Care Home: Netherwood

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What the care home does well What has improved since the last inspection? The requirements and recommendations made following the key inspection in May 2007 have been complied with ensuring that the service continues to provide a safe environment and good care for the people in residence. CARE HOMES FOR OLDER PEOPLE Netherwood Haughton Village Shifnal Shropshire TF11 8DG Lead Inspector Joy Hoelzel Unannounced Inspection 24th June 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 Netherwood DS0000020718.V367105.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. Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Netherwood Address Haughton Village Shifnal Shropshire TF11 8DG 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) 01952 462192 01952 462494 annharrison@netherwoodhome.wanadoo.co.uk Mr David Harrison Mrs Ann Harrison Mrs Judith Marina Sturdy Care Home 31 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (31) of places Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 31 older persons can be accommodated which can include a maximum of 6 over the age of 65 with dementia. 22nd May 2007 Date of last inspection Brief Description of the Service: Netherwood is a Care Home providing accommodation and personal care for a total of 31 older people. It is registered for the care of older people with or without dementia. The Home is in the village of Haughton, on the outskirts of Shifnal. Set back from the road, in its own grounds, the Home enjoys a peaceful location, where views of the surrounding countryside can be enjoyed from most aspects of the building. There are a mixture of single and double occupancy bedrooms, together with communal sitting and dining areas. The gardens are well maintained and provide a safe area for people to enjoy. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised, are readily available and include the current level of weekly fees. Commission for Social Care Inspection reports for this service are available from the provider or can be obtained from www.csci.org.uk Netherwood DS0000020718.V367105.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 2 stars. This means the people who use this service experience good quality outcomes. This unannounced inspection took place over four hours on Tuesday 24th June 2008 and we, the Commission for Social Care Inspection, conducted the inspection with the assistance from an expert by experience. An ‘expert by experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. Twenty three of the thirty eight National Minimum Standards for Care Homes for Older People were inspected as they are viewed as key standards for services. Thirty one people are currently living at the home and during the inspection were observed to be accessing all areas of the home. The registered manager, Judith Sturdy, was on the premises and was supported by 3 care staff, a social activities coordinator, domestic and catering staff. Mr and Mrs Harrison, the registered providers were also at the home. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of a number of people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records, service records, some policies and procedures and staffing records. Discussions were held with people living, visiting and working at the home. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the home for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to us within a given timescale. The registered manager completed this document and returned it to us. Comments from the AQAA are included within this inspection report. Have Your Say surveys were distributed to people living, working and visiting the home prior to this inspection. The comments from those that were completed and returned are included in this report. Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 7 The requirements and recommendations made following the key inspection in May 2007 have been complied with ensuring that the service continues to provide a safe environment and good care for the people in residence. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Netherwood DS0000020718.V367105.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 Netherwood DS0000020718.V367105.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): OP 1,3,6 Quality in this outcome area is good. Admissions are not made to the home until a needs assessment has been undertaken by a senior member of the staff team, this ensures that the home is confident that all assessed care needs of the individual can be fully met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Details of the service provision are available in the statement of purpose and service user guide; both documents have recently been updated are available on request at the home. The statement of purpose includes details of the current level of fees and the information pack includes photographs of the environment and garden. Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 10 The case file of the person who recently moved into the home was looked at to see if information had been sought regarding this persons needs prior to moving into the home. Information had been gathered from various outside agencies and an assessment of care needs had been conducted by the home. Other case files looked at contained a pre admission assessment conducted by a member of staff from the home and information from previous placing authorities. The manager confirmed that a member of the senior staff team visits the prospective resident in his or her own place of residence prior to offering a placement, this ensures that the home can be confident of fully meeting the care needs. The Annual Quality Assurance Assessment completed by the manager records and describes the admission procedures and identifies any areas that could be improved upon and plans to introduce the following, within the next twelve months‘When a prospective S U has had a trial visit we could follow up with a feedback of their views of the service’. The home does not provide an intermediate care service. Netherwood DS0000020718.V367105.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): OP 7,8,9,10 Quality in this outcome area is good. Care plans are person centred, written in plain language, are easy to understand and look at all areas of the individual’s life ensuring that health, personal and social care needs can be fully met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All people living at the home have a plan of care that is based on the information gained prior to admission; the plan is then reviewed on a regular basis. Some of the documents included in the case files had been signed as agreed with either the resident and/or their representative. Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 12 Three case files were selected for inspection and included assessments for healthcare including mobility, pressure area care, maintaining a safe environment, continence, and nutrition. Risk and potential hazards where identified are recorded, with the action needed to be taken by staff to reduce the risk. For example one person is identified at risk of malnutrition because of a frail and deteriorating condition. The plan records regular contact with external health care professionals and the assistance needed to maintain adequate nutrition. All case files included information and preferences for end of life care, this will ensure that a persons wishes are respected. Religious and cultural preferences are documented with details available to assist people with religious observance if they so wish. The Annual Quality Assurance Assessment records‘We have comprehensive care plans, which are a working tool that are regularly updated with additional information as necessary. The service user and family also input information into the care plans. Service users have access to weekly physiotherapy and a chiropodist and optician visit regularly. District nurses visit when required and the dentist is visited when required. We have a very good professional relationship with the local mental health team who visit when required’. Not all people living at the home were able to fully comment on their experiences of home life, those who were able to offer an opinion stated that they were very happy and satisfied with the care they were receiving. Observations of the people who are unable or unwilling to speak were that they appeared well cared for, well nourished and they looked contented. A recent change has been made with the supplying pharmacy for the prescribed medications, with the manager commenting of some minor ‘teething problems’ with the new system but is confident that the improvements will be beneficial. The senior staff administers the medications, the Medication Administration Record appears to be fully completed, and no gaps in the recording sheet were seen in the selection viewe. Observation of staff working practice and during the tour of the premises evidences that the privacy and dignity of people is upheld at all times. Staff were very respectful when speaking with residents and it was obvious that very good relationships hade been developed and maintained. People were very relaxed and appeared comfortable. Netherwood DS0000020718.V367105.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): OP 12,13,14,15. Quality in this outcome area is good. Residents are involved in daytime activities of their own choice and according to their individual interests, diverse needs and capabilities. The meals are balanced and nutritious and cater for the varying dietary needs of individuals. Care staff are sensitive to the needs of those residents who find it difficult to eat and give assistance with feeding. They are aware of the importance of helping at the pace of the resident, making them feel comfortable and unhurried. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A social activities coordinator is employed and arranges and facilitates activities as to the preferences of the people living at the home. The expert by experience was requested to look at this part of home life and found that generally the activities arranged were suitable for the residents. Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 14 One person discussed the film shows during the weekends and stated that there was no choice as the film being shown and they had not been asked what film they would wish to see. Most people spoken with identified that they were of one religious faith and confirmed that religious services are arranged at the home each week if they wished to participate in this observance. One lady stated that she had enjoyed the hour this morning she had had with other ladies and was knitting items for ‘overseas boxes’ for children. One visitor commented ‘Very satisfied I visit most days, Mum can choose to participate in the activities but she likes the sport so watches a lot of TV in her room’ Three ‘ Have Your Say’ comment cards were completed by residents with some help from their relatives, one person made an additional comment‘I can’t join in with some activities due to my physical disabilities’. One ‘Have Your say’ comment card completed by a relative offered a view that improvements could be made by – ‘Offer to assist the less mobile residents into the garden – the people in question do not like to “bother” the carers’. Staff also commented that – ‘Service users have an extensive choice of entertainment and activities, a wide and varied menu is available’ and, ‘The residents occasionally go on outings to the pub for lunch and also to the Poppy Ball, [annual social occasion in the local community], at which they get the chance to socialise with the local community, I think it would be good if these outings were more frequent’. During the morning there was lots of activity around the home with many relatives and friends visiting, and commented that they were satisfied with the visiting arrangements and felt able to visit at times suitable for the resident. One person was on a weekly visit to their relative explained that she visits once a week as she lived out of the area and commented – ‘I visit each week, I am very satisfied with the care, they look after my mum very well and I have peace of mind that she is well cared for’. The Annual Quality Assurance Assessment completed by the manager describes some of the activities arranged and on offerNetherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 15 ‘We employ an activities co-ordinator to stimulate social interaction. There is a local weekly church coffee morning for service users who wish to attend. We have twice-monthly church services held at the home and weekly bingo sessions run at the home by local outside volunteers. Frequent activities such as garden parties, birthday parties, entertainment, coffee mornings, themed events such as bonfire, St Patrick’s day and Christmas, and clothes shows all where families and friends are welcome to attend’. The main front door is kept locked at all times for security reasons; access is gained by staff answering the door. Exit is gained by releasing the lock by pushing two buttons at the top of the door. People have free entry and exit in other areas of the home and are able to access the gardens freely and many people were observed doing so. No rooms, with the exception of some private bedrooms, were locked. During the tour of the premises most bedrooms had been personalised and contained the photographs, pictures and other items belonging to the person. The dining rooms are prepared in advance of the meals and are attractively set with fresh flowers, table linen and condiments. It is obvious that meal times are seen as an important social occasion. People are encouraged to have their meals in the dining room but are able to have meals in other areas of the home if they wish. The catering staff serve the meals and are available throughout the meal period. Care staff were observed to be assisting discreetly where people needed assistance. Three people spoken with stated that the meals were always of a high quality and were ‘thoroughly enjoyable’. One person however, commented that on a couple of occasions the food had been uncooked/overcooked. When asked if she had complained she stated she had not thought about it. Netherwood DS0000020718.V367105.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): OP16, 18 Quality in this outcome area is good. The complaints procedure is supplied to everyone living at the home and is displayed in a number of areas within the service. The policies and procedures for safeguarding adults are available and give clear specific guidance to those using them. Residents and others involved with the service say that they are happy with the service provided, and feel safe and well supported. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Details of how to make a complaint are included in the statement of purpose and service user guide and a copy of the procedures is displayed in various areas around the home. The manager confirmed that no concerns, complaints or safeguarding referrals have been made. We, the commission, have received no concerns directly during the past twelve months. One lady living at the home said that she would speak with her family if she had any concerns and ‘they would sort it out’, but everything was satisfactory and ‘ no complaints at the moment’. Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 17 Policies and procedures are available for reference in the event of any safeguarding issues. Staff demonstrated a good knowledge of the action they would take if they had any suspicions of wrong doings or potential abuse. The registered provider stated that any sundry expenditure for the residents is paid directly out of petty cash with individual invoices being sent to either the person concerned and/or their representative. Netherwood DS0000020718.V367105.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): OP 19,26 Quality in this outcome area is excellent. The provider and manager have ensured that the physical environment of the home provides for the individual requirements of the people who use the service who live there. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, clean, safe and comfortable, well maintained and reflects the individuality of the people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated in a rural location on the outskirts of Shifnal, with the original property being extended and developed to provide accommodation for thirty one people. The home is comfortable, well furnished and decorated and Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 19 homely. Routine maintenance and replacement of the furniture and fittings continues on an ‘ as required’ basis. People living at the home commented that they were very satisfied with the accommodation and their own private rooms. There is a selection of communal areas both inside and outside of the home, this means that people have a choice of place to sit quietly, meet with family and friends or be actively engaged with other people who use the service. The grounds and gardens are very well maintained and freely accessible for the people living at the home to enjoy. Many people during the course of the inspection were observed to be walking in the gardens with people commenting that it was good to get a ‘ breath of air’. All areas of the home were spotlessly clean; the staff responsible for the household cleaning must be commended on maintaining such high standards. Suitable hand washing facilities have been provided to maintain good hygiene and effective infection control. The Annual Quality Assurance Assessment describes the improvements to the environment made during the past twelve months – ‘Redecorated reception area and various bedrooms and communal areas. New curtains in lounge and some bedrooms, new carpets in some bedrooms and on landing. Removal and thinning of some trees in rear garden and planting of various flowers and shrubs’ With plans for further improvements in ‘Replace some planters at the front of the building. New signage Ongoing decoration and refurbishment as needed’. Netherwood DS0000020718.V367105.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): Op 27,28,29,30. Quality in this outcome area is excellent. The service is proactive rather than reactive in its staffing, recruitment and training, with planning for the potential needs of people who may use the service in the future. The result of this is a diverse staff team that has a balance of all the skills, knowledge and experience to meet people’s needs. There is evidence that they demonstrate a thorough understanding of the particular needs of individuals, and can deliver highly effective person centred care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A duty rota is maintained each week to indicate the staff on duty at any given time. The manager explained the staffing complement and the staff allocations. General observations of staff working practice and home life, discussions with people living and working at the home suggests that the staffing complement is satisfactory for the needs of the current resident population. Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 21 The statement of purpose indicates that 82 of staff are accredited with NVQ either levels 2,3 or 4. This high level of trained staff ensures the people are being cared for by experienced, knowledgeable and competent people. Care staff confirmed the continuity of the provision of training. One ‘have your say’ survey completed and returned by a relative indicated that in their opinion – ‘Staff have the right skills and experience’. Have your Say’ surveys completed by staff included comments – ‘We have regular training sessions for staff to update their knowledge’. Two staff personnel files were selected for inspection and indicated that suitable recruitment procedures are in place. Each file contained references, criminal record bureau disclosures and confirmation of identity. Individual staff’s training records are kept in each file indicating the training completed and what is required during the next twelve month period. The manager discussed the recent training opportunities for staff with sessions and courses training in dementia care awareness. The manager went on to say that the Alzheimer disease society have been approached for advice on training videos etc to further enhance staffs knowledge of this specialist area. The Annual Quality Assurance Assessment details the action they have taken to ensure that they do well in this area by ‘We have a comprehensive and extensive training programme with 84 of care staff trained to NVQ level 2 or above. Many of our staff have been with us for a number of years affording consistency of care for service users. We employ a higher than required ratio of staff for peak times (see staff rota) and employ an exceptional domestic team who maintain the living environment to a commendable level. We use the services of employment law consultants and therefore follow good recruitment practice. The care manager ensures a comprehensive staff training and development plan is in place’. Netherwood DS0000020718.V367105.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): OP 31,33,35,38 Quality in this outcome area is good. The manager has a clear understanding of the key principles and focus of the service, based on organisational values and priorities. They work to continuously improve services. The manager leads and supports a strong staff team who have been recruited and trained to a high standard This judgement has been made using available evidence including a visit to this service. EVIDENCE: Ms Judith Sturdy has been manager of the service for just over a year and has recently been accredited with National Vocational Qualification Level 4, Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 23 registered managers award. She discussed the improvements made during this period with the planning of care provision and documentation. The care manager’s office is very well organised office with records and documents being readily available upon request. Throughout the inspection Ms Sturdy and the team of staff were observed to be very kind, caring and patient with the people using the service. It was evident that good relationships have been developed and maintained with service users. There are clear lines of accountability between the manager and the registered providers; the registered manager and deputy manager discussed the good levels of support offered by the providers. The registered provider stated that any sundry expenditure for the residents is paid directly out of petty cash with individual invoices being sent to either the person concerned and/or their representative. A lockable drawer has been provided in each bedroom for the safe storage of cash or valuables belonging to the individual. Weekly, monthly and annual testing of the equipment and premises are conducted with records kept and available for inspection. The manager was advised to keep a written record for the checks made to the safe use of bed rails and to ensure that are fitted in a safe way by a competent person and compatible with the type of bed. The manager offered an assurance that this would be implemented without delay. Netherwood DS0000020718.V367105.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 3 X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N0 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 Netherwood DS0000020718.V367105.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Netherwood DS0000020718.V367105.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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