Care Home: St Anthony`s

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What the care home does well The surveys returned to us by residents, relatives and health care professionals continue to express a high level of satisfaction with the service provided at St Anthony`s which they value because of its small size, personal approach and homely atmosphere. One resident said `I am content with all aspects of the home and my care`. Another resident said `I am very happy with everything`. Relatives said `I am very impressed by the warm atmosphere and level of care`, The staff are very caring and always ready to have a chat with my relative and self if needed`, The staff are very friendly and caring towards the residents. They make every effort to make the residents feel at home, `excellent care all round`. A GP said `I have visited many homes in the Watford area and the wider area out of hours. This is by far the best run home.` People experience a good quality of life because the home is well managed and lets them make choices about their individual needs. What has improved since the last inspection? The manager has continued to develop the systems for assessing people`s needs and putting plans of care in place agreed with the residents and their representatives, that are person centred and provide clear information to staff on how they wish to be supported. A medicine fridge has been provided to maintain the safety of products, which need to be kept at a cool temperature so ensure their continued effectiveness. Arrangements to provide residents with a stimulating environment continue to improve. A planned programme of redecoration and replacement of furniture and carpets in the public areas of the home has been completed providing a pleasant environment for residents and is now being extended to include individual bedrooms. Thermostatic controls and protective covers have been fitted to radiators to reduce the risk of residents coming into contact with hot surfaces. There is a more planned approach to providing staff with the training and updates they need to maintain standards. The provider is recording details of the quality monitoring visits that take place. The AQAA completed by the outgoing manager identifies greater use of quality assurance systems to obtain the views of people who use the service in making changes. What the care home could do better: The company need to ensure that the changes made by the manager over the last two years to update the systems in the home and promote a more person centred approach in line with current best practice are maintained. We have recommended that suitable scales be provided for people who are not able to stand on their own so accurate assessments of weight can be made. CARE HOMES FOR OLDER PEOPLE St Anthony`s 3 Mildred Avenue Watford Hertfordshire WD18 7DY Lead Inspector Sheila Knopp Unannounced Inspection 7th May 2008 09:00 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 St Anthony`s DS0000019534.V363644.R02.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. St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Anthony`s Address 3 Mildred Avenue Watford Hertfordshire WD18 7DY Telephone number Fax number Email address Provider Web address Name of registered company Name of registered manager Type of registration No. of places registered (if applicable) 01923 226 174 0208 8688375 rmd@ukgateway.net RMD Enterprises Limited Mrs D Souter Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2007 Brief Description of the Service: St Anthonys is a care home providing personal care and accommodation for 22 older people. It is owned by RMD Enterprises Limited, which is a private company. The home is situated in a popular residential area of Watford, within 15 minutes walking distance of the town centre, with easy access to local transport links. The home was opened in 1985 and consists of a two-storey house that has been extended and improved over recent years. There are 20 single rooms and 1 double room. None have en-suite facilities, but all have a washbasin. Six of the bedrooms are smaller than the 10 square metres required of newly registered services since 2002. There is a passenger lift. The home has a beautiful cottage style garden to the rear of the property for residents to use. The current fees for accommodation and personal care range from £420.00 £490.00 based on room sizes (correct on 7/5/08). Additional charges are made for items such as newspapers, chiropody and hairdressing where required. Further information about the home can be found in the Statement of Purpose, Service User Guide and the last CSCI inspection report, which are available from the manager. St Anthony`s DS0000019534.V363644.R02.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 information in this report is based on an unannounced visit to the home by one regulation inspector carrying out the work of the Commission. For the purposes of this report the Commission will be referred to as ‘we’. During our visit we had conversations with 11 residents, 2 visitors and four staff as well as the manager. We made sure we spoke to people in their rooms as well as those in the day areas to get a range of views. To make sure we obtained a wide range of views about the quality of the service provided we sent survey forms to 11 residents and 11 relatives. We received responses from 6 residents and 6 relatives. Surveys were also sent to health care professionals who visit the home and we made survey forms available to staff who work in the home. We received responses from 4 General Practitioners (GPs) and 5 staff. We have also reviewed the information we have received since our last inspection and the Annual Quality Assurance Assessment (AQAA) that the manager sent to us. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We have been advised that the current manager is leaving on 9/5/08 and that Mr Merali; a senior manager within the company will manage the service until a new manager is appointed. What the service does well: The surveys returned to us by residents, relatives and health care professionals continue to express a high level of satisfaction with the service provided at St Anthony’s which they value because of its small size, personal approach and homely atmosphere. One resident said ‘I am content with all aspects of the home and my care’. Another resident said ‘I am very happy with everything’. Relatives said ‘I am very impressed by the warm atmosphere and level of care’, The staff are very caring and always ready to have a chat with my relative and self if needed’, The staff are very friendly and caring St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 6 towards the residents. They make every effort to make the residents feel at home, ‘excellent care all round’. A GP said ‘I have visited many homes in the Watford area and the wider area out of hours. This is by far the best run home.’ People experience a good quality of life because the home is well managed and lets them make choices about their individual needs. What has improved since the last inspection? What they could do better: The company need to ensure that the changes made by the manager over the last two years to update the systems in the home and promote a more person centred approach in line with current best practice are maintained. We have recommended that suitable scales be provided for people who are not able to stand on their own so accurate assessments of weight can be made. St Anthony`s DS0000019534.V363644.R02.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. St Anthony`s DS0000019534.V363644.R02.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 St Anthony`s DS0000019534.V363644.R02.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): Standard 3 (Standard 6 does not apply to this service) People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can be confident that the home is suitable for them because detailed information about the service is available to help them make their decision to move in and a detailed assessment of their needs is carried out so staff know what they need to do to support them. EVIDENCE: The residents and relatives who completed survey forms told us they had received enough information about the home before they moved in to help them make their decision. A resident said ‘the home was recommended to me for it’s high standards’. All the residents confirmed they had received a contract. A new welcome pack has been introduced to bring all the information available about the home together. St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 10 We spoke to 2 people who had recently moved into St Anthony’s. They felt it was the right choice for them and staff and the other residents were helping them to settle in. We were able to see from the records that the manager had carried out a detailed assessment before each person came to live in the home. Information from the person’s social worker, hospital assessment and GP had also been considered to make sure staff in the home could meet their needs. Each person had a person centred care plan, which provides staff with clear information about how they wish to be cared for. St Anthony`s DS0000019534.V363644.R02.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): Standard 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that the health and personal care that people receive is based on their individual needs and ensures their privacy and dignity is respected. People can be assured that there are safe systems in place to manage any medicines they need to ensure their health and welfare is maintained. EVIDENCE: To assess whether people were receiving the care they feel they need we spoke to a range of residents and reviewed the care plans of four people. People told us they could have baths and showers when they wanted and staff provided the personal care they need in a sensitive and dignified manner. Everyone we met had been supported to achieve a high standard of personal grooming. St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 12 The care plans are person centred. They provide clear information to enable staff to meet the physical, social and emotional needs of each person, as they prefer. Risk assessments identify any special arrangements that need to be in place to protect people from harm. The care plans are regularly reviewed as changes occur. We saw examples of care plans being updated to respond to changing situations. Residents and their representatives are invited to meet and discuss the care plan in place to ensure it remains relevant and describes their personal preferences. People had been provided with equipment to aid their independence, maintain mobility and prevent pressure sores. The manager has continued to introduce monitoring systems such as falls assessments and body mapping charts so changes are recorded, risks assessed and kept under review. People are weighed to monitor their nutritional needs. We would recommend that suitable scales are provided for people not able to stand on bathroom scales so accurate measurements are made. The care records we reviewed showed us that residents receive a good service from local GPs and community nurses. All the residents who completed survey forms confirmed they always received the medical support they needed. Residents have access to chiropodists who visit the home and referrals are made to other community health specialists as required. At the time of our visit the dispensing pharmacist also arrived to carry out his regular inspection and review of medicines. We looked at the systems for ordering, storing and administering medication and found them to be in order. There has been a change in the law covering the use and storage of controlled drugs (CD) in care homes. We have asked the manager to ensure that the current fixing arrangements for the CD cupboard meets the required standard and provided a copy of the guidance for reference. St Anthony`s DS0000019534.V363644.R02.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): Standard 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that they will be respected as individuals, continue to maintain contact with people who are important to them and follow their own social and religious interests enabling them to make choices in their lives. People are provided with a varied menu of freshly cooked, well-presented meals, which they enjoy and meet individual dietary needs. EVIDENCE: The people we spoke to were very content and enjoying the attention staff give them. One person said ‘ They can’t do enough for you, they wait on you hand and foot’. There was a relaxed atmosphere and good humoured interaction between residents and staff. Residents confirmed the staff knew about their lives and were interested in them. People followed their morning routines of reading the newspaper. Before lunch a group of resident sat out on the patio and potted up plants that had been purchased on a mini-bus trip St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 14 to a garden centre. The garden provides quiet areas for people to sit surrounded by beautiful shrubs and flowers. The importance of enabling people to maintain personal relationships is understood by staff and reflected in how care is planned. Staff understand the value of visitors to the home. Visitors told us they feel welcome. A tray of tea and biscuits had been provided for a resident and their guest. The importance of providing stimulating and purposeful activities for residents is an area the manager has taken forward with staff in the last year. Information about how people spend their time has improved. There is a programme of activities, which included gentle exercise and monthly multifaith communion for those who wish to attend. There is a library area with a range of books, which are changed regularly by the Hertfordshire Library service. Televisions with DVD players have been purchased together with a range of films to watch. We over heard one person telling staff about a film they had stayed up late to watch. A resident who enjoys watching sport was able to have a Sky receiver installed. To make sure this progress continues and people’s individual preferences are supported the manager’s AQAA identifies that more in house quality assurance looking at resident activities and meals needs to continue over the next 12 months. The people who completed survey forms and those we had conversations with expressed a high level of satisfaction with the meals they are served. People have been involved in planning the menu. Breakfast is served between 7 am – 10 am to enable people to get up when they want and enjoy a leisurely breakfast. People have a very good relationship with the cook who meets each person each day to talk about the choice of meals available. We were able to see that the cook took an active interest in making sure people were eating well and were able to make choices which supported their dietary needs. Fresh drinks were available to people in the lounges and those in their rooms. One person told us they would like to be able to make their own hot drink. We asked the manager to look at how staff could promote further independence in this area. St Anthony`s DS0000019534.V363644.R02.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): Standard 16 & 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and know that any matters they raise will be dealt with in a manner that respects their rights and protects them from harm. EVIDENCE: As well as reviewing our survey information we spoke with residents about how they raised any concerns and whether they felt safe. We asked staff what their role was in protecting people, what training they had and how they made sure residents were listened to. The manager is able to see the residents every day and make observations about their experiences and well being to ensure they are being cared for in an appropriate manner. This level of contact means that issues raised by residents and relatives are managed at an early stage before they become a problem and more formal action is required. The residents we had conversations with all said they felt safe and staff were on hand to support them. All the residents and relatives who completed survey forms said they knew how to make a complaint and they always received an St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 16 appropriate response to any concerns raised. They all confirmed staff listened to them and acted on what they said. The complaint procedure and survey forms are included in the welcome pack provided on admission to make sure people have the information they need to raise any concerns. Staff receive training on protecting people from abuse and working in a way, which respects people’s individuality and autonomy. The manager recognises the need to ensure staff awareness continues to be raised through supervision and staff meeting and they receive regular updates to ensure they remain alert to any problems. Particularly for staff from abroad who may not be so familiar with cultural reference points and expectations of the health and social care system they are working in. The manager and staff are aware of the procedures to follow in the event of an incident occurring or disclosure being made. We have not been notified of any referrals or investigations under the Hertfordshire Safeguarding Vulnerable Adult procedure between our inspections. We have not received any complaints. St Anthony`s DS0000019534.V363644.R02.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): Standard 19 & 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in St Anthony’s benefit from a safe well maintained home that is homely, clean, comfortable, pleasant and hygienic. EVIDENCE: A lot of work to improve the décor and furnishings within the home has taken place since our last visit. This has included redecoration of the lounge and dining area and provision of new carpets, curtains and blinds. New dining chairs and tables have been provided. A programme to redecorate individual bedrooms and replace bedroom furniture including beds and mattresses where required is in progress. As furniture is replaced facilities for residents to lock possessions away are being provided. St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 18 Residents have access to a patio with seating areas and a cottage style garden with wide pathways and shrubs and plants chosen for their colour and fragrance. A small ramp is put in place when residents with mobility problems wish to go out. No concerns were raised by residents at this inspection about access to bathing facilities or toilets. Space is limited in some of these areas. The manager noted in the AQAA that ‘bathing facilities could be improved to allow easier access for residents and assist care staff to operate bathing more efficiently’. Two people told us they had enjoyed their morning shower. We found the home was fresh and clean and residents confirmed this was also their own experience. One person said the ‘cleaning is excellent’. There are systems in place to maintain good hygiene and infection control standards. Appropriate equipment is provided for managing the laundry. Staff have recently completed infection control training. St Anthony`s DS0000019534.V363644.R02.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): Standards 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can be confident that their needs will be met and they are in safe hands because staff get the right training, supervision and support they need from the manager. Potential staffs suitability to work with vulnerable people is checked so that people who use the service are kept safe. EVIDENCE: Residents and visitors spoke highly of the staff. Positive interaction was observed during our visit. Residents confirmed staff were available when needed and responded promptly if they used the call bell. Five out of 6 relatives who completed surveys said staff ‘always’ had the right skills and experience. One person said this was ‘usually’ the case. The manager reports she is able to adjust the rota to meet the changing needs of residents. Four to 5 staff are provided in the morning and three staff in the afternoon and evening. Two staff are available at night. Senior staff are allocated supernumerary time to update care plans. The hours worked by the cook have been extended in the last 12 months to cover the preparation of supper, which releases additional time for the care staff. Domestic and laundry staff are also employed and they provide a good service maintaining the cleanliness of the home and smartly laundered clothing for the residents. St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 20 To check that there are safe recruitment systems in place we reviewed the records of three new members of staff. This showed us that references and criminal records checks are obtained before people start work and new staff receive an induction so they know what is expected of them. The surveys completed by 5 staff confirmed they were positive about their roles and felt supported by regular meetings with the manager to discuss how they were working. The manager’s AQAA states ‘We need to format our staff supervision, appraisal and reviews into an appropriate staff development plan’. St Anthony`s DS0000019534.V363644.R02.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): Standards 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service can have confidence in the quality of the service they receive at St Anthony’s because it is well managed, their views are considered and they are respected as individuals. People who deposit small amounts of money with the manager for their personal use can be confident it is kept safely. People who live and work in the home are protected by the health & safety systems in place. St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 22 EVIDENCE: As discussed earlier in this report the current manager has taken this home forward over the last two years in terms of introducing systems, which promote a person centred approach and respond to changing professional practice. These now need embedding into the culture of the home so that senior staff are able to maintain the good standards we have observed. The company monitor the quality of the service provided to residents by making by regular visits to the home. People are asked to give their views on the service as part of the company’s annual quality review. The manager’s AQAA provided us with a detailed assessment of the service and areas for further development, which will be of benefit to the organisation and new manager when appointed. We checked the system in place for residents to deposit small amounts of money for safekeeping and found that individual records of deposit and withdrawals are recorded and receipts kept so the money is accounted for. We found that the safety aspects of the home were well managed. Staff receive training in safe working practices. The manager reports that first aid training is currently being arranged for senior staff. Radiators in high risk areas have been covered to prevent accidental scalding. Window restrictors are fitted to first floor windows. The hot water temperatures are regulated and tested. Records of the maintenance required by the fire, gas and electrical systems were up to date. There have been recent inspections by the fire safety service and environmental health department. The manager had not yet received the written reports but stated the outcomes were positive. St Anthony`s DS0000019534.V363644.R02.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 x 18 3 3 x x x x x 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 x x 3 St Anthony`s DS0000019534.V363644.R02.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. 1. Refer to Standard OP7 Good Practice Recommendations Provide suitable scales for people who are not able to stand on bathroom scales to ensure accurate measurements of weight are obtained. St Anthony`s DS0000019534.V363644.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact 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 St Anthony`s DS0000019534.V363644.R02.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. 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