Care Home: Kelvedon Project

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What the care home does well The home uses a person centred approach to ensure that it provides individual care for people living at the home Service user`s bedrooms were comfortable and staff make sure that service users` individual tastes are reflected in their surroundings. The home has a stable staff team and staff turnover is low, which ensures consistency of care for the people living there. The environment in both bungalows was homely and welcoming, and the atmosphere was pleasant. Comments from service users included `I love it here it`s just like an hotel`. What has improved since the last inspection? Staff training has been improved with regard to the number of staff who now hold a National Vocational Qualification (N.V.Q) at level 2 or better. The home`s quality assurance system has been further developed, and copies of reports are now available for inspection.Kelvedon ProjectDS0000017860.V375385.R01.S.docVersion 5.2All staff have received further training in care planning and record keeping, which is reflected in the quality of documentation. What the care home could do better: A Registered Manager needs to be appointed to manage and run the home on a day-to-day basis. Key inspection report CARE HOME ADULTS 18-65 Kelvedon Project 43a & 43b Morley Road Tiptree Colchester Essex CO5 0AA Lead Inspector Neal Cranmer Unannounced Inspection 4th February 2009 10:00 Kelvedon Project DS0000017860.V375385.R01.S.doc 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 home adults 18-65 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. Kelvedon Project DS0000017860.V375385.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 Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kelvedon Project Address 43a & 43b Morley Road Tiptree Colchester Essex CO5 0AA 01621 815224 01621 815224 marie.jones@scope.org.uk www.scope.org.uk SCOPE 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) Vacant. Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability (not to exceed 6 persons) 14th September 2007 Date of last inspection Brief Description of the Service: The Kelvedon Project consists of two self-contained bungalows, each accommodating three service users with physical and learning disabilities. The home is situated in the village of Tiptree, which is readily accessible by public transport to the towns of Colchester and Maldon. There are local facilities and shops. People living at the home have access to a large garden and patio area, including the addition of a conservatory that is easily accessed from both bungalows and used by all service users. Another Service Manager who manages another establishment locally is carrying out the management responsibilities for the home. Her time is managed efficiently between both units, with both staff teams being kept informed of her whereabouts at any one time. The home charges between £818:12 and £1,265:94 per week for the service they provide. This information was provided to the Commission during a telephone conversation on the 19th May 2009. Kelvedon Project DS0000017860.V375385.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 two stars. This means the people who use this service experience good quality outcomes. This unannounced inspection visit was carried out on the 4th February 2009 with the assistance of the Deputy Manager. Assistance was also provided by administrative staff. The site visit was conducted between the hours of 9:00am and 3:30pm. The inspection involved a tour of the home, looking at records and documents, and talking with two people who live at the home, the Deputy Manager, the administrator and three members of the care team. The Annual Quality Assurance Assessment (AQAA), is a self audit tool that the home uses to tell us what they do well, and identify any areas for further improvement) was good, well laid out and contributed positively to the overall inspection visit report. At the end of the inspection, feedback was given to the Manager covering the home, regarding the inspection visit. What the service does well: What has improved since the last inspection? Staff training has been improved with regard to the number of staff who now hold a National Vocational Qualification (N.V.Q) at level 2 or better. The home’s quality assurance system has been further developed, and copies of reports are now available for inspection. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 6 All staff have received further training in care planning and record keeping, which is reflected in the quality of documentation. 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. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. 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. People who may use the service and their representatives are provided with the necessary information needed to enable them to make an informed choice about the home’s ability to meet their assessed needs. EVIDENCE: The home’s Statement of Purpose and Service User Guide had been reviewed to reflect the change in management arrangements. The Statement of Purpose provided information about the structure of the service, the qualifications of staff, and the facilities provided. The document also included information on the home’s complaints and admission processses. In addition people newly admitted to the home are provided with a welcome pack, which is available in a pictorial format. All three documents were comprehensively detailed, and together provided prospective service users and their representatives with a good level of information to enable them to decide if the home would be able to meet their needs. All three documents can be made available in various formats that can assist service users to understand and enable them to make informed choices. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 9 There have been no new admissions to the home for, in excess of two Years; however reference to the home’s admission process was contained in the Statement of Purpose. The home’s AQAA states that the assessment process takes place by the service manager arranging a planned visit to the service user’s current placement, to gather information and ask questions. The manager then completes a pre-admission assessment detailing the precise levels of support required, and whether or not there is any identified need which may result in additional equipment being needed. From the information contained in the files examined, an assessment record of needs had been completed to establish how staff support people who live at the home and what additional support services are required to access community facilities and the environment. An assessment and management of risk had been carried out for each Service user in terms of the environment. The home encourages prospective new service users to undertake a trial stay, this may be an overnight stay. A twelve week trial placement is then offered. During the trial period, a nominated key worker is assigned to the individual to support them. On completion of the 12 week trial period, a review is held and all interested parties are invited to attend. If the placement is agreed, a service agreement, which details the terms and conditions of the service, is offered. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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): 6, 7 and 9. 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. Individuals are involved in making decisions about their lives, and are supported to have an active role in planning the care and support that they receive. EVIDENCE: Three care plans that had been generated from single Care Management Assessments (Com 5s, these are assessments that are undertaken by representatives of the placing authorities) and the home’s pre-assessment process were examined. Plans were found to include all aspects of personal, social and healthcare needs. Care plans were in place to support people with their mobility, communication, domestic skills, daily living skills, self image and choice. In respect of choice one care plan recorded ‘I like to be offered different things, and am fully aware of my likes and dislikes. Emotionally I like Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 11 people to interact with me, and I will let them know when I am unhappy’. This was representative of the care plans being written in a person centred way. All three of the care plans examined showed that risk assessments were in place, covering a range of areas including vulnerability, communication, and moving and handling, these set out management actions and precautions to be followed to reduce risk to individuals. A key-worker system operates at the home (the AQAA states that service users choose who they would like to support them) to allow staff to work on a one to one basis and contribute to the care plan and reviewing process for people living at the home. There was evidence and records that care plans had been reviewed regularly. The home’s AQAA stated that care plans are reviewed six monthly or whenever there is a change in need. Observations of interactions between staff and service users showed that staff encouraged service users to make decisions. Staff displayed patience and listened and responded appropriately. Staff spoken with said that people living at the home were supported in making informed choices, with records in place relating to agreements and permission for staff to assist with their finances and the administration of medicines (copies of these records were seen in the care plans). Service user meetings are held on a monthly (minutes of these meetings were available and showed that service users had been in attendance) basis to ensure individual needs and wishes are listened to and acted upon. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 and 17. 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. People who use the service are supported to make choices about their life style, and are further supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Service users care plans contained a programme of activities based on their likes, dislikes and preferences, in terms of how they wished to spend their time both in the home and in the community. Service users attend a range of educational, social and leisure activities supported by professionals and the home’s staff team. One person living at the home is a keen supporter of a London Football Club and from time to time attends home matches. Those who find it difficult to be Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 13 part of certain activities are encouraged to participate in walks with a member of staff or group; they also take part in individual outings using the home’s vehicle. People living in the bungalows are actively encouraged,and consulted with and take an active part in all aspects of service provision, this includes recruitment, Quality Assurance process and Service User meetings. On the day of the inspection the home were recruiting new staff, and one service user was seen taking an active part in the recruitment process, asking qustions etc. During a break the manager joked ‘I would’nt want to face them during an interview’ The manage went onto explain that the service users also take on the role of showing prospective candidates around the home as part of the recruitment process. The home has an open door policy on the receiving of visitors. Service users are supported to maintain links with their families and friends by their key workers. The care plans examined as part of the inspection contained the contact details of those people who were important in the service users lives. When relatives visit the home there is a quiet conservatory area available where they can if they choose spend time with their loved one. The manager reported that most of the people living at the home spend time with their relatives either at home or by relatives visiting the home. The home’s AQAA states that all of the service users are actively encouraged to be involved at some stage in the food preparation process, either through menu planning or shopping. Each service user is responsible for planning their own menu and they are free to choose when and where they wish to eat. This statement was supported by discussion with one service user, and during discussion with staff. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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): 18, 19 and 20. 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 health and personal care that people receive is based upon their individual needs, and the principles of respect, dignity and privacy are put into practice. EVIDENCE: Service users are supported and encouraged to have independence and control over their lives by the management team and staff. Information relating to how personal support for people living at the home is provided was noted in their individual care plans. Continuity and consistency of support for service users is provided through the key-worker system. Service users care plans examined provided evidence that appropriate healthcare services are available, accessed, and fully recorded following referrals. Records showed that service users had access to a range of health care professionals such as Opticians, Dentists, and Chiropodists. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 15 Hospital services and routine health checks were arranged and well documented. All service users are registered with a General Practitioner at the local medical centre. The management of medication was found to be of a good standard with appropriate records in place regarding the ordering, administration and recording of medicines given by staff. The home operates a Monitored Dosage System (MDS). At the time of the inspection visit there were no service users living in the home who had been assessed as having the capacity to self medicate. All staff that have responsibility for administering medicines and had received appropriate training, provided by the dispensing chemist. In addition to this training the home’s AQAA states that staff will then be supervised by the team co-ordinator on at least a further six occasions to ensure their competency before they are allowed to administer medications. Sample signatures were kept of all staff administering medicines, so that if mistakes were to occur there would be a clear audit trail. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 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): 22 and 23. 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. People who use the service are supported to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse. EVIDENCE: The home’s complaints policy and procedures that had been developed by SCOPE was clearly set out and openly available to service users, visitors and staff. At the time of the site visit no complaints had been received by either the home or the Commission. As mentioned elsewhere in this report information regarding the home’s complaints procedure is contained in the home’s Statement of Purpose and Service User Guide. Safeguarding policies and procedures were in place for staff guidance and were available to individuals living in the home should they wish to access the information. Staff spoken with confirmed that they had received training and were aware of their responsibilities in relation to safeguarding issues; Staff spoken with were knowledgeable about safeguarding. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 17 Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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): 24, 26, 29 and 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 physical design and layout of the home enables people to live in an environment that is safe, well-maintained and comfortable, in which they can develop their independence. EVIDENCE: The two bungalows visited had been designed to meet the individual needs and lifestyles of the people they accommodated. Both were found to be clean, well furnished, comfortable and suitable for their stated purpose. The home is situated close to local facilities. Service users rooms seen provided evidence of individuality and personal possessions. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 19 The home is equipped with a range of aid and adaptations to enable service users to maximise their independence, including overhead hoists, specialist baths, anti-slip flooring, hand grab rails and a self closing and opening front door, designed to enable easier access and eggress. Observation of service users in both bungalows indicated that they were happy and contented in their environments. The atmosphere in both bungalows was homely and inviting. A spacious and well furnished conservatory provides service users from both bungalows with an alternative and accessible area in which to receive visitors, or to use as a quiet room. Laundry facilities were domestic in nature, and were situated away from the bungalows, across the courtyard/car park and provided the necessary facilities to meet the needs of the service users in residence including hand-washing facilities. Policies and procedures for the control of infection were in place and appropriate COSHH records maintained on cleaning materials. Sampling of staff training records showed that staff had received training in infection control, and other health and safety related areas. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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): 32, 34 and 35. 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. Staff in the home are well trained, and are available in sufficient numbers to support the people who use the service, and enable the smooth running of the service. EVIDENCE: The home employs twelve care staff, of these ten hold a National Vocational Qualification (NVQ) at level 2 or above, in addition to these staff the domestic support member of staff had recently signed up to commence an award in house keeping. This information was provided as a training print out, it was also further supported by the home’s AQAA. The recruitment files of three member’s of staff were examined and contained evidence of all of the required information and checks necessary being carried out before they commenced working in the home. These checks included references, proof of identity and Protection of Vulnerable Adults (POVA) and Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 21 Criminal Records Bureau (CRB) clearance. Staff files also included evidence of relevant qualifications. Staff spoken with and personal development files seen confirmed that they had undertaken relevant training to meet the diverse needs of people using the service, this training included: food hygiene, infection control, first aid, manual handling, safeguarding, and health and safety including fire awareness. The manager reported that other training that had been scheduled to take place included care planning, pressure area care, supervision and medication administration. Discussion with staff during the course of the inspection visit indicated that access to training was good. Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 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): 37, 39 and 42. 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 management and administration of the home is based on openness and respect, and there is an effective quality assurance system in place. EVIDENCE: At the time of the site visit the home did not have a registered manager in post, ( A requirement has been made for this matter to be addressed) and was being operationally day-to-day managed by a Deputy Manager. The Deputy Manager had worked for the organisation for a significant period of time, and had a good deal of previous experience of working in the care sector. The Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 23 manager was supported on site by a team-co-ordinator and an administrator, both of who also had previous expereience. In addition to this support the Deputy Manager was being supported closely by the Registered Manager of the home’s sister home nearby. The home has in place an annual process of obtaining quality assurance feedback, this process includes sending out questionnaires to relatives and professionals. Information from the last process had been collated, analysed and an action plan produced in response. Staff and service user meetings were held monthly, minutes of which were seen to be kept. The registered provider visits the home on a monthly basis to undertake Regulation 26 visits (these are visits required by legislation). Reports from such visits were made available to the home, and sampling of these reports evidenced that the provider made time during their visit to speak with both the service users and the staff. The home’s safe working practices were looked into by the viewing of a range of safety certificates, these included records relating to gas appliances, electrical installations and portable appliance tests, all of which were current and up to date. Staff training and development files included evidence of training on health and safety, and infection control and fire safety. The records looked at indicated that the home was providing safe working practices. Kelvedon Project DS0000017860.V375385.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 Adults 18-65 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 3 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 3 27 x 28 x 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 3 x x 3 x Version 5.2 Page 25 Kelvedon Project DS0000017860.V375385.R01.S.doc No. Are there any outstanding requirements from the last inspection? 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. 1. Standard YA37 Regulation 8 Requirement Provision must be made for the appointment of a registered manager. This is to ensure that the home is appropriately managed. Timescale for action 31/08/09 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 Kelvedon Project DS0000017860.V375385.R01.S.doc Version 5.2 Page 26 Care Quality Commission Eastern Region Care Quality Commission Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 03000 616161 Email: enquiries@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. 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. 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