Inspection on 08/11/08 for Newnton House

This is the latest available inspection report for this service, carried out on 8th November 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newnton House 11/01/06

Newnton House 26/09/05

Newnton House 25/01/05

Newnton House 14/10/04

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Newnton House 4 Newnton Close Stamford Hill Hackney London N4 2RQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Robert Cole     Date: 0 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Newnton House 4 Newnton Close Stamford Hill Hackney London N4 2RQ 02076905182 02076905182 newnton.house@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr & Mrs Despo & Jim Gopalla,Mrs Dymphna Caulfield care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Newnton House is a residential care home offering accommodation, support and guidance to a maximum of nine service users who have mental health support needs. Most service users are ex-offenders and have been referred to the home via the Home Office and mental health specialists. Many have previously been detained under Mental Health legislation. The home is located in a residential area of Manor House within the London Borough of Hackney. Bus and train links are good and the home is close to local shops and amenities. The home?s premises are a spacious two-storey building, Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 9 Brief description of the care home which is very well maintained both internally and externally. Service users have access to a garden in the rear of the house. There is private parking in the front driveway. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place on the 08/11/08 and was unannounced. The inspector had the opportunity of speaking with service users, staff, and the homes manager was present for much of the inspection. The inspection included an examination of records and other documents, along with a tour of the premises. The inspector was able to observe staff as they carried out their duties, which has contributed to the inspection process. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the inspectors judgement that prospective service users are provided with sufficient information about the home to enable them to make an informed choice as to move in or not. This information is provided through written documentation and the opportunity of visiting the home. Evidence: The home has a Statement of Purpose and Service User Guide in place. Both documents are written in plain English. The Statement states that Our aim is to offer service users the opportunity for as long as it is required to live in a comfortable home and maximise their individual potential, this will thereby enhance their quality of life. The Statement has been reviewed since the last inspection to meet the outstanding requirement that had been made. It now contains accurate information on the homes management. The Statement also includes information on the aims and objectives of the home and details of the services and facilities provided. Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: All service users are given their own copy of the Service User Guide. This document includes information on the homes physical environment and the house rules. The home has an admissions procedure in place, which states that a pre admission assessment will be carried out, and that prospective service user will be given the opportunity of visiting the home before making a decision as to move in or not. There have being two new admissions to the home since the previous inspection. After an initial referral, the manager and another member of staff carried out assessments. These were of a very good standard, covering needs such as daily living, physical health, psychological needs and social interests. The service users were able to visit the home on several occasions before making a decision as to move in or not, and initially moved in on a three month trial basis. Each service user is provided with a statement of expectations and rules, which sets out the rules of the home and the responsibilities of service users. These are signed by the service user and a representative of the home. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the judgment of the inspector that service users have a large measure of control over their own lives, and that they are given the opportunity of being involved in the day to day running of the home. Evidence: Individual care plans are in place for all service users. These have been drawn up with the involvement of the service user, their keyworker and the homes manager. Care plans are of a good standard and subject to regular review. All service users are on the Care Program Approach (CPA), and their was evidence of regular CPA meetings taking place. Service users also have an annual review meeting in conjunction with their placing authority which feeds in to the care planning process. Care plans examined by the inspector covered needs on mental and physical health, daily living skills, social and leisure needs and equality and diversity issues such as religion. Risk assessments are in place for all service users, and these have significantly Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: improved since the previous inspection, and are now of a satisfactory standard. Assessments identify any risks, and include strategies to manage and reduce those risks. They cover risks such as diet and healthy eating, drug and alcohol abuse and self neglect. It was evident from risk assessments and discussions with service users that they are supported to take reasonable risks, for instance accessing the community without the support of staff. Through observation and discussion there was evidence that service users have a large measure of control over their daily lives. It was clear for example that service users are able to get up at a time of their choosing, leave the home as they please, help themselves to drinks and snacks etc. Care plans make clear that service users are involved in the daily routines of the home, and indeed on the day of inspection service users were observed doing their own laundry, putting away their shopping and sweeping up leaves from the garden. There was evidence that service users have the opportunity of being involved in the day to day running of the home. Regular service user meetings are held, which are minuted. The agenda is set jointly by service users and staff. Minutes seen by the inspector evidenced discussions around house shopping, maintenance and activities. Service users also have regular one to one meetings with their keyworker, which presents an opportunity to discuss any matters of interests or concern to them. Service users are able to sit in on staff meetings within the home, when non confidential issues are being discussed. The home has recently had work carried out to improve its decor. Service users spoken to informed the inspector that they were able to choose the decor for their bedrooms. However, the manager informed the inspector that service users are not involved in the recruitment process for any new staff. During discussion with the inspector the manager said that this was something that could be considered for any future staff recruitment, and it is recommended that service users be given the opportunity of being involved in the staff recruitment process. Confidential records in the home were stored securely, and the inspector was informed that staff and service users could access their records as appropriate. Staff spoken to demonstrated a good understanding of the issues involved around confidentiality. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the view of the inspector that service users are supported to live valued and fulfilling lives. Service users have routine access to the local community, and are able to plan their own menus. Evidence: Although no service users currently have any employment, one service user is involved in various work experience programs arranged through the Psychiatry Rehabilitation Association. Through this association they also go on day trips and are involved in other activities as part of the rehabilitation process. Service users have access to educational opportunities. One service user has achieved an NVQ in horticulture, and another an NVQ in catering. One service user currently attends college where they study IT skills. Service users attend various day services, Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: where they are involved in cooking programs, drama, football teams and literacy classes. These services also provide the opportunity to develop and maintain friendships and relationships. Service users are supported in their needs around equality and diversity issues, for instance one regularly attends church, while another spends time with friends that share their Somalian cultural background. The home is currently trying to arrange a trip for two service users to visit Jamaica. As service users are able to visit the community without the support of staff, they will largely choose for themselves what social and leisure activities they participate in. Service users spoken to informed the inspector that they regularly access community facilities, including markets, shops, post offices and hair dressers. Service users access public transport, and have their own travelcards. In house service users have access to TV, DVD, music and the home has a pool table, with occasional pool competitions. Friends and family are welcome to visit at any reasonable time, and service users are able to see visitors in private if they so wish. Service users are given their own mail to open, and have access to the use of a telephone. To help promote choice and independence, each service user is provided with twenty pounds a week for food shopping. In addition to this, the home will buy the food basics, such as tea, coffee, sugar, bread, milk, potatoes, rice, pasta and fresh fruit and vegetables. Service users spoken to said that they valued having their own budget to be able to plan and buy their food. The homes kitchen was clean and tidy, and food was stored appropriately. Records are kept of menus, and the fridge/freezer temperatures are checked daily. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the inspectors judgement that the home is generally meeting the personal and health care needs of service users. Service users have routine access to health care professionals, and are able to manage their own personal care. However, the home must ensure that it tightens up its recording procedures for medication. Evidence: Care plans make clear that service users are able to manage their own personal care, although staff will offer prompting and encouragement for service users to attend to their personal care as appropriate. All service users are registered with a GP, dentist and optician. Records are maintained of medical appointments, including details of any follow up action necessary. These records indicated that service users have access to relevant health care professionals as appropriate, including psychiatrists, CPNs and dietitians. Two service users have a comprehensive individual health action plan in place, which forms part of their care plan. These set out how the home is able to meet the health care needs of service users, for example around healthy eating and foot care. During discussions with the Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: homes manager it was agreed that these are worthwhile documents, and that all service users would benefit from such a plan. It is required that an individual health action plan is put in place for each service user, to help ensure that their health needs are being met in a comprehensive and consistent manner. The home has a medication policy in place, and all staff undertake training before they administer medications. Mediations are stored in a locked cabinet inside the office. No service users are currently on any controlled drugs. Some of the service users self medicate, which the inspector considers to be good practise as it helps to promote service users independence and dignity. Controls and checks are in place around self medicating to help ensure that it is safe. Records are maintained of medications entering the home, and of those that are returned to the pharmacist. Medication Administration Record (MAR) charts are maintained. However, those examined by the inspector contained several instances of inaccurate recording on them. For instance, one service user is prescribed SENNA tablets, to take two at night. However, the MAR chart for this medication had not been signed since the 2/11/08, although staff informed the inspector that this medication was still being given. Further, one service user is prescribed CHLORDIAZEPOXIDE tablets, to take one at 10pm. However, on the day of inspection, this medication had already been signed as administered when the inspector checked the MAR chart at 2.30pm. In order to promote the health, safety and welfare of service users it is required that all medications are administered and recorded as appropriate. There was evidence that the home seeks to support service users around bereavement issues. For example, when a service user recently passed away, service users were offered support around this, and were able to attend the funeral. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the inspectors judgement that the home has taken reasonable steps to protect service users. Service users have access to an appropriate complaints procedure, and staff have undertaken training in adult protection issues. Evidence: The home has a complaints procedure in place, this includes timescales for responding to any complaints received. All service users are provided with their own copy of the report, and those spoken to demonstrated a good understanding of whom the could complain to if they so wished. The home also has a complaints log in place, although the manager informed the inspector that no complaints have been received since the previous inspection. The home has a copy of the Local Authorities adult protection procedures, as well as its own policy on adult protection. Staff in the home have undertaken training in adult protection issues, and those spoken to demonstrated a good understanding of their roles and responsibilities with regard to adult protection issues. Care Homes for Adults (18-65 years) Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the judgement of the inspector that the home is suitable to meet its stated purpose with regard to the physical environment. Service users have access to adequate communal and private space, and the home was generally well maintained, both internally and externally Evidence: The home is situated in the London Borough of Hackney, close to shops, transport networks and other local amenities. It is in keeping with other homes in the area. Communal areas consist of a sitting room, kitchen, dining room and a garden, which had appropriate garden furniture. Service users were observed to move freely around communal areas. Furniture and fittings in communal areas were domestic in character. The home was well maintained, both internally and externally. There is a pool table at one end of the sitting room. The home has nine single bedrooms, six of which are ensuite. Hand basins are provided in the other bedrooms. Bedrooms seen by the inspector were decorated to the service users personal tastes, for example with family photographs. Service users are able to have their own possessions in their bedrooms, such as televisions and music systems. Bedrooms meet National Minimum Standards on size requirements. All bedrooms had central heating, and adequate natural light Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: and ventilation. Carpets, curtains and bedding was well maintained and domestic in character. Service users are offered a Key to their bedrooms. The home has adequate toilet and bathing facilities. These were seen to be clean, tidy and free from offencive odours. All bathrooms had a working lock fitted, which included an emergency override device. There was evidence that the home has taken steps to help prevent the spread of infection. Laundry facilities were of an appropriate scale for the home, and hand washing facilities were situated around the home. COSHH products were stored securely, and staff have access to protective clothing such as gloves. Care Homes for Adults (18-65 years) Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the judgment of the inspector that the home is staffed in sufficient numbers to meet the needs of service users, and that staff have a good understanding of their roles and responsibilities. Evidence: The home provides 24 hour support, including waking night staff and an emergency on call procedure. There was a staffing rota on display, this accurately reflected the actual staffing situation on the day of inspection. Through observation and discussion there was evidence that staff have a good understanding of their roles and responsibilities, and that they have built up good relations with service users. Staff were seen to interact with service users in a friendly and respectful manner, and throughout the inspection there were examples of positive staff interactions with service users, for instance playing pool and helping service users in household tasks such as laundry. Service users spoken to expressed satisfaction with the staff, one commented that The staff are all good here. The home has appropriate employment related policies in place, including on recruitment and selection and equal opportunities. The inspector checked several staff Care Homes for Adults (18-65 years) Page 20 of 27 Evidence: employment files at random. These were found to contain all necessary checks, including CRB checks, proof of ID and employment references. Staff are provided with a copy of their job description. All staff undertake a structured induction program on commencing work at the home. This includes service user issues and health and safety. There was evidence that staff receive regular one to one supervision, and that they have an annual review of their performance and development needs. Staff have access to training, recent training has included first aid, learning disabilities and food hygiene. However, although the home provides support to adults with mental health issues, staff have access to only limited training in this area. Records indicated that training in this area is restricted to a one hour lecture entitled Psychiatric Diagnosis. To help ensure that staff have a good understanding and insight in to the lives of service users that they support, it is required that all care staff undertake appropriate training around mental health issues. Of the six care staff currently employed at the home, four have achieved a relevant care qualification, and another member of staff is working towards such a qualification. The manager informed the inspector it was envisaged that in time all care staff would have a relevant care qualification. Care Homes for Adults (18-65 years) Page 21 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is the view of the inspector that this is a well run home. Appropriate quality assurance processes are in place, and health and safety management was of a generally good standard. Evidence: The homes manager has many years experience of working in care, including in a managerial capacity. They are a Registered Mental Health Nurse, and have a masters degree in education management. Staff and service users spoken to informed the inspector that they found the manager to be approachable and accessible. Record keeping in the home was found to be of a generally good standard (with the exception of medication records are previously mentioned in this report). Confidential records are stored securely. Policies and procedures were generally satisfactory, (again with the exception of the adult protection procedure). Others checked by the inspector included equal opportunities, complaints and admissions, and these were found to be satisfactory. Care Homes for Adults (18-65 years) Page 22 of 27 Evidence: Service user meetings, care plan reviews and staff supervisions all contribute to the quality assurance process within the home. Copies of previous inspection reports are available to view in the home. Surveys are issued to service users, and the inspector was pleased to note that since the previous inspection surveys are now also sent to health and social care professionals and relatives to gain their feedback on the home. Completed surveys seen by the inspector contained generally positive feedback. Fire exists in the home were clearly signed and free from obstruction. Fire extinguishers were situated around the home, these were last serviced in April 2008. Fire alarms are tested weekly, and were last serviced on the 13/08/08. The home has a fire risk assessment in place. COSHH products are stored securely, and fridge and freezer temperatures are checked daily. The home has in date employers liability insurance cover in place. The home had in date certificates for PAT testing and electrical installation. However, the most recent landlords gas safety certificate was dated the 25/06/07. This was brought to the attention of the homes manager. Subsequent to this inspection, the home was able to demonstrate that it has since had a gas safety check carried out, and therefore no requirement is made around this issue in this report. Care Homes for Adults (18-65 years) Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 13 The registered person must 31/12/2008 ensure that individual health action plans are in place for all service users, setting out how the home is able to meet service users health care needs. To help ensure that service users health care needs are being met in a comprehensive and consistent manner. 2 20 13 The registered person must ensure that all medications in the home are administered and recorded as appropriate. To help promote the health, safety and welfare of service users. 30/11/2008 3 35 18 The registered person must ensure that all care staff working in the home undertake appropriate training around mental health issues. 28/02/2009 Care Homes for Adults (18-65 years) Page 25 of 27 To help ensure that staff have a good understanding of the needs of service users Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 8 It is recommended that service users are given the opportunity of being involved in the staff recruitment process. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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