation’s values and priorities. He has a high profile within the home and those residents who spoke with the inspector said he “is very approachable and I can speak to him when I want to”. There is a very open atmosphere in the home that stems from the manager and the head of care, who also is the deputy manager, and is much appreciated by those living and working in Hartland House. The manager has been instrumental in ensuring that members of the house committee take an active part in the running of the home and complete monthly audit reports. Copies of these are forwarded to CSCI. Quality audit questionnaires are completed by relatives/visitors, professional agencies and residents, after which the manager prepares an audit report and looks closely at any issues raised. Residents’ meetings are held, which give opportunity for those attending to share their views and make any suggestions about the running of the home. There is no personal allowance monies held on behalf of any of the residents so this standard was not applicable at this time. Staff supervision is ongoing and completed every 2 months. It is the delegated responsibility of the line managers and is up to date. The manager has recently completed the annual appraisals for all the staff. There are working practices in place to minimise the risk of accidents and the home has a comprehensive range of policies and procedures in place to promote and protect residents and staff. The manager and senior team have a good understanding of health and safety issues and risk assessments covering all aspects of the running of the home. All equipment is maintained by annual service level agreements and all certificates were in date. Fire training is completed regularly and a fire risk assessment is in place. Complete evacuations of the building are undertaken every 6 months. Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 13 14 15 4 4 4 4 4 4 X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 4 4 4 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 X N/A 4 X 4 Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 25 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 Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Hartland House DS0000022645.V367084.R01.S.doc Version 5.2 Page 27 - 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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