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Inspection on 20/01/09 for Tupwood Gate Nursing Home

Also see our care home review for Tupwood Gate Nursing Home for more information

This is the latest available inspection report for this service, carried out on 20th January 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People who are considering moving into the home are provided with helpful information to help them decide if the home will be suitable for them. A thorough assessment takes place before people move into the home to ensure their needs are understood and can be met. They can be confident their care and nursing needs are understood and will be met. Care plans provide clear guidance for staff to follow. People are protected through safe medication administration and practice. They are cared for in a way that promotes their privacy and dignity. People who live in the home enjoy a lifestyle that encourages and respects their individual social, religious and cultural needs. Families, friends and advocates are welcome at the home. People are supported to make choices in a way that promotes their independence. Mealtimes are unhurried and enjoyable with an excellent choice of wholesome and nutritious food. People who live in and visit the home are listened to and encouraged to offer comment or complaint. They can be confident their views will be taken account of, they are protected from abuse. People who live in the home benefit from the spacious, safe and homely environment. Bedrooms are personalised, comfortable and well presented. Communal areas are clean, comfortably furnished and airy. All areas of the home are well equipped and tastefully decorated. People are cared for and supported by a well trained and competent staff team who understand their care and nursing needs. The home supports and encourages staff to obtain National Vocational Qualifications. The service is managed in the best interests of the people who live there, taking account of their views and expectations. The home is run efficiently by a well qualified, experienced and approachable manager, known as `matron` in this home. Effective quality assurance systems promote year on year improvement and development of the service. Efficient communication and the promotion of health and safety ensure that people are protected from harm.

What has improved since the last inspection?

The home ensures that suitably trained staff are available to support residents at all times, including at night. The home has reviewed it`s medication storage arrangements and installed an air conditioning unit in the treatment room to ensure that the correct temperature is maintained. Medication is administered in line with guidance from the pharmacist and the prescriber. The home has reviewed the medication disposal regime with the pharmaceutical company it uses. Residents are consulted about which television programmes are shown. A full employment history is obtained from staff through the application and interviewprocess. All gaps in employment history are explained.

What the care home could do better:

Some elements of the homes recruitment procedure need tightening up to ensure people are adequately protected. In that clearance from the Criminal Records Bureau and 2 references must be obtained before new staff start working in the home.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Tupwood Gate Nursing Home 74 Tupwood Lane Caterham Surrey CR3 6YE     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: Ruth Burnham     Date: 2 0 0 1 2 0 0 9 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 Older People 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 Older People 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 © (2009) 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 Older People Page 3 of 27 Information about the care home Name of care home: Address: Tupwood Gate Nursing Home 74 Tupwood Lane Caterham Surrey CR3 6YE 01883342275 01883341951 tupwood@cygnethealth.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jennifer Carol Roach Type of registration: Number of places registered: Cygnet Health Care Limited care home 35 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 35 The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Tupwood Gate Nursing Home is a large detached character property, converted to provide accommodation for 35 older people who require nursing care and there is some day-care and respite provision. The home is situated in a quiet residential area on the outskirts of Caterham and is well presented providing a good standard of accommodation. A conservatory at the back of the home provides residents a good Care Homes for Older People Page 4 of 27 Over 65 0 35 35 0 Brief description of the care home view and access to the well-maintained garden and there is parking to the front and side of the premises. Costs per week start from #750.00. Care Homes for Older People 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced Key Inspection. We arrived at the service at 09.00 and were in the home for five hours. It was a thorough look at how well the home is doing. It took into account detailed information provided by the homes manager, and any information that CSCI has received about the service since the last inspection. We looked at how well the service is meeting the standards set by the government and in this report we have made judgements about the standard of the service. Care Homes for Older People Page 6 of 27 We talked to a number of the people who live in the home, staff and the manager. We undertook a tour of the premises and sampled records. The home has submitted the Annual Quality Assurance Assessment (AQAA), this contained all the information we asked for. Responses to our surveys sent out to residents, advocates, health and social care professionals and staff before the visit were very positive and full of praise for the service. The Commission has not received any complaints about the service since the last inspection. There is one Required Development in this Report. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We would like to thank everyone at the home who assisted us during our visit for their time and hospitality during this visit. What the care home does well: What has improved since the last inspection? The home ensures that suitably trained staff are available to support residents at all times, including at night. The home has reviewed its medication storage arrangements and installed an air conditioning unit in the treatment room to ensure that the correct temperature is maintained. Medication is administered in line with guidance from the pharmacist and the prescriber. The home has reviewed the medication disposal regime with the pharmaceutical company it uses. Residents are consulted about which television programmes are shown. A full employment history is obtained from staff through the application and interview Care Homes for Older People Page 8 of 27 process. All gaps in employment history are explained. 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 Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. People who are considering moving into the home are provided with helpful information to help them decide if the home will be suitable for them. A thorough assessment takes place before people move into the home to ensure their needs are understood and can be met. Evidence: People who are considering moving into the home are provided with helpful information in the homes Statement of Purpose and Service User Guide. The last inspection report is made available in the entrance lobby. A copy of the service user guide is also placed in a convenient Perspex holder attached to each persons bedroom wall. All the people who responded to the surveys we sent out as part of the inspection felt they had received enough information to help them decide if the home would be suitable for them. Care Homes for Older People Page 11 of 27 Evidence: Before moving into the home a thorough assessment of need is carried out by the manager or a suitably qualified member of staff. The home also offers up to four day care places, the number of day care places provided at the home is dependent on the managers assessment and consultation with people who live in the home to minimise any potential for disruption. Assessment records are completed using the Surrey health needs assessment form. This details the nursing needs of the resident and enables the assessor to understand peoples individual needs before they move in. One person who was spoken to during the visit said they had visited a number of homes before choosing to move to Tupwood Gate which they had found to be the most suitable for them. They liked the friendly staff and homely, welcoming atmosphere and also the way in which all their questions had been answered. Care Homes for Older People Page 12 of 27 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. People who live in the home can be confident their care and nursing needs are understood and will be met. Care plans provide clear guidance for staff to follow. People are protected through safe medication administration and practice. They are cared for in a way that promotes their privacy and dignity. Evidence: People who live in the home have individual plans of care. The care plan is kept in each persons bedroom and covers the daily requirements essential to ensure their needs are met according to their wishes and expectations. Care plans include personal care needs, charts and the daily records of care. The care plans are regularly monitored and reviewed. The home has an excellent and innovative system of care plan review that encompasses every aspect of daily life. Each day there is a Resident of the Day and all staff, ranging from the housekeepers, maintenance, care staff to nursing staff, focus on this person and review the effect their working practice is having on the Care Homes for Older People Page 13 of 27 Evidence: persons life to make sure that the persons needs are being met and identify if adjustments are needed. In this way each person who lives in the home has full review every month. Everyone who responded to our survey said they were satisfied with the overall care provided. Comments included: Mum has made great progress since admission. The care and attention my mother receives has been exceptional. Staff provide a gently touch with plenty of encouragement and praise. Staff treat everyone with dignity and understanding. The nursing care is excellent and staff are very caring. Health care needs are carefully monitored and the appropriate health care practitioners are regularly involved including: Marie Curie nurses, General Practitioners, Psycho geriatric services, Physiotherapy and Chiropody. People who live in the home are benefiting from the implementation of the Liverpool Care Pathway incorporating the Gold Standards for End of Life Care. Health care Practitioners completing our survey were very positive and made the following comments: Patients receive a good standard of care. Medication is well managed by staff. Care is individually planned and based on patient need. Staff are kind and caring and work well as a team. High standards of care and management, very competent nursing staff and good communication. People who live in the home are protected through the safe handling of medication. Health care practitioners dealing with residents medication needs confirmed that medication is appropriately managed and they are able to see their patients in private. The home uses a monitored dosage system and records seen were up to date and well maintained. Appropriate security measures are in place to ensure that controlled medication is recorded and disposed of safely. An air conditioning unit has been fitted in the ground floor treatment room to ensure the correct storage temperatures for medication are being maintained. We were able to meet and talk to several people throughout the day who were happy to tell us about their experience of living in or visiting relatives in the home. All who were spoken to were very happy with the care provided and full of praise for the staff and the manager. Throughout the visit staff were observed talking to people in a polite and respectful manner and supporting them in a way that promotes their dignity and privacy. People are able to receive visitors and health care practitioners in the privacy of their own rooms. There is a privacy and dignity policy in place to provide guidance for visitors and staff. Care Homes for Older People Page 14 of 27 Care Homes for Older People Page 15 of 27 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. People who live in the home enjoy a lifestyle that encourages and respects their individual social, religious and cultural needs. Families, friends and advocates are welcome at the home. People are supported to make choices in a way that promotes their independence. Mealtimes are unhurried and enjoyable with an excellent choice of wholesome and nutritious food. Evidence: People who live in the home can be confident their social, religious and cultural preferences are understood. People are supported to attend in house religious services should they choose to do so. Religious preferences at the time of the visit were for Church of England worship. Ministers of religion regularly attend the home and services are held every month. There is a full time activities coordinator employed in the home and people can choose to take part in a variety of activities throughout the day. The last activities coordinator has left employment since our last inspection and the home is now transitioning into a new phase with a newly appointed activities coordinator who is experienced in working with older people and has already undertaken a course in providing activities for the Care Homes for Older People Page 16 of 27 Evidence: elderly, further courses are planned for the future. On the day of our visit a film was being shown and there was a bingo session. People are supported to make good use of the grounds surrounding the home and have planted out a sensory area consisting of herbs and fragrant smelling flowers and plants. One person has been given his own plot and is being supported to grow his own vegetable garden. Regular residents/relative meetings are arranged as social events. Relatives are encouraged to drop in and refreshments are made available. Visitors who were spoken to confirmed that the home supports and welcomes their visits. We were able to join residents for the lunchtime meal. Tables are attractively laid and there is a relaxed atmosphere at mealtimes. The meal was well presented and appetising. A sweet trolley is provided on which the choice of desserts was impressive, ranging form a choice of hot or cold pudding of the day, which was apricot crumble with custard or cream or strawberry mousse. Other choices on display were jelly, pureed fruit, a variety of yoghurts and a bowl of fresh fruit, which included fresh strawberries and blueberries. People who were spoken to said meals are always very good and there is always a choice. The menu is displayed and people are consulted daily about their preferences. Special dietary needs such, as pureed food and diabetic choices are always available and the local dietitian is also called upon when additional advice is needed. Care Homes for Older People Page 17 of 27 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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. People who live in and visit the home are listened to and encouraged to offer comment or complaint. They can be confident their views will be taken account of. People are protected from abuse. Evidence: People who live in and visit the home can be confident they will be listened to, those spoken to said the manager and staff are approachable. People know who to talk to if they are unhappy about anything. There is a clear complaints procedure and records show that any complaints or concerns raised are addressed appropriately. People who live in the home are protected from abuse. Staff understand and receive training in protecting vulnerable adults. The home had an up-to-date copy of the Surrey Multi-agency procedure for the safeguarding of vulnerable adults in the office. Staff who were spoken to were very clear about recognising abusive situations such as rough-handling, bruising and physical or verbal abuse and what to do if this was observed. Care Homes for Older People Page 18 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, 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. This is what people staying in this care home experience: Judgement: People using this service experience excellent 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 spacious, safe and homely environment. Bedrooms are personalised, comfortable and well presented. Communal areas are clean, comfortably furnished and airy. All areas of the home are well equipped and tastefully decorated. Evidence: People who live in and visit the home appreciate the spacious and well maintained environment. A tour of the premises and grounds was conducted and all areas seen were clean, light and airy. Rooms have been beautifully decorated to enhance the unique features of the home. Peoples bedrooms are individually decorated and show individualised touches specific to each person. People are encouraged to bring their own items of furniture and personal possessions into the home when they move in. People have a choice of communal areas, there is a large reception area where people can sit and watch the comings and goings of staff and visitors. A TV lounge and library afford comfortable seating for those who wish to watch television. A large and airy conservatory is well furnished for relaxing or enjoying activities and the spacious drawing room provides a quieter space where people can get away from it all. There is also a separate dining room. Care Homes for Older People Page 19 of 27 Evidence: The home is well equipped to meet all the nursing and care needs of the people who live there. There are well equipped bathroom and toilet areas, adapted to assist those with mobility problems and physical disabilities. The majority of bedrooms now have new beds which look more in keeping with domestic furnishings whilst being fully adjustable. The home ensures that regular equipment checks are completed to ensure peoples safety. People who responded to our survey were happy with the environment and satisfied with the facilities provided. Comments included: The home is kept very clean and fresh. There is a programme of maintenance in place and all areas seen were maintained to a high standard. The laundry room is clean tidy and there is an efficient laundry system in place. An effective drying room is also available where clothes can be safely and economically dried indoors. Safe systems for handling laundry ensure people are protected from risk of infection. Care Homes for Older People Page 20 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 cared for and supported by a well trained and competent staff team who understand their care and nursing needs. The home supports and encourages staff to obtain National Vocational Qualifications. Some elements of the homes recruitment procedure need tightening up to ensure people are adequately protected. Evidence: There are sufficient, suitably qualified staff on duty at all times to provide the care and support people in the home need. The staff team includes qualified nurses and care assistants, an activities coordinator, a housekeeping and catering manager and housekeeping and maintenance staff. All staff who were spoken to were enthusiastic about their roles and were clear about their responsibilities. The home is registered with the University of Surrey and Hertfordshire to take student nurses and provided an overseas nursing programme. A sample of six staff files was inspected. Staff files contain documents such as; references, proof of identity and original job applications. All staff have been checked through the Criminal Record Bureau (CRB) and certification has been provided. However there had been some delays in carrying out these checks in the last year, which resulted in staff working in the home for periods of time before clearance was Care Homes for Older People Page 21 of 27 Evidence: obtained. All staff who are employed in the home at the time of the visit have received CRB clearance. Employment histories are in place and records of interviews are also kept on file. In some instances only one reference has so far been received although 2 are requested. These shortfalls were discussed with the manager who was unaware that this slippage had occurred. Immediate steps were taken to ensure that recruitment policies and procedures are implemented rigorously and people who live in the home are fully protected when new staff are employed in the future. People who live in the home can be confident staff receive appropriate training for and supervision in the work they carry out. All care staff are encouraged to undertake National Vocational Qualifications. Additional training courses are also provided. Staff have regular one to one supervision sessions with their line managers and staff meetings are also held regularly. Care Homes for Older People Page 22 of 27 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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. People who live in the home can be confident the home is managed in their best interests, taking account of their views and expectations. The home is run efficiently by a well qualified, experienced and approachable manager, known as matron in this home. Effective quality assurance systems promote year on year improvement and development of the service. Efficient communication and the promotion of health and safety ensure that people are protected from harm. Evidence: The manager is a registered nurse and has attained, the Registered Managers Award, the National Vocational Qualification certificate for assessor and verifier and a palliative care certificate. The people who live in the home, staff and visitors know her as matron. Many positive comments were made about matron, both in responses to our survey and in conversations during our visit. She has created an ethos where everyone feels valued and respected. Staff who were spoken to said she is always willing to listen, they appreciate the management style where encouragement and praise is Care Homes for Older People Page 23 of 27 Evidence: given whilst providing clear and firm leadership. Responses from relatives, advocates, residents and health care professionals to our surveys included comments such as: The home is well organised. Matron is excellent and heads up a good team. There is a high standard of management. All the people we spoke to were very happy with the way the service is managed. People who live in the home benefit from the links the manager has forged with the local hospice, Marie Curie, the Local Authorities and the Alzheimers Association. Residents and relatives have regular meetings every month and the manager promotes an open-door policy. The manager completed our Annual Quality Assurance Audit, the information provided has been used as part of this inspection. It contained all the information we asked for and demonstrates the home has good quality assurance processes to monitor the service and recognises where improvements can be made. Families and advocates act on behalf residents in relation to their financial affairs where people who live in the home are unable to, or prefer not to do this themselves. There are clear policies and procedures about the management of residents money. The health, safety and welfare of service users and staff are promoted and protected and staff are trained in safe working practices. Regular safety checks are carried out on all installations and equipment Care Homes for Older People Page 24 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 Older People Page 25 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 29 19 The registered person shall 12/02/2009 not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2. Some elements of the homes recruitment procedure need tightening up to ensure people are adequately protected. In that clearance from the Criminal Records Bureau and 2 references must be obtained before new staff start working in the home. 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 Care Homes for Older People 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 © (2009) 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. 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