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Inspection on 15/09/08 for Westcotes Rest Home

Also see our care home review for Westcotes Rest Home for more information

This is the latest available inspection report for this service, carried out on 15th September 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.

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

The staff give good care with dignity, privacy and relate well to the residents. The staff are very good, it has improved since I came in. We are looked after well. The residents have a clean and pleasant home to live in. The home gives the residents good, fresh home cooked food and gives them choices in what they have to eat. The residents have activities arranged that recognize peoples interests. I like to read, so I do not join in the activities. The manager and the staff welcome visitors into the home and communicate well with them. The home has a good recruitment practice, with all the required documentation in obtained. This makes sure that, as far as possible, the residents are safe. The staff are well trained to meet the needs of the residents.

What has improved since the last inspection?

There is a system in place for the proper receipt and administration of controlled drugs, to make sure that any controlled drugs are given safely. The staff all have the required documentation in place before they start work to make sure that they are safe people to give the residents care.

What the care home could do better:

Consideration could be given to include the results of the annual questionnaire in the Statement of Purpose, to give prospective residents a wider knowledge of the home. The Statement of Purpose could be made available in other formats to make sure that as many people as possible can read it. The care plans and the medication sheets should have photographs of the residents on them to help with identification of the residents. The complaints policy should be updated to include the contact details for Social Services and the Commission for Social Care Inspection. Adequate cleaning methods should be put in place to make sure that the identified bedrooms are kept odour free. The manager should be given enough time to complete her required management duties.Formal supervision for the staff must be put in place at the required intervals, this allows the staff to have regular time with their line manager to discuss work and training issues. The provider must make sure that the public liability insurance certificate is up to date, to make sure that the residents and the staff are protected in the event of an accident.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Westcotes Rest Home 113-115 Hinckley Road Leicester Leicestershire LE3 0TF     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: Anthea Richards     Date: 1 5 0 9 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 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 29 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 Older People Page 3 of 29 Information about the care home Name of care home: Address: Westcotes Rest Home 113-115 Hinckley Road Leicester Leicestershire LE3 0TF 01162332919 01162994384 care@westcotes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Les Downing Type of registration: Number of places registered: Mr Les Downing care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: To be able admit the person of Category MD named in variation application number 34009 dated 4th July 2002. Date of last inspection Brief description of the care home Westcotes Care Home is a care home providing personal care and accommodation for 20 older people with a physical frailty. The Registered Provider Mr Les Downing owns the home. Mrs Lisa Haynes has been the acting manager for two months. The home is situated on Hinckley Road close to shops, public houses and bus routes, which lead to the centre of Leicester. There is limited parking in the road outside the home. The accommodation is in two converted Victorian houses, which has provided spacious accommodation. There are three lounges, one dining room and one double bedroom located on the ground floor. The remaining bedrooms (two doubles and fourteen singles) are located on the first and second floors and are accessible either by passenger lift or stairs. The home is well maintained and provides a safe, comfortable Care Homes for Older People Page 4 of 29 Over 65 20 0 Brief description of the care home and homely environment for the residents to live in. Outside, there is a well maintained patio area with patio furniture and tubs of plants and flowers, which is easy to reach for the residents in the better weather. The current registration certificate from the Commission for Social Care Inspection is available in the reception area with an up to date insurance certificate. The latest report from the Commission for Social Care Inspection is available in the managers? office. The home can be contacted by telephone or fax. Current fees at the home are in line with the local authority rates. There are extra charges for hairdressing, chiropody, newspapers and personal items. Care Homes for Older People Page 5 of 29 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 Quality rating for this service is 2 Star. This means that the people who use this service experience good quality outcomes. This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit we, throughout the report the use of we indicates the Commission for Social Care Inspection, spent four hours reviewing information received by the Commission for Social Care Inspection; CSCI since the last inspection on the first November 2007. The visit took place on the 16th September 2008 and lasted five hours. Care Homes for Older People Page 6 of 29 During the visit we checked all the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that we looked at the care provided to three of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents and their families. With their permission the residents bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We read the Annual Quality Assurance Assessment that the home had sent us when we asked for it. This gave us information about the home and how they have managed to achieve the national minimum standards and what they are going to do to improve the service. It also gives us numerical information about the residents and the staff. During the visit we spoke with the registered manager, the staff, the residents and families and visitors to the home. What the care home does well: What has improved since the last inspection? What they could do better: Consideration could be given to include the results of the annual questionnaire in the Statement of Purpose, to give prospective residents a wider knowledge of the home. The Statement of Purpose could be made available in other formats to make sure that as many people as possible can read it. The care plans and the medication sheets should have photographs of the residents on them to help with identification of the residents. The complaints policy should be updated to include the contact details for Social Services and the Commission for Social Care Inspection. Adequate cleaning methods should be put in place to make sure that the identified bedrooms are kept odour free. The manager should be given enough time to complete her required management duties. Care Homes for Older People Page 8 of 29 Formal supervision for the staff must be put in place at the required intervals, this allows the staff to have regular time with their line manager to discuss work and training issues. The provider must make sure that the public liability insurance certificate is up to date, to make sure that the residents and the staff are protected in the event of an accident. 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 29 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 29 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. Judgement 1, 2, 3. 6 is not applicable in this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents needs are always assessed before moving into the home and they have good information to help them make the right choice about the home. Evidence: All of the residents who were case tracked told us that they had seen the Statement of Purpose and had been given the terms and conditions. The Statement of Purpose and Service Users Guide should give people the information that they need to know about to help them make a decision about the home. Care Homes for Older People Page 11 of 29 Evidence: Consideration could be made to include the results of the homes annual quality audit. This will give the prospective resident and their family a view on what people who use the service think about it. The manager or a senior member of staff always visits prospective residents before they are admitted to the home and there is a thorough pre admission assessment form in place. This was seen in the care plans looked at and confirmed by the residents and the families spoken with. This makes sure that that the manager and the staff in the home have the the right information before the resident is admitted, so that they can get the best care. It makes sure that the home can meet the residents needs and that the resident meets someone from the home who they can recognise when they are admitted to the home. The families and the residents spoken with confirmed that they were given the opportunity to visit the home before they came in. Members of the staff spoken with said that they always knew what the residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection was displayed in the entrance of the home and the latest report from the CSCI was available in the managers office. The public liability insurance certificate was found to be out of date. Care Homes for Older People Page 12 of 29 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. 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents as identified in the care plans with privacy, dignity and respect. Evidence: All of the case tracked records were found to contain good individual evidence of the care being given to the residents and reflected the care that the residents needed. The residents and the families spoken with told us about the care that they needed and that they were happy that they received it. There are records of the involvement of G.P.s, district nurses, chiropodist, optician and dentist in the care plans, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the Care Homes for Older People Page 13 of 29 Evidence: doctor and other health professionals when they needed to. There was a dentist visiting a resident on the day of the visit. We were concerned that this was happening in one of the lounges, but the resident had been asked if she had wanted to go to her room and she said that she was happy to stay where she was. There was evidence that the care plans had been reviewed regularly and had been signed by the resident to say that they had seen the care plan and agreed with it. Signing the careplans makes sure that the resident and/or their families were involved and aware of the care to be given and that they were happy with it. The residents and the families spoken with told us that they had been involved and were happy with the care being provided. The daily record of care is up to date, which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. We saw residents being treated with dignity and respect when staff spoke with them and undertook their care. The staff sat down with the residents and spoke with them individually. Staff seen giving care did so in the right way, with dignity and giving the residents privacy where needed, particularly when moving them. There are records of the residents weight, which makes sure that they are not losing or gaining large amounts of weight. The staff spoken with were aware of the care needs of the residents and the residents and the families spoken with were happy that all care needs were being met. This was also confirmed in the response from the homes questionnaire and reported in the AQQA. There were risk assessments in place to cover all the identified risks for the residents and how the staff should manage those risks. This makes sure that the residents and the staff are protected from any risks that have been identified, without restricting their activities. Comments from the residents included: The staff are very good, it has improved since I came in. We are looked after well. Medication records for the case tracked residents were in order. Medicines are given by the senior care staff who have had training to give medicines. We saw that the medicines were administered individually and the residents were seen to be taking them. Care Homes for Older People Page 14 of 29 Evidence: The medicines are packaged by the chemist into a monitored dosage system where each tablet is in a separate pop out card, which helps to make sure that the resident is always given the right medicines. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The manager carries out a monthly written audit of the medicines and the medicine sheets to make sure that they are correct. A signature sheet for all the staff who give medication and write in the care plans should be put in place to make sure that they can be identified in the future. The care plans and the medicine sheets could have photographs of the residents on them to make sure that they are identified correctly. There was a self-medicating policy in place but there were no residents looking after their own medicines at that time. Care Homes for Older People Page 15 of 29 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. 12, 13, 14, 15. Quality in this outcome group is good. This judgement is made using available evidence including a visit to the service. The residents have their social,spiritual and nutritional needs met. Evidence: There was music or the television on in the lounges, for most of the visit, which the residents were enjoying and singing along to. We saw them being asked if they wanted them on. The staff, the residents and the activities programme confirmed that there were regular activities such as, bingo, quizzes, sing-a-longs and word games. The staff watch the news with the residents and talk to them about it. The County Link library visits regularly so the residents are able to have library books. The residents spoken with were happy with the level of activities and said that they had plenty to do. The families spoken with felt that there were enough activities for the residents to do. I like to read so I don’t join in the activities There was evidence in the daily records and in the care plans about the activity that Care Homes for Older People Page 16 of 29 Evidence: the residents take part in and that the activities and the meals were discussed with the residents individually and through meetings. All the families spoken with said that they were made very welcome in the home, which we saw whilst we were there. The residents spoken with all said that they enjoyed the food and that they had a choice of what they had. The menus were varied and were discussed with the residents individually. We spent time talking with the residents at lunch- time. The meal looked plentiful and well presented and the residents were enjoying it. The days menu and the activities were displayed on a board in the home. The hairdresser visits when the residents want her, which the residents said that they were happy with. The religious needs of the residents are met individually and through the monthly service held in the home. Care Homes for Older People Page 17 of 29 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. 16, 18. Quality in this outcome group is good. This judgment has been made using available evidence including a visit to the service. There are systems in place to support and protect residents and staff are aware of the processes. Evidence: There is a complaints policy in place which gives the details of how to complain and who to complain to in the home if they needed to. The contact details for Social Services are not in the policy and the details for the Commission for Social Care Inspection should be updated. This could be made available in a large print and other languages if it was needed, which would make sure that as many people as possible could read it. The home has received one complaint since the last inspection on 1st November 2007 that has been dealt with satisfactorily. The Commission for Social Care Inspection has not received any complaints in this time. The residents and the families spoken with were aware of the policy, of how to complain and who to complain to. They were happy that their concerns would be listened to and acted on. The staff spoken with were aware of how to handle any complaints. Care Homes for Older People Page 18 of 29 Evidence: The staff spoken with were able to describe how they would deal with an allegation of abuse, knew the areas where abuse could happen and could describe the process that they would go through if they suspected any abuse. They confirmed that they had had training in safeguarding adults and whistle blowing and the manager and the records seen supported this. All of the staff have either got an NVQ at least at level 2 or have started the award, during which they receive training in safeguarding as well as the training given in the home. They were confident that the management would handle any issues correctly. We looked at the accident book, which had been completed correctly. These practices make sure that the residents are safe from any abuse and that any concerns would be handled correctly. Care Homes for Older People Page 19 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 19, 23, 24, 26. Quality in this outcome group is good This judgment has been made using available evidence including a visit to the service. The residents are protected by the policies and procedures in the home to provide a safe environment. Evidence: Westcotes Rest Home is a converted house that is close to the local shops and facilities in Hinckley Road in Leicester. The home was clean and welcoming on our arrival. There are two lounges, a dining room and some bedrooms on the ground floor with the rest of the bedrooms on the first and second floors. The stairs, a stair lift or the passenger lift can reach these. The lounges and dining room were clean, bright and homely with a variety of suitable seating for the residents. All of the bedrooms seen had been personalised and were found to be clean. However, two had an unpleasant odour. The residents spoken with were happy with their rooms and said that they were able to bring their own belongings in with them. Care Homes for Older People Page 20 of 29 Evidence: The bathrooms were clean and clear of any items that could cause a hazard for the residents. The garden is a patio area that has recently been improved to provide a pleasant area for the residents to walk and sit. The residents and the families spoken with were happy with the cleanliness of the home. The staff have had training in health and safety and the cleaning products are stored in a locked cupboard, which we saw. This was confirmed by the staff spoken with and by the manager. The registered provider has got planning permission to put a ramp at the front of the house and this work will be carried out shortly. This will make the home more accessible for the residents. The records for hot water testing were up to date and all the temperatures were within the recommended levels. Care Homes for Older People Page 21 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 27, 28, 29, 30. Quality in this outcome group is good. This judgment is made using the available evidence including a visit to the service. The recruitment policy and the training meet the residents needs and protect their safety. Evidence: The duty rota reflected the number of staff on duty on the day of the visit and all the shifts covered by the four weeks seen had good numbers of staff. The residents, staff and families spoken with felt that there were always enough staff on duty to look after their needs. We looked at two staff files and the required information was complete in both of them. This included evidence of identification, adequately completed application forms, two written references, a Criminal Records Bureau check and a Protection of Vulnerable Adults check. The manager makes sure that all the required documentation is in place before an employee starts work. This was confirmed by the staff spoken with, who told us that they could not start until they had all the paperwork in place. There was evidence of staff training, including induction and the staff spoken with Care Homes for Older People Page 22 of 29 Evidence: confirmed that they had received recent training in moving and handling, health and safety, safeguarding of vulnerable adults, first aid, infection control and basic food hygiene, which was taking place on the day of the visit. The residents and the families spoken with felt that the staff were well trained to do their job. A member of staff told us I have had a lot of training. All of the staff either hold a National Vocational Qualification at least at level 2 or are in the process of completing it. The National Vocational Qualification is a qualification for care staff to make sure that they receive training in the needs of the resident group whom they are caring for. Care Homes for Older People Page 23 of 29 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. 31, 34, 35, 36, 38. Quality in this outcome group is good.This judgment has been made using available evidence including a visit to the service. The residents have a management that is committed to their safety, care and needs. Evidence: The acting manager, who is about to apply for registration with the Commission for Social Care Inspection, has an NVQ in care at level 4 and has managed the home the last two years. She was available for part of the visit but was completing the basic food hygiene course in the afternoon. There are regular meetings held for the residents and for their families as well as them being seen on an individual basis, to discuss activities and menus as well as how the home is meeting their needs. There is an annual quality questionnaire sent to the residents and their families and the questionnaires that we saw on the visit confirmed Care Homes for Older People Page 24 of 29 Evidence: this. The families and the residents told us that they had completed the questionnaires. We received positive comments from the residents and the families amongst which were that there was good communication with the home and that the staff were very supportive of them and their relative. The residents accounts were seen and all in order with two signatures on entries and receipts obtained for purchases. There was no evidence in the records or from staff spoken with that formal staff supervision is taking place, although they regularly talk with the manager. Formal supervision of the staff gives them and their line manager the opportunity to discuss work and training issues and needs. The manager works as part of the care staff and has limited time to complete her management role. There are regular staff meetings held, confirmed by records held and by the staff spoken with. All the areas of health and safety such as hot water temperatures and fire drills and alarm testing were found to be in order. The certificate for the homes public liability insurance was out of date, which could put the residents and any visitors at risk of no insurance cover if they had an accident in the home. Care Homes for Older People Page 25 of 29 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 26 of 29 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 26 23 (2)(d)The provider must 31/10/2008 provide appropriate cleaning facilities for the bedroom carpets To remove the unpleasant odour and provide a clean and pleasant environment 2 34 25 (2) e. The provider makes sure that the home has up to date public liability insurance. To protect the residents and the staff in the event of an untoward incident. 31/10/2008 3 36 18 (2) The manager must make sure that the staff receive formal supervision at the required intervals. To enable the staff to have one to one communication with their line manager. 31/10/2008 Care Homes for Older People Page 27 of 29 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 2 3 1 9 9 That consideration is given to including the results of the annual quality questionnaire into the Statement of Purpose. That the manager obtains specimen signatures and records them for future security. That, with their permission, photographs of the residents are placed on the care plans and medicine administrstion sheets to help with their identification. That the contact details for Social Services are included in the complaints policy and that the details for the Commission for Social Care Inspection are updated. That provision is made for the complaints policy to be printed in other formats such as large print or other languages if needed. That the work to put the ramp in place is completed as soon as possible. The manager should be given sufficient supernumerary time to complete her management duties and requirements. 4 16 5 16 6 7 19 31 Care Homes for Older People Page 28 of 29 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 Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!