Inspection on 20/01/09 for Bluebell House

This inspection was carried out on 20th January 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bluebell House 27/02/07

Bluebell House 17/01/06

Bluebell House 13/09/05

Bluebell House 20/10/04

Bluebell House 13/05/04

Bluebell House 19/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Bluebell House 408 Boothferry Road Hessle Hull East Riding Of Yorks HU13 0JL     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: Jean Dobbin     Date: 2 0 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Bluebell House 408 Boothferry Road Hessle Hull East Riding Of Yorks HU13 0JL 01482649234 F/P01482649234 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Joan Todd & Mr David Todd Name of registered manager (if applicable) Mrs Joan Todd & Mr David Todd Type of registration: Number of places registered: 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 users who can be accommodates is - 34 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender - Either Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, maximum number of places 34 Dementia - Code DE, maximum number of places, 34 Date of last inspection Brief description of the care home Bluebell House is a care home offering personal care and support for up to 34 older people, some of whom may have a dementia-type illness. The home is situated in a residential area of Hessle, close to the Humber suspension bridge and to local shops. Care Homes for Older People Page 4 of 30 care home 34 Over 65 0 34 34 0 Brief description of the care home The house is a converted detached property providing private accommodation in 26 single and 3 shared bedrooms, most of which are on the ground floor. The house has safe well-maintained gardens as well as car parking. A new extension completed in the last year, at the rear of the property, provides eight bedrooms with ensuite wet rooms, as well as extra communal space. A stair lift is available for people who may need assistance to their first floor accommodation. A Statement of Purpose and service user guide is made available and the latest inspection report, written by the Commission for Social Care Inspection is also available in the home for people to read. The weekly fees to live at Bluebell House on 20th January 2009 are between £350 and £400. In certain cases there is a top-up fee charged to the family, and agreed at the time of admission. Additional charges are made for hairdressing and chiropody. 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: This is what was used to write this report. Information about the home kept by the Commission for Social Care Inspection. Information asked for, before the inspection, which the manager provides. This is called an Annual Quality Assurance Assessment or AQAA. Information from surveys, which were sent to people who live at Bluebell House, to staff and to other professional people who visit the home. 10 were sent to people at the home, and all were returned. 8 were sent to healthcare and social care professionals and 4 were completed and returned. 6 were sent to staff at the home and Care Homes for Older People Page 6 of 30 2 were returned A visit to the home by one inspector, which lasted about 8 hours. This visit included talking to people who live there, and to staff and the owner about their work and training they had completed. It also included checking some of the records, policies and procedures that the home has to keep. Some time was also spent watching the general activity to get an idea about what it is like to live at Bluebell House. Information about what was found during the inspection was given to the owner at the end of the visit. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: Written records describing the care and support that people need could be completed in a more timely way when someone moves to the home, so that they are more likely to receive the appropriate level of support from care staff. These records could be securely stored so that only authorised people can access them, to make sure confidentiality can be assured. The written records describing how identified risk to peoples wellbeing is being managed could be improved, to demonstate that the home is working to keep people safe and well. These records could be reviewed regularly to check that the home is Care Homes for Older People Page 8 of 30 continuing to do all it can to keep people safe. The way some medicines are stored could be improved, in some instances to comply with the law. Some improvements could be made to medication record keeping. This could help to minimise the risk of medication error and to help with checking that people are receiving their medication according to their prescription. All staff at the home could be reminded of what they should do if they suspect or witness any behaviour that may be abusive. And also that they must pass on information, given to them in confidence, in order to keep people safe from harm. 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 are assessed before they move to the home and are given enough information and support to decide whether the home is the right place for them. Evidence: Those care records looked at contained an assessment of the persons needs, completed before they moved to the home. This is completed by either the manager or her deputy so that they can be satisfied that the staff have the skills and knowledge to provide the right support, should they choose to move there. People spoken with on the day of their visit could not remember this process however the surveys all state that people had enough information about the home to be sure that it was the right place for them. People are invited to visit the home, and have their questions answered. One person commented that they came to look around and were given a cup of tea. Another Care Homes for Older People Page 11 of 30 Evidence: person said in their survey response that they had visited the home on their relatives behalf and the manager answered all our questions and more. A review meeting is held six weeks after a person moves to the home to check that the move has been successful. The home has a brochure, which is given to people interested in moving there. This provides information about about the facilities and services available at the home. The latest inspection report, written by the Commission for Social Care inspection is made available for interested parties to look at. Bluebell House does not provide intermediate care. 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. Whilst peoples personal and health care needs are being well met the records underpinning that care need to be completed in a more timely way and staff need to record and regularly review how the risk to peoples wellbeing is being managed . Evidence: People living at Bluebell House looked well cared for. Staff were observed speaking to people gently and respectfully. Care staff spoken with stressed the importance of ensuring that people kept some control of their lives, regardless of their level of disability. Staff provided small choices at every opportunity so that people could stay in charge of their day to day lives. People spoken with said that staff were available when they needed them and responded to call bells promptly. Three peoples care plans were looked at. These are in place to describe the care and support people need. The care records looked at, varied somewhat. One person had lived at the home for a while and their records provided good information about their past history, their present care needs, and information about how they liked to spend Care Homes for Older People Page 13 of 30 Evidence: their time. They had specialist equipment in their room appropriate for their needs, and care staff had introduced measures to help the person to communicate their needs better to care staff. The two other people have moved to the home more recently. One care plan was mostly completed, but the second contained negligible information about the person, who had been admitted more than two weeks earlier. If care plans are not completed in a timely way following admission then care staff have nothing to refer to to make sure that they are providing the right care. The way risk is managed at the home needs to be recorded in more detail, to show that it is being managed in a consistent way. People who need any help to move around the home need a comprehensive care plan, stating how staff are to support people with this. The same level of support can then be provided by all staff. All people at the home need to be assessed to see whether they are at risk of falling, developing a pressure sore or becoming malnourished because of poor appetite, or a health problem. If people are assessed as at risk, then there needs to be a care plan in place, to say how the home will minimise that risk of harm. This care plan needs to be reviewed regularly, according to the assessed risk, so that staff can be sure that the care is still appropriate and that they are doing all they can be doing to maintain peoples well being. Written records are kept of peoples days and staff spoken with said that they had daily hand overs, where information about individuals is passed on. Staff spoken with also showed they knew about peoples individual needs, and how they were to be met. Peoples health care needs are well met and there are records in the care plan of contact with the doctor, chiropodist and other specialist health care professionals. One professional said in their survey that Bluebell House is a good service and another health care professional spoken with said that they had no concerns about the way peoples health care needs were managed at the home. One relative said that all the care home staff always ring us and keep us informed. Medication records looked at were generally satisfactory, however some improvements in the way medicines are managed could be improved. Medicines are dispensed into weekly cassettes by the pharmacist, and care staff who have undertaken extra training, then administer them. Some drugs however have to be stored in their original packets. it would be good practise to regularly count the number of tablets in these packets as this would provide an accurate record of medication stored at the home, as well as a way of checking that drugs are being given and signed for according to their Care Homes for Older People Page 14 of 30 Evidence: prescription. When medicine doses are changed or new prescriptions added to the medication records then the person making this change needs to sign and date the record. It is also good practise for a second person to check and sign the record too, to reduce the risk of error. Controlled drugs are not being stored securely, to meet current legal requirements. The owner addressed this shortfall in the days following the visit and tells us that the drugs are now stored correctly. Medication needing to be refrigerated is stored in a staff fridge in the kitchen. The owner could consider buying a small lockable fridge where medicines could be securely stored and the temperature regularly monitored to make sure they are being kept at the right temperature. 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 supported to live the life they choose and receive a varied nutritious diet. Evidence: People spoken with were generally very happy at Bluebell House. One person said I think its very good. Were allowed a lot of freedom and can do what we want. Another person said they chose to get up at 6am and staff never questioned this. The home has a safe outdoor garden area and one person, well wrapped up, chose to go outside on the day of the visit. There was a lot of homely clutter evident, like magazines, books and newspapers, jigsaws and board games and the home had a lived-in feel to it. A hairdresser visits each week and religious services are held at the home to celebrate the main religious festivals each year. A programme of external entertainers is displayed in the home and these are organised every two to three weeks. The home does not employ an activities person, with care staff providing activities as time allows. One person commented that staff come and talk with me when they have time. Visitors are welcomed at any time, and the visitors book confirmed this. Care Homes for Older People Page 16 of 30 Evidence: People spoken with were complimentary about the meals. Comments include the food is very good and you can have seconds and I have dinner in my room. Thats what I want. The menus are changed every three months and a choice is offered at each main meal. Meals are chosen on the same morning, so people do not have to decide too far ahead. The lunchtime was a very relaxed, social occasion. Different aids were used to enable people to maintain some independence. One person was assisted to start eating their meal, then they were able to manage themselves, with some encouragement from staff. People needing more assistance were helped in a respectful and unhurried manner. One person required a puree diet, and although the different foods were served separately the care worker mixed them together before starting. Foods should not be stirred together in this way, unless the person has said that is what they want. If that is the case, then it should be written in the care plan. Care Homes for Older People Page 17 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 can be confident that complaints are taken seriously but some staff may not have a good understanding of what abuse means and what their responsibilities are to promote and maintain peoples safety. Evidence: The home has a complaints process which is discussed with people and their families when they choose to move to the home and also detailed in the service user guide. People spoken with said they felt very safe there. Two people said they would tell the person in charge if they were unhappy about something but a third said they wouldnt like to tell anyone. The owner and staff must continue to stress the importance of people saying if they are concerned about something so the staff have the opportunity to put things right. The commission has received no complaints since the last inspection. The home has dealt with several niggles, which the owner has recorded and addressed. Whilst none of these were formal complaints the owner should consider dating the records to show that they were managed in a timely way. it would also be good practise to obtain the complainants written agreement that they are satisfied with the way their complaint was handled. Care Homes for Older People Page 18 of 30 Evidence: Staff receive training in Abuse Awareness when they start working at the home and also as part of their National Vocational Qualification study. A senior member of staff has also completed a Train the Trainer course, so that her knowledge is up to date. Two members of staff though, when questioned were not completely clear about what they should do if they suspect or witness an event that may be abusive. One staff member said it would never happen here. The owner needs to make sure all staff working at the home understand what abuse means and what their responsibilities are. They need to be reminded that they cannot keep secrets, even when asked to do so, if this puts someone at risk of harm. This will help to ensure that people are being kept safe. Care Homes for Older People Page 19 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 comfortable, warm and well maintained home. Evidence: Bluebell House is clean, warm and well maintained, with different seating areas so that people can choose where to sit, and with whom. It has a well maintained, safe and attractive garden, which people can use at any time. Most of the private rooms are on the ground floor and are for single use but there are three shared rooms, where screens were seen, to provide people with some privacy. There are seven bedrooms upstairs, accessed with a stair lift if necessary and people with these rooms are assessed as being more independent. A new ground floor extension, completed in the last year has added eight bedrooms, each with an en-suite wet room and a large communal room. Those rooms seen had been personalised by the individual, to make the room more like home. One person had their own telephone and satellite television installed. People said they liked their rooms and were very satisfied with the level of cleanliness. One person said the cleaners keep my room very clean. The owner makes sure that Care Homes for Older People Page 20 of 30 Evidence: appropriate aids are available and used to make sure that people living and working in the home are protected against infection. Care Homes for Older People Page 21 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 receive high quality care from well supported, well motivated and well trained staff. Evidence: People spoken with said they felt there were generally enough care staff working to respond to their needs promptly. Two commented that their call bells were answered quickly, both in the day and through the night. One person commented in their survey that everyone really looks after me. People said that staff were very kind. One person said they were very, very good, but they could do with more. And a survey response was the home seems well staffed with pleasant and attentive individuals and whenever we visit we have always experienced a good visibility of staff. No agency staff have been used in the previous three months. Domestic and catering staff work each day. Staff spoken with said they attend training, including refresher training to make sure they have the right skills and knowledge to carry out their work. The home uses both internal and external trainers to ensure the information is up-to-date. More than half the care staff have a National Vocational Qualification Level 2 In Care. Care Homes for Older People Page 22 of 30 Evidence: People are more likely to receive safe, consistent care from staff who have a good understanding of why they do what they do. Two recruitment files were looked at and were generally satisfactory. Both new staff started working at the home before their full police check was returned, however the owner had carried out PoVAFirst checks to make sure there was no record of the individual being barred from working in the care sector because of a previous offence. The owner knew that new staff have to be supervised at all times until the police check is available to look at and one carer spoken with said she had been supervised during this time. It would be good practise for the owner to keep records to be able to demonstrate this level of supervision. All care staff follow an induction programme when they start working at the home. On the day of the site visit one carer was observed sitting with the assistant manager, looking at some of the policies and procedures which the home has. A planned programme ensures that all care staff receive the same information and support and guidance can be provided, according to the new carers individual needs. Care Homes for Older People Page 23 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 live in a home run by a competent, enthusiastic manager who has their best interests in mind. Evidence: Mr and Mrs Todd own the care home and Mrs Todd manages the home on a day-today basis. She is very experienced, having worked in the care sector with older people for a number of years. She has also completed extra qualifications to help her with her role. Staff spoken with said she was very approachable and was seen regularly around the home. One person spoken with said they knew who was in charge, and also that they saw her a lot around the home. Comments from surveys include I am very happy with the home and the staff. And the home is very focused on residents needs. And a professional commented in their survey I have always found the manager and staff professional and competent. They treat people as individuals and adopt a personCare Homes for Older People Page 24 of 30 Evidence: centred approach. The home has a monitoring system in place and surveys are regularly distributed to residents and relatives to get their views about how the home runs. These results need to be made available for people to read, so that they can know that they have been listened to. The owner also needs to try to survey visiting professionals, to get their views about how the home operates. Bluebell House has recently been awarded the Investors in People, which shows the homes commitment to always looking to improve. The home also holds QDS 1 and 2, which is awarded by East Yorkshire Social Services to care services and is a measure of the level of care provided. The home holds small amounts of money for several people and these are separately and securely stored. This money is primarily for hairdressing and chiropody and when the amounts become very low, then families are asked to top up the fund. Financial records are kept of these transactions but they were not formally checked during this visit. Care plans are currently stored in two different places in the home. Whilst most are securely stored, those kept in the new part of the building can be easily accessed because of the condition of the storage unit. Whilst people should be able to read and contribute to their own records if they choose, other peoples should be kept secure. The present storage system needs sorting out to comply with Data Protection law. The homes registration certificate was displayed in the office on the day of the visit. This must be displayed in a public place in the home, so that visitors can see the details of the homes registration and know who the owners are. The owner said it used to be displayed in the entrance area and she would display it there again. An external company supports the home in their management of fire safety processes and training is provided each year by an external training company. There are a range of health and safety policies and procedures in place. The home has made proper provision to ensure that there are safe working practises by providing staff training in first aid, fire, food hygiene, infection control and safe moving and handling techniques. Several service certificates were checked and were in date. Hazardous products are stored appropriately and records maintained as required. Care staff check and record the bath temperatures before people have a bath. However although all the sinks to which people have access, have valves fitted to prevent very hot water, the temperature of water from these sinks is not routinely monitored. The Care Homes for Older People Page 25 of 30 Evidence: owner needs to be satisfied that people are not being put at risk of possible scalding from these sinks. Mr Todd carries out regular checks so as to maintain the safety of the premises. 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 7 15 People living at the home 28/02/2009 must have a written care plan in place which describes the help and support they need. This should be completed in a timely way when they move to the home This is so that they receive the right help and support and care staff can refer to it and check they are providing the right care in a safe way. 2 8 13 The plan of care must 28/02/2009 include assessments of whether the person is at risk of for example falling, developing pressure sores or becoming malnourished. Written plans to minimise this risk will help to ensure consistent care is given. 3 9 13 Controlled drugs must be stored securely in line with requirements from the Misuse of Drugs Regulations 28/02/2009 Care Homes for Older People Page 28 of 30 This is to comply with the law 4 18 13 All staff working at the home 28/02/2009 need to be clear about what signifiesabuse and what their responsibilities are should they suspect an abusive event This will help to make sure people are being kept safe. 5 37 17 All records relating to people 28/02/2009 living at the home must be securely stored. This is to maintain confidentiality and comply with Data protection law 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 A system should be in place to record all medication carried over from the previous month. This helps to confirm that medication is being given as prescribed and when checking stock levels. The owner could consider buying a lockable drugs fridge with an integral minimum/maximum thermometer sothat there is a secure place to store drugs needing to be kept cool. The temperature of such a fridge needs to be monitored and recorded each day to demonstrate that drugs are being kept at the correct temperature. Handwritten entries and changes to MAR charts must be accurately recorded and detailed. This makes sure that the correct information and dose is recorded so a person receives their medication as prescribed. 2 9 3 9 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 © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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