Inspection on 20/10/08 for Bole Hill View

This inspection was carried out on 20th October 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bole Hill View 05/11/07

Bole Hill View 03/10/06

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: Bole Hill View 2 Eastfield Road Crookes Sheffield S10 1QL     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: Sue Turner     Date: 2 0 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: Bole Hill View 2 Eastfield Road Crookes Sheffield S10 1QL 01142683960 01142683960 jane.myers@sct.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jane Andrea Myers Type of registration: Number of places registered: Sheffield Care Trust care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: Three of the DE(E) beds may instead be used as DE. Where additional services are provided eg day care, outreach, escord duty, staffing for this must be over and above that required for the registered service. Date of last inspection Brief description of the care home Bole Hill View is situated in the Crookes area of Sheffield. Local amenities are accessible and there is a regular bus service. The building is single storey and the majority of bedrooms are single. Bole Hill View has two double rooms that can accommodate married couples or be used for single individuals. Bathrooms and toilets are close to bedrooms and there are a number of comfortable sitting areas and a comfortable dining area. The home provides respite care to people living with dementia. At the time of this inspection there was one permanent service user remaining who has lived at the home for several years. The current range of fees could be obtained from the manager. There were additional charges for hairdressing, chiropody, newspapers, toiletries and outings. The home had a Statement of Purpose Care Homes for Older People Page 4 of 29 Over 65 0 20 Brief description of the care home and a Service User Guide which was displayed in the home and available to people and their relatives. Information about how to raise any issues of concern or make a complaint was also on display. 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: 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: 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. This was an unannounced key inspection carried out by Sue Turner, regulation inspector. Heather Hudson, an expert by experience, accompanied the inspector. An expert by experience visits the home with an inspector to help them get a picture of what it is like to live in the home. She spent time talking to people and making observations of daily life. Care Homes for Older People Page 6 of 29 This site visit took place between the hours of 8.10 am and 3.20 pm. The registered manager is Jane Myers who was present during the site visit. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. We received eight from people, three from staff and three from health professionals. Comments and feedback from these have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home and check the homes policies and procedures. Time was spent observing and interacting with staff and people. Five staff, two relatives and seven people staying in the home were spoken to. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection in November 2007. The progress made has been reported on under the relevant standard in this report. The inspector wishes to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. What the care home does well: What has improved since the last inspection? At the previous inspection fifteen requirements were issued. At this inspection all of the requirements had been actioned. The provider, manager and staff at the home should be commended for this. The managers were working extremely hard to make many improvements. It was Care Homes for Older People Page 8 of 29 evident that the staff team had responded positively to their style of management. Prior to people being offered a service, managers made sure that their care needs had been assessed and that they were confident that the home could meet peoples individual needs. People were being encouraged to visit the home prior to their first admission. Care plans contained useful and relevant information that helped staff ensure that peoples individual needs were met. There was a system in place to ensure that staffing levels were constantly monitored and changed, in line with the differing needs of people that stayed at the home on a short term basis. Staff had undertaken training that helped them carry out their role with more knowledge and confidence. 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. The home provided sufficient information to inform people about their rights and choices. People were encouraged to visit the home, look around and meet other people staying there. Evidence: The home had a Statement of Purpose (SOP) and Service User Guide (SUG). These were available for people staying in the home and anyone who may be considering staying at the home. Both contained useful information about the home. The SOP needed to be updated to reflect some recent changes at the home. The SUG had been reviewed and updated. It was in an easy to read format and had pictures which would assist people with dementia to understand the information more easily. Before people stayed in the home they were assessed by a social worker. A full needs assessment was completed that identified if peoples needs would be met at the home. Staff said that mostly they were given enough information about people prior to their Care Homes for Older People Page 11 of 29 Evidence: admission. The majority of people were introduced to the home via the day centre. Then many people chose to have a short stay and some were on rolling respite, having planned and regular stays at the home. Staff said that when people were admitted at short notice there was sometimes only basic information provided. The manager showed us a letter she had sent to social workers saying that people would benefit from a day visit prior to their first stay. If this was not possible then the home stipulated that a review of people must be carried out within 72 hours of the persons initial stay at the home. People surveyed were asked Did you receive enough information about the service so you could decide if it was the right place for you. Seven people said Yes and one said No because I had to be admitted very quickly. One relative said We came to look around as mother wasnt able to. Staff were very helpful and answered our queries. When mum came for the first time the team leader sat with us asking all about her. She then fed this back to all the other staff. We also met the health professionals that were attending to mum during her stay. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of health care professionals visited the home to support peoples care. Medication procedures protected peoples health and welfare. In the main the health and personal care needs of people were met in a way that maintained their privacy and dignity. Evidence: Each person that stayed in the home had an individualised plan of care. These were checked for three people. Care plans contained a wide range of information about peoples health, personal and social needs. The AQAA said, care plans had been updated with more information and risk assessments were continually reviewed and monitored by managers. Care plans seen were not written in a person centred way. They focused on the tasks necessary to care for the person. There was no information about what the person themself felt their needs were and how they would prefer these needs to be met. The manager said that they were looking at starting life story work with people, which would also include training staff in caring for people in a more person centred way. Care Homes for Older People Page 13 of 29 Evidence: Staff completed daily records at the end of each shift. Those seen were short brief comments, often repetitive. They didnt detail how people had spent their day, what diet they had, if they had joined any activity or had visitors. Staff said that they were concerned that one persons family had said that they mustnt smoke whilst staying at the home. Staff believed this was causing the person to be agitated and upset. However the persons care plan or daily record did not draw attention to this. The manager said that a best interest review would be arranged with the persons family to address this. We pointed out the need for the persons care plan and daily records to reflect how this was affecting them. Care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People said that dentists, GPs, opticians and chiropodists visited as requested. Individual risk assessments were completed. These were seen on peoples files when a risk to a persons moving and handling or health and safety had been identified. Risk assessments were reviewed and updated by senior staff. Relatives said Mum always looks well cared for and has her hair done. The staff always let me know if mums not well and tell me not to worry. Staff have asked me lots of things about my relative and then they record it in the records. People said Staff are always willing to help me with whatever I need. This is the next best place to being at home. Professionals said Bole Hill View provides a good standard of care, always trying to understand ans support the needs of people. They provide good quality care, genuinely caring for people. Clinical hygiene standards are very good. Medicines were securely stored in locked trolleys within locked cupboards. Medication Administration Records (MAR) checked were completed with staffs signatures. Staff said they had completed an in depth training programme before they were allowed to administer medications. Refresher training was provided each year. There was evidence that managers and senior staff were auditing medication procedures. People and their relatives said that staff treated them with respect and provided personal care and support in a way that maintained their privacy and dignity. Staff were observed showing empathy and patience when dealing with people. The Expert by Experience said, On the whole I felt people were looked after very well by the carers, although there were two points which I felt needed addressing. Firstly a person had cut their ear which was bleeding and this was dressed in the lounge in front of other people. Secondly a person was given eye drops whilst sat at the dining room table, with people still eating their lunch. I didnt think this was good practice and not very dignified for the people involved, especially when there was a medical room available. The managers agreed that this should not happen and said they would look into this for the Care Homes for Older People Page 14 of 29 Evidence: future. Care Homes for Older People Page 15 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were able to maintain contact with family and friends. A limited range of activities was on offer. Further activities and outings would promote choice and maintain peoples interest. Meals were of a good quality. Peoples independence was not promoted during mealtimes. Evidence: People said they were able to get up and go to bed when they chose. They were seen to walk freely around the home if able. Relatives said, Mum loves coming to stay. Its much bigger here than at home and due to her condition she spends her time walking around. When shes here its bigger for her to do that and the staff let her, it seems to make her happier. When I visit the staff make me feel welcome, theyre all double right. Staff encourage people to spend time in the lounges rather than their own rooms. I think this is good it helps them to meet others and get some company. We observed people being offered hospitality and made to feel comfortable whilst visiting their loved ones. A new activities worker had been employed. The manager said she was to introduce a new programme of activities. Staff said that one person was rostered each day to carry Care Homes for Older People Page 16 of 29 Evidence: out activities. On the day of the site visit people and staff were making Halloween decorations in preparation for the Halloween party. People and relatives said that their should be more activities and more opportunity for trips outside. The Expert by Experience said, The activities were not widely advertised around the home but the managers said that various trips are arranged. There was an activities co ordinator working three days a week but she shares her time with the day centre. We observed people during breakfast. People were asked their food and drink preferences and staff were very supportive. People were not given much independence during meals. Their meal was brought to them plated and drinks were poured from the kitchen. Sugar, milk and condiments werent on the tables, although when people asked for these staff brought them. The Expert by Experience joined people for lunch, she said, Staff were attentive to people in the dining room. One staff noticed a person struggling to swallow their food and asked if they would like it cutting up smaller. The carer obliged on two occasions until the person was able to eat their food. People were offered a choice of pork chop or cornish pasty, this was served with potatoes, peas, carrots and gravy. The potatoes were not freshly prepared, but from a vacuum pack due to the fact that they didnt have a potato rumbler. Pudding was apple pie or tinned fruit salad, served with either custard or ice cream. A drink of orange or cranberry juice was served again people were given a choice. The dining room looked very basic and I felt that perhaps with the pale green plastic table cloths a small vase of flowers on each table would make the dining room more homely. I conveyed this to the managers and they were happy to look into this. People said, The food is good. I have no complaints about the meals here. The meals are OK. Care Homes for Older People Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and safeguarding policies and procedures were in place. People and their relatives felt confident that any concerns they may have would be listened to. Staff were aware of their responsibilities in regard to complaints and safeguarding, so helping to ensure that people were protected. Evidence: People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall. This detailed who to speak to at the home or, if preferred, external to the home to make a complaint, should they wish to do so. Relatives said, I have never had any reason what so ever to complain. If I needed to speak to someone I would see the manager. I havent used the complaints procedure but I am aware of it. The home kept a record of complaints, which detailed any action taken and the outcome. Since the last inspection the home had received one complaint. This had been investigated but unfounded. However the home had taken action to prevent a recurrence of this issue. We had not received any complaints about the home. The AQAA said that staff had completed training in dealing with complaints and adult safeguarding. Staff confirmed this. Staff spoken to were aware of their role and responsibilities in dealing with any alleged safeguarding incidents. The home had Care Homes for Older People Page 18 of 29 Evidence: copies of and were working with the revised South Yorkshire protocols for adult safeguarding.People spoken to said they felt safe whilst staying in the home. Care Homes for Older People Page 19 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. The home was maintained to a good standard, was very clean and fresh smelling. Procedures for the control of infection were in place which promoted peoples health and welfare. Evidence: A rolling programme of redecoration and refurbishment was underway. Since the last inspection new furniture, carpets and decorating had been completed. In the main lounge there was a large screen television that people were enjoying watching. The manager said that she had identified the areas that were in need of further work and this would be completed as funds became available. All areas of the home were very clean and pleasant smelling. Relatives spoken to said the home was immaculate and spotless. Homely touches were provided in communal areas, however bedrooms were basic and in need of being made more comfortable. People said that they had all they needed in their rooms. Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Staff had undertaken training in infection control. Controls of infection procedures were in place, which promoted people’s health and welfare. Controls of infection procedures were in place. Staff were observed using protective Care Homes for Older People Page 20 of 29 Evidence: aprons and gloves. The homes laundry was sited away from food preparation areas. Staff had undertaken training in infection control. Care Homes for Older People Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff were provided to meet the needs of people. The recruitment information obtained for staff was sufficient to adequately protect the welfare of people. Staff had completed training that ensured they had the competences to meet peoples individual needs. Evidence: On the day of the site visit 13 people were in residence. There were four outreach workers, one team leader and the acting operations manager on duty. It was clear that there were sufficient staff on duty to meet the needs of people. Staff said that there were occasions when staffing levels were lower and agency staff were brought in to cover. The manager had undertaken a review of staff training and had identified the shortfalls. Mandatory training had been booked and further training in specialised topics for example dementia and falls prevention was being delivered by the Sheffield Partnerships for Older Peoples Projects (POPP’s) team. Staff interviewed said that when they started work they received induction training. Three staff files checked identified that the member of staff had received induction training when they commenced work. Staff were able to talk about the various training courses that they had attended, which included all of the mandatory training, for example, Moving and Handling, Food Care Homes for Older People Page 22 of 29 Evidence: Hygiene, First Aid and Fire. Staff said they had undertaken recent training in Conflict Resolution, which they had found very informative. 47 of the care staff had achieved NVQ Level 2 or above in Health and Social Care. A number of care staff had also commenced the training. This nearly met the required minimum of 50 of the staff team trained to NVQ Level 2 in Care. Three staff surveys were returned, when asked are you being given training, which is relevant to your role? Two said, yes and one said no. Staff said We have been provided with all the essential training. I have never done this work before and found the induction training very useful. The recruitment records of three staff members were checked. The staff had provided employment histories and the home had obtained two written references for each of them. These were satisfactory. Protection of Vulnerable Adults (POVA) checks had been made and Criminal Records Bureau (CRB) checks had been obtained for the staff members. 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. The managers leadership approach benefited people and staff. Quality assurance systems meant that the home was run in the best interests of everyone. Peoples monies were safely handled, which ensured that finances were accurate and safeguarded. In the main peoples health and safety had been promoted and protected. Evidence: The manager had many years experience of caring for older people. She was completing her Registered Managers Award (RMA) and undertaking a Social Care Management Qualification. Since the last inspection the manager, with the support of the staff team, had worked hard to action the requirements made and this was evidenced by the many developments made within the service. The manager was hard working, competent and carried out her role to a high standard. She was clearly committed to ensuring that people staying in the home were consistently well cared for, safe and happy. One professional said Care Homes for Older People Page 24 of 29 Evidence: The new manager appears to be striving hard to improve the service offered. One member of staff said that they had concerns about line managers keeping things confidential. The manager said she had been made aware of some issues around confidentiality and had met with the staff to reiterate the homes policy regarding confidentiality. She was continuing to address this through supervisions and said that if necessary disciplinary action would be taken. The home was visited each month by the person nominated to carry out Regulation 26 visits. He visited the home each month and spent time speaking to people, staff and relatives. A report about the quality of the service provided was completed. These reports were seen. They were thorough and informative. One relative said they were often asked their opinions of the home and the service provided. They said they received questionnaires from the manager which they completed and returned. Regular committee, staff and relative meetings were arranged. Minutes from these were seen. The minutes seen were very repetitive and there was no evidence that appropriate actions had been taken following peoples comments at these meetings. The home handles money on behalf of some people. This was checked for three people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. Formal staff supervision, to develop, inform and support staff took place at regular intervals and staff said that they found this useful and beneficial. Fire records evidenced that fire alarm checks took place each week. Staff said that they had received fire training and fire drills. A fire risk assessment had been completed. As the home cared for people with dementia the risk assessment should have highlighted what particular precautions were in place to keep people with dementia safe. Care Homes for Older People Page 25 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 26 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 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 Care plans and daily records must reflect any changes to peoples needs and any effect that the changes may have made to a person. To maintain peoples well being. 27/10/2008 2 10 12 More consideration must be 27/10/2008 given to peoples privacy and dignity. To maintain peoples privacy and dignity. 3 38 13 The fire risk assessment 27/10/2008 must highlight any particular precautions that need to be in place for people that have dementia. So that people are kept safe. 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 27 of 29 1 2 3 4 1 7 7 12 The Statement of Purpose should be updated so that it reflects the recent changes made in the home. Daily records should give more detail about how people have spent their day. Care plans should be written in a more person centred way. A planned programme of activities and outings should be arranged. People should be made aware of the activities programme. The dining room and tables should be furnished in a more homely way. Peoples independence should be maintained and promoted at mealtimes. The rolling programme of refurbishment and redecoration should continue. Bedrooms should be made more homely and appealing. 50 of the staff team should be qualified to NVQ Level 2 or equivalent in care. There should be evidence that following committee, staff and relative meetings actions have been taken in response to peoples comments and suggestions. 5 6 7 8 9 10 15 15 19 26 28 33 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!