Care Home: Pensby Hall Residential Home

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What the care home does well There is strong commitment from everyone working at the home that helps to ensure that the quality of care is provided to a good standard. Residents are treated with respect and dignity. We found that staff members were able to demonstrate an awareness of the diverse needs of the people they were caring for. Positive, relaxed and warm relationships were seen to exist between residents, relatives and staff, those people that commented all said that the staff members were very good. Residents spoken with say that they are well cared for at the home. One person said that everything was "fantastic". A visiting relative said that she was always made to feel welcome and was kept informed of any issues. One of the residents has written on a survey form; "The staff are usually friendly and helpful". The staff team are keen to attend training courses, which will help them to offer the best type of care and support to residents`. There have been few changes in the care staff team since the last site visit; this allows residents` to get to know the people who will support them with their personal care well. The activities co-ordinator organises a variety of activities/social events, these can be tailored to suit individual needs such as reading a newspaper to someone who is no longer able to do this unaided. What has improved since the last inspection? The management of the home has continued to improve resulting in positive outcomes for residents. The assessment and care planning processes have been improved. The care plans provide staff members with all of the necessary information for them to look after a person`s needs. Information about a person`s life experiences, families, hobbies and interests has been improved; this type of information helps the staff team to develop closer relationships with residents and to offer a more personalised type of care and support. The owners and manager continue to offer the staff team the opportunity to take part in training courses, which provide them with the skills and expertise to support residents in the best possible way. Improvement to the facilities, including the refurbishment of the bathrooms has been undertaken. What the care home could do better: We consider that Pensby Hall has improved significantly since the previous key inspection when it was only rated as adequate. So, rather than state what can be improved further we believe that the home needs to continually review its practice in order to ensure that the good standard of care provided to the residents at the present time is maintained and where possible improved upon. CARE HOMES FOR OLDER PEOPLE Pensby Hall Residential Home 347 Pensby Road Pensby Wirral Merseyside CH61 9NE Lead Inspector Paul Ramsden Unannounced Inspection 9th October 2008 10:00a 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 Pensby Hall Residential Home DS0000059534.V372746.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. Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pensby Hall Residential Home Address 347 Pensby Road Pensby Wirral Merseyside CH61 9NE 0151 648 9730 0151 648 6520 pensbymanager@aol.com 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) Snow Peak Ltd T/A Pensby Hall Post Vacant Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th October 2007 Brief Description of the Service: Pensby Hall is a large three-storey building; access between floors is via a shaft lift or the stairs. The home is privately owned and is located in Pensby on the Wirral. The home is in a residential area, close to shops and other community facilities, including a library. There are adequate car parking facilities available. Residents bedrooms are situated on all three floors, all rooms are single occupancy with five having en-suite facilities. The two lounges and separate dining room are situated on the ground floor. The home has sufficient bathing facilities available; these include specialist equipment and toilet facilities for residents living at the home. Pensby Hall has a pleasant patio and garden area at the rear of the home and a small patio to one side. These are fully accessible. The current fee for the home is £393.89 plus a £10 additional payment if someone wants one of the patio or garden rooms. Further information regarding fees is available from the manager. The home displays the current Inspection Report in the entrance area; it is understood that a copy of this can be made available to anyone who may be thinking of choosing to use this service or. Existing residents can also have a copy if requested. Pensby Hall Residential Home DS0000059534.V372746.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 that the people who use this service experience Good quality outcomes. This unannounced visit took place on the 9 October 2008 and lasted for a total of seven hours and forty minutes. Paul Ramsden, Inspector, undertook the visit on behalf of the Commission for Social Care Inspection. Any references to “we” in the report refer to the Commission. All of the key standards for older people were looked at. Feedback on the findings was given to the manager as the inspection progressed. This visit was just one part of the inspection. Prior to the visit the home manager was asked to complete an Annual Quality Assurance Assessment [AQAA] to provide up to date information about the service provided in the home. This is a very detailed questionnaire that provides us with a lot of useful information about the service before the visit. Survey forms were also sent out to a sample of residents and staff members in order to find out their views about the service provided by the home. Any other information received since the last key inspection was reviewed. We have received three resident and three staff survey forms, a number of the comments made have been included within this report. During the visit various records and the premises were looked at. When looking at the documents relating to the type of care someone needs we use a system we call “case tracking”. This is a method that enables us to measure the quality of the care being provided to people. A number of residents, visitors and staff members were spoken with; they gave their views about the home and the service provided. What the service does well: There is strong commitment from everyone working at the home that helps to ensure that the quality of care is provided to a good standard. Residents are treated with respect and dignity. We found that staff members were able to demonstrate an awareness of the diverse needs of the people they were caring for. Positive, relaxed and warm relationships were seen to exist between residents, relatives and staff, those people that commented all said that the staff members were very good. Residents spoken with say that they are well cared for at the home. One person said that everything was “fantastic”. A visiting relative said that she Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 6 was always made to feel welcome and was kept informed of any issues. One of the residents has written on a survey form; “The staff are usually friendly and helpful”. The staff team are keen to attend training courses, which will help them to offer the best type of care and support to residents’. There have been few changes in the care staff team since the last site visit; this allows residents’ to get to know the people who will support them with their personal care well. The activities co-ordinator organises a variety of activities/social events, these can be tailored to suit individual needs such as reading a newspaper to someone who is no longer able to do this unaided. 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 Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Pensby Hall Residential Home DS0000059534.V372746.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 Pensby Hall Residential Home DS0000059534.V372746.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): 1, 2, 3 and 6 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. A variety of information and opportunities to visit before choosing to move into the home are available; this allows people to make an informed choice about moving into Pensby Hall. There is a pre-admission process in place to ensure that individual needs will be met when moving into the home. EVIDENCE: The Statement of Purpose and Service User Guide contains all of the details required by us under the relevant regulations and the National Minimum Standards for Older People. A copy of these documents is given to the new resident and their family when the person moves into the home. Copies are also on permanent display in the entrance area. Both documents had been updated in April 2008. It is understood that the above documents may be provided in an alternative format if requested. It was explained to us that since the last key inspection visit new assessment documentation has been introduced; this has improved the overall process. Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 10 Pre-admission assessments demonstrating that the resident’s individual needs had been assessed in an accurate and consistent way had been carried out for the residents whose files were looked at [the same information was seen on the files of those people whose care plans we inspected]. A member of the management team visits all prospective residents to carry out an assessment before they are offered a place at the home. This will be done in his or her own home, another care home or hospital to gather the necessary information before admitting someone. This provides an opportunity to make sure the home can accommodate the person and their individual needs. If, as is the case in some circumstances the home is unable to get all of this information from the individuals themselves they will ask relatives or other professionals such as the district nurse for assistance. Where applicable copies of information provided by the Local Authority were also seen on the residents’ files. All of the files looked at had a copy of the contract of terms and conditions of residency; all parties had signed these. Intermediate care is not provided at Pensby Hall. Pensby Hall Residential Home DS0000059534.V372746.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): 7, 8, 9 and 10 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The residents care plans seen were well maintained and provided all of the information needed for staff members to be able to take appropriate action to meet an individuals needs. EVIDENCE: The manager or senior staff members are responsible for drawing up a resident’s plan of care. The five care plans [the same information was seen on the files of those people whose assessment documentation we inspected] seen as part of the case tracking process provided staff members with all of the necessary information for them to look after a person’s needs. Care plans were being reviewed and where necessary re-written on a regular basis. The care plans seen contained evidence of consultation with residents or their families/advocates. Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 12 Risk assessments, including falls are undertaken; those seen as part of the case tracking process had been completed appropriately. The files we looked at were well maintained, up to date and tidy. An audit system is in place; this identifies any issues that need to be addressed. It is understood that a significant amount of work has been carried out on the care planning system since the previous key inspection visit. The improvements to the system and the ongoing auditing enables the home to ensure that the care being provided to an individual resident is monitored regularly and can be changed quickly when necessary. Personal profiles have been produced which provide information about residents’ life experiences and significant events in their lives. This information helps the staff team to build equal and positive relationships with residents’ and to support them with their physical and emotional wellbeing. Staff members spoken with had a good understanding of the people they were supporting; they were able to meet their diverse needs and people are supported to live as independently as possible. Care staff work to a good standard to ensure that people receive the care they need. They monitor a resident’s health needs daily and there was evidence to show that residents were receiving appropriate support from health care professionals. This included GPs, community nurses, optician, dentist and chiropodist. A key worker system is in place. All personal care is carried out in the privacy of a resident’s bedroom or one of the bathrooms. A staff member has written on a survey form; “The service provides the best it can to each individual”. The changing needs of individuals are discussed as and when required. We were able to see this in practice during the visit when some of the staff members were writing up the daily progress notes. It was seen throughout the visit that residents were being treated with courtesy, respect and good humour by staff. Staff members were seen to be interacting with individuals in an appropriate and respectful manner, knocking on bedroom doors before entering and addressing people appropriately. Pensby Hall has a written policy on the receipt, administration, handling, recording and disposal of medication within the home. Medicines are administered using a blister pack system provided by a local pharmacist. The arrangements for the administration of medication during the inspection were considered to be good; this means that any residents taking medication are protected against being given the wrong medication, taking it at the wrong time etc. All senior staff members have received medication training. Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 13 Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Residents spoken with were positive about the home and the support they received so they could maintain contact with friends and family and make choices about their daily lives. EVIDENCE: Residents were able to move around freely within the home and a choice of sitting areas was available. They confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living; for example times of rising and retiring, participation in planned activities and where to spend time and with whom. The home employs an activities co-ordinator for 20 hours per week. The role involves working with residents, both individually and in groups. A variety of social and other activities are organised and information about forthcoming events were displayed around the home; we were able to see this in practise during the visit. The co-ordinator keeps a record of the activities provided and who has taken part. Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 15 Information about advocacy services is available. The religious needs of residents are met. Some residents attend local churches and lay visitors from other religions visit the home. Links with the local community are maintained wherever possible. Three residents go out on a regular basis with carers from an outside agency; this has been organised by their respective families. Visitors are free to visit the home at any reasonable time; this was confirmed during the visit. Personal mail was delivered unopened, or given to relatives. Meals can be taken in the dining room or in the privacy of residents’ own rooms. The kitchen area was well managed and organised. There is a menu that has the flexibility to meet individual needs and choices. The kitchen staff members have a good understanding of each person’s preferences. The record seen for the day of the inspection confirmed that there was a choice of meals available. The residents spoken to also confirmed this. Pensby Hall Residential Home DS0000059534.V372746.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Residents and relatives are able to complain and action is taken to respond to their concerns. Adult protection training for staff is available to ensure the continued safety of residents. EVIDENCE: There is a written complaints procedure for the home, this is clearly displayed in the entrance area and was updated in August 2008. Information regarding complaints is also included in the Statement of Purpose and Service User Guide. Those residents that commented said that they would inform the home manager or another senior employee of any concerns or complaints. They also said that they felt confident that appropriate action would be taken. The AQAA shows that at the time of its completion one complaint had been made during the previous 12 months. We have received one complaint since this date; the home manager responded appropriately to this. The home has an Adult Protection procedure (including Whistle Blowing, this is a system that tries to ensure that any issues are brought out into the open and dealt with correctly] in place in order to safeguard the residents living there. The manager is aware of the appropriate procedures to follow should an incident arise and is clear when a situation needs to be referred to the Local Authority. Staff members regularly receive training in this area. The home’s Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 17 training records confirmed this. referrals. We have not received any safeguarding Pensby Hall Residential Home DS0000059534.V372746.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): 19, 20, 23, 24 and 26 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The residents live in a safe, homely, clean and comfortable home. EVIDENCE: A tour of the premises was undertaken; this included communal areas and a number of bedrooms. The home is being maintained to a good standard and since the last inspection a number of areas, including the bathrooms have either been refurbished or redecorated. This is an ongoing process. The home was found to be clean and tidy on the day of inspection. Furnishings, fittings and lighting of the communal rooms are domestic in character and were seen to be homely and welcoming. Bedrooms seen during the inspection were, homely, comfortable, well furnished and the majority contained personal items, including some furniture. Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 19 Pensby Hall has a passenger lift available to allow access between floors. The home also provides adaptations for use by residents with mobility problems. These include bath and toilet aids, hoists, grab rails and wheelchairs. A secure and accessible garden with sitting areas for residents to use is available. This can be accessed from the conservatory; in itself an extension of the garden as it was full of pot plants. The laundry is appropriately equipped and good systems are in place for the care of peoples’ clothes. . Pensby Hall Residential Home DS0000059534.V372746.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): 27,28, 29 and 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Staff members work positively with residents and families to improve the quality of life of people living in the home. A robust staff recruitment process is in place in order to protect residents from possible harm. EVIDENCE: Staff on duty and the rotas seen demonstrated that staffing levels and the skill mix of staff members is adequate to meet the needs of the residents within the home. The staff members were cheerful and friendly and residents were complimentary about staff attitude and competence. The staff team support each other and the people using the service know them well. According to the AQAA ten of the twenty care staff members are qualified to NVQ level 2 or above in care, a recognised qualification for staff involved in the care profession. Another five staff members are currently undertaking this qualification. The two staff files seen contained all of the required information and a robust recruitment procedure was in place for the protection of residents. The home’s manager confirmed that she was aware that all new staff must be checked against the POVA list and that a satisfactory CRB disclosure must be obtained before employment commences. Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 21 An external training provider carries out the induction programme undertaken by newly appointed staff members. This meets the Skills for Care Induction Standards. The home manager maintains a training record for all staff members employed at the home; she explained that all mandatory training, including fire safety, moving and handling, health and safety and safeguarding was up to date. The staff members spoken with during the day confirmed this. An updated training matrix has been sent to us since the site visit took place; this also confirms the above. Staff meetings are being held on a regular basis. Pensby Hall Residential Home DS0000059534.V372746.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): 31, 33, 35, 36 and 38 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is being well run and managed on a day-to-day basis and there are appropriate procedures in place to make sure that residents are safe. EVIDENCE: The home has an experienced and competent manager who is currently undergoing registration with the Commission for Social Care Inspection [she has been registered previously]. She has attended courses/training in order to fulfil her management responsibilities and has demonstrated an awareness of the needs of the residents and how to manage the staff group. She has completed the registered managers award. A deputy manager and senior staff members support the manager. The team try hard to ensure that the quality of care provided is maintained at as high a Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 23 level as possible. Residents and family members that commented said that the home’s management team were approachable and supportive. Although a quality assurance system to ascertain whether residents and families are happy with the standards of care being provided is in place there is currently no mechanism to collate the findings and to explain them to residents and their families etc. This was discussed with the home manager who agreed to address this. Residents’ personal allowances were inspected; those checked had correct balances. The records seen were being well managed and they were tidy and well organised. All staff members are supervised on a continuous basis; in addition they all receive formal supervision approximately six times a year. There is a health and safety manual as well as policies and procedures in relation to safe working practices in place. The maintenance records demonstrated that the appropriate service contracts were in place. These included the passenger lifts, hoists and fire alarm system. A record of any accident/incident is being maintained and these are monitored on an ongoing basis. The fire safety logbook demonstrated that checks of the alarm system, emergency lighting, fire drills and staff training were taking place at the recommended intervals. Pensby Hall Residential Home DS0000059534.V372746.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 3 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 3 3 X X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pensby Hall Residential Home DS0000059534.V372746.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG 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 Pensby Hall Residential Home DS0000059534.V372746.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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