Inspection on 28/10/08 for Broadway Care Home

This inspection was carried out on 28th October 2008.

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

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

Other inspections for this house

Broadway Care Home 13/10/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Broadway Care Home 26 Broadway Blackpool Lancashire FY4 2HE     The quality rating for this care home is:   three star excellent 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: Christopher Bond     Date: 2 8 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: Broadway Care Home 26 Broadway Blackpool Lancashire FY4 2HE 01253401809 01253401809 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Julie Alison Eden Type of registration: Number of places registered: Priory Court Developments Limited care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home with nursing - Code N 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 Dementia - Code DE (maximum number of places 14) The maximum number of service users who can be accommodated is: 30 Date of last inspection Brief description of the care home This is a care home that offers nursing care. It is registered to care for 30 people of both genders, 14 of whom have dementia.The service is situated in the south of Blackpool in a residential area of the town. There are bus services that leave from close by and there are shops and other services, such as libraries and doctors surgeries, in the local area. The building itself is in keeping with the domestic properties in the area and has many of the original features. There is a small car park Care Homes for Older People Page 4 of 29 14 0 Over 65 0 16 Brief description of the care home to the rear of the building and ample car parking on the roads close to the service. A large, lanscaped garden is at the back of the home. This is walled and offers security and privacy. A summer house has been added and people who use the service are encouraged to use this in good weather. The rear lounge looks out onto the garden. Communal areas are quite large and the home is decorated in a traditional style. There are two lounge areas. One lounge is looked on as a quiet lounge where people can chat and read. The bedrooms at this service are fairly large and there are some shared bedrooms. The people who use the service are able to personalise their bedrooms and can bring furniture with them if they wish to do so. The house has three floors, two that are used by residents. A lift is available. The service provides a Service User Guide which explains the facilities and staffing at the home. This also contains information about making complaints. This is included as part of the welcome pack for new residents. 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: three star excellent 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: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. As part of the inspection process an unannounced site visit took place over a total of 5 hours on the 28th October 2008. The residents personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures were also examined. We spoke at length to the assistant manager of the service during the inspection, as the manager of the service was not on duty at that time. Four residents were also spoken to as part of the inspection process. We also spoke to two relatives of a people Care Homes for Older People Page 6 of 29 who used the service. We sent out surveys to some of the people who used the service to gain their views, four of these were returned to us and the results of this process have been included in this report. We also sent out surveys to the care staff of this home to tell us about their experiences of working within this service. Eleven of the care staff returned surveys to the commission and we used this information within the report. Every year the registered person is asked to provide us with written information about the quality of the service they provide: this is called the Annual Quality Assurance Assessment (AQAA). They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is Included in this report. The fees for this home are from 320.51 GBP to 579.00 GBP with added charges for hairdressing and chiropody. What the care home does well: What has improved since the last inspection? What they could do better: The manager of the home should consider introducing training for the care staff in dementia awareness to ensure that the care that is offered to people who have this condition is in line with current good practice. Care Homes for Older People Page 8 of 29 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. Prospective residents and their families can look round the home and make a decision about whether it is right for them. Good assessment helps to make sure that the residents needs are addressed properly when they move in. Evidence: We looked at the documents that the home used to ensure that everyone who wished to use this service had correct and accurate information about the purpose of the home. There was a Service User Guide and a Statement of Purpose available for people to read and make a decision about whether or not this home was suitable for their particular needs. These documents explained the services and level of care that are available and how the home catered for individual health and social needs. We sent out surveys to people who used this service to ask them about their views on this home. All of the people who returned this survey to us commented that they received enough information about the home before they moved in, so that they could make a Care Homes for Older People Page 11 of 29 Evidence: decision as to the suitability of the service offered. There were also assessments on file that had been completed before people came to live at the home. These helped to make sure that the service had the skills and ability to care for the people that were admitted. All of the residents had a needs assessment completed before moving in. This home does not offer intermediate care and therefor this standard has not been assessed. We also spoke to two relatives who were visiting the home whilst we were there. They told us that they were able to look round the home and talk to the manager before they made a decision as to whether the home was suitable. Two of the current residents also told us that they looked round the home to assess the service before they moved in. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated with dignity and respect in this home. Health, personal and social care needs are taken seriously. Evidence: The care plans held information to show that the health needs of the people who use the service were being attended to properly. There were entries to show that the district nurse had been involved in the care of the residents and that other health agencies had been involved in providing health care. There were regular visits from doctors and district nurses, these were recorded and advice and instructions were acted upon by the care staff. There was evidence of reviews taking place regarding each care plan and this helped to ensure that the information that was held on each care plan was current and that people were receiving continuous care. There were records to show when those resident who were on prescribed mediation were given this at the correct times. There were no unexplained gaps and medication was stored and administered correctly. We looked at the medication information for Care Homes for Older People Page 13 of 29 Evidence: most of the people who use the service and found this to be good, with plenty of information available for the carers who were responsible for giving out the medication. There had also been training in medication awareness for care staff. There were policies and procedures for the trained staff to follow regarding the administration of medication. The Commission for Social Care Inspection Pharmacist had recently undertaken a random inspection on the service and the medication policies and procedures within this home. There were some issues that were highlighted and the manager of the home was in the process of addressing these. We spoke to several people who were using this service. Everyone that we spoke to said that they were pleased with the level of care that was offered and the way the carers delivered the care. There were some nice comments about the care staff: one resident told us, They are very kind and attentive, Im really glad that I chose this home. We observed the carers and the way that they spoke to people and assisted them. We saw that they were reassuring and respectful and that people were treated with dignity. We also sent out surveys to people who used the service for them to tell us about their views of this home. We received four surveys back, and all said that they always received the care and support they needed and that there were always or usually staff available when they were needed. All of the people that we saw who used this service were dressed nicely and looked well cared for. A hairdresser visited the home on a weekly basis. There were people who lived at this home who had dementia. There had been no recent training for the care staff regarding the care of people who had dementia. The assistant manager agreed that it would be advisable to introduce this training on a regular basis in order that the care staff have a good, sound knowledge base on which to base their care practice, based on current positive developments and good practice within this field of care. We found that no one who lived at this home had pressure sores and that there was equipment available within the service to help prevent these. There were pressure pads on the chairs in the lounge area, and special mattresses were available for the people who use the service to help with tissue viability. The care plan contained a recognised tool to assess the tissue viability of each resident. This is important because areas of concern are detected early, before tissue breaks down, and pressure sores can be prevented by an increased level of care. There were also risk assessments available within the care pans to help ensure that Care Homes for Older People Page 14 of 29 Evidence: people remained safe and that hazards were identified within the home. The care staff had received training in the safe moving of people who use the service about the home and there was equipment available to assist the care staff. This helps to ensure that people are assisted to move safely and professionally. The care staff that we spoke to confirmed that they had undertaken this training and that they were comfortable when undertaking this task. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Regular, interesting and appropriate activities are available for all of the people who use this service. Mealtimes are important and a high standard of catering has been achieved, with people looking forward to their meals. Evidence: We looked at the activities that people who used the service enjoyed in their relaxation time. There was an activities coordinator that helped to organise events and encourage people to become involved in physically and mentally stimulating pass-times. There were plenty of social events, music and singing sessions and individual pass-times, such as arts and crafts. We noticed that there were posters up around the home to advertise forthcoming home events such as Halloween and firework night. The activities coordinator showed us photographs of events that had occurred and how the staff team had become involved in these, and encouraging the people who used the service to participate at a level of their choosing. Activities such as reminiscence sessions were available, which are important for those with dementia. There were activities that involved physical movement to encourage those who used the service to partake in a level of physical activity. We also sent out surveys to people who used the service for them to tell us about their views of this home. We received four surveys Care Homes for Older People Page 16 of 29 Evidence: back and all said that there were always activities arranged by the home that residents could take part in. We spoke to the kitchen staff who told us about how they prepare buffets and cakes for special events such as birthdays and Christmas. They explained that importance was placed on the daily mealtimes at the home, ensuring that dietary needs were met and that people enjoyed a healthy and diverse diet. The residents were enjoying lunch whilst we were there and the food looked appetising and nutritious, and was served in pleasant surroundings. The tables were nicely set, with tablecloths and flowers available. We were told how information is passed to the kitchen staff about specific dietary needs for conditions such as diabetes and how the food is prepared for people who have this condition. Choice was a theme of the main menu. The people who used the service were encouraged to choose a meal that they liked, for example the main course for the day was Pork in a white wine sauce. One gentleman had chosen to have bacon and eggs instead. All of the residents that we spoke to on the day of the inspection told us that they usually liked the food that was served by the home. One person commented, Its like being in a restaurant, the food is excellent. We received four surveys back that told us that the respondent always or usually liked the meals at the home. Another person told us, I really enjoy the meals, theres obviously things that I dont like but its no trouble for them to arrange an alternative. The assistant manager showed us the minutes of client meetings that took place on a monthly basis at the home. These showed that the people who used the service were able to voice their opinions about the service, and were involved in the decision making process about how the home was being run. 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. The processes when voicing concerns about this home are clear and easy to follow, meaning that people feel listened to. People are safer because safeguarding issues are promoted and taken seriously. Evidence: All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. We sent out surveys to the care staff who work within this service and all of the care staff who completed a survey said that they knew what to do if someone had concerns about the home. The complaints procedure was displayed in the home and was part of the Service User Guide: this was clear and unambiguous. Everyone was given a copy of this when they first arrived at the home; timescales were given for the handling of complaints and the manager confirmed that all complaints and concerns were handled properly and seriously. The manager was aware of the homes role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the people who use the service. We looked at the information that was available in the home that helped to safeguard people from harm. There were policies and procedures to guide the manager and staff in safeguarding issues and a copy of the local authorities code of practice. The assistant manager was aware of what action to take should a safeguarding issue arise Care Homes for Older People Page 18 of 29 Evidence: within the service. The care staff had also been trained in protecting vulnerable adults and the staff that we spoke to were aware of safeguarding issues and how to report things that they were unsure or uncomfortable about. Most of the care staff had also received this training via a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service live in a clean, pleasant and well-maintained environment. This was a service that was homely. Evidence: This was a very pleasant home that was decorated well and in keeping with the style of the people who lived there. There were two large lounges where the residents were seen listening to music and chatting. Both rooms were very bright , with plenty of natural light. The lounge at the back of the building looked out on to a garden area, with trees and a summer house. Most of the bedrooms were single, however there were some shared bedrooms. The assistant manager told us that agreement is always sought when a shared room is offered. There were screens within the double rooms to help ensure that privacy and dignity is maintained when personal care is offered. All of the bedrooms were personalised and there were plenty of possessions around such as photographs, pictures, books, ornaments and furniture. One of the residents had furnished her room with items from her previous home. She told us that this made her feel more at home. She told us, I love my room. I try to make it just like my old home. There were some nice comments made from both people who used the service and their visitors about Care Homes for Older People Page 20 of 29 Evidence: the style and quality of the environment. One visitor said, We were worried about whether she would settle in, but the place is really lovely and she loves it. The home was clean and fresh smelling throughout and there were domestic staff working in the home whilst we were there. Two of the people that we spoke to during our visit said that the home was kept clean and was a pleasant place to live. All of the people who returned our surveys said that the home was always fresh and clean. 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. Good recruitment procedures at this home help to protect the people who use the service from unsuitable staff. Training for the staff was good, which helps to ensure that the care staff have the skills to do their jobs properly. Evidence: Each of the care staff had an individual training file that helped to set out their training needs and documented the courses, training and qualifications that they had undertaken and achieved. We looked at several of these during our visit. It was confirmed that the service takes the training of its staff seriously; several courses and training events had taken place since the last key inspection. These included training in care practice and mandatory safety training. Over 70 of the carers held a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). A well -trained staff team helps to ensure that they have the knowledge, skills and ability to provide a better standard of care. Eleven of the care staff returned surveys to us to tell us about their work within this home. All of the surveys confirmed that care staff were given regular training that was relevant to their role and that a good standard of induction was offered when starting their employment. Staff files were well laid out and information was easy to find. Each file held a photograph and the correct information on each person. This helped to ensure that the Care Homes for Older People Page 22 of 29 Evidence: people who used this service remained safe and secure. Evidence was available that Criminal Records Bureau disclosures had been obtained, and checks had been requested from the Protection of Vulnerable Adult Scheme prior to employment. All of the care staff who returned surveys to us confirmed that checks were made prior to employment and references were requested to help ensure that they were suitable for their role. There were enough trained staff and care staff on duty to help ensure that the assessed needs of the residents were addressed properly. Those residents who returned surveys to the commission told us that there were always or usually staff available when they were needed. Two residents were able to tell us that they were pleased with the amount of care staff that were available and that they felt well cared for. Staff surveys told us that there were always or usually enough carers on duty to meet the individual needs of all the people who use the service. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being run in the best interests of the residents and their welfare is promoted and protected. Good quality control systems help ensure the service runs well. The manager is well respected and runs the service well. Evidence: The manager of the home wasnt on duty during our visit; the assistant manager was available to help us with our inspection. Both the manager and assistant manager were trained nurses and had managerial qualifications to help them to complete their managerial tasks successfully. It was clear that the home was being managed successfully and that the residents and care staff had confidence in the staff team. One of the residents commented, I think the home is run extremely well. The staff stick around and its good to see the same faces. We become friends. Regular audit checks were carried out to maintain standards within this service. The management team had checklists to maintain quality and safety and yearly surveys Care Homes for Older People Page 24 of 29 Evidence: were sent out to residents, and their friends and relatives, to seek their views on the service and to make changes where necessary. We saw the results of the last survey and peoples views and comments about this service were acknowledged and taken seriously. The care staff received regular training in areas of safety around the home: this included fire safety, food hygiene, first aid, infection control, and moving and handling training. There was equipment available to help ensure that the residents of the home were helped to move around the home safely and comfortably. The staff had received training in using this. There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the people who use the service was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the people who use the service. Risk assessments had been completed for areas where the residents might need extra protection. Fire safety was taken seriously and there were regular training sessions for the care staff. The care staff told us that individual supervision had taken place and there were records available to show this. Supervision is important because it provides support for the care staff to review their performance and training needs. All of the surveys that were returned to us said that regular support was available The assistant manager told us that there were regular staff meetings for both day and night care staff and there were minutes available to confirm this. There were also minutes held for residents meetings where people were encouraged to talk about the service that they received and what changes could be made to improve their lives. The owner of the home visited the service regularly. Resident and their visitors told us that the owner asked them about the service and how it was meeting their individual needs. Some of the people who use the service had small amounts of personal money that was held by the home. This was monitored by the manager and checked on a regular basis. As part of the inspection process the owner provided the commission with an Annual Care Homes for Older People Page 25 of 29 Evidence: Quality Assurance Assessment that told us about the home and how it was progressing. This was completed well and outlined in detail how the service was improving outcomes for the people who use the service and meeting their specific needs. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 9 13 Medicines must be stored securely to make sure they are not mishandled or misused 14/11/2008 2 9 13 Controlled drugs must be 14/11/2008 handled according to the law to make sure they are not mishandled or misused 3 9 13 Records of medicines received into the home, administered to people and disposed of must be clear accurate and complete to make sure all medicines can be fully accounted for 14/11/2008 Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 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 8 The care staff should have training in dementia care and awareness, to maximise their knowledge and skills in this area. The service is registered as a home that specialises in the care of people who have dementia and training and instructuction in current good care practice should be available. 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. 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