Inspection on 18/09/08 for 57 Sackville Gardens

This inspection was carried out on 18th September 2008.

CSCI found this care home to be providing an Excellent 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

57 Sackville Gardens 17/10/06

57 Sackville Gardens 08/12/05

57 Sackville Gardens 06/07/05

57 Sackville Gardens 01/10/04

57 Sackville Gardens 17/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 30/11/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 57 Sackville Gardens 57 Sackville Gardens Hove East Sussex BN3 4GJ     The quality rating for this care home is:   three star excellent 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: Lucy Green     Date: 1 8 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 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 30 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 30 Information about the care home Name of care home: Address: 57 Sackville Gardens 57 Sackville Gardens Hove East Sussex BN3 4GJ 01273748031 01273748400 romanie.palmer@bht.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Romanie Gail Palmer Type of registration: Number of places registered: Brighton Housing Trust care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Service users must be aged eighteen (18) years or over on admission. The maximum number of service users to be accommodated is five (5). Date of last inspection Brief description of the care home 57 Sackville Gardens is a small home, which provides care and accommodation for up to five adults aged between 18 years to 65 years with mental health disorders. The home is run by Brighton Housing Trust who also run another small home for people with mental health disorders at 9 Portland Road, Hove and additional supported housing projects in Westbourne Gardens, Leybourne Road, Buckingham Road and Sackville Gardens. The aim of the home is to provide care and support to residents by enabling them to improve their living skills, promote independence, manage their mental health issues and eventually move onto other supported living arrangements. The home is a semi-detached property located in a residential area of Hove, which is within easy reach of local transport, seafront, shops and other amenities. Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 5 Brief description of the care home Accommodation is arranged over three floors and consists of five single bedrooms, four of which have en suite facilities. Communal areas include a lounge, dining room, quiet room, kitchen and a small rear garden. The home would not be suitable for residents who have mobility problems, as there are quite a lot of stairs and the service does not have the use of a lift. Care Homes for Adults (18-65 years) Page 5 of 30 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: three star excellent 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: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 57 Sackville Gardens are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, a review of the home’s Annual Quality Assurance Assessment and an unannounced site visit which lasted six hours on Thursday 18th September Care Homes for Adults (18-65 years) Page 6 of 30 2008 between the hours of 09:50am and 3:50pm. The site visit included a partial tour of the premises and an examination of some care, medication and staffing records. The Inspector observed the interaction between staff and residents as they planned activities for the day. Throughout the inspection process, the Inspector met and spoke with all five of the people living at the home. Private conversations were had with two residents. The Inspector spent time with the Registered Manager and Deputy Manager and met two of the staff on duty. What the care home does well: What has improved since the last inspection? What they could do better: The CSCI is confident that the home has sufficiently robust internal mechanisms to identify its own areas for improvement, as such only three requirements have been made as a result of this inspection. The Registered Person must firstly ensure that the medication cupboard is upgraded to meet the required level of security. As a second point, the Registered Manager has been required to ensure copies of all Care Homes for Adults (18-65 years) Page 8 of 30 relevant recruitment documentation is kept in the home available for inspection. Finally, the monthly visits on behalf of the Registered provider must be conducted on an unannounced basis to enable the visiting officer to ensure that they see the running of the home on a typical day. 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 9 of 30 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 10 of 30 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. Prospective residents are protected by a pre-admission process that ensures their individual strengths and needs are appropriately assessed before they move into the home. Evidence: 57 Sackville Gardens is currently accommodating five people. One of these individuals moved into the service since the last inspection. The Inspector conducted a review of the admission process for this person by way of discussion with all relevant parties, including the resident, Registered Manager and staff on duty and an examination of the assessment documentation. There was documentary evidence that the home had obtained copies of the relevant professional reports, including, the latest Care First Assessment, which provided a detailed outline of the individuals needs. The home had also partially completed its own assessment form, although the Registered Manager confirmed that completing this document was an ongoing process during the first three months of placement. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: There was evidence that information gathered at the assessment stage has begun to be used to develop a plan of care and identify goals. The home actively encourages prospective residents to visit the home prior to admission to assess the suitability of the placement and to begin to get to know the people they will be living with and supported by. There was evidence for the individual who recently moved in, that they had undertaken a transition period which included visits, overnight stays and a one week trial period before they agreed to accept a permanent placement. Discussion with all relevant stakeholders provided confirmation that this most recent admission has gone well. The resident told the Inspector that they have settled in OK and that they had found found staff kind and supportive. Care Homes for Adults (18-65 years) Page 12 of 30 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. The system of care planning provides staff with a good foundation to support residents in a way that both enables and protects them. Residents are fully consulted and involved in all decisions about their lives. Evidence: Through discussion with management and staff and observation of their interaction with residents, it was demonstrated that they have positive relationships with the people they support and a good understanding of their needs. Information found contained in care plans was echoed by staff knowledge and reflected in the care practices observed. Support was found to being provided consistently across the staff team. The two care plans viewed were both found to comprehensively outline care needs in a transparent and accessible way. It was evident during the inspection that care plans Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: are working documents that are referred to and utilised every day. Goal setting and monitoring are fundamental principles in the way care plans are constructed. Both care plans viewed contained individual goals for each resident to enable them to achieve maximum independence and develop their skills. Goals are monitored and discussed at regular meetings between the residents and their primary workers. Full care reviews are also regularly conducted and minutes from these meetings were viewed and found to be detailed, focused and multi-disciplinary in their approach. The home has a positive approach to risk taking and residents are supported to take risks to maximise choice and independence. Risk assessments were found to be in place for both of the residents’ case tracked, although it was highlighted to the Registered Manager that as good practice the home should review some of the judgements of ability, especially for new residents, in a risk assessment format. For example, where the assessment information for a new resident states that the individual can go out independently, this should be risk assessed in light of the new environment, different bus routes etc. Evidence gathered from documentation and observation of staff supporting residents during the inspection, highlighted that the home provides a service where residents are encouraged and supported to lead independent lives. It was noted that where rights have to be limited for the well-being of residents these are fully agreed with residents and ‘contracts for change’ are compiled and agreed by all parties. Care Homes for Adults (18-65 years) Page 14 of 30 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. Residents are appropriately supported to lead their own lives and to develop their life skills and independence. Residents have the opportunity to plan and prepare their own balanced and nutritious meals. Evidence: Residents at 57 Sackville Gardens are free to spend their time how they choose. As the Inspector arrived at the home, one resident was on their way out for the morning and another was getting ready to attend a local day centre. Conversation with a further resident informed the Inspector that they had just returned from a short break away at a local hotel. The other two residents were undertaking their own activities at home, for one this was preparing the shopping list to buy food for the evening meal. Each resident has their own programme of scheduled activities and where they need Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: support, this is provided. The philosophy of this service however is to develop individuals’ life skills and support residents to achieve maximum independence. All residents have their own key to the home, as well as to their bedroom door. During the inspection, it was evident that residents have the freedom to live their lives as they choose, whilst understanding the need to be respectful to the other people they live with and to maintain their safety. Residents are fully involved in the running of the home and it was evident through discussions with both staff and residents that residents are pro-actively supported to understand the rights and responsibilities attached to living with other people. Consequently time is built into their schedules to undertake household tasks. The home has a positive approach to enabling residents to maintain contact and relationships with families and friends. Conversation with two residents confirmed that they are able to invite their visitors into the home. Meals are prepared according to a menu and a rota that is agreed at fortnightly residents meetings. The menu is drawn up in consultation with residents to reflect the meals they wish to have, whilst encouraging people to try different things and maintain a balanced diet. The menu is also reflective of individual preferences and needs and therefore some days different meals are prepared for different residents. Residents have responsibility for the purchasing of ingredients, preparation and cooking of their own meals. The Registered Manager also confirmed that a nutritionist visits the home each year to meet with residents and explain the importance of a balanced diet and the impact food has on mood. Care Homes for Adults (18-65 years) Page 16 of 30 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. Residents benefit from the provision of flexible and respectful personal and healthcare support and are enabled by the systems in place to manage medication. Evidence: Residents at 57 Sackville Gardens largely manage their own personal care. Staff support is provided by verbal prompts if necessary. The philosophy of the home is to support residents to achieve maximum independence and systems are in place to assist residents to take full responsibility for their own personal and health care needs as appropriate. Care plans provide guidance for staff as to the support they should provide to each individual. Staff support residents to ensure their health needs are met. Care plans contain a record of any visits or contact with health care professionals and there was evidence through discussion with residents and staff that staff accompany residents to their appointments as appropriate. One resident told the Inspector how the home had supported them to register with a new doctor when they moved into the home. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: Systems are in place to ensure medication is managed appropriately. Staff receive appropriate training in the management of medication. The home supports residents to work towards managing their own medication within a risk assessment framework. At the current time, the risk assessments in place identified that one resident selfmedicates on a weekly basis, another on a daily basis and one person holds their own medication but staff provide prompts and daily checks to ensure the resident is administering their medicines appropriately. A requirement has been made in respect of improving the storage of medicines within the home and making provision for the safekeeping of any controlled medication that may be brought into the home. Care Homes for Adults (18-65 years) Page 18 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the open and inclusive culture at 57 Sackville Gardens and are protected by the proactive systems in place to safeguard them and ensure mutual respect at all times. Evidence: The home has a complaints procedure in place and a copy is kept on display for residents’ and visitors to access. The home has not received any complaints in the last twelve months. The last recorded complaint was made by a previous resident in March 2007. The Inspector viewed the documentation for this complaint and was impressed with the way this situation had been handled. The complaint was in relation to the way residents received their post. From the comments made by the complainant, the home devised and introduced a new system for managing post which is still in use today. This provided evidence that reflected the assertions of staff and management that the home is open to receiving feedback which can be used to develop and improve. Discussion with residents and observation of their interaction with staff highlighted that they feel confident to air their views. During the inspection, residents frequently approached the people who support them and freely expressed their needs and opinions. The CSCI has not received any complaints about the service at 57 Sackville Gardens Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: since the last inspection. The home has a number of systems in place to protect residents from abuse. New staff are employed subject to the necessary checks being undertaken. Staff have limited involvement in residents finances, with residents either managing this area independently or with outside support. The training files identified that all staff have received training in the safeguarding of vulnerable adults. The home has current policies and procedures in respect of the safeguarding of vulnerable adults. Discussion with staff and management identified that they have a good understanding of safeguarding and that staff support residents to be mutually respectful of each other. There was evidence of a behavioural contract being implemented for one resident which outlined that the home had spoken with them about the potentially derogatory and disrespectful way that they had addressed another resident. The documentation in place for this issue, evidenced that service have considered bullying and harassment issues and is an excellent example of the vigilance of staff and measured steps taken to safeguard the people who use this service. Care Homes for Adults (18-65 years) Page 20 of 30 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. Residents benefit from a homely, safe and comfortable environment that meets their needs. Evidence: The Inspector undertook a partial tour of the home, which included the communal areas and one bedroom. Two residents requested that the Inspector did not go in their rooms and the other two people were out for the majority of the inspection and therefore their bedrooms were not viewed on this occasion. 57 Sackville Gardens is a spacious and attractive house that is located close to Hove seafront and a short walk from the shops, public transport links and access to Brighton town centre. A rear garden provides a pleasant place for residents to spend time and also serves as the dedicated smoking area for the service. The home is generally well maintained and since the last inspection the kitchen and lounge have been redecorated and furnished to a high standard. Resident accommodation is provided in five single bedrooms, four of which have en suite facilities. There is sufficient choice of communal space to meet residents needs. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: Residents are supported to take responsibility for keep the home clean and tidy and this was found to be the case at the time of the inspection. One resident was undertaking the washing up of the breakfast things at the time of the Inspectors arrival. There is evidence of an ongoing programme of maintenance and redecoration and whilst there are parts of the home that require attention, these are not currently impacting on health and safety and the Inspector is satisfied that there is an appropriate plan in place. Care Homes for Adults (18-65 years) Page 22 of 30 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. Residents benefit from a dedicated and competent team of staff who have both the skills and support to enable them to perform their roles effectively. The Registered Manager must ensure that she is able to provide evidence of the robust recruitment procedure in place at all times. Evidence: At the time of the inspection, the atmosphere was observed to be friendly and relaxed and the positive relationships between staff and residents were obvious. The home was staffed by the Manager and a relief worker on the morning of the inspection. It was reported that an additional support worker would usually be around at this time, but a number of staff were attending fire training. As the people living at 57 Sackville Gardens very independent, staffing levels were adequate for the needs of the residents at the time of the Inspectors visit. Discussion with the Manager and examination of three staff files identified that staff training is ongoing. There is documentary evidence that new staff members complete an appropriate induction programme. Discussion with two staff members highlighted that Brighton Housing Trust has its own training package that covers both mandatory Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: and specialist training. The course list is also available electronically and staff are individually e-mailed regarding their updates. The Registered Manager confirmed that the services administrator is in the process of compiling a formal training matrix. Whilst the Inspector has been able to evidence that appropriate recruitment checks are undertaken prior to commencing employment, much relevant information is stored centrally at the human resources department of the organisation. A requirement has therefore been made for the Registered Manager to ensure that the required level of documentation is available in the home. The previous requirement for the home to demonstrate that all new staff complete an ensued criminal records disclosure with Brighton Housing Trust has been fully complied with. Staff meetings are held weekly and formal supervisions are undertaken every four to six weeks. The records of these meetings were not viewed. Care Homes for Adults (18-65 years) Page 24 of 30 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. Residents benefit from the home being run by an experienced and dedicated Registered Manager who ensures that the home is run safely. The organisation has good systems in place to self-audit and monitor. Evidence: 57 Sackville Gardens is managed by an experienced and competent Registered manager who is currently in the process of completing the National Vocational Qualification (NVQ) Level 4 in Care. She also holds a City & Guilds management qualification. From a review of her training file, it was evident that the Manager keeps up to date with both mandatory and specialist training courses. During the inspection, it was observed that the Manager had a good relationship with both staff and residents and it was apparent that both found her approachable and supportive. The home has a system of quality monitoring in place with the Registered Manager of Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: a sister home conducting regular visits in accordance with Regulation 26. It was however identified, that these monthly visits are currently occurring on an announced basis and it is therefore a requirement of this inspection that these visits are now conducted unannounced. Annual satisfaction surveys are sent out to stakeholders, including a service user involvement survey. Brighton Housing Trust have also compiled a DVD in which some of the residents from 57 Sackville Gardens have been filmed providing feedback on the service which will be shown at the staff conference. The home has various systems in place to ensure the health and safety of the home are maintained. The Inspector sampled some of the records in respect of fire safety, the testing of portable appliances and health and safety training and as such concluded that the home has satisfactory recording and monitoring systems in place. Care Homes for Adults (18-65 years) Page 26 of 30 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 27 of 30 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 20 13 The Registered person must ensure that medication is stored in accordance with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. The Registered Person must ensure the safekeeping of all medicines, including making provision for the safe storage of any controlled medication. 01/12/2008 2 34 19 The Registered Person must 01/12/2008 ensure that staff recruitment information as detailed in Schedule 2 (as amended) of the Care Homes Regulations is available in the care home for inspection at all times. The Registered Manager must have the information available to demonstrate that a robust recruitment procedure is in place. Care Homes for Adults (18-65 years) Page 28 of 30 3 39 26 The Registered Person must ensure that monthly monitoring visits to the service are carried out unannounced in accordance with Regulation 26. The Registered Person must ensure that monitoring visits are conducted in a way which enables the Providers representative to see life in the home as it is. 01/12/2008 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 Adults (18-65 years) Page 29 of 30 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 30 of 30 - 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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