Care Home: Palm Court Nursing Home

Similar services:

• Wingham Court
• Old Hastings House
• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount

What the care home does well Palm Court provides residents with a comfortable and homely environment, and support is offered in such a way that independence is promoted, and residents are able to make choices Relatives and visitors are welcome at any time, those spoken with were very positive and they said `the home is managed well` and `the staff are very good`. What has improved since the last inspection? The home has addressed or partly addressed all the requirements made at the last inspection. The care plans now include specific information about residents social and nursing needs, with nutritional assessments completed and linked to weights and food eaten. Staff are working towards enabling residents to make choices about all aspects of their day to day lives. Residents are able to access the call bells, unless their care plan assesses this as inappropriate. The home was clean and fresh, liquid soap and paper towels are in place, and bins have lids. The staffing levels have increased but this continues to be under review. Risk assessments have been completed for all parts of the home and action is taken to prevent accidents. What the care home could do better: No requirements have been made, however there are some area which need addressing, these have been included in the body of the report. The manager confirmed that she is aware of these and is in the process of addressing them. CARE HOMES FOR OLDER PEOPLE Palm Court Nursing Home 17 - 19 Prideaux Road Eastbourne East Sussex BN21 2ND Lead Inspector Kathy Flynn Unannounced Inspection 9th March 2009 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 Palm Court Nursing Home DS0000059836.V374446.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. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Palm Court Nursing Home Address 17 - 19 Prideaux Road Eastbourne East Sussex BN21 2ND 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) 01323 721911 01323 410244 dfbcareltd@yahoo.com www.palmcourtnursinghome.co.uk DFB (Care) Ltd Mrs Janis Linda Burch Care Home 42 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) With Physical disability (PD) 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 42 Date of last inspection 1st April 2008 Brief Description of the Service: Palm Court is registered as a care home providing nursing care for forty-two residents with dementia and physical disability over the age of 65 years old. A new wing has been added to provide twelve single bedrooms with ensuite, a large lounge, two new sluice areas, bathrooms and a nurse’s station. The accommodation consists of twenty-two single rooms, sixteen of which have ensuite facilities, ten double bedrooms, four with an ensuite facility. There is a large lounge, and a smaller one used as a quiet area and a separate dining room just inside the entrance to the home. There is one laundry room, adequate bathing facilities for the residents, and a clinical room. The home has a passenger lift and stair lift which provides access to all areas of the home. There is a large well maintained garden area to the rear. There is no car park but unrestricted parking is allowed in Prideaux Road. There is a bus route nearby and the home is approximately 15 minutes from the town centre. The fees charged at the time of the inspection ranged from £490 to £790, which includes basic toiletries. Additional charges are made for hairdressing, chiropody, and newspapers and outside activities. Intermediate care is not provided. Palm Court Nursing Home DS0000059836.V374446.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 star. This means the people who use this service experience good quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Palm Court will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home by the inspector and 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, joined residents for the lunch on the day of the inspection, and spent time talking to residents, staff and visitors. A tour of the premises was undertaken and a range of documentation was reviewed including care plans, medication charts, recruitment files, and the menus. The manager, registered nurse, care staff and cook were happy to discuss the support they provide. They were very positive and felt they could meet the residents needs. Surveys were sent to the home for completion by residents and their relatives as well as staff. Eleven resident and four staff surveys were returned. The information received has been incorporated into the report, with the comments received from visitors on the day of the inspection. The Annual Quality Assurance Assessment (AQAA) was completed by the manager, within the required timescale, and identified areas where improvements have been made, and where others are planned for the benefit of residents. What the service does well: Palm Court provides residents with a comfortable and homely environment, and support is offered in such a way that independence is promoted, and residents are able to make choices Relatives and visitors are welcome at any time, those spoken with were very positive and they said ‘the home is managed well’ and ‘the staff are very good’. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are assessed before they are offered a place at Palm Court, to ensure that the home can meet their needs. EVIDENCE: Records relating to procedures for recent admissions to the home were viewed, and found to involve an assessment of their individual needs, including their social and medical history. The manager advised that she carries out the assessments, with the involvement of the prospective residents and their relatives, to ensure that the home can offer the care and support needed. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 9 A visitor spoken with said they had been involved in the assessment process and had decided with the manager that the home could look after their relative, and they are very happy with the care received. The homes ability to meet prospective residents’ needs is confirmed in writing before a place at the home is offered. Intermediate care is not offered or provided. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system enables staff to offer residents the care and support they need, although the daily records may not reflect the daily needs of residents and how these are addressed. Policies and procedures are in place regarding medication to protect residents. EVIDENCE: A considerable amount of work has been done to review the previous care plans and develop an appropriate care planning system at Palm Court. The six care plans viewed contained information relevant to the needs of residents. They included a pre-admission assessment, social and medical history, residents life and social profile, appropriate risk assessments including pressure damage and falls, as well as evidence that relatives have signed Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 11 consent for disclaimers such as for the use of bed barriers and taking residents photographs. Staff spoken with said the care plans provided them with a lot of information about each resident, and they have been able to read those relevant to their role as a keyworker for two residents. There was evidence that the care plans have been reviewed, however this had not been done on a monthly basis, therefore there was no evidence that residents or relatives have been involved in decisions about the care provided. However the manager advised that as the care plans have only recently been completed the reviews will only become a regular part of the care planning system from February, and the expectation is that staff will now complete these monthly, with residents and their representatives. The manager and provider stated that they aim to provide care and support on a holistic basis, with the emphasis on person centred care. Staff spoken with were able to demonstrate a clear understanding of person centred care in their own words, they said that they are offering residents choices, and encouraging them to participate in decisions about the support they offer. They are particularly supportive of the hand over sessions, staff meet before they start work to discuss any changes in residents needs. This they feel enables them to plan how they will provide support and care, they can discuss any issues they are concerned about, in effect it is a learning opportunity for staff. The manager advised that the care staff use a tick box system to reflect the support they offer each resident, while the registered nurse is responsible for completing the daily notes. On viewing these it was observed that some staff were writing short statements such ‘slept well’ or ‘usual day’. Daily records are a good source of evidence to show that care is being provided, as detailed in the care plan, however the term usual day’ is not helpful or adequate. The record for one resident stated that a rash had been noticed and cream was to be used to address this. However there was no information in the daily records to state if the cream was effective, or if the rash was an ongoing concern. Daily records, when well written, help ensure a consistent approach and good quality of care for residents. It is in the homes interests to be able to show what they have done, along with providing the evidence on which to base the monthly review, and to record that they are following the assessment of needs. Feedback from visitors and relatives regarding the care provided by staff was very positive, ‘staff are excellent and very caring’ and the residents get ‘all the care they need and more’. Nutritional assessments are completed for all residents, and the food eaten by residents at each meal is recorded. Residents are weighed monthly, and the manager advised that additional training has been provided to ensure staff are Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 12 aware of the correct procedure when using the scales. Therefore the concerns identified at the last inspection have been addressed. Policies and procedures are in place with regard to medication. Trained nurses are responsible for the ordering, storage and administration of medicines and systems are in place to enable an audit trail to be made if required. The Medicine Administration Record (MAR) charts viewed were completed appropriately and records are kept of signatures at the front of the folders. Residents are registered with GP’s and can access allied health professionals as required, with visits recorded in the care plans. Staff were treating residents with respect and were seen talking to them when using the stand-aid to assist them. One member of staff was noted to be applying the stand aid sling inappropriately and the manager said she would address this during the inspection. Palm Court Nursing Home DS0000059836.V374446.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): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are available for some residents to participate in if they wish, the meals at the home are good, choices are available and the staff assist residents as required. EVIDENCE: A programme of activities is being developed by the manager and staff for residents. Some were able to participate in the word games that were organised in the large lounge and a carer was playing dominoes with a resident in the morning. The manager advised that as the programme develops they will be able to identify what residents are interested in, and how they can be supported to take part in activities they enjoy. The manager and one of the care staff have attended a course on reminiscence and there are plans to offer this to all the residents, after a positive response from one resident and family. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 14 There were clearly many residents with a wide range of needs relating to different stages of dementia and further appropriate stimulation and socialisation, over and above the general day to day care duties is required to promote a person centred approach. Staff spoken said that more staff are needed, so that they can ensure all residents are given the same opportunities to take part in activities they enjoy, which also involves receiving relevant training. This is particularly relevant to Palm Court as the provider and manager advised they will not be employing someone to take responsibility for activities. The expectation is that all staff will be involved as part of a programme of holistic care. The staff confirmed that visitors are welcome at any time, and the home is encouraging relatives and friends to be involved in decisions about the residents care. Feedback from the inspection and surveys confirms that relatives are invited to be involved in the care provided saying that ‘the care is good’ and ‘the home is well managed’. Links with the local community have been developed, in particular the WRVS and the Alzheimers Association, so that they can offer advice and support for activities. The manager and staff said that residents are encouraged to make choices and have control over their lives, with some choosing to remain in their rooms. The other residents sit in the lounges, and although communication between staff and residents was friendly and relaxed some spent a considerable amount of time asleep, only being spoken to for personal care, drinks and meals. It was also noted that staff were too busy to attend to a resident when asked, and this affected other residents. The meals at the home are good and the chef advised that residents can have what they want, with cooked meals available three times a day if requested. A three week menu has been developed with choices for each meal, which are also available in picture format if required. The chef discussed the needs of the residents and is aware of their individual likes and dislikes, he understands that some may prefer finger foods and others require additional fortified drinks. To ensure residents have adequate nutritional intake records are kept of the amount residents eat throughout the day, this will enable staff to recognise any difficulties and take action as they arise. We were able to join the residents for lunch as part of the inspection process, the meal was tasty and the residents spoken with also enjoyed the meal. Residents were able to remain in the lounges or sit in the dining room, and staff were noted to be assisting a number of residents. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 15 There is considerable opportunity to make meals a pleasant and positive time for people with dementia, and although staff assisted residents they were moving from table to table rather than sitting and talking to them. It was also noted that residents were sitting at the tables for some time before lunch was served, and some were given their meals before others at the same table. With appropriate planning, staff training and sufficient staff numbers meals can be a valuable social experience for residents. Communication between residents, visitors and staff was relaxed and friendly, staff were noted to intervene appropriately when residents became anxious, and there was positive feedback about the support provided by staff. Drinks are provided at regular intervals throughout the day, and it was noted that residents were given additional cups of tea when they requested them. Palm Court Nursing Home DS0000059836.V374446.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an appropriate complaints procedure, which is displayed in the home and included in the statement of purpose. EVIDENCE: The manager advised that the home has received no complaints since the last inspection, and none have been received by the Commission. Relatives spoken with and responding using the surveys said that they knew who to talk to if they had any concerns, but also that they do not have anything to complain about. Training in protecting vulnerable adults is provided for staff, and those spoken with said they have attended. They were able to demonstrate an understanding of different types of abuse, and what action they would take if they had any concerns. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Palm Court provides residents with a comfortable place to live. Training in the prevention of infection is provided for staff to protect residents. EVIDENCE: A tour of the home was made and some bedrooms were viewed these were found to be clean and tidy, and residents have personalised their rooms with ornaments and pictures. Feedback from residents and relatives is that the home is clean, fresh and ‘you couldn’t better this’. An ongoing maintenance programme is in place and the corridors in Tulip unit were being painted during the inspection in attractive colours. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 18 Appropriate aids are provided including stand aid hoists, assisted baths and toilets, and the shaft lift enables residents to have access to all parts of the home. There are attractive gardens to the rear of the home with areas for residents to sit if they wish. The manager and staff said they are used by visitors and residents when the weather is warm enough, and there they expect to organise outside activities for residents including barbecues in the summer. Training is provided for staff with regard to preventing cross infection, and those spoken with have attended this and were able to discuss the correct use of gloves and aprons when assisting residents. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff moral is high resulting in an enthusiastic workforce that work positively with residents and relatives to improve their lives. However staffing levels may not be sufficient to meet the homes aim for person centred care. EVIDENCE: The recruitment procedures at the home protect residents by ensuring relevant information and check are in place before staff are employed at the home. These include application forms, two references, as well as Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks. Four staff files were viewed and found to contain all the necessary paperwork. All new staff are required to complete induction training in line with Skill for Care, those spoken with have done this training and there is evidence in their personnel files to support this. There are opportunities to work towards National Vocational Qualifications (NVQ’s) and staff spoken with said they have either completed or are working toward these. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 20 All staff were very positive about the work they do at the home and they were able to demonstrate a good understanding of person centred care. Feedback from discussions and the staff surveys identified staffing levels as the main concern with regard to offering appropriate care for residents. The concern was that they spend most of their time providing personal care and ensuring they have appropriate nutrition. They do not have as much time as they should to just sit and talk to all the residents, and therefore learn what interests they have and how they want to spend their time. This was discussed with the provider and the manager, who advised that the staffing levels have increased since the last inspection and were sufficient to meet the residents needs. However the home is using Tom Kitwoods person centred care as the basis for the development of holistic care at Palm Court, and having sufficient staff to ensure that the level of support provided is appropriate is a basic tenet of Tom Kitwoods programme. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach at Palm Court is open and inclusive, encouraging residents, relatives and staff to be actively involved in decisions about the services provided at the home. EVIDENCE: The manager has been in place for a year and during this time has made a number of changes to the service provision. Staff spoken with said the Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 22 changes have all been positive, they feel supported by management and are able to offer the residents a good level of care. A quality assurance and monitoring system is in place, and the manager advised that Regulation 26 visits occur monthly. The provider and manager confirmed that they encourage relatives to be part of the decision making process, relatives meetings are arranged three monthly, and there is ongoing discussions with residents, relatives and staff as part of the daily management processes in the home. Questionnaires are sent out yearly and the responses are audited and changes made if appropriate. The provider confirmed that feedback will be sought from other stakeholders, including Community Psychiatric Nurse, Tissue Viability Nurses and District Nurses when the questionnaires are next sent out. The home does not take responsibility for the residents finances, and the manager said that they no longer hold any cash for residents in the home. Supervision is provided for staff on a regular basis, care staff spoken with said this is arranged two monthly, and the registered nurses have been trained and are responsible for providing this. The health and safety of residents, visitors and staff are protected through appropriate maintenance at the home, and relevant training for staff, including moving and handling, fire training, first aid, infection control and food hygiene. Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Palm Court Nursing Home DS0000059836.V374446.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!