Care Home: Salvete

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What the care home does well The home is now a level 3 - good- 2 stars. The home is clean, comfortable, and well maintained, and people like living there. There is a lot going on and residents choose how they spend their days, and they have a say in how the home is run. Staff help residents get the most from living at the home. A resident said "It`s my home!"; another "The best things are comfort, food, and the entertainment"; and another "We love our food!". The manager is experienced and runs the home in a very organised way, checking that things are done right and improved when necessary. She is good at making sure that people do not move in before she has checked the home will be the right place for them. The manager also listens to people and tries hard to sort out any problems as they arise. Relatives who visit are pleased with the home, and they are made to feel welcome at any time. One said "I would recommend it, the girls are all lovely. I am very happy, my little concerns have been dealt with." Several family doctors call when necessary, and the home`s team of district nurses visit regularly. The manager and staff know that people`s health needs are important and they call for help from health professionals when they need to. The residents have good care plans, the staff who administer medicines are trained, and all of the staff are very well organised. Each member of staff has training in dementia care. There is a strong staff group at the home. The turnover of staff is low so that people get used to the staff supporting and looking after them. The staff are happy in their work. A senior care assistant said "I have had a fantastic time here and I have progressed well. I am really enjoying it and I am very well supported". The staff at the home are well trained. A staff member said "The manager is very up to date with our training, she is very good to carers, she checks and supervises, I like working here!" What has improved since the last inspection? Six bedrooms have been refurbished and these rooms now have en-suite facilities. The carpet in the lounge and other communal areas has been replaced, and further decorative work has been done. Recruitment policies have been amended, and improvements made to care plans following the last inspection visit. What the care home could do better: The owners and manager are good at thinking about how to improve things for residents and they will continue to make changes for the benefit of people living at the home. The manager is very aware of the impact on residents of the building work and will continue to try to minimise the disruption as much as possible. The manager is going to check the "as needed" prescriptions to make sure that they are necessary, and that the reasons for administering the medicines are clearly written down on the administration record sheet. CARE HOMES FOR OLDER PEOPLE Salvete 15/17 Rothsay Place Bedford Bedfordshire MK40 3PX Lead Inspector Carol Mitchell Unannounced Inspection 17th February 2008 10:40 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 Salvete DS0000014962.V359906.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. Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Salvete Address 15/17 Rothsay Place Bedford Bedfordshire MK40 3PX 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) 01234 261991 01234 405600 bevcatlett@hotmail.com Mr Tushar Bhatt Dr Lata Bhatt Mrs Beverly Catlett Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30), of places Physical disability over 65 years of age (30) Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2007 Brief Description of the Service: Salvete Residential Care Home is registered to provide 30 places for older people who may have physical disabilities or dementia. The home has been created from the combination of two houses with an internal link corridor through a garage. Current building work aims to improve the joining together of the two sections of the home, and to provide more accommodation including further bedrooms. The home is served by a passenger lift and a stair lift. The accommodation includes a large lounge and conservatory. Outside there is a garden at the rear and limited parking to the front. The home is situated on a quiet cul-de-sac road. The main road leads to the river. There is also ready access to local shops and the town centre. The following information about fees was obtained on or around 17th February 2008. Fees for the home vary from £443.75 per week, to £500.00 per week, depending on the needs of the resident which are assessed as low, medium or high. Some toiletries are included in the fees. These items are not included:Hairdressing; private chiropody; physiotherapy; non-prescription medicines; alcohol; stationery; newspapers; batteries. Reports by the Commission are made available on request at the home, and further information can be obtained by contacting the home direct. Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report takes account of information received by the Commission since the date of the last inspection visit which took place on 26th February 2007. Information received includes a self assessment package completed by the manager of the home. Information obtained during a recent inspection visit is also referred to in this report. The inspection visit was unannounced and took place on Sunday 17th February 2008 over a period of around 4 hours. During the visit the inspector spoke with residents, relatives, members of staff and the manager. The inspector also looked around some parts of the building, and checked some records. The inspector would like to take this opportunity to thank all those who helped during the inspection visit. What the service does well: The home is now a level 3 - good- 2 stars. The home is clean, comfortable, and well maintained, and people like living there. There is a lot going on and residents choose how they spend their days, and they have a say in how the home is run. Staff help residents get the most from living at the home. A resident said “It’s my home!”; another “The best things are comfort, food, and the entertainment”; and another “We love our food!”. The manager is experienced and runs the home in a very organised way, checking that things are done right and improved when necessary. She is good at making sure that people do not move in before she has checked the home will be the right place for them. The manager also listens to people and tries hard to sort out any problems as they arise. Relatives who visit are pleased with the home, and they are made to feel welcome at any time. One said “I would recommend it, the girls are all lovely. I am very happy, my little concerns have been dealt with.” Several family doctors call when necessary, and the home’s team of district nurses visit regularly. The manager and staff know that people’s health needs Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 6 are important and they call for help from health professionals when they need to. The residents have good care plans, the staff who administer medicines are trained, and all of the staff are very well organised. Each member of staff has training in dementia care. There is a strong staff group at the home. The turnover of staff is low so that people get used to the staff supporting and looking after them. The staff are happy in their work. A senior care assistant said “I have had a fantastic time here and I have progressed well. I am really enjoying it and I am very well supported”. The staff at the home are well trained. A staff member said “The manager is very up to date with our training, she is very good to carers, she checks and supervises, I like working here!” What has improved since the last inspection? What they could do better: The owners and manager are good at thinking about how to improve things for residents and they will continue to make changes for the benefit of people living at the home. The manager is very aware of the impact on residents of the building work and will continue to try to minimise the disruption as much as possible. The manager is going to check the “as needed” prescriptions to make sure that they are necessary, and that the reasons for administering the medicines are clearly written down on the administration record sheet. Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Salvete DS0000014962.V359906.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 Salvete DS0000014962.V359906.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager checks carefully that the home is the right place for a person before they move in. Therefore people living at the home can be sure that their needs will be met. EVIDENCE: The manager visits people who wish to move into the home and undertakes formal assessment to ensure the home would meet their needs. A deputy usually accompanies the manager so that more than one person at the home is familiar with this process. Visits to the home of a few hours are encouraged, rather than a quick tour. People are admitted for a month in the first instance after which a review takes place involving all parties. Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 10 Information including a welcome pack is given to new residents. A resident spoken to had moved in after family members had visited on her behalf. She remembered being well prepared and had settled into the home quickly. Contracts are issued to residents. Salvete DS0000014962.V359906.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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager makes sure that residents see the family doctor and other health care professionals when they need to, and residents have care plans to help staff know how to look after them well. Therefore people living at the home can be sure that their health care needs will be met. EVIDENCE: Residents are encouraged to keep their usual family doctors where possible. The home is served by 17 doctors and enjoys good relationships with these. The home also has a very good relationship with district nurses who regularly visit the home. Other professional visitors include two private physiotherapists, an optician, NHS and private chiropodists and a reflexologist. The care plans for a small sample of residents were checked. Residents take part in care planning and sign documents when they are able. Care plans Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 12 were detailed and meaningful documents and had been reviewed every month. Risk assessments had been completed. The documentation about care at the home is well organised, logical and is easily accessible to staff who read it and make entries regularly. The responsibilities of key workers include updating the records of specific residents, and the manager oversees this carefully. There is a well organised system at the home for the management of medicines. Residents are encouraged to administer their own medicines where this is possible, and risk assessment is in place. The providing pharmacist inspects the medicines regularly and issues reports to the home. The manager audits the medicines to make sure that everything is in order. Staff administering medicines to residents have received training before undertaking this role. A small sample of administration record sheets was in good order. There are some “as needed” prescriptions. The reason for administration of the medicine should be recorded with the prescription. The manager is going to check that where these prescriptions are necessary, the reasons are documented. Residents and relatives at the home spoke highly of the care and support given by staff, all of whom have received training in dementia care. The lounge is always manned by a member of staff and care is taken to guide residents with particular needs who wish to sit there to the most suitable positions for them. Staff were observed during the inspection visit dealing with residents with respect and politely, at all times attending to any needs in private, in a professional way, and with attention to detail. A standing hoist has been purchased since the last inspection visit. Salvete DS0000014962.V359906.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, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff at the home think that residents’ lifestyle choices are very important and they try hard to find out about them. The manager is doing her best to manage the effects of building work so that residents do not suffer too much. Therefore people living at the home can be sure that their expectations will be met as far as is possible. EVIDENCE: Conversations with residents revealed that they enjoy living at the home and that they have choice in everyday and other matters. For example residents select carpets and curtains and are able to influence the menus which are changed seasonally and in response to feedback. Information about daily routines and family trees is recorded to help staff make sure that individual choices and preferences are catered for. Residents look after their own money sometimes with the support of a relative. An advocacy service is available and contact made when necessary. Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 14 Residents and family members confirmed that the meals provided are of high quality and much enjoyed. Family members feel welcome to visit at any time and are able to join their relative for meals. Staff have received training about nutrition and its importance, and advice from a dietician is obtained when necessary. Food from different cultures is provided. Changes have been made to meal times and seating arrangements in the dining room following discussions with residents. Family members described excellent relationships with staff and the manager. The home arranges entertainment and trips out regularly. Religious representatives visit and one lady attends church. Residents are often taken out by family members. The home has introduced two residents to a local retirement club where new skills have been learnt and friends made. An activities organiser works at the home, and an additional person may be employed in the near future. Activities are structured and all staff are responsible for making sure that events take place as planned. Residents spoken to during the visit expressed high levels of satisfaction with the entertainment and activities and their life at the home generally. Two gentlemen told the inspector they enjoy the music at the home and are able to play the drum set belonging to one resident. Work has been done to make the garden more accessible. Recently a new DVD player has been purchased and satellite television has been installed. Residents are happy with their rooms and personal items were on display in the bedrooms seen. Residents have keys to their rooms if they wish, and each room has a lockable drawer. The manager is aware of the impact from the building work of noise and personnel at the home, especially in the vicinity of the garden. The issue is being taken seriously and additional trips out are being arranged for residents. Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 15 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, 17, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager wants to hear about any problems so that they can be sorted out. Staff have been trained about the abuse residents can suffer. Therefore people living at the home can be sure that they will be listened to and protected from harm. EVIDENCE: The Commission has not received any complaints, and the home has received one unsubstantiated complaint since the last inspection visit. There is a complaints procedure, and the complaint had been investigated properly and a record kept. Residents and relatives spoken to during the inspection visit were able to say with whom they would discuss any problems. A family member described a friendly rapport with the manager and said that small issues had been dealt with as and when they arose. She has never had cause to complain. Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 16 Staff have been trained about the protection of vulnerable adults, and in conversation staff were able to confirm this and to discuss what they would do should they be worried about a resident in their care. No referrals have been made to the Protection of Vulnerable Adults team. Residents are taken out to the local polling station in order to vote. Salvete DS0000014962.V359906.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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager tries very hard to lessen the disturbance caused to people living at the home by the building works. The home is kept clean, is decorated, and new equipment is bought when necessary. Therefore residents know that they are living in an environment that is safe, well maintained, and as comfortable as possible. EVIDENCE: On the day of the inspection visit all parts of the home seen were clean and there were no unpleasant odours. Designated well motivated and organised cleaning and laundry staff are employed, and a gardener and maintenance Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 18 man also work at the home. Staff at the home receive infection control training. Since the last inspection visit the lounge carpet has been replaced, some new chairs purchased, and there are plans to replace more. Some additional low level emergency lighting has also been installed. There is a rolling programme of redecoration for communal areas and bedrooms are refurbished as they become available, or in agreement with the resident. Six bedrooms have been refurbished since the last inspection visit. Residents choose curtains, and colour schemes for walls and carpets. Among recent purchases made are carpet and upholstery cleaners, new washing machine and tumble dryer and a pad macerator. Residents spoken to feel comfortable in their surroundings and are happy with their rooms. Personal belongings and furniture were seen in bedrooms checked. Work has been done to make the garden more accessible. (However at present the building works are adjacent to the garden.) The building work to add 10 rooms and improve the link between the two parts of the premises will inevitably cause some increased noise and activity levels. Residents spoken to did not raise the matter with the inspector, although a few comments regarding this have been received via the home’s questionnaires. The manager explained that every effort is being made to minimise the impact on residents where possible. Additional trips out are being organised during the building period. Salvete DS0000014962.V359906.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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are happy in their work and are trained to do their jobs. The proper checks are made before anyone is employed. Therefore people living at the home know that they are in safe hands. EVIDENCE: Residents and family members spoke very highly of the staff working at the home. The staff group is diverse with people of different cultures and religions, and three male care assistants are currently employed. Staff observed were professional in their manner, kind and attentive when dealing with residents and very organised and motivated in their approach to work. The relatives spoken to also have an excellent rapport with staff members. On the morning of the inspection visit (a Sunday) a senior care assistant, 4 care assistants, a cook and breakfast helper, cleaner and laundry assistant were on duty. 25 residents were present. The home maintains a bank of staff to avoid the use of agency and continuity of care is given high priority. There is a low staff turnover. Additional staff have been employed to assist at meal times and all staff, including ancillary personnel, now receive dementia care Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 20 training. The care and support of residents is managed in a structured way and staff are clear about their duties, and how their performance is monitored. A key worker system is in place and staff questioned were able to talk intelligently about this and other related aspects such as care planning and activities enjoyed by residents. Staff spoken to were enthusiastic about working with the residents and were very vocal about the support and encouragement they enjoy. They also confirmed that high priority is given to training at the home and they had received recent useful training. The manager tracks training methodically so that essential training is not missed. All staff except two have achieved National Vocational Qualification training at level 2 or 3. The remaining two are undertaking the training at present. Staff were able to detail their role in the home and the care and support required by specific residents. Regular staff meetings are held, staff receive supervision, and are encouraged to progress their careers and reach their potential. A sample of staff files and discussions with the manager confirm that the proper checks are made before any staff member is employed at the home. Job descriptions are issued and the staff questioned had received one. The manager is beginning a recruitment drive so that new staff can be in place before the new rooms are registered. There is an opportunity to fully involve residents in this process. New staff are given structured induction training and are not allowed to work alone until the manager is satisfied with their performance and signs to confirm this. In the case of a person with no background in caring this may take up to a month. Salvete DS0000014962.V359906.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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owners and manager want the best for residents and they listen to what they and others say. The manager is experienced, organised and good at making sure that things are done right and that staff perform well in their jobs. Therefore people living at the home can be sure that it is run with their best interests at heart. EVIDENCE: Staff and relatives spoken to on the day of the inspection visit described very supportive manager and owners who have high regard for residents, staff and Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 22 the fabric of the building. Relatives, residents and staff all referred to an open and approachable management style and a manager who is good at getting things done. The skilled and experienced manager is supported by an administrative assistant and two deputies who have specific spheres of responsibility. The duty rota is organised so that there is always someone senior on duty. The manager has a detailed knowledge of the needs of residents and makes sure that staff develop this knowledge too. Formal supervision of staff is established and the deputies are undertaking supervisor training. Informal gatherings have taken the place of previous formal residents’ meetings. Information from gatherings is recorded and action taken accordingly. For example changes made to meals and meal times, seating arrangements in the dining room have been altered, and residents decided against curtains for the conservatory. Residents take part in care planning and sign records when they are able. Details of valuables are carefully recorded, for example the jewellery worn by residents is described. Residents or their relatives or advocates look after monies. Before Christmas questionnaires were distributed to residents, relatives, staff and visiting professionals such as family doctors and district nurses. Questionnaires are still being returned so the results have not yet been analysed or published. On the whole comments so far received have been very positive. The owner visits the home nearly every day, and does monitoring visits and reports at least each month. The manager runs the home in an organised and methodical manner, and she applies quality assurance checks to such aspects as medicines administration and care planning. Many policies have been developed and there are contracts in place for the servicing of equipment. Fire and hot water checks are made. Salvete DS0000014962.V359906.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 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 3 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Salvete DS0000014962.V359906.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 Salvete DS0000014962.V359906.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Salvete DS0000014962.V359906.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!