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Inspection on 22/08/06 for Anne Residential Home (1)

Also see our care home review for Anne Residential Home (1) for more information

This inspection was carried out on 22nd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What the care home does well

This home is in a bungalow and all rooms are therefore on one level which provides better access to service users with restricted mobility. The owner manager is a Dietician and provides meals that are very well balanced nutritionally and contain specific higher areas of nutrition when poor health requires. This has had positive outcomes for the residents` health and speed of healing for example in the case of pressure sores. The residents and relatives have confirmed that meals at the home are pleasant and enjoyable. This is a home for older people where the residents experience a caring family like environment. All the residents have commented that they like living in the home, and like their rooms, meals and how they are treated. Residents` life story books are produced to exercise and maintain memory. Relatives are encouraged to and do maintain contact with the home and other residents following the death of the resident concerned. It is seen as good practice that the home does not manage any residents` money and it is to be commended for pursuing alternative solutions. This home is very well maintained and clean. At this and all unannounced inspections, it has been reassuring to see that the home was particularly clean and hygienic.

What has improved since the last inspection?

Restraints policies are now readily accessible to ensure that all staff are aware of staff guidance in these areas. The need for window restrictors has been risk assessed to ensure the residents are protected from falling from windows where required.

What the care home could do better:

Supervision sessions should be recorded and held on individual staff files to provide evidence of guidance provided to staff in supervision. Although water testing has occurred and there appears to be no problems, a certificate needs to be obtained to confirm the water quality in the cold water storage tanks. This will protect residents from many infections for example legionella and e-coli. Standard 28 requires 50% of staff to have a NVQ2 by 2005. It is now 2006 and there are not yet 50% of staff with an NVQ2, this is needed to ensure that the staff team are appropriately trained.

CARE HOMES FOR OLDER PEOPLE Anne Residential Home (1) 80 Coombe Lane West Kingston Upon Thames Surrey KT2 7AD Lead Inspector Barry Khabbazi Key Unannounced Inspection 22nd August 2006 9:00am X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anne Residential Home (1) Address 80 Coombe Lane West Kingston Upon Thames Surrey KT2 7AD Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8942 8378 020 8942 3861 Mrs Krystyna Gordon Care Home 4 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (4) of places Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Anne Residential Home 1 is a single-storey building set back from a main thoroughfare connecting Kingston and New Malden. All the bedrooms are therefore on the ground floor. There are few amenities within walking distance but Kingston town centre is a few minutes drive away by car. The home is registered for 4 adults aged over 65 years of age who have Dementia. Staffing of Anne Residential 1 is provided to ensure that, in addition to the manager, there is one staff member per shift on duty at the home. At night, one member of staff sleeps in at the home and is available on-call if needed. The home is a short distance from the owners other care home. There continues to be an emphasis on integration between the service users from the owners other home. The fees are currently £330 to £495 per week. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key Standards identified throughout this report were assessed at this inspection. This inspection also focussed on following up on previous requirements and recommendations, and any new issues arising. This inspection was unannounced. During this inspection the manager/owner was interviewed. Records, care plans and the building were examined, as were all the residents’ bedrooms. The care of the residents is maintained to a high standard. This has been confirmed by residents themselves and by the Commission’s communications with relatives. Some comments by residents were ‘this is a very happy place’, and ‘the food is very good’. Some comments by relatives were ‘I am very pleased with the care my relative receives here’, and ‘my relative’s physical health has improved since coming to this home, the food is very food and staff treat my relative with respect and genuine care’. No negative comments were received in any resident or relative’s questionnaires sent by the Commission. There have been no care related complaints received by either the home or the Commission. What the service does well: This home is in a bungalow and all rooms are therefore on one level which provides better access to service users with restricted mobility. The owner manager is a Dietician and provides meals that are very well balanced nutritionally and contain specific higher areas of nutrition when poor health requires. This has had positive outcomes for the residents’ health and speed of healing for example in the case of pressure sores. The residents and relatives have confirmed that meals at the home are pleasant and enjoyable. This is a home for older people where the residents experience a caring family like environment. All the residents have commented that they like living in the home, and like their rooms, meals and how they are treated. Residents’ life story books are produced to exercise and maintain memory. Relatives are encouraged to and do maintain contact with the home and other residents following the death of the resident concerned. It is seen as good practice that the home does not manage any residents’ money and it is to be commended for pursuing alternative solutions. This home is very well maintained and clean. At this and all unannounced inspections, it has been reassuring to see that the home was particularly clean and hygienic. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. No service user moves into the home without their needs being fully assessed. Standard 6 does not apply to this home as this home does not provide rehabilitation with a view to returning to the community. EVIDENCE: The home uses ‘Standex’ medical assessment forms, which while being comprehensive from a clinical perspective, do not cover any social needs. However other assessment documents are completed in addition to these, and together they cover all the elements required under Standard 3.3, and in particular a history falls, oral health, mobility, social interests, religious and cultural needs and carer and family involvement and other social contacts. Standard 6 does not apply to this home as this home does not provide rehabilitation with a view to returning to the community. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Care plans are much improved and are now more holistic and also cover social care needs. This should improve how well staff, particularly new staff, know a resident’s needs. Residents’ personal care needs and physical and emotional health needs are met well by this home. This ensures that the residents’ physical and emotional health is well maintained and therefore the quality of life experienced is also maximised. Residents’ medication is also well managed to ensure maximised good health Residents and relatives have commented that they are treated with genuine respect and dignity. EVIDENCE: Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 10 The home uses ‘Standex’ medical Care plan forms, which while being comprehensive from a clinical perspective, do not cover any social needs. However, other documents are completed in addition to these, and together they cover all the elements required under Standard 7. The home has a good record for improving skin viability when a service user starts at the home with a pressure sore, and for preventing pressure sores occurring in the first place. Pressure sore avoidance procedures include 2 nursing beds and air pressure mattresses, hygiene and regular toileting, nutritional and fluid monitoring, healthy and nutritious meals {see also meals}, supplements where required, activities to promote mobility, and a caring and valuing environment. Residents remain registered with their own family General Practitioner whenever it is practicable to do so. The owner stated that a chiropodist visits the home approximately once every six weeks at no charge to service users although private services are also available. Residents are weighed on a monthly basis. Medication records were up to date. Medicines are currently stored in a cupboard attached to the wall in each individual’s bedroom. Residents can self medicate subject to a risk assessment. Staff were observed to interact with service users with respect and dignity and demonstrated a good relationship with them. This was confirmed through discussions with residents and relative questionnaires. Personal care needs were addressed promptly, and in a fashion that maintained the respect and dignity of service users. Residents’ life story books are produced to exercise and maintain memory. Evidence of good practice presented under Standard 8: . Residents’ life story books are produced to exercise and maintain memory. All the residents have commented about liking living in the home, and liking their rooms, meals and how they are treated. Evidence of good practice presented under Standard 11: . Relatives are encouraged to and do maintain contact with the home and other residents following the death of the resident concerned. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home’s policies support visits to the residents from relatives and friends. Residents are provided with opportunities to remain part of the local community and are able to take part in appropriate activities. Dietary needs are well catered for and a well balanced diet is provided, to ensure health and enjoyment of food. The daily routines and the home’s policies promote the residents’ choice and rights, to ensure equality and that all rights are enjoyed by all residents. EVIDENCE: Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 12 The routines of daily living and activities are made as flexible as possible, for example there is no set bed time or getting up time. The home has links with other similar services in the area and residents are encouraged to maintain social contact with their peers through open mornings in the home. The owner/ registered manager provides transport, if required, to enable residents to undertake visits to places of interest locally. Community interaction includes the local town centre’s resources and shops. Residents are able to attend church should they wish to do so. The owner reported good relationships with neighbours. Individual activities occur and events and birthdays are also celebrated. Residents are encouraged to receive visitors at all times. The home is run in a manner that promotes choice and independence and this was confirmed through residents’ comments, policies, and observation. The home does not take responsibility for the control or administration of any residents’ finances. Residents can bring in their own possessions and furniture if they wish and this was observed in their rooms, which had been individualised. Residents can take meals, and particularly snacks, at times and places to suit them and have a choice of meals and alternatives. Menus were examined and were nutritiously balanced with at least 5 portions of fruit/vegetables per day and appropriate protein and carbohydrate contents. Many fresh meals are prepared including fresh soup. The owner manager is a Dietician and provides meals that are very well balanced nutritionally and contain specific higher areas of nutrition when poor health requires. This has had positive outcomes for the residents’ health and speed of healing, for example in the case of pressure sores. The residents confirmed that meals at the home are pleasant and enjoyable. Evidence of good practice presented under Standard 15: . The owner manager is a Dietician and provides meals that are very well balanced nutritionally and contain specific higher areas of nutrition when poor health requires. This has had positive outcomes for the residents’ health and speed of healing for example in the case of pressure sores. The residents confirmed that meals at the home are pleasant and enjoyable. All the residents have commented about liking living in the home, and liking their rooms, meals and how they are treated. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Complaints are managed well which should ensure that residents’ and relatives’ concerns are listened to. The home’s policies and procedures help protect residents from abuse and help staff if they need to tell someone about any bad care practice they may see. EVIDENCE: The home has not received any complaints over the last 48 months. The complaints procedure was clear and contained all the elements required including a written maximum response time of less than 28 days and details of how to contact the Commission. The home has a copy of the local Adult Protection procedure. The home also has a Whistle Blowing Policy and an Abuse Policy. There is a Gifts Policy and the Wills Policy does indicate that staff are precluded from being involved in the making or being the beneficiary of a residents’ will as required under this Standard. The home does not handle any residents’ money and there are lockable spaces in residents’ rooms and a safe for secure holding of valuables. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 14 The last report recorded that the restraints policies were not available for inspection. The following requirement was set. The home’s restraints policy must be sent in to the Commission and all staff must be aware of this policy and its guidance. The restraints policies were available at the time of this inspection and staff were aware of its guidance. This requirement is currently met. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25, and 26. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home is in very good condition externally and internally, and is well decorated in a homely fashion and very well maintained. This creates a pleasant environment that promotes the residents’ dignity and emotional wellbeing. Most areas of the home are safe but more work needs to occur to fully confirm the residents’ safe environment. The home is particularly hygienic and clean, homely and comfortable; this environment therefore promotes a pleasant environment, the residents’ health, and emotional well-being. EVIDENCE: Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 16 The home appeared to be in good condition externally and was well decorated in a homely fashion inside. This home is very well maintained and clean. At this unannounced inspection, it was reassuring to see that the home was particularly clean and hygienic. This home is maintained to a high level of cleanliness. The 2004/5 inspection report contained a requirement for thermostatic mixer valves be fitted to the hot water outlets in the bath and the shower to facilitate regulation of the hot water temperature so that it does not exceed 43 degrees Celsius. This had occurred by last year’s inspection and are tested regularly. The 2004/5 inspection report contained a requirement for the home to record hot water temperatures daily and ensure that the maximum temperature at the point of delivery does not exceed 43 degrees Celsius. This had occurred by last year’s inspection and water temperatures continue to be tested regularly. The last inspection report recorded that the home did not have the bacterial analysis testing results available for inspection. The following requirement was then set: The ‘certificate of bacterial analysis’ testing results are to be sent in to the Commission. Although this had occurred, the water testing certificate was not yet available. The requirement will remain until fully met. The last inspection report recorded that the first floor windows were not fitted with window restrictors. The following requirement was then set: The need for window restrictors must be risk assessed. This had now occurred and this requirement is currently met. Evidence of good practice presented under Standard 20: This home is a bungalow and all rooms are therefore on one level which provides better access to service users with restricted mobility Evidence of good practice presented under Standard 26: This home is very well maintained and clean. At this unannounced inspection, it was reassuring to see that the home was particularly clean and hygienic. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Staff numbers are of sufficient quantity to meet the residents’ needs and provide consistency. Staff are not all adequately qualified. The staff vetting procedure is now much improved and now meets the National Minimum Standards fully. This should help protect the residents from undesirable staff. Induction and foundation training to National Training Organisation’s specifications is now in place. This should create a more highly trained workforce. EVIDENCE: The home is managed and run on a day-to-day basis by the owner/manager, with assistance provided by staff. In addition to the registered manager’s hours there is a total of 35 care staff hours per week. The owner/manager lives locally and is therefore available in case of emergency. Agency staff are currently not used. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 18 Standard 28 requires 50 of staff to have a NVQ2 by 2005. As it is now 2006 and there are not yet 50 of staff with a NVQ2, the following new requirement is now set: 50 of staff must have an NVQ2 qualification. All of the staff recruitment records are in place. Criminal record bureau checks, proof of identity and references were available for inspection and met the required standard in files sampled. All staff are previously or personally known to the owner/manager and are have been in post for some years. Induction and foundation training to National Training Organisation’s specifications is now in place. However existing staff are long term staff and there have been no new staff yet to do the induction training. This Standard will therefore need to be assessed once a new staff member starts and has been in post long enough to have completed enough of the induction and foundation to enable its effectiveness to be assessed. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, and 38. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The residents benefit from continuity and a well run home. The home has implemented a quality assurance system and an annual development plan, with both involving residents. This should ensure that the home is run in a way that involves the residents and a way that is in the best interests of the residents. Residents’ financial interests are safeguarded by the home’s policies, practice and lack of involvement Only limited progress has been made with regards to the frequency of recorded staff supervision. This could affect the quality of the work that staff do. Health and safety policies and procedures do generally protect the residents. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 20 EVIDENCE: The owner manager runs the home to a high standard and no management problems have been identified. The owner manager provides consistency and expertise to the residents, has a good relationship with them and is currently undertaking her NVQ4. Quality assurance tools currently include residents and relative questionnaires, and a complaints system. These quality assurance tools have been pulled together into an internal quality assurance system, which includes this information in the home’s annual plan where appropriate, and then provides a system of feedback and review involving the residents in the form of resident meetings. This should allow open measuring of achievement in improving quality. It is seen as good practice that the home does not manage any residents’ money and it is to be commended for pursuing alternative solutions. The last inspection report contained a requirement for notes of supervision sessions to be recorded and held on individual staff filles. This has started but has not yet been fully implimented. The existing requirement will remain in force untill fully met. All of the health and safety policies and procedures relevant to this Standard have been seen to be present. Fire Safety, First Aid, Food Hygiene, Infection Control, and Handling and Disposal of Clinical Waste policies are all also included in staff induction. Control Of Substances Hazardous to Health policies and data sheets were available and these substances were all locked away. All of the procedures and testing of systems required in Standard 38 were also present. Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 2 x 3 Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP25 Regulation 1334 Requirement The certificate of bacterial analysis testing results are to be sent in to the Commission {Timescale of the 01/11/05 not met} 50 of staff must have an NVQ2 qualification. {New requirement} Notes of supervision sessions should be recorded and held on individual staff files. {Timescale of the 01/11/05 not met} Timescale for action 01/12/06 2. OP28 18[1]a 01/12/06 3. OP36 18 (1) 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Anne Residential Home (1) DS0000013405.V309360.R01.S.doc Version 5.2 Page 24 - 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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