Inspection on 15/10/08 for Amber House

This inspection was carried out on 15th October 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Amber House 01/07/09

Amber House 19/10/06

Amber House 03/11/05

Amber House 17/08/05

Amber House 20/01/05

Amber House 10/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 13/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Amber House Martin Way Brunswick Village Newcastle Upon Tyne Tyne & Wear NE13 7EZ     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: Elaine Malloy     Date: 1 7 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. 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 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 Older People Page 3 of 30 Information about the care home Name of care home: Address: Amber House Martin Way Brunswick Village Newcastle Upon Tyne Tyne & Wear NE13 7EZ 01912368205 01912362162 amberhouse@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Gladys Rose Anna Blakey Type of registration: Number of places registered: Helpcare Ltd care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: One bed can be used to accommodate a named service user with dementia under pensionable age. Date of last inspection Brief description of the care home Amber House is a registered care home for older people, including people with dementia. The home is located within a residential area of Brunswick Village. Accommodation is over two floors and a passenger lift is available. The home has single and double bedrooms, six of which have en-suite facilities. All rooms are currently used for single occupancy. There is access to local facilities and public transport. A guide to the homes services and inspection reports are readily available at the home. The current weekly fees for residents who are funded by Local Authorities Care Homes for Older People Page 4 of 30 Over 65 13 16 1 0 Brief description of the care home or who are privately funded range from £379.00 to £389.00. An additional charge of £7.00 weekly is made for en-suite rooms. Care Homes for Older People 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: 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 the people who use this service experience good outcomes. The inspection was carried out by: Looking at information received since the last inspection on 19th October 2006. Getting the providers view of how well they care for people. An inspector visiting the home unannounced on 15th and 17th October 2008. Getting the views of people who use the service, their relatives and staff by talking to them and from surveys they completed. Talking to the manager and other staff about the service. Looking at records about the people who live at the home and how well their needs are Care Homes for Older People Page 6 of 30 met. Looking at a range of other records that must be kept. Checking that staff have the knowledge, skills and training to meet the needs of the people they care for. Looking around parts of the building to make sure it is clean, safe and comfortable. The inspection was completed over 9 hours. What the care home does well: What has improved since the last inspection? Further effort has been made to get peoples views on organising varied activities and outings. The menus are being updated to incorporate peoples preferences and seasonal dishes. Staff have received additional training in line with meeting peoples changing and complex needs. New carpets, furnishings and equipment have been provided, and the roof was replaced. Consideration is being given to installing a shower room to offer people greater choice of bathing. Care Homes for Older People Page 8 of 30 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 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 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 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 have their care needs thoroughly assessed and are assured these can be met before moving into the home. Evidence: Care records showed that a full assessment is carried out with the person to identify his or her care and support needs before admission is agreed. Where applicable relatives and other professionals are involved in the assessment. The assessment by the persons social worker is also obtained. People living at the home said they were provided with enough information before moving in, so they could decide if the home was the right place for them. Comments included The family were given every opportunity to look around and make sure mother was comfortable with the home before she became resident, I had a visit from the manager and her deputy while I was still in hospital. They gave me all the Care Homes for Older People Page 11 of 30 Evidence: information I needed to make the right choice of a residential home, Had home visit and a visit to Amber House, and, Saw the inspection report, visited the home, and received positive reports from doctors. Care Homes for Older People Page 12 of 30 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 using the service receive a good level of individual support to meet their personal and health care needs, and respect their privacy and dignity. Evidence: The home uses a range of assessment tools to identify physical and mental health needs and risks associated with caring for people. The assessments are regularly updated to make sure they reflect current needs. Care planning is personalised to the individual, and recorded in specific detail. The care plans examined showed the support that staff will provide, the persons preferences, and how to encourage independence. They addressed needs relating to personal care, physical and mental health, and social needs. Potential risk factors were included, for example how to manage risk of falling, and sensory and cognitive impairments. Care plans were being evaluated monthly, and more often if required. Staff record daily reports that cross reference to care plans, and records for monitoring weights and food Care Homes for Older People Page 13 of 30 Evidence: and fluid intake are maintained, where applicable. There is a system to review individuals care on a six monthly basis. People living at the home said they receive the care and support they need. Their comments included, Very good personal care, The staff are friendly and patient with all residents. Although they are busy they always have time to listen to anyones problems, I am very content and settled, and, I would not consider living anywhere else. I get good support and maintain my independence. Relatives said the care home meets the needs of their family member and gives the care they expect. The home has suitable arrangements for people to access health care services. Two local GP practices are used and District Nurses visit when required. Records are kept of all contact with health professionals. This includes visits from an optician, dentist and chiropodist. Staff have had training on maintaining oral hygiene. There are good links with psychiatric services for people with dementia and other mental health needs. Medical history is recorded and each person has their health care needs assessed. There were some good examples of care plans for physical and mental health. These included detailed plans for moving and handling, diabetes, continence, nutrition, and mental health and behaviour. The home has assisted bathing facilities and a portable hoist, and individuals have their own moving and handling equipment, including wheelchairs where needed. People living at the home said they receive the medical support they require. The home uses a monitored dosage medication system. Medication policies and procedures are in place. The policy for people to administer their own prescribed medication is nursing oriented and needs to be revised to make it clearer. In practice a risk assessment is carried out. No residents currently self-administer. Care staff are trained in safe handling of medication. Medication records have resident photographs for identification purposes. Printed medication charts are provided by the supplying pharmacist. Handwritten directions were suitably recorded. Charts were appropriately completed with no gaps to signatures and codes entered to verify any reason why medication was not given, for example if the person has refused. A policy is in place to guide staff on ensuring privacy and dignity. This incorporates peoples rights and expectations, consultation and respecting individuality. People told the inspector that staff respect their privacy and dignity. Care plans are sensitively recorded to make sure staff are aware of the persons preferences. All personal care and treatment is carried out in the residents own room. No bedrooms are shared at present. People are offered keys to their bedroom. A lady resident Care Homes for Older People Page 14 of 30 Evidence: showed the inspector that she locks her room when she leaves it. The home currently has an all female care staff team. The manager said people would be asked their preference for gender of carer if male staff were employed. People are asked how they wish to be addressed and this information is recorded. During the inspection a new lady resident was admitted and a staff member asked her the name she would prefer to be called by. Each person is allocated a key worker who has particular responsibilities, for example reading letters and shopping. A pay telephone is available or people can use the office telephone to make or receive calls in private. One person has their own telephone installed and two people have mobile telephones. Resident clothing is labelled to make sure it can be identified and each person has his or her own laundry basket. Care Homes for Older People Page 15 of 30 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 are well supported to live their preferred lifestyle and maintain relationships and contact with the community to meet their social needs. Evidence: Each person has a social assessment that gives information on their background, routines and interests. Relatives are asked to help with this information, where needed, and it is used to draw up individual social care plans. Staff keep records of social activities that have taken place each day, and those residents who have participated. These showed a fair variety of activities, for example reminiscence, armchair exercises, skittles and soft ball games, word games and puzzles, bingo, dominoes, and music and dancing. There was also evidence of one to one sessions with individuals. Visiting entertainers and an audio-visual show are arranged each month. The majority of people living at the home said there are activities arranged that they can take part in. The home has policies on visiting and community contact. Visitors are welcomed at any time. Residents are encouraged to maintain contact with family and friends and the local and wider community. Relatives said the home helps their family member to Care Homes for Older People Page 16 of 30 Evidence: keep in touch and that they are kept up to date with important issues. One relative said, I have had experience of this situation several times and found the home to be prompt in their assessment of the situation. Some relatives commented that they live quite local to the home which makes visiting easier. Relatives are encouraged to be as involved as much as they wish to be in supporting family members. The manager said that whilst formal support meetings did not prove to be popular, all relatives are invited to individual care reviews and social events. Regular trips out are arranged for residents. Recent destinations had included the coast, shopping at the Metro-centre and a picnic in the grounds of Brunswick Welfare. Some people prefer to go out individually rather than as part of a larger group. Arrangements are made for staff to accompany them to a local coffee shop, on walks in the local community and to the city centre for shopping. Photographs of residents at different events and outings are displayed in the entrance to the home. Information is also displayed here, for instance a forthcoming outing to the theatre. Local clergy visit the home and hold services. There is a visiting hairdresser, and some people go to a local salon. Services are provided to people of different age, gender, disability, religion and beliefs. The home has a policy on autonomy that details the choices and freedom people are entitled to have in many aspects of daily living. This includes how to be addressed, times of getting up and going to bed, meals, how to spend their time, handling financial affairs and medication, personal possessions, access to personal records and availability of advocacy. The manager said the home is committed to each person being treated equally. This is put into practice by making sure people have their rights upheld, offering choices and respecting peoples wishes. Relatives are involved to advocate on the persons behalf where necessary. Training on equality and diversity and the mental capacity act is being organised to give staff a wider understanding of peoples diverse needs and rights. People told the inspector there are flexible routines and they are offered plenty of choices. One gentleman said his preference to spend all his time in his bedroom is respected. He said staff treat him very well and he is kept well informed of what is going on in the home. Relatives said the service supports people to live the life they choose and meets the needs of different people. One person said, The staff treat the residents as individuals and it is obvious that they know and care for the individual. The home has a three week cycle of menus with good variety and choice of meals. The menus are in the process of being updated. Breakfast is a choice of cereals, porridge, grapefruit, fruit juice and cooked breakfast is available daily. Lunch is a choice of main meal and pudding. A lighter meal and pudding is provided at tea time and snack Care Homes for Older People Page 17 of 30 Evidence: suppers are served. Preference sheets are completed each day to show the meals people have chosen. Each person has an assessment of their nutritional needs and dietary care plans were well recorded for people with poor appetite or weight loss. People can choose when and where to eat and staff support residents who have behaviour that affects their eating patterns in a flexible way. For example, giving finger foods and providing individual assistance with meals in a quieter area. Residents told the inspector they enjoy the food and confirmed they are offered choice of meals. People who completed surveys said they always or usually like the meals at the home. One person said, The cook provides good food. Another person indicated their relative does not eat well but said there is a good variety of food and that staff keep records of food intake. Lunch was observed being served. The meal was fish or egg and chips with peas, and bread and butter. Pudding was a spice and sultana bake with custard. There was a very relaxed atmosphere in the dining room and staff assisted residents discreetly with cutting up food and using condiments. Care Homes for Older People Page 18 of 30 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 using the service are properly protected from harm by clear procedures for making complaints and safeguarding vulnerable adults, and training staff to prevent abuse. Evidence: The complaints procedure is displayed in the front entrance of the home and is included in the guide to the homes services. There have been no complaints made in the past year. Records are kept of comments and minor issues and how these were resolved, for example finding items that were believed to be lost. Residents and relatives said they know who to speak to if they are not happy or wish to make a complaint. One person said, I have never had reason to complain but if I had a problem it would be resolved by the manager in a confidential manner. Staff said they are aware of what to do if someone has concerns about the service. The home has policies and procedures on recognising and preventing abuse, protecting vulnerable adults and whistle blowing. No allegations of abuse have been made. All staff have had multi-agency safeguarding training. There are guidelines in place for dealing with any incidents of violence or aggression. Care plans addressing mental health and behaviour were well recorded and guide staff Care Homes for Older People Page 19 of 30 Evidence: on the best approach to take with individuals. Care Homes for Older People 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, 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 live in a clean and safe environment that is maintained to a good standard for their comfort and is equipped to meet their needs. Evidence: In the past year a programme of regular maintenance and renewal of carpets, furnishings and equipment has continued. A maintenance person is employed to work two or three days each week. Residents are consulted about redecoration of their bedrooms and rooms are nicely personalised with belongings. A range of information is displayed in the front entrance for residents and visitors to read. The communal areas are homely and suitably decorated and equipped. A room is designated for those residents who wish to smoke, and this is ventilated. The kitchen was clean, and there was good food supplies and sufficient equipment. A section of ground floor corridor carpet is stained and has burn holes. This was previously the smoking area. A part of the corridor flooring is depressed and needs to be made level. In the ground floor bathroom there is damage to the ceiling boards and walls following a leak in the roof. This room was planned to be redecorated. One of the toilets on the upper floor does not have ventilation fitted. At present two bathrooms are in use, and both have hoist assistance. Consideration is being given to converting an upper floor room into a shower room. Care Homes for Older People Page 21 of 30 Evidence: All areas of the building were clean and free from odours. Residents said the home is fresh and clean. One person said, The cleaners are very efficient and the rooms are cleaned each day, they are very busy but find time to talk to residents. A senior carer is the designated person for infection control and attends meetings with the local health protection agency. Staff receive training on control of infection. There are relevant policies and procedures and guidance is built into care plans, for example hand washing and using disposable gloves and aprons. The manager said she ensures infection control measures are put into place where people are diagnosed with communicable diseases. The home has suitable sluicing facilities. There are arrangements for the disposal of clinical waste. Care Homes for Older People 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 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 are supported by good numbers of skilled workers who are trained to meet their diverse range of needs. Evidence: The home provides staffing levels of five carers in the morning, four in the afternoon and evening, and two at night. There is a designated senior member of staff on each shift. Existing staff provide cover during holiday and sickness absence. There are appropriate catering, domestic and laundry staff hours. People living at the home said that staff always listen and act on what they say, and are available when they need them. One person commented, The staff are very attentive and find time to listen to residents. There are staff available twenty four hours a day and even during the night they check on all residents. Relatives said that staff have the rights skills and experience to look after people properly. Staff recruitment files contained application forms with employment history, references from the last employer, interview records and declarations of fitness to do the job. One persons details did not include a photograph and proof of identification, and there was no second reference. Staff are employed subject to Criminal Records Bureau checks being carried out. A current check was being obtained for a new worker. Care Homes for Older People Page 23 of 30 Evidence: All care staff have either achieved or are studying for National Vocational Qualifications in care at levels 2 or 3. New staff undertake induction training that is to Common Induction Standards. Staff have individual training records and certificates on file. A plan is also maintained that shows training staff have completed and dates of future courses. In the past year staff have been provided with training on safe working practices, caring for people with dementia, protection of vulnerable adults, medication, falls prevention, oral hygiene, and sensory deprivation awareness. The manager and deputy have received mental capacity act training. In house training continues to be provided and topics have included aspects of personal care, catheter care, crossinfection, and assisting residents with eating. Staff said their recruitment was fair and thorough, and they received good induction training. They said ongoing training is relevant to their role, helps them understand and meet individuals needs, and keeps them up to date with new ways of working. All said there are enough staff and they feel they have the right support, experience and knowledge to meet the different needs of people who use the service. Care Homes for Older People Page 24 of 30 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 are provided with a good quality service that is managed in their best interests and promotes health and safety. Evidence: The homes registered manager is Mrs Anna Blakey. She has many years of care and management experience and is qualified. She demonstrates clear leadership qualities and commitment to developing the service. Staff said they receive regular support from the manager and one worker commented, The manager will help and talk to you whenever you need to, and is always there to give support. A number of staff also gave comments about what they feel the home does well. They described providing caring support to meet individuals needs and ensure their safety and well-being. One worker said, We take care of all our residents in a way as if we are caring for our own. People who spoke to the inspector and completed surveys indicated they are satisfied Care Homes for Older People Page 25 of 30 Evidence: with the quality of the care at the home. One person said they have previous experience of other care homes and said this home is the best one they have had contact with. Other comments included, Amber House has made my mother very welcome and because of this she has settled in extremely well and made new friends, They are always there for the care and needs of the residents and most importantly they are very approachable. I would add that this is a lovely first class home, and, The staff in general seem to stay for a long time, which is really good in that both my mother and I have got to know them and they have got to know us. The homes owner was visiting the home at least monthly but has not consistently reported on the conduct of the service. A quality management policy and quality assurance objectives plan are in place. Methods to assure and improve the quality of the service include audits, staff training, supervision and appraisals, menu review and accident analysis. The manager is also going to introduce satisfaction surveys to get peoples views on different aspects of the service. The system for resident personal finances was appropriately recorded. There was plenty of evidence of personal spending and receipts are kept for purchases. Checks of balances and cash are carried out and recorded each month. The home has a health and safety policy and range of associated procedures. All staff have been provided with up to date training in fire safety, moving and handling, first aid and food hygiene. Catering in the home has received a four star, very good rating for food hygiene from Newcastle City Council. Risk assessments are conducted for safe working practices. Regular health and safety audits and visual checks of the building are carried out. Fire safety records showed that staff receive regular instruction, and tests and checks are done at the required frequency. Staff responsible for weekly fire alarm tests are to make sure these are always recorded. Accident reporting was recorded in appropriate detail, including any injuries sustained, treatment and follow up action. Care Homes for Older People 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 Older People 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 19 16 The ground floor corridor 15/01/2009 carpet must be replaced. The identified area of floor in the corridor must be made even. To ensure suitable floor covering is provided. To ensure level flooring and prevent risk of accident. 2 25 23 Ventilation must be provided 15/01/2009 in the upper floor toilet. To ensure ventilation is provided to prevent odours. 3 29 19 Staff recruitment details must include photograph, proof of identification and a second reference. To ensure that people are protected by a robust recruitment process. 15/12/2008 4 33 26 The registered person, or 15/12/2008 their representative must visit the home at least monthly and prepare reports Care Homes for Older People Page 28 of 30 on the conduct of the service. To ensure the registered person fulfils their responsibility to monitor the quality of the service. 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 9 The policy for self-administration of medication should be revised to make it clear and reflect practice. Care Homes for Older People 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. 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