Inspection on 21/10/08 for Birkdale

This inspection was carried out on 21st October 2008.

CSCI found this care home to be providing an Adequate 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

Birkdale 15/12/06

Birkdale 15/06/06

Birkdale 16/02/06

Birkdale 24/05/05

Birkdale 03/12/04

Birkdale 01/07/04

Birkdale 12/02/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Birkdale Station Hill Oakengates Telford Shropshire TF2 9AA     The quality rating for this care home is:   one star adequate 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: Becky Harrison     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. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Birkdale Station Hill Oakengates Telford Shropshire TF2 9AA 01952620278 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Rebecca Elizabeth Lambourne Type of registration: Number of places registered: The Keepings Ltd care home 29 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 29 The registered person may provide the following category of service only: Care Home with personal care only to service users of either gender, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. Dementia - Code DE. Date of last inspection Brief description of the care home Birkdale is owned by The Keepings Ltd and registered to provide accommodation and personal care for up to 29 Older People with or without dementia care needs. The home, which was converted by the previous owners, is located in a well-established residential area of Oakengates, convenient to all local amenities and within easy access to Telford Shopping Centre. Accommodation is provided over two floors; most people Care Homes for Older People Page 4 of 29 Over 65 29 29 0 0 Brief description of the care home have a single bedroom and have access to communal areas to include a lounge, dining room, conservatory and activities room. Passenger lifts are provided to aid people who have difficulties with their mobility. Grounds are accessible and ample car parking facilities are provided to the front of the home. 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: one star adequate 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: Two inspectors carried out the unannounced inspection in just over 5 hours. A range of evidence was used to make judgements about this service. This includes comments received in surveys from three people who live at the home and surveys from five staff that work at the home. We spoke with a number of people who use the service, staff on duty and the registered manager. We did a tour of the home, reviewed the homes quality assurance processes and reviewed a number of records to include care records held on behalf of three people, complaints and protection, staff training, recruitment and health and safety records. Three people who live at Birkdale were case tracked this involves establishing Care Homes for Older People Page 6 of 29 individuals experience of using this service by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the manager for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. We reviewed all key standards for care homes for older people and information to produce this report was gathered from the findings on the day of the inspection and also by review of information received by CSCI prior to the inspection date. We completed an Annual Service Review on 14th January 2008 and a copy of the report is available at the home. This did not involve a visit to the service but a summary of new information given to us, or collected by us, since our last key inspection. Fees charged range from 355.00 Pounds - 410.00 Pounds per person per week. The reader may wish to obtain more information about fees direct from the care service. What the care home does well: What has improved since the last inspection? The last key inspection of this service was undertaken on 15th December 2006. A pharmacy inspection to review how the home manages medication was undertaken on 21st December 2006. The requirements made at the previous inspection are considered met. People are much more involved in the planning of their care and individuals are encouraged to take an active role in the homes daily living tasks if they express an interest in this. The home has recently joined Shropshire Partners in Care and staff are receiving greater opportunities to attend external training courses to equip them with the skills and knowledge to meet the individual needs of the people living at the home. Staff have also been provided with their own development books to document and monitor their own learning and achievements. The home has been awarded an innovation grant, which has enabled the purchase of new wooden furniture for the garden, paints, music tapes and two pet rabbits for people living at the home to enjoy. An activities room has also been developed and a choice board made available to allow residents to display their photographs and other work. Care Homes for Older People Page 8 of 29 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 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 looking for a residential service can be confident that Birkdale can support them. This is because information about the service is made readily available to help them make an informed choice about whether the home is able to meet their individual needs. An assessment of a prospective residents needs is undertaken or obtained and people are given the opportunity to visit the home to ensure the service is right for them. Evidence: Information about the service is readily available in the Statement of Purpose and Service User Guide, which have been updated to reflect the change in the homes category of registration. Both documents provide people with information to help them understand the services that Birkdale provides. Care Homes for Older People Page 11 of 29 Evidence: The home has a detailed admissions procedure in place. Care management assessments are obtained where required and the manager undertakes pre-admission assessments as seen on the files sampled. Prospective residents and their representatives are provided with the opportunity to visit the home prior to admission before they decide whether they want to live there. One person told us I rejected the offer to go and see further homes as I found everything at Birkdale 100 and could find no faults at all…It is a happy home and I am happy here. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Birkdale have a detailed care plan in place so that staff have all the information they need to ensure people get the care they need in the way they prefer. The manager understands the need to comply with safe medication systems and staff practice ensures that the homes procedures are complied with and that peoples health needs are safely addressed. The actions of staff and their approach to care ensures that people are treated with respect and their right to privacy is upheld. Evidence: People have confidence in how their care is delivered this is because information about their health and personal care needs is well documented and regularly reviewed and updated. The care plans sampled were person centred, detailed and evidence that the people living at Birkdale are involved in the planning of their care. Discussions with a number of residents indicated that they are satified with the care that they receive. Care Homes for Older People Page 13 of 29 Evidence: Comments include: If I did not have the care that I receive I would not be able to manage. All my needs are met at Birkdale and I’m happy with the care I receive The care is excellent. Assessments for risk such as nutritional and manual handling were available with evidence of review. Discussions held with a number of people evidence that daily routines are flexible in accordance with their personal preferences such as rising and retiring to bed. People spoken with considered their health and personal care needs are met well. One person said I am in my eighties now and quite fit and that is due to the attention I have received at Birkdale. Records held for the three people we case tracked evidence that their health needs are regularly monitored and kept under review and that the home arranges for health professionals to visit as required as observed during our inspection. Appointments and outcomes are recorded peoples care files. Aids and equipment are provided to encourage maximum independence for people living at the home and are regularly serviced and reviewed to accommodate the changing needs of individuals. Medication procedures appeared satisfactory at the time of the inspection. Managers have actioned all of the requirements made by our Pharmacist Inspector in 2006. The service has an efficient medication policy, procedure and guidance in place and it was reported that only staff that have undertaken medication training are permitted to administer medication. The service has suitable storage facilities for prescribed drugs and written records for receipt, administration and disposal of medication are in place. The home fully respects the rights of people who choose to self medicate. This is fully documented and reassessed on a regular basis. Arrangements for respecting the privacy and dignity of people is clearly documented in the homes Statement of Purpose which states Birkdale actively seeks to safeguard and enhance various aspects of privacy. Observations made and discussions with people evidence this is upheld and staff are sensitive to peoples individual needs. Care Homes for Older People Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Birkdale are enabled to keep in contact with family and friends and are provided with good opportunities to develop and maintain their social and recreational interests, so that they can lead their life in a chosen way. People receive a healthy, varied diet according to their assessed requirements and choice. Evidence: People we spoke with told us that they enjoy the activities made available to them and the care plans sampled identified peoples likes and dislikes and preferred routines. One individual told us that he enjoys his own company and prefers to watch TV in his own room but that activities are made available. Another person independently walks into town when he wishes and regularly goes for overnight stays with a relative. Daily records seen evidence that individuals are encouraged to make their own decisions and choose what they want to do on a daily basis. The home has been awarded an innovation grant, which has enabled the purchase of new wooden furniture for the garden, paints, music tapes and two pet rabbits. Residents told us that they enjoy the Care Homes for Older People Page 15 of 29 Evidence: in-house activities available in addition to the external entertainment such as singers and Pat a Pet. One person said We play bingo, dominoes and I love going out to the theatre. Discussions with people living at Birkdale and the daily records sampled evidence that routines are flexible for example rising and retiring. The Menu seen reflected the choice of food offered on the day of inspection and appeared balanced and nutritional. People are offered a choice of meals and discussions held indicate that people are satisfied with the quality of food and the choices available. The cook demonstrated a good understanding of individual dietary needs and personal preferences. The lunchtime meal was observed and tables were nicely laid, the meal was well presented and staff were observed to make the mealtime a social and enjoyable experience. The Statement of Purpose states Service users are enabled and encouraged to receive visitors at any reasonable time, and no prior arrangement is necessary. People we spoke with told us confirmed that their relatives are made welcome and offered refreshments. Care Homes for Older People Page 16 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and their representatives are able to express their concerns and have access to a complaints procedure. Procedures are in place to safeguard people from potential abuse and most staff have received training ensuring people who use the service are protected from abuse and have their legal rights protected. Evidence: The home has a complaints procedure in place, which states that All complaints will be viewed seriously and investigated. People we spoke with told us they are happy with the service that they receive and said they would speak to staff or managers if they had any concerns. No complaints were found recorded in the complaints log held at the home and the manager confirmed that no complaints had been received directly but reported disciplinary procedures have been instigated in relation to two staff. The local authority continues to investigate some long-standing issues made by a relative. We have recently received two concerns and given the nature of the concerns an alert was made to the local Safeguarding Team who are currently investigating the matters raised. The home has a copy of the local multi-agency safeguarding adult policy and procedure, which is located in the office. Two referrals under safeguarding adult Care Homes for Older People Page 17 of 29 Evidence: procedures have been triggered in the last twelve months and one investigation held. The allegations made were not substantiated. As previously stated following the concerns that we have recently received, a new referral has been made and is currently being investigated. It was reported that the majority of staff have received training in adult protection as confirmed in discussions with a member of staff spoken with, however it proved difficult to establish exact numbers given the staff training matrix was difficult to read and the staff files examined were found disorganised. The manager reported that the home has a zero tolerance on abuse. The homes poor recruitment practices have potentially been placed at risk. Information regarding this is reported under the staffing section of this report. Care Homes for Older People Page 18 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 Birkdale are provided with a homely, clean and comfortable place to live where they feel safe and secure. Evidence: People told us that they enjoy living at the home and that their rooms are comfortable. Rooms seen were personalised with family photos and ornaments. Passenger lifts and ramps are provided to assist people with who have difficulty with their mobility. The home provides 26 rooms, accommodating up to 29 people across two floors. Communal areas include two lounges, a large conservatory, two dining rooms and an activities room providing a range of games, puzzles and reading materials. People also have access to a fully enclosed garden to the rear of the property. A new call bell system has been installed throughout the home to ensure a safer environment and greater monitoring of response times. People are generally provided with a clean home, from unpleasant odours. Feedback gained from people who live at the home indicate that there is some room for improvement in this area. Comments include: Sometimes the dusting is not done, it all depends who does it Most of the cleaners are good at their jobs Sometimes there are bits on the floor and the cleaners don’t come into work. The toilets are Care Homes for Older People Page 19 of 29 Evidence: sometimes dirty. Products hazardous to health are appropriately stored and assessments for their safe use obtained. The manager has recently attended an infection control seminar and has sourced training for staff and is awaiting dates. Staff were seen using the appropriate personal protective equipment throughout the inspection. Care Homes for Older People Page 20 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff work positively with the people they care for and receive opportunities for training to equip them with the skills and knowledge to meet the individual needs of the people living at the home. The lack of robust recruitment procedures has potentially placed people at risk of harm because the service has not secured suitability of candidates before they have commenced working at Birkdale? Evidence: Throughout the inspection staff were accessible, good listeners and communicated well with the people using the service. They appeared motivated and committed to their work. Surveys provided positive feedback about the staff and the management team, which was also confirmed in discussions held with a number of residents during the inspection. Comments include: Staff are very good The care is excellent All the staff do their best to help me All the staff are polite, friendly and respectful The manager stated of the 22 care staff employed 10 hold a nationally recognised care qualification known as NVQ at 2 or above and 8 are currently working towards the award. The home also employs a cook, two kitchen assistants, a cleaner and handyperson. Care Homes for Older People Page 21 of 29 Evidence: Discussions held with a number of residents and surveys received indicate that people consider there are sufficient staff on duty to meet their individual needs. Additional staffing has been provided following our approval to accommodate people with dementia care needs. The manager is aware of the need to keep staffing levels under review to ensure the staffing structure is based around delivering outcomes for people using the service. Discussions indicate a high level of staff turnover in the last twelve months and reasons for this were shared with us. More stability in the staff team would benefit residents and ensure continuity of care. The people living at Birkdale have potentially been placed at risk due to poor recruitment practices. Files for five staff recruited during the last twelve months were examined and significant shortfalls found. The files failed to contain all of the documentation required by Regulation to help safeguard people. Some files did not contain a staff photograph and application forms did not detail a full employment history, as required. Most of the staff were employed prior to obtaining written references and four staff had commenced work prior to the manager obtaining a PoVAFIRST or Criminal Record Bureau check. The file for a new member of staff, who was due to commence work on the afternoon of the inspection, had no written references, no PoVAFIRST or CRB check and their application form failed to contain a full employment history. Given the shortfalls identified we served an immediate requirement at the time of our inspection and sent the manager a letter of serious concern. Such shortfalls were fully acknowledged by the manager who committed to review the homes recruitment practices immediately to ensure people are not placed at risk in the future. It was difficult to establish what training staff have undertaken because the training matrix was hard to read. This was fully acknowledged by the manager who reported a new format of the form was being developed. However certificates of attendance were available on all the staff files sampled and staff spoken with confirmed they are in receipt of mandatory and service specific training. Some of the concerns that we received were around the quality of training that staff receive for example, the excessive use of videos to train staff rather than the home sourcing expert trainers to deliver the training. The manager was able to evidence that external trainers have been sourced and staff are now attending many courses arranged through Shropshire Partners in Care. It was reported that six staff are registered to commence the Intermediate Certificate in Nutrition and Health via a local college and that other local resources have also been used such as the district nursing team, health and social work teams and guest speakers to provide staff with training in moving and handling, pressure care, diabetes, adult protection and dementia care. Care Homes for Older People Page 22 of 29 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 Birkdale benefit from a service, which is generally managed in their best interests. Quality assurance systems are in place to evaluate outcomes for people using the service. The home is managed and maintained in a manner, which generally ensures the safety of people using the service and the staff team. Evidence: The manager of the home is qualified, experienced and knowledgeable of the individual support needs of the people living at Birkdale. Since our last inspection she has gained the Registered Managers Award and has attended a number of courses and seminars appropriate to her role. We received a mixed response to how this service is managed. Feedback gained through surveys and discussions held on the day of the inspection Care Homes for Older People Page 24 of 29 Evidence: were positive with many residents and staff stating that they feel confident that they are able to approach the manager and are happy with how the service is managed. One person stated I have been here years and if there are any problems I can speak with managers for advice and support. Another person stated I think the care staff and management do an excellent job. However some aspects of the concerns that we received relate to the conduct and management style of the home. The AQAA completed by the manager is detailed and identifies the strengths and areas for service improvement. The results of satisfaction questionnaires distributed in May 2008 were positive and the service overall was deemed to be good. Feedback from residents include the following: Im happy here and couldnt have better staff Lovely home and atmosphere Staff treat me very well Better care than if I was in hospital Its all excellent Areas identified for improvement include the standard of decor, the temperature of the home and the replacement of old furniture. The home has been successful in obtaining an innovation grant and has also made other improvements in consultation with people living at the home to include a change of menus, introduction of a tactile information board for residents, provided a talk to promote healthy eating, introduced personal development books for staff and met with managers from other care homes to share good practice. Arrangements for the management of finances was discussed with the manager and procedures appeared satisfactory. People are provided with lockable storage facilities and records were available for the finances held. Two signatures are obtained for all transactions and regular audits are undertaken. People living at Birkdale are generally safeguarded by the health and safety procedures in place for example certificates for the servicing of equipment are maintained and safety checks are undertaken at the required frequency with the exception of fire tests, which had not been undertaken in July 2008. Risk assessments for safe working practices are in place however a number are in need of review. Individual risk assessments for manual handling, nutrition, falls, pressure sores etc were available on the files we sampled. Staff receive mandatory training in areas such as manual handling, first aid and fire and the manager has sourced external training to ensure staff are fully equipped with the skills to carry out their roles and for the protection of people living at the home. Fire safety arrangements were considered satisfactory when the Fire Officer conducted his last inspection in 2005. The home was awarded a 3 star rating by Environmental Health for good food safety compliance earlier this year and procedures concerning food hygiene considered satisfactory. Care Homes for Older People Page 25 of 29 Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 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 29 19 All pre-recruitment checks required by Regulation must be undertaken prior to new staff commencing work To ensure people using the service are safeguarded and not placed at risk of harm 18/11/2008 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 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!