Inspection on 16/10/08 for Abberton Manor Nursing Home

This inspection was carried out on 16th October 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Abberton Manor Nursing Home 22/08/06

Similar services:

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

15 Bramble Close

Dolphin Court

Fen Road

Wakes Hall

165 Putnoe Lane

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abberton Manor Nursing Home Layer Road Abberton Colchester Essex CO5 7NL     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: Sara Naylor-Wild     Date: 2 1 1 0 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. that people have said are important to them: They reflect the things 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 © (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 29 Information about the care home Name of care home: Address: Abberton Manor Nursing Home Layer Road Abberton Colchester Essex CO5 7NL 01206735590 01206736078 libbypearson@heritagemanor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Heritage Manor Limited care home 26 Number of places (if applicable): Under 65 Over 65 26 0 physical disability terminally ill Additional conditions: 6 14 One named person, aged 32 years and over, who requires nursing care by reason of a physical disability One service user aged 25 years who requires respite care by reason of a phsyical disability whose name was provided to the Commission in August 2006 Persons of either sex, aged 35 years and over, who require general palliative care (not to exceed 14 persons) Persons of either sex, aged 45 years and over, who require nursing care by reason of a physical disability (not to exceed 6 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 26 persons) The total number of service users accommodated in the home must not exceed 26 persons Date of last inspection Care Homes for Older People Page 4 of 29 Brief description of the care home Abberton Manor is a large converted house set in an attractive garden and rural area on the outskirts of a small village near Colchester. The home has a car park but is not within local bus routes. The home has a large garden to the rear with a patio and further gardens at the side and front, which give views over the surrounding countryside. The home primarily provides care for older people, with physical disabilities but also provides palliative care and care for severely brain injured people. More recently the home has applied for variations to allow them to take younger adults with complex nursing needs and this has worked well with the current resident group. The current scale of charges is from £695.00 to £750.00 per week. There are additional costs for items such as hairdressing, toiletries, chiropody, guest meals and newspapers. Information is made available to prospective service users via a Service Users Guide, which will be available prior to admission. 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 last key inspection of this service took place on 22nd August 2006. This unannounced key inspection was carried out on the 16th and 21st October 2008. As part of the inspection we checked information received by the Commission for Social Care Inspection (CSCI) since the last inspection, looking at records and documents at the care home and talking to the manager, care staff and the people living at the home. In addition the Annual Quality Assurance Assessment (AQAA) completed in in October 2008, was considered as part of the inspection process and a tour of the premises was completed at the visit to the home. Care Homes for Older People Page 6 of 29 There was a delay in the service sending their AQAA when we asked for it. The completed document told us what the service felt they did well and how they intended to improve in the next twelve months. The comments did not always reflect how the views of people living at the service were included in the planning for the service. The manager assisted the inspector throughout the site visit.Feedback was given of findings during the inspection visit with opportunity for discussion or clarification. We would like to thank the manager, the staff team, people who live at the home and their relatives for their help throughout the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 8 of 29 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. People who are considering moving to the home, can be assured that their needs will be known and understood by the service, and that they can be sure these will be met. Evidence: The pre admission assessments of people most recently admitted to the service were considered at this visit. In the example seen the person had moved to the home from some distance away, and it had not been possible for the home to visit them to carry out an assessment of their needs. they had however gathered information from family members and professionals about the person and their daily living abilities. Following the persons admission to the home, a full assessment had been undertaken and staff were gathering information to add to the persons care plan. In other examples of peoples admissions a full set of records were available that demonstrated the service carried out assessment prior to agreeing to admission. Care Homes for Older People Page 11 of 29 Evidence: The format of the assessment gives opportunity for information to be entered against areas of daily living and how a person may need support. This would provide the reader with a good indication of the persons abilities and needs and whether the service would be able to support these. The daily living assessment is also supported by a nursing needs assessment where appropriate. This identifies specific medical issues that require the support of qualified nursing staff. People spoken with during the inspection had not all been able to visit the home prior to moving there, but had been supported by their family members who had visited. They had all seen information about the service as part of their initial inquiries and felt this had provided them with sufficient information to understand what to expect from the service. 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. People living at the service can be assured that their needs will be understood and recorded by staff to provide a consistent approach to their support. Evidence: The documents relating to six peoples plans of care were considered at this visit. The format is well established within the home and contains reference to all aspects of peoples daily living needs, health and welfare and end of life plans. The content of the plans gave a good indication of each persons needs and how best the staff could support these. The best examples of these were in the areas of support relating to peoples physical needs, whilst areas in more emotional and social aspects of their lives were not so well detailed. This was discussed with the manager as an area of development. There was evidence of regular review of the care plans both as required when a Care Homes for Older People Page 13 of 29 Evidence: persons needs changed and on a routine planned basis to ensure they reflected the most updated information about them. This was particularly evident where a persons medical condition required close monitoring and action. The daily records completed by staff were informative and gave indications of changes to peoples needs that could be used in the reviewing processes. The service works closely with a number of health professionals including GPs, Macmillan nurses and physiotherapists. Their visits to people living at the service are well documented with the outcomes of visits recorded and changes implemented in the persons plan of care. Care planning files also contained risk assessments relating to areas such as moving and handling, skin integrity, nutrition and use of bed rails. Generally those assessments present contained a good level of information that would assist the service in understanding the concerns present in specific activities and how these should be reduced. The only exception to these was found in the areas relating to medication management and bed rails. In medication management there was evidence that some people living at the home preferred to manage some aspects of their medication themselves and should be allowed to do so, provided the service has conducted a risk assessment for self medication. These were not available at the time of the inspection, although there was evidence that staff left medication with people to take later. The second exception related to the assessment for bed rails. These are often provided as a precautionary piece of equipment when a person is at risk of falling from bed. There are however limitations to their suitability and some very serious risks associated if they are inappropriately used. The service did have an assessment for bed rails, but this related to the risk of entrapment when they had been provided. They did not carry out an initial assessment to determine if this piece of equipment was suitable for the persons needs. This was discussed with the manager as a point of development. The medication administration system was considered again at this inspection. The service operates a bottle to mouth dispensing system for prescribed medication. The observation of staff dispensing the lunch time round indicated that they understood and completed the task according to the services procedures. They demonstrated a good understanding of the medication being administered. The observation also identified that the practice undertaken in the service for a number of years did not reflect the current guidance for medication administration Care Homes for Older People Page 14 of 29 Evidence: from the CSCI and the Royal Pharmaceutical Society of Great Britain. Specifically the practice involves the decanting of medicines into named pots which are taken on the medication round for dispensing to the the individuals they are prescribed for. Following the completion of the round the staff member will sign out all the medication given. The Commission requires that all medication is given individually and signed after each individual has received their medication. This provides a safe practice that reduces the risks for medication administration. This was discussed with the manager and the member of staff in charge of medication management. It was acknowledged that they had sought guidance and clarification in this matter some time ago and believed they had been provided with sanctions to continue their practice. However they were advised that this did not meet with the current guidance and an immediate requirement notice was given to the manager. This required the service to amend the medication procedures to reflect the guidance with immediate affect. At the second visit to the service there was evidence that the service had immediately complied with this requirement. During the inspection the records for dispensing medications were examined. These were generally in good order and provided an account of the medication dispensed. However there was a gap in recording for one persons insulin. The member of staff in charge of medication management was asked what the practice was when a gap was found in the record. They stated that this would be raised with the person responsible for that round and they would be asked to correct the mistake at their next shift. As a legal document it is important that changes in the record are not altered, but that explanatory notes are added separately to the document to explain the issue. 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. People living at the home can be confident that they will be offered opportunities for stimulation and occupation through social events. They can be assured that the menu will be planned to their preferences and opportunities for choice are available. Evidence: The service employs an activities co-ordinator to support the provision of activities to people living at the home. There was a change of post holder taking place at the time of the inspection and both people were working together to ensure a smooth transition of the role. From discussions with them it was evident that they had a good understanding of their role, and felt supported by the service in providing resources for activities. There is a weekly activities plan posted in the main hallway, and this advertised a range of events such as quizzes, musical entertainment and crafts. On the day of the inspection a group of people came to take part in the quiz and obviously were looking forward to the event. People spoken with during the visit felt that the opportunities for joining in activities or to enjoy their own personal pursuits were good. Care Homes for Older People Page 16 of 29 Evidence: During the inspection visit to the home it was observed that families and others visited throughout. They were warmly welcomed into the home and appeared to be relaxed and at ease with the visit. People told us that they were welcomed at any reasonable time and enjoyed being able to meet their relative in the privacy of their room or one of the communal seating areas. The manager said that a meal can be provided for visitors with some notice and this offer was accepted by some families who traveled some distance. People living at the home said that they were able to make choices about how they spent their time, and that staff respected their decisions. During the visit people were observed asking staff to take them to their rooms, and staff described how individuals liked to spend their day. Discussions with staff indicated that they were aware of people as individuals and were informed about peoples routines and how they liked to spend their day. The meal provision in the home was felt to be very good by people living there. They enjoyed the cooking and menu selection. The manager stated that the menu was planned with the preferences of people in mind. It was the services policy not to offer advertised choices on the menu, as this had caused some difficulty for people in the past although people understood that they could ask for a different meal if they preferred. 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. People living at the home can be confident that they will be listened to and that their concerns would be acted upon. Evidence: A comments book for complaints and compliments was maintained in the front foyer of the building with a note that asked people to give feedback to the service on their experience. There had not been any entries made since December 2007 when people complimented the service. The service had received a number of compliments from relatives about the standard of care provided at the service. Typical of these were if she had been anywhere else i dont think I wold have had xxx with us for as long as we did. Thank you all for th away you looked after xxx, xxx had nothing but praise for your attention and never a dissatisfied word as you all know xxx thoroughly enjoyed the cooking and the food The staff had all received training in safeguarding of vulnerable people in the last 12 months. This would assist them in understanding and identifying signs of abuse and how they should report anything they witnessed. Discussions with staff during the inspection indicated that they had a good understanding of the services procedures for safeguarding and whistle blowing on poor practice. Care Homes for Older People Page 18 of 29 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. People living at the service benefit from premises that meet their needs and expectations. Evidence: A tour of the premises was undertaken and evidence was seen that the environment is kept clean, free from odours and in a good state of repair. The condition of the furnishings and decor is appropriate for the premises and were in good state and the interior has a comfortable homely appearance. People spoken with during the inspection felt the service provided a high standard of comfort and one person said look around you, how could you not like this place Many people living at the service had furnished their personal space with their own belongings and furnishings. This provided a very personalised appearance to the bedrooms, and people were proud of the space and their ability to have the choice of inviting people into their room in private. The service maintains one four bedded room, which is divided by movable screens. The ability for people in this room to have a personal space is more limited due to the temporary nature of the division and the arrangement of sinks and cupboards. The Care Homes for Older People Page 20 of 29 Evidence: manager reported that people were either offered this space as a temporary arrangement until a single room was available or because they preferred to share their personal space. People who were staying in the room told us that they did not mind the arrangement in the short term, but would prefer space where they could have more of their things around them. The manager said that the screens used to divide the space were being renewed in the coming year to improve the privacy and dignity for the occupants. There were a variety of specialist equipment in the service including assisted baths and ceiling hoists. This supports the staff in providing personal support to people with the least risk and best level of comfort that can be afforded to them. The grounds are well maintained with plenty of seating areas and easy access from the building. A newly built private sheltered housing complex is in close proximity to the home, with the grounds of the new building abutting the gardens of the home. The certificate and checks relating to fire safety equipment were maintained and demonstrated that the service upholds the maintenance of the equipment to protect people from the risk of fire. Similarly the steps taken to protect people from the risk of infection were well maintained. Staff were issued with protective equipment such as uniforms, gloves and aprons. The service has an infection control policy and procedure that is known by staff, and regular training takes place to update them. 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. People living at the home can be confident that the staff supporting them have sufficient skills to meet their needs. Evidence: The service continues to benefit from a stable staff group, many of whom have worked at the home for a number of years. The rota posted at the reception demonstrated that the home is staff by one qualified nurse and six care staff during the morning, from 07:30 hours until 14:00 hrs. This reduces in the afternoon/evening to one qualified nurse and to care staff from 14:00 hrs until 20:00 hrs. There is also you a twilight shift to support the evening staff. The Manager explained that this arrangements was developed according to the established needs of people living at the home, would be reviewed according to changes in assessed needs. So for example a person with a diagnosed terminal illness was being provided with additional support throughout the night in addition to the rota staffing. People you live at the home told us that they felt there were sufficient staff on duty to meet their needs. They said that they were never kept waiting too long and staff responded buzzers when they required assistance. Care Homes for Older People Page 22 of 29 Evidence: The service continues to develop the percentage of staff who have achieved their NVQ qualification. The service also provides a placement for nurse trainees and the manager felt this was an important aspect of promoting the care of older people. The recruitment policy for the home has not changed since we last inspected the service. They continue to demonstrate a robust system for the selection of staff. This includes checks made against Criminal Records Bureau (CRB) list and the Department of Health Protection of Vulnerable Adults (POVA) list, obtaining proof of identity and two written references. The interview record for staff demonstrated that discussions were held when there were gaps in employments. The service has developed a new induction checklist that is based on the skills for care induction standards. The current staff team were all working through the workbooks, and new staff would receive them at the commencement of their post. This contained information including details about the establishment, health and safety, terms and conditions of employment, clients care and administration. The manager has developed a training plan up to 2010. The plan includes a large variety of topics related to the support staff provide to people living at the service. These include infection control, palliative care with Macmillan nurses, dementia care, nutrition and deaf communication. Each member of staff has a training profile. This commences with an explanation of their life experience, identifying skills are relevant to their current role. In the next section of the file the training that staff have attended is logged along with a description by the staff member of the training and what benefits to their role and skills they have identified from their attendance. The file also includes records of supervise shifts written by line manager on shifts. This describes the individuals competency and the evidence seen in practice. Copies of attendance certificates are also held on the file. Overall this provides a detailed picture of not only what training staff are attending but audits how it is improving their skills. 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. People living at the home can be assured that a competent manager who listens to their views and take action leads the home. Evidence: The manager of the service has now held the post for a number of years. She is a qualified nurse with many years clinical experience. Staff and people living at the home stated that they found the manager approachable and responsive. They had confidence that she would listen to them and ensure action was taken when required. The quality assurance system operated in the home was again reviewed at this inspection. Questionnaires had been distributed to relatives and people living at the home in August of 2008. The manager had been disappointed with the response which despite the provision of stamped addressed envelope is head only secured 16 responses from the 25 surveys sent out to relatives. Similarly only 17 of the 25 service users surveys sent out had been returned. Care Homes for Older People Page 24 of 29 Evidence: At the time of the inspection the outcomes from the survey were being collated. The manager provided a copy of the 2006 quality assurance report to demonstrate how the service responded to the points raised. The manager was also carrying out quality assurance reviews we the service users and ceremonies this had helped identify individual issues such as annual quality and is health issues but was not documented as part of the quality assurance system. The service also distributes a newsletter that helps to publicise events and activities to people who support the home and the people living there. The service to only manage small amounts of money is on behalf of people living at the home. The records and security of these funds were sufficiently robust. Records relating to the maintenance and checks of health and safety systems in the home were checked the gain and this inspection. Copies of certificates and maintenance checks relating to items such as Fire safety moving in handling equipment, electricity supply and assisted baths were present and in date. These demonstrated than appropriate checks and measures were in place to protect their health and safety of people living at the home. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 15 The registered person must ensure that all risk assessment are kept under review and where possible the resident or their relative are involved in the care planning process. 30/10/2006 2 19 13 (4) The registered person must 30/10/2006 undertake a risk assessment to ensure that wherever possible risks are reduced to residents in relation to the hot water system at the home. 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 1 9 13 Medication must be 25/12/2008 dispensed in accordance with the safe practice guidance from the Royal Pharmaceutical Society of Great Britain and the CSCIs Guidance for Care Homes in medication administration. Specifically medication must be given directly from bottle to mouth, and this must be recorded for each individual at the time they take the medication. The practice set out in the guidance supports services to maintain the least risk when dispensing medication to people living at the service. 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 7 13 People living at the home must be supported in managing the risks present in their daily lives. Specifically this requires the service to carry out risk assessments that identify if risks are present and the options that have been 26/12/2008 Care Homes for Older People Page 27 of 29 considered in addressing these. Peoples independence can only be supported safely if there is a full understanding of their capabilities and the risks involved. A risk assessment supports the service in respecting individuals rights whilst minimising the risks to their well being. 2 9 13 People who fully or partially manage their own medication must be supported by a risk assessment. A risk assessment will help the service identify if there are concerns relating to the activity and what action they can take to minimise this. 26/12/2008 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 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 © (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. 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!