Care Home: The Saltings

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What the care home does well The Providers and staff make sure that people who are interested in living at the home are offered the chance to visit and meet everyone, and find out what the home is like before they decide whether to move in. Everyone living at the home is encouraged to make choice about their daily lives, routines and activities. One service user said he likes living at the home and has plenty of things to do each day They are helped to get better at doing things for themselves and socialising, knowing that staff are there to help and support them if they need it.The SaltingsDS0000023265.V376198.R01.S.docVersion 5.2Staff know each service user well and showed that they are aware of, and respond to, each individual`s way of communicating and seeking support. Service users are helped to choose what they want to eat and may be involved in the shopping, preparation and cooking of meals. There is a lot going on each day. People go out with staff on their own or as a group to a variety of places. Everyone is involved in choosing where to go for each of the two holidays each year. One person showed us photos of the last holiday and talked about where they have decided to go for the next one. The home is well managed and the service users’ best interests are the most important consideration. What has improved since the last inspection? The providers have improved staff ratio so that enough staff are on duty so a service user can fulfil his wish to play golf. Changes have been made to the environment to suit service users, for example, change of easy chairs in lounge as a result of service user request and the type of bathroom taps changed to suit the needs of the residents. The Providers have appointed a senior member of staff who has completed NVQ4 and Registered Managers Award, to the post of Deputy. They have introduced monthly quality assurance checks to make sure everyone is getting the care and support they need and want.. What the care home could do better: The use of simple text and pictures would make the Service User guide and personal support plans easier to understand and more meaningful to the service users. Support plans could do more to show how they are person centred by reflecting and acknowledging service user participation.The SaltingsDS0000023265.V376198.R01.S.doc Version 5.2 Key inspection report CARE HOME ADULTS 18-65 The Saltings 7 The Saltings Littlestone New Romney Kent TN28 8AE Lead Inspector Geoff Senior Key Unannounced Inspection 16th July 2009 12:10 The Saltings DS0000023265.V376198.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. The Saltings DS0000023265.V376198.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 The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Saltings Address 7 The Saltings Littlestone New Romney Kent TN28 8AE 01797 366216 F/P 01797 366216 eileen.campbell12@btinternet.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Stephen Antony Campbell Mrs Eileen Mary Campbell Mr Stephen Antony Campbell Mrs Eileen Mary Campbell Care Home 3 Category(ies) of Learning disability (0) registration, with number of places The Saltings DS0000023265.V376198.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. Learning disability (LD). The maximum number of service users to be accommodated is 3. Date of last inspection 20th September 2007 Brief Description of the Service: The Saltings is registered to provide accommodation for a maximum of 3 adults with a learning disability. The Registered Providers, Mr and Mrs Campbell, are in day-to-day control of the Home. They are supported by 4 members of staff. The property is situated in a cul-de-sac in a residential area of Littlestone. Accommodation comprises: 3 single bedrooms, one with en-suite facilities, a quiet room and bathroom on the first floor. The Service users have use of the lounge, dining room, kitchen and WC on the ground floor. The garden is accessible to the resident service users. The Home provides transport for the service users to access social, educational and recreational venues. The seafront promenade and beach and other local amenities are within walking distance. Mr and Mrs Campbell also operate another home in the locality. The service users may, on occasion, mix socially and for day activities. The reported fees are £790 per week. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this Service is 2 Star. This means that the people who use this Service experience good quality outcomes. This report takes into account, information and evidence gathered since the last inspection on 28/9/07. This includes the Annual Quality Assurance Assessment (AQAA). This is a document that all homes and agencies have to send us once a year. In it the home is expected to tell us how they are meeting the national minimum standards, how and where they have improved since the last inspection and they aim to make things better in the future. It also tells us about the people living and working in the home and what environmental safety checks have been carried out. We first visited on the 2nd July 2009. We arrived at 4pm and stayed for 2 hours. Some of the information we needed was not available so we arranged to complete the inspection on 16th July. On the 2nd July we met with the people who live at the home. We spoke briefly with one of the service users. Another of the service users sat with us for most of the time we were there as he wanted to be involved and asked, as well as answered, a lot of questions. This helped with the information gathering during the visit. Mr and Mrs Campbell were on duty and working in the home at the time. They were cooperative and helpful throughout the inspection process. What the service does well: The Providers and staff make sure that people who are interested in living at the home are offered the chance to visit and meet everyone, and find out what the home is like before they decide whether to move in. Everyone living at the home is encouraged to make choice about their daily lives, routines and activities. One service user said he likes living at the home and has plenty of things to do each day They are helped to get better at doing things for themselves and socialising, knowing that staff are there to help and support them if they need it. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 6 Staff know each service user well and showed that they are aware of, and respond to, each individuals way of communicating and seeking support. Service users are helped to choose what they want to eat and may be involved in the shopping, preparation and cooking of meals. There is a lot going on each day. People go out with staff on their own or as a group to a variety of places. Everyone is involved in choosing where to go for each of the two holidays each year. One person showed us photos of the last holiday and talked about where they have decided to go for the next one. The home is well managed and the service users’ best interests are the most important consideration. What has improved since the last inspection? What they could do better: The use of simple text and pictures would make the Service User guide and personal support plans easier to understand and more meaningful to the service users. Support plans could do more to show how they are person centred by reflecting and acknowledging service user participation. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 7 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. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 8 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 The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 9 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. 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 can find information about the home in the service user guide. This tells people about the home and what to expect if they move in. They have an assessment that tells staff about them and the support they need. They are only admitted if the home is sure that their needs can be met. EVIDENCE: There is written information about the home. This is made available to people who are interested in moving in and their family or advocate. There have been no recent admissions to the home, most people have lived there for a number of years. We looked at the admission process for the most recent resident admitted to the home and found that an assessment had been completed before they moved in. The Manager and Deputy said that they always go and meet with people in their current surroundings where they are likely to be more relaxed and comfortable. People are invited to visit and then have short stays so they can meet everyone who already lives and works at the home. After this, when the person moves in, the care plan is written and agreed with the resident. This makes sure that their individual needs and The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 10 wishes are known and it shows the support they need to help them with the things they want to achieve. As it is a relatively small home the residents have plenty of opportunity to talk with staff or their key worker and changes are made to the care plans as new things come to light. We discussed the content and layout of the Service user guide with the staff and agreed that the use of simple text and pictures would make the Service User guide and personal support plans easier to understand and more meaningful to the service users. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 11 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): 6-10. 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. Service users have their own individual support plan that shows their assessed needs and wishes. Staff and residents work together to ensure that these are met. People are encouraged and supported to make their own decisions and choices, they are helped to take reasonable risks and they are supported to develop their life experiences. EVIDENCE: Each person living in the home has their own personal file that tells staff about them and what support they need and want. We looked at three of these. They cover lots of different things that are important to the individual, such as, their daily routines, what they need reminding about, where they need encouragement and things they need support with. They also show what help The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 12 people need with their personal care. The staff said that they consider the person’s cultural background and religion when putting the support plans together to make sure the persons wishes are respected. Key workers spend time with each person to find out what is important to them and write it in the care plan. None of the service users write in the care plans themselves but, we were told, each one has been helped to express their wishes and feelings. We talked with staff about how the information could be improved by describing how people communicate so that staff can respond to facial expressions and behaviours as well as words. We were told by service users how they make decisions about their lives. This ranged from the daily decisions about activities or meals to longer term planning around holidays. Risk assessments are included as part of the plan. These are so that, rather than stopping things people might want to do but are thought to present a risk, staff work out what support is needed to make it as safe as they can. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 13 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: 11-16. 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 in the home lead active lifestyles and can choose which activities they wish to join in with each day. People are helped to keep in touch with their family, friends and other people who are important to them. EVIDENCE: When we first arrived people were just returning from a local day centre and from the Providers’ other home nearby. Two of the service users said that they liked the things that are on offer to do each day and they do not get bored. There is a plan for each person listing the regular and organised events so that staff can make sure people and transport is available. Alongside this, the more flexible activities are listed for people to decide on the day, for example; going to the pub for a meal or a day trip and picnic. We were told that extra staff had been arranged so that one of the service users could fulfil his wish to play golf. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 14 We were told that the service users are given a choice for each of the two holidays every year. One is paid for by the service users and the other is paid by the providers. The service users again chose to go with the people from the sister home. We were shown photos of the most recent holiday and saw the brochure for the next planned one. We found that a willingness to accommodate and adjust was a theme that ran through the staffs’ attitude and approach to the service users. We saw that staff and service users were comfortable and confident in each others company and there was a lot of cheerful interaction and laughter. Each person is helped to maintain contact with people who are important to them. Visitors can come to the home at any reasonable time and do not have to give notice but may need to check first that the person is going to be in. There are routines in the home and meals are at set times but there is flexibility. We were told that people can get up and go to bed when they want. One likes to stay up a bit later than the others. Service users have access to all the communal rooms in the house. They are however, asked not to go in the kitchen when meals are being cooked and served unless they are helping and staff are present. Service users said they enjoy the food that is offered at the home and we were told that everyone helps to choose the menu. A service user told us that he likes to make cups of tea for people and, on Fridays, when he is not out at the day centre or anywhere else, he enjoys baking cakes with the staff. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 15 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): 18-20. 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. Personal and healthcare support is given in response to the varied needs and preferences of the individuals living in the home. EVIDENCE: Staff have got to know each person well and found out how they like to be supported with their personal care. Routines have been established and guidelines written so that everyone on the staff team is doing the same thing. Each person has a health section in their service user file. This gives a description of the health needs they have and the support they require. There is also a ‘grab sheet’ with a summary of relevant healthcare details that can be taken to the hospital or surgery as required. People are supported to access healthcare services and to attend appointments. The management and staff showed they knew about individuals and were able to describe their current health needs. We saw that medication is stored securely and the administration records were up to date and signed by staff. At present no one living at the home manages The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 16 their own medication. There is information for staff about what each person is taking, the possible side effects and what to do. Only senior staff and management are involved in the medication. We were told that all staff have had appropriate training. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home’s complaints policy and procedure aims to protect the service users from the risk of harm. EVIDENCE: A copy of the complaints procedure is provided to each service user on admission. Staff will go through it with the service user and explain what it means. Those who are able to sign their understanding do so and a copy is kept on their personal file. Some of the service users said that they would talk to the manager or staff if they were upset or worried about anything. Staff said they get to know service users with communication difficulties and respond to signs, facial expressions and behaviour to gain an understanding of what is being communicated to them. We saw staff responding to people in the home by taking time to understand what was being communicated to them. Staff have had training in safeguarding and abuse awareness. They said they would feel confident to use the procedure and would initially report anything untoward to the manager. We saw people spending time with staff in the home with lots of smiles and laughter. Staff said that as the home is quite small they would soon know if something was up and could respond quickly to it. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 18 We looked at how people are supported to manage and spend their money. We saw the forms that are used to record what money they have received and what they have spent it on. Some have their monies managed by the local authority, some have accounts locally. Support is given to access personal money and again all transactions are recorded and receipted. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 19 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): 24,27,30. 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. The home provides a well maintained and well furnished environment where people say they feel at home and comfortable. EVIDENCE: The house is a homely place and is clean and tidy in appearance. There is little to indicate that it is a registered care home both inside and out. The home is well furnished and has easy chairs that suit the needs of the residents. Everyone has their own bedroom which they can furnish and decorate as they wish. The lounge and dining room are separate so people can sit and do one to one support work without being in other residents’ space. The bathroom and toilets are freely accessible and are in good condition. There are few restrictions in the home, the kitchen is accessible except, as noted before, when meals are being cooked and served. There is a separate laundry area. The small but usable garden space is accessible from the dining room. The The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 20 residents we spoke to said they liked their rooms very much and enjoy living at the home. The AQAA told us that the monthly quality assurance checks include environment checks to make sure that the furniture, fixtures and fittings remain in good working order and are safe. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 21 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): 31-36. 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 using the service are supported by staff who have been checked and have received training to help them fulfil their duties. EVIDENCE: There is a small staff team working at the home. A clear and well established shift pattern is in place so people know who is going to support them. We saw there are enough staff on duty at the home so that people can do different things. We saw that staff are well motivated, they said that communication is good, morale is high and they all play a part in making a positive and friendly atmosphere in the home. We looked at staff files and saw that they had the right checks by the police (criminal records bureau-CRB), have had references taken and are supported to complete the induction programme. The AQAA told us that 80 of staff have completed or are currently doing NVQ at level 2 or above. Staff were positive in their comments about the training they are offered as it means they are able to support people in the right way. The deputy has also completed the registered managers’ award. Staff have supervision in regular one to one sessions with the manager or deputy. These The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 22 sessions are used to discuss personal work performance, development and training. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 23 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): 37,39,42. 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. The home is well run and managed in the best interests of the service users. Staff and service users are encouraged to contribute to the development of the service. Systems are in place to maintain the safety and welfare of the service users, staff and visitors to the home. EVIDENCE: Mr and Mrs Campbell have several years experience running and managing the two homes they operate in the area. Mrs Campbell and her deputy have completed management training. We observed a harmonious relationship between staff, service users and management where easy going banter was delivered at the right level for all to The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 24 join in with. Service users and staff said that Mr and Mrs Campbell are approachable, listen to what they have to say and play a major part in the friendly atmosphere in the home. The home has an ‘investors in people’ award and the manager has previously stated that going through the process had informed her on methods of quality assurance that will help the homes’ development. We saw that the deputy undertakes monthly quality audits. She talks to staff and service users and records what they want and any ideas they may have. She also talks with visiting health and care professionals to seek their views. We were told that they intend to formalise the process by introducing questionnaires to be filled in and analysed. The AQAA told us that regular maintenance and safety checks are in place. We were told that all staff have the health and safety and hygiene training that they require to work in this home. The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Version 5.2 Page 26 The Saltings DS0000023265.V376198.R01.S.doc no 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 The Saltings DS0000023265.V376198.R01.S.doc Version 5.2 Page 27 Care Quality Commission The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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. 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