Inspection on 01/12/08 for Bluebell Lodge

This inspection was carried out on 1st December 2008.

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

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

Other inspections for this house

Bluebell Lodge 05/12/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Bluebell Lodge Ashfield Street Sutton in Ashfield Nottinghamshire NG17 3BE     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: Claire Williams     Date: 0 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 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 27 Information about the care home Name of care home: Address: Bluebell Lodge Sutton in Ashfield Ashfield Street Nottinghamshire NG17 3BE 01623440188 01623440188 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Bank House Care Homes Ltd Name of registered manager (if applicable) Mrs Siobhan Carmichael 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: Ashfield Residential Home is registered to provide accommodation and care to people whose primary care needs fall within the following categories: Old Age - not falling within any other category (36). Within the total number of beds (36) a maximum of 10 beds may be used to accommodate people, aged 55 years and over whose primary care need is Dementia (DE). Date of last inspection Brief description of the care home Bluebell Lodge Care Home (formally known as Ashfield Care Home) is a care home providing personal care and accommodation for 36 older people, up to 15 of whom may have dementia and 10 be aged 55 or over with dementia. The home provides short and long term care. The home is owned by Bank House Care Homes Limited, who purchased the home in October 2006 and is run as a family business. The home is Care Homes for Older People Page 4 of 27 care home 36 Over 65 0 36 15 0 Brief description of the care home located close to shops, pubs, the post office and other amenities. The home was opened in 1987 and consists of a purpose built building which has been extended. All of the homes bedrooms are single, and 5 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. The home has a garden to the rear of the property and ample car parking space. We were informed on this visit that the current fees are between £355 and £374 per week depending on dependency needs. There is an additional charge for hairdressing and chiropody. information about the service is available in the service user guide, which tells people about the location of the recent inspection report. Care Homes for Older People Page 5 of 27 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 was a Key unannounced inspection that took place over a period of 7 and half hours. In order to prepare for this visit we looked at all the information that we have received since our last visit which was undertaken on 5th December 2006. This included; Annual Quality Assurance Assessment document (AQAA), which was completed in good detail, and returned before the inspection, This is a self-assessment that focuses on how well outcomes are being met for people using the service. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Care Homes for Older People Page 6 of 27 During the site visit case tracking was included as part of the methodology. This involved the sampling of a total of three people representing a cross section of the care needs of individuals within the home. Discussions were held with those individuals as able, together with a number of others about the care and services the home provides. Their care planning and associated care records were also examined and their private and communal facilities inspected. Discussions were also held with staff about the arrangements for their care and also for staffs recruitment, induction, deployment, training and supervision. We also spoke with four visitors who were in the home at the time of this visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking 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 Care Homes for Older People Page 8 of 27 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 27 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 27 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 and have access to information to enable them, to make an informed decision about moving into this service. Evidence: In the self assessment we were told that the services philosophy is Putting people First and people are at the centre of the care and service delivery. They told us they ensure all prospective individuals are able to access inspection reports both from the CSCI and the Companys Websites which show the homes rating. They have a comprehensive statement of purpose which is available to all service users and prospective service users. They told us they ensure that every prospective person has a needs assessment completed prior to admission to determine as to whether the service can meet their particular needs. They also told us they encourage trial visits to all prospective individuals. Care Homes for Older People Page 11 of 27 Evidence: People confirmed during our visit that they have received information about the service, and copies of the Statement of purpose and Service user guide were observed to be located in people’s rooms. This ensures that people have access to information about the service and their rights. Individuals and their relatives also confirmed they had been assessed before they moved into the home, and this was supported by the assessments in the 3 files that we examined. Relatives commented that they found the admission process to be a positive one, and that the staff were very supportive. Individuals spoken with said that they found that visiting for a period of respite enabled them to get used to the place and to make an informed decision about moving in on a permanent basis. The home does not provide intermediate care and there were no residents accommodated at the time of the site visit with diverse cultural or religious needs. It would be beneficial however for all documentation to be reviewed considering the six areas of diversity, so that is it inclusive to all people. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the care they need and this is provided in a way that upholds their dignity. Evidence: In the self assessment we were told that an individualised plan of care and risk assessments are devised for each person in consultation with them, and these are regularly reviewed. They told us they ensure each person retains their own GP if they are not moving from the area, or a new GP is arranged. They said they promote privacy, dignity, choice, rights, equality and diversity. They also said their staff promote all of these in their every day job and have training in these areas as part of their induction. The service told us in the assessment they have staff in place as Dignity persons, which is in its early stages and is a learning curve for the staff involved in this. They have introduced a questionnaire on Privacy and Dignity and spot checks are also carried out to monitor this aspect of care. Care Homes for Older People Page 13 of 27 Evidence: We looked at three care records, which contained clear descriptions of the areas where people need help or where they experience risk, as well as the areas in which they are independent. The plans were person centred and included information about peoples lives before they moved into this service. The files also contained information about peoples preferences and social interests. As stated in the self assessment each plan had been reviewed in consultation with the person at the required intervals. The care records that we looked at confirmed that contact with external health care services is routinely made, particularly the local doctors and district nurses, as well as a number of health care services, chiropody, and opticians. People we spoke to also confirmed this and one comment made was; they are very proactive in getting the doctor out, they dont mess about All people spoken to told us they receive support which is provided in a safe, respectful and dignified manner, and our observations supported this. Discussions with relatives also confirmed this to be the case. People and their relatives spoke positively about the staff team who they said; are marvelous, caring and friendly and provide excellent support, and are kind and considerate. People told us they receive their medication in accordance with their wishes. Records were in place to support that medication was stored and administered as prescribed. It was reported that all staff that administer medication have undertaken some form of training in this area. Arrangements to complete an assessment of their practice are now in place. This will ensure staff undertake these tasks safely and in accordance with the procedures. We identified a couple of shortfalls, which included; handwritten instructions not countersigned, and 2 gaps without a signature. These were addressed during our visit. Due to a change in the law the storing of controlled drugs must now be in accordance with the new legal specifications, and the service needs to ensure there current storage is in accordance with these. Care Homes for Older People Page 14 of 27 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 lead a lifestyle of their choosing, which ensures their recreational expectations and preferences are met by this service. Evidence: In the self assessment we were told the service has a part time activities co-ordinater who is a member of NAPA. She plans programmes of activities on a weekly basis and has had training in dementia. The care staff also participate in the programme of activities and each person has a choice as to whether they wish to participate in any activities that are on offer. They told us in the assessment they arrange regular tea parties and special occasions such as birthdays, Easter, Summer barbecue, Halloween, Christmas are celebrated with all families and friends. The service said they promote each persons right to exercise, their choice and wishes in relation to social activities, cultural and spiritual interest. They told us they encourage and promote independence in relation to daily life and activities and offer assistance whenever required to enable people to lead as normal a life as possible. They have a policy in the home for maintaining social contact with family and friends, and celebrate religious festivals and all peoples birthdays. Care Homes for Older People Page 15 of 27 Evidence: All care files that were seen contained information concerning people’s social needs and likes/dislikes, and a care plan had been devised from this information. This ensures peoples recreational and social needs are met. People said that the activities available meet their expectations and the relatives spoken with said that people have lots of positive activities. During our visit people and staff enjoyed a Christmas choir service undertaken by members from a Baptist church. People told us they really enjoyed the service and festive songs. The vicar spoke to us and told us I enjoy visiting this service as it has a wonderful atmosphere, and the staff always join in. As stated in the self assessment an activities co-ordinator is employed and a programme is in place, which is displayed in the foyer area. A monthly newsletter is completed and available for people and their familes and this details all forthcoming events. There was many visitors in the service during the morning and all those spoken with told us they are welcomed into the service by the staff. All relatives spoke positively about the service and the staff and comments made included; they are very friendly and helpful People told us their daily routine was flexible; and they could choose what time they rose and went to bed. People who wanted to stay in their bedrooms were able to do so. People’s preferred rising/retiring times were also stated in their care documentation, along with their preferred form of address, this helped to ensure care was more person-centred. People told us the food was good and that they have choices, which we observed when we joined people for their lunch. The cook had information about peoples dietary requirements and their likes and dislikes which is good practice. A brief visit was made to the kitchen and good standards were maintained and all required documentation was in place. Care Homes for Older People Page 16 of 27 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 are kept safe through effective complaints and safeguarding policy and procedures Evidence: In the self assessment we were told that Bluebell Lodge has a detailed but clear and simple procedure for dealing with concerns or complaints. The complaints procedure is displayed at the main entrance and small reception area. They told us the management and staff are always available to listen to concerns or views of people and/or their representatives. Staff have had training in the complaints procedure and will take any comments seriously. They said most concerns/complaints are dealt with in a speedy manner to the satisfaction of all parties and details recorded in a complaints file. They also told us in the assessment that staff have received training in Protection of Vulnerable Adults, and a whistle blowing policy is in place to ensure that staff can feel comfortable if they wish to express any concerns to the management. They said they ensure all staff have an enhanced CRB and POVA check completed and two references are always requested as part of their recruitment procedure. They said they have a suggestion box at the main entrance for service users and visitors to use. It was recorded in the self assessment that the service has received 12 complaints Care Homes for Older People Page 17 of 27 Evidence: since our last visit and all of these have been concluded with 5 of these being upheld. People spoken to told us they had no reason to complain, but knew who to approach should they need to raise any issues. People told us they were confident the staff and provider would sort any issues out. All relatives told us that both the staff and providers listen to them and act on any issues raised. Feedback from the surveys also confirmed that the service responds to any issues raised. Staff training records indicated that they have received training in safeguarding vulnerable people, and this training is part of their induction programme. All the staff spoken to were able to describe their understanding of this subject and were aware of their responsibilities. The policies and procedures in place are in line with the statutory procedures on safeguarding adults, and the records indicate one situation is currently being investigated, and the service is following the local procedures. The records demonstrated that some staff have already completed some training about the Mental Capacity Act and all other staff will attend this in the new future. Information about peoples ability to make decisions is now being included in their care plans, providing guidance to staff in these areas. Care Homes for Older People Page 18 of 27 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. The physical design and layout of the building enables people to live in a safe, wellmaintained and comfortable environment, which encourages independence. Evidence: In the self assessment they told us they have a part time maintenance person and gardener who ensure that the home and gardens are well maintained. They have an on- going programme of decoration, and peoples bedrooms are decorated as and when required and the person is involved in the choice of colors. They told us they have a garden area, which has a patio and a gazebo for the use of people and their visitors. This is easily accessible from the dining area with a small ramp for wheelchair access. There furnishings are well maintained and in character with the building. They said they undertake an internal Health and Safety audit at least yearly, and have systems and contracts in place for the removal of all types of waste. They also told us in this assessment they pride themselves in the cleanliness of the home ensuring it is clean and fresh at all time. Their domestic assistants are qualified or working towards NVQ level 1 with the supervisor having gained her NVQ level 2. People who were spoken to said they liked the communal areas and in particular their bedrooms which they had personalised with their belongings. People said they have Care Homes for Older People Page 19 of 27 Evidence: access to various aids and equipment in order to assist them in their mobility and to get around the home. Evidence provided in the self assessment confirmed that the lift is maintained by a local company, and that all equipment is fully serviced and in good working order. People said they had the opportunity to be involved in decisions about the décor and any changes in their communal and personal accommodation is discussed within residents meeting. People have access to a selection of communal areas both inside and outside of the home, this means that people using the service have choices of where they can sit quietly, meet with family and friends or be actively engaged with other people who use the service. People also have access to a sensory room which can be used for a variety of purposes including relaxation sessions. On the day of our visit the building was clean, tidy and free from odours and everybody spoken to was very complimentary about the service provided by the laundry, although some comments were made about missing items. Care Homes for Older People Page 20 of 27 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. Staff are trained, skilled and in sufficient numbers to support the people who use the service. Evidence: In the self assessment we were told that Bluebell Lodge has a good skill mix of staff to meet the needs of people. They told us all staff are suitably trained in all aspects of care and good practice, and all have achieved an NVQ level 2 or above with the exception of four staff. The Operations Manager visits the service regularly, and provides support, supervision and assistance with the continually development of all of the staff. They told us staff benefit from In-house training run through the services training center, and there is a dedicated training room at Bluebell lodge. We were told in the assessment the training centre is registered to provide training in care and management at all levels as well as mandatory and care related training. They also said all staff commence employment after a satisfactory Criminal Records Bureau Enhanced disclosure and POVA check is received. They said all staff receive a copy of the GSCC code of conduct, and receive regular supervision sessions and an annual appraisal. They said the staff rota is planned round the needs of the people, which ensures the appropriate amount of staff are on duty at any one time. They told us they have recently had their re-assessment for Investors in People and are Care Homes for Older People Page 21 of 27 Evidence: delighted to have been awarded this again. They have also recently met all the quality assessment criteria set by Notts County Council. During the inspection we interviewed most of the staff on duty and most of these individuals had worked at the service for a long period of time. They told us how much they enjoyed working in this service and how motivated enthusiastic, and committed they were to ensure people received a good standard of care. The feedback from staff, and the records we looked at demonstrated that new staff complete an induction programme, which meets the Skills for Care specifications. Staff told us they had access to positive training opportunities and the records demonstrated this. We observed that there was sufficient staff on each shift, to meet peoples needs. We were told the staffing levels were flexible and dependent on peoples needs and any planned activities and outings. People and their relatives told us that sufficient staff are available at all times. Staff members told us they were able to provide a good standard of care and complete all required tasks, and spend some quality time with people. People told us their needs are met and confirmed that staff provided a good standard of care and support, comments made include: They are marvelous and do a brilliant job The staff are wonderful, and very kind and caring They are good at what they do, I am well looked after The files for three staff were examined, and majority of the required information was available apart from the following shortfalls; a full employment history and validation of references; a new CRB was not completed for a staff member who had returned following a short break from the service. All of these shortfalls were addressed within 48 hours of our visit. The staff files and the training matrix demonstrated that staff have access to regular training. This ensures they have the skills and knowledge to fulfill their role and provide a good standard of care. Care Homes for Older People Page 22 of 27 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. The service is managed to promote and protect the health and safety of people and staff and provide a safe environment. Evidence: In the self assessment we were told the providers have an open approach to care and management and operate a simple line of communication which encourages people their families and staff to talk with them on a daily basis. They said they have an effective quality assurance monitoring system in place and an annual development plan which is based in the betterment of the lives of people that live in the service. They said they have a number of policies and procedures in place which are based on the values of people and are compliant with all statutory obligations and requirements. They told us the management place a strong focus and commitment on staff training and development as they believe in life long learning, to ensure that all staff are competent in their job roles. Care Homes for Older People Page 23 of 27 Evidence: They also told us in the assessment they promote the health, safety and welfare of people by providing appropriate training in safe working practices. These include moving and handling, fire safety awareness, first aid at work, safe food better business and infection control. Staff, people, and relatives spoken to said that the management team were experienced, supportive and approachable. People said they are consulted about aspects of the service through the provision of meetings, questionnaires and informal discussions. A report was seen of the outcome following the most recent quality assurance survey, and the findings indicated people’s satisfaction. Areas for improvement were also included in the report and the action the service intends to take in response to these. The providers visit the service on a regular basis, and one of the providers is currently overseeing the management of the service due to the manager being off on long term sick leave. Both of the owners complete internal audits and have quality monitoring systems in place to monitor the standards in the service. People said they are able manage their finances if they wish, but many said they have given their consent for the management team to do this. People said they were happy with the systems in place, and when checked these were satisfactory for the three people we case tracked. People and their families said they the service was managed well. We were told the main aim of the service is to provide an increased quality of life for people with a strong focus on equality and diversity and promoting human rights, especially in the areas of dignity, respect and fairness. Staff members confirmed that the management team provide leadership in addition to daily support and advice. They also commented that regular team meetings are organized so that they can meet their peers and discuss issues and share their knowledge. The self assessment record was completed comprehensively and provided good evidence of how the service meets people needs and how they measure outcomes for people. The document demonstrated areas the service wishes to improve and the achievements in the last 12 months. Care Homes for Older People Page 24 of 27 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 25 of 27 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 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 Handwritten medication instructions should be checked and countersigned by two competent staff members. This is to ensure the instructions are correct. All medication should be signed to verify it has been administered as prescribed. A code should be used to explain the reasons why a person may not have taken their medication. If staff leave the service and then return back to employment a new CRB should be undertaken to ensure they are still suitable to work with vulnerable people. All staff should provide a full employment history and any gaps should be explained. This is to ensure they are suitable to work with vulnerable people. 2 9 3 27 4 27 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!