Care Home: Tattenham Lodge

Similar services:

• 1 Marten Road
• Daubeney House
• Three Gables
• Aldwick House
• 49 Glendale
• The Springs Community
• Crossways Community
• Belle Vue Country House

What the care home does well The service has only been in operation since June 2009 when two people moved into the home under an extended assessment agreement. As a result of the limited length of time Tattenham Lodge has been providing care for these two individuals it is difficult to fully ascertain to effectiveness of the service. There is however detailed policies and procedures in place which if fully implemented should provide people who live at the home with safe, secure and stable environment to live in. The environment in which the residents will live in is of an exceptionally high standard, with good quality furnishings and fittings throughout the home. The quality and quantity of the communal rooms will provide good areas for the residents to engage in individual or group activities without being invasive or cramped to others who are not participating. What has improved since the last inspection? Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Not applicable new service. What the care home could do better: The manager must ensure that all policies and procedures are implemented. This is to ensure that once the home is in full operation the policies and procedures will offer protection to the people who will live in the home. There must be a clear understanding of the roles and responsibilities of the manager and future staff in order to operate a care home under the requirements of the National Minimum Standards for Younger Adults. The future residents should be assured that the people employed to support them understand their roles and the other in the home. Key inspection report CARE HOME ADULTS 18-65 Tattenham Lodge 4 Headley Drive Tattenham Corner Epsom Downs Surrey KT18 5RP Lead Inspector Kenneth Dunn Key Unannounced Inspection 3rd September 2009 10:00 Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tattenham Lodge Address 4 Headley Drive Tattenham Corner Epsom Downs Surrey KT18 5RP 01737 351786 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) Mr Ramsiam Teeluck Mr Ramsiam Teeluck Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0) of places Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Mental disorder, excluding learning disability or dementia (MD). The maximum number of service users to be accommodated is 6. Date of last inspection Brief Description of the Service: Tattenham Lodge is a detached two-storey house, developed to provide accommodation for 6 service users with mental disorders. The home is sited in a residential road with similar properties, and is within walking distance of local shops and amenities. The home is within easy reach of the town centre of Epsom and the villages of Banstead and Tadworth. Accommodation is arranged over both floors with bedrooms being situated on the ground and first floors. There are communal bathrooms on the ground and first floors and some bedrooms have their own ensuite facilities. Communal and recreational areas are situated on the ground floor with a quiet lounge, main lounge, dining room, well equipped domestic kitchen breakfast room and a multi function conservatory looking over the garden. The garden is a well maintained and secure. There is car parking for a limited amount of cars at the front of the house. At the time of this site visit the fees for the two people living at the home under assessment was £750 to £850 per week. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of the Service was an unannounced “Key Inspection”. The Inspector arrived at the Service at 09.15 and was in the Service for four and a half hours. It took into account detailed information provided by the Service’s owner or manager and any information that the Commission has received about the Service since it was registered. This is a new service registered in November 2008. The home has capacity to accommodate 6 people; at the time of the visit 2 people had moved into the home under undergoing an assessment period to ascertain the appropriateness of the home for their future care. Although the home was registered in 2008 it was considered a dormant service until June 2009 when the two individuals moved into the home for their assessments. The people living at the home have only been there since June 2009 and it was therefore difficult to gage and measure the service they were receiving during this site visit. In addition the service has not engaged any staff and had not implemented a good deal of the policies and procedures it has developed for the future needs of the home. As a result of the limited time and experiences the people have been in residence at Tattenham Lodge and the information available at the time of the site visit and quality rating for this service is 1 star. This means the people who use this service experience an adequate quality outcome. What the service does well: What has improved since the last inspection? Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 6 Not applicable new service. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving to the home and their representatives are given limited information about the home to help them decide if the home will be suitable for them. The homes admission and assessment procedures should ensure people’s individual needs are understood and can be met. EVIDENCE: Two people have moved into the home since the service was registered last year. The registered manager stated that both individuals are still in the process of assessment to ensure that there complex needs can be effectively met by the service. There is a detailed assessment process where people who are considering moving to the home, their advocates, families and care managers are invited to the home. The home has developed some limited information about the services offered and this is available to help people decide if the home will be suitable for them. The information contained in the statement of purpose and service user guide is also limited and only contained very basic information about the home. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 9 The Information that is available is not provided in a suitable format to help people understand what the home has to offer. The manager stated that the statement of purpose and any relevant information required to assist people with understanding the services offered by the home would be further developed and introduced prior to any more people being admitted. It was evident that the initial assessments of the people who are considering moving to the home can be confident that qualified and competent people carry out their procedure. The people resident at the home under assessment both had very detailed needs assessments in place to allow for a relatively seamless move into Tattenham Lodge. However the assessments had not been developed by the service they were the existing assessments from care management and their current care facility. The manager stated that as both people under assessment and in light of their complex mental health needs the assessment process had been extended and was still developing before any future decisions could be made about their residency at Tattenham Lodge. The manager stated that wherever possible the initial assessments will takes place in the person’s current home, so the environment that is currently meeting their needs can be viewed as well, gaining valuable information from current carers and/or family. In addition to this, the person’s former care plan, risk assessments, historical information and the Care Managers assessment of needs, where available, is used to inform the assessment process and enable a planned transition to take place. Any specialist support needs are also identified at this stage. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have detailed pre existing care plans and risk assessments in place from external bodies. Measures have been put in place to ensure their needs are met and they are protected form harm whilst being supported to lead fulfilling lives during their residential assessment at the home. EVIDENCE: The manager stated that the as both individuals living at the home were still in the process of assessment full care plans have not be fully developed. The home was continuing to use the multi disciplinary plans which had been developed by the care managers, mental health professionals and their current place of residence. The care plans were developed to provide a clear understanding of the needs of both individuals under assessment at the home. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 11 There was detailed information on file to ensure that the people under assessment could be confident that their individual needs and preferences are understood. The manger stated that each person is assessed as an individual and their future care plan will be developed according to their individual need. There was evidence within the assessment files that each person has been involved in the planning and review of their care over the last two months of their residency. There is evidence on file that both individuals are being encouraged to make decisions according to their individual needs and abilities. There is an understanding of how to support and guide people to make appropriate decisions. Both care plans were sampled as part of the case tracking process. These documents include detailed information about each persons physical, personal and health care needs, their social skills, communication, independence, activities and daily living skills. Aims and objectives are clearly recorded. However clear guidance will have to be provided and developed to ensure that if both individuals are admitted into the home their wishes to be supported with their personal care, religion and choices they make about how they wish to spend their day. The manager stated that there will be a full review of the current information to ensure care plans, risk assessments and specific guidance for each individual will be easily accessible and user friendly. At the time of this site visit the individuals at the home are protected form harm through risk management processes. Care plans sampled include individual risk assessments, which provide guidance on how to minimise risk in regard to specific activities, it was agreed that these should be expanded to include all daily living activities. However as has been previously stated the home has not developed its own assessments and care plans. The manager stated that a full set of risk assessments would be developed once the decision has been made to admit both people into Tattenham Lodge. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 11, 12, 13, 14, 15, 16, & 17 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are encouraged and supported to participate in a range of activities both within the home and in the local community. They are provided with a flexible, healthy and balanced diet. EVIDENCE: There is evidence that the people living at the home are supported to take part in a variety of activities and to be a part of the local community. The manager stated that the activities are still being developed and will include the use of local facilities such as, shops, pubs, restaurants/cafes, library, and leisure centre. However the main source of activities is still based on the previous lifestyle opportunities engaged by both individuals in their previous care facilities. The manager stated that during the assessment period the service has ensured that both individuals receive continuity by continuing to attend day services in areas where their old care homes were based. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 13 There are no restrictions on visitors to the home. The service will endeavour to supports people to maintain appropriate relationships with their families and friends. The manager stated that where families are involved they will be invited to be involved in the care of their relatives. The service has developed a robust policy ensure the respect peoples privacy and dignity by knocking on bedroom doors before entering; calling people by their preferred names and providing personal care in the privacy of their own rooms. During this site visit the interaction observed between the manager and the individual residents was appropriate. Information provided in the AQAA informs that Equality and Diversity are promoted through the Equal opportunities Policies and Procedures. Evidence found during the site visit supports the information sent to us in the Annual Quality Assurance Assessment (AQAA) completed by the provider as part of our inspection. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home should be protected from harm through the safe handling of medication. Measures are in place to ensure that individuals can be confident that their physical and health care needs will be met. EVIDENCE: Arrangements are in place to ensure that the people who live in the home can be confident they will receive the personal care and support they require. The manager stated that each person is supported to choose the time they go to bed and get up in the morning and the clothes they wish to wear. The manager provided details of who the home will promote the health needs of the people who will live there. The evidence was reviewed if the home follows the procedures the health needs should be met. There are provisions in place to ensure that each person will have an individual health action plan. The residents of Tattenham Lodge will all be registered with the local GP practice, and have access to a Dentist, Optician, and Chiropodist, and all National Health Services as required. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 15 The manager continued to state that records of all appointments and health checks will be maintained and that these would be stored in the individuals care files. There were limited records available due to the shortness of the stay of the people who were living there however a review of the records demonstrated that health needs are monitored and any potential problems are identified and dealt with. There is evidence that the manager understood know who to contact in an emergency for any immediate health concerns. The home is developing appropriate links with the local community mental health team to ensure that they maintain continuity of care when individuals are admitted to the home. People who live in the home are protected through the safe handling of medication. At the time of this site visit the home was using medication and medication sheet that came with the individuals from the care homes they were fully resident. However the medication was being appropriately stored and administered. The manager stated that he was the only person who was currently involved in the process of medication handling, but when staff are employed the provisions for medication training and handling would be implemented to ensure that the people will be safeguarded. The records of medication administered to the people living at the home have been well kept to ensure there is no mishandling. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Provisions are in place to ensure that people who live in the home will be listened to and protected from abuse. EVIDENCE: The Commission has not received any complaints about this care home since registration. The people who were living in the home stated that they were listened too and the manager recognised when they were unhappy and responded appropriately. One person who lives in the home stated during the site visit that he would know who to talk to if he was unhappy about anything. The home has a robust procedure for concerns complaints and protection. The manager stated that the complaints procedure is explained to people who are living in the home. People are protected from abuse through policies, procedures and provisions are in place for future staff training. The home has the local Multi Agency Procedure for Protection of Vulnerable Adults (MAPPVA) in place. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from the excellent facilities and the safe, homely and comfortable accommodation. EVIDENCE: People who live in the home benefit from the spacious, comfortable and safe environment. A full tour of the premises was undertaken, all areas were bright and airy, and the premises were clean and well maintained throughout. The two individuals living in the home were delighted to assist in the tour of the home and to proudly take the inspector round their own bedrooms. The bedrooms were highly individual, the manager stated that where ever possible people moving into the home can personalise their own living environment. The property is detached and the accommodation is on two floors, accessed by stairs. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 18 Everyone who lives in the home has their own bedroom some with en suite facilities. The home is furnished and decorated to a very high standard. There is a main sitting room, a well equipped and spacious domestic style kitchen/breakfast room, dining room, quiet room, conservatory, toilets and office. There is a spacious, secure and well maintained garden for people to enjoy. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some arrangements have been made to ensure that the people who will use this service will be safeguarded by appropriate policies and procedures. EVIDENCE: At the time of this site visit the home had not employed any staff. The manager stated that when the people who are currently under assessment are placed at the home, staff would be appointed to support their needs. There was evidence that the manager has introduced the process of identifying and selection potential staff for the home. The home has a set of policies and procedures in place. The policies and procedures however should be reviewed and updated prior to any staff being appointed to ensure that they fully comply with current employment legislation and the national minimum standards of the care standards act for younger adults. A discussion with the manager highlighted the need for the home to obtain further clarification in the employment of care staff and specifically the Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 20 necessary documentation, which must be in place prior to commencement of employment. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 & 43 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who will live in the home should be confident the home is run in their best interests by a well qualified and experienced manager. There arrangements are in place to promote the health and safety of people who live in the home. EVIDENCE: Arrangements have been made to ensure that the people who will live at the home could be confident the home is run in their best interests. The manager has relevant qualifications and is experienced in caring for people with the individual and complex needs. Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 22 There is a quality assurance (QA) procedure in place, to ensure that the people who live in the home and their families or any other professional involved in their care will have the opportunity to comment on the home. At the time of this site visit the only people resident at the home were those under assessment and had only been there for a very limited period therefore no QA had been undertaken. There was evidence found during the site visit, which supports the information sent to us in the Annual Quality Assurance Assessment (AQAA) completed by the manager. This document also shows there is a development plan to further improve services to people who live in the home. People are protected from harm through safe working practices. The manager stated that he understood the need for staff to undertake all the mandatory training as required and that these would be actioned when staff were in post. Information provided in the AQAA and submitted during the registration process and supported by the manager during the site visit shows that safety checks of all equipment and installations have been undertaken. However during the site visit no documentary evidence of these checks could be found and the manager was unsure where the information was stored. This was discussed with the manager and it was agreed that all information pertaining to the health and safety of the residents and staff of the home must be retained on site at all times in compliance with the national minimum standards for younger adults. Tattenham Lodge DS0000072911.V376433.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 Adults 18-65 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 2 2 3 2 4 2 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 2 32 2 33 2 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 2 2 2 LIFESTYLES Standard No Score 11 2 12 2 13 2 14 2 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 2 2 2 2 2 2 2 2 Version 5.2 Page 24 Tattenham Lodge DS0000072911.V376433.R01.S.doc Are there any outstanding requirements from the last inspection? 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 Tattenham Lodge DS0000072911.V376433.R01.S.doc Version 5.2 Page 25 Care Quality Commission Care Quality Commission South East Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Tattenham Lodge DS0000072911.V376433.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!