Inspection on 22/09/08 for Broughton House

This inspection was carried out on 22nd September 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

Broughton House 18/10/07

Broughton House 10/05/06

Broughton House 19/02/06

Broughton House 27/09/05

Broughton House 01/03/05

Broughton House 09/11/04

Broughton House 12/02/04

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 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Broughton House Park Lane Salford Manchester M7 4JD     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: Elizabeth Holt     Date: 2 2 0 9 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 28 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 28 Information about the care home Name of care home: Address: Broughton House Park Lane Salford Manchester M7 4JD 01617402737 Telephone number: Fax number: Email address: Provider web address: matron@broughtonhouse.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Lisa Connolly Type of registration: Number of places registered: Broughton House, Home for Disabled Ex-Servicemen care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following categories of service only. Care home with Nursing - code N, to people 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. Physical disability - Code PD The maximum number of people who can be accommodated is: 50 Date of last inspection Brief description of the care home Broughton House is a large detached Victorian property, which is registered to provide nursing and personal care services for up to fifty ex service men and women. Accommodation is provided on two floors with eight shared and thirty-four single rooms. All shared rooms have en-suite facilities that include a walk in shower and a large proportion of single rooms also offer the same en-suite facilities. There are several lounge areas around the home including a smoking lounge and a non-smoking Care Homes for Older People Page 4 of 28 0 50 Over 65 50 0 Brief description of the care home lounge. A large dining room with bar facilities is situated on the ground floor, which also doubles as a social area. The home is suitable for wheelchair users and has a lift to assist residents to the first floor. There are a number of assisted bathrooms around the home. There is a physiotherapy room on the ground floor and the home employs its own physiotherapist three days a week. The weekly fees at Broughton House are currently 373.52 pounds per week. The additional cost for nursing placements is 103.80 pounds per week, which is covered by RNCC. Additional charges may also be made for hairdressing and other requirements. Broughton House is located in a residential area within ten minutes drive of Manchester and Salford. Care Homes for Older People Page 5 of 28 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 key unannounced inspection took place on Monday 22nd September, 2008 over a period of seven hours. The previous inspection was carried out on the 19th October 2007. The manager of the service was not told beforehand of the visit. All the key inspection standards were assessed at the site visit and information was taken from various sources which included observing care practices and talking with residents, visitors, the manager and other members of the staff team. We sent the manager an Annual Quality Assurance Assessment (AQAA) which is a form for her to complete and tell us what she thought they did well and what they need to improve on. As part of this inspection an expert by experience assisted the inspector for part of the visit. The phrase expert by experience is used to describe people whose knowledge about social care services comes directly from using social care services. This person Care Homes for Older People Page 6 of 28 talked to a number of residents about their quality of life at Broughton House. He completed a report after the inspection and some of his comments are included in this report. What the care home does well: What has improved since the last inspection? What they could do better: Improvements could be made to make sure the records show clearly the changing needs of residents accommodated. The records in relation to medication must be accurate and show that residents medicines are given properly. Improvements should be made to the recording of any activities carried out to show residents social needs are being met. Improvements should be made to the systems in place for staff supervision to make sure they are being adequately supervised. Care Homes for Older People Page 8 of 28 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 28 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 28 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 are given information about the home and prospective residents have their needs assessed before admission. Evidence: A Service User Guide and a Statement of Purpose is made available to prospective residents and or their representatives. This has been updated since the last inspection and contained the information required to inform people about the service provided. Improvements were seen following a requirement made at the last inspection for the pre admission assessments to be undertaken and for the outcomes of these to be clearly recorded to ensure the service can clearly meet the needs of prospective residents. Three residents pre admission assessments were looked at and showed a detailed assessment of the residents needs. Copies of care management assessments were available and the home had used this information as part of their admission process. Care Homes for Older People Page 11 of 28 Evidence: The manager confirmed that she usually saw prospective residents at the home but if they were not able to visit Broughton House she went to visit them at their location. The relative of a resident who was recently admitted to the home confirmed that he had received a booklet giving him information about the service. One of the assessments showed a record that the prospective resident had expressed concerns about moving into a care home, before admission he had visited the home and discussed concerns with his family and staff. This is good practice. It was not clear that some detail in one of the pre admission assessments had been followed up, for example one part of the assessment showed that a resident needed an audiology referral. It was not clear from looking at the documentation that this appointment had been addressed, however a discussion with the manager highlighted it had. The Annual Quality Assurance Assessment (AQAA) stated that since the last inspection they have developed a detailed pre admission assessment , using information from the resident, their families, representatives and information gathered from other agencies. One resident said, that I have been made to feel so welcome here that I think I will stay, people could not have been any kinder to me. Broughton House does not provide an intermediate care service. Care Homes for Older People Page 12 of 28 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. The systems and practices for monitoring the healthcare needs of the residents provide staff with the information they need to meet the needs of the residents. Evidence: Three residents were case tracked and the care plans were reviewed. The residents to whom the care plans belonged to were spoken to where possible. There was evidence of signatures to show the plans of care, where possible had been discussed with the resident and or their relative. One relative spoken to was aware of his relatives care needs and had given information to the staff about his relatives career and family life. The care plans looked at gave detailed, personal information to enable the staff to monitor the progress of the health, personal and social care needs of the residents and their condition. A requirement was made at the last inspection for an audit of the care plans to be carried out to make sure these accurately detail the actions required by staff to make sure all aspects of the health, personal and social care needs of the residents are met. It was clear the care plans and risk assessments had been reviewed, updated and revised to give a clear picture of the residents health and social Care Homes for Older People Page 13 of 28 Evidence: care needs. A daily report was filled in for each care plan, which were clearly recorded. For one of the residents the care plan had not been fully updated to show how their continence was being currently managed. The last evaluation had stated about the management of this residents catheter however a visit to the resident and a discussion with the manager showed this resident did not have a catheter in place any longer. The care plans should be updated to show the changing needs of the residents. A discussion with the manager showed that she was fully aware of this change in the residents need and she hoped with the recent introduction of the named nurse that the care plans would be evaluated more regualrly. Observations and comments made during the inspection showed that the personal care needs of the residents were being met. Comments made to the expert by experience were generally positive about the care provided and the caring nature of the staff. One resident said that all the staff were great, you can have a laugh too and they listen to what I need. One concern was raised during the visit by a resident who complained to the expert by experience that there was too much soap on his facecloth this morning and the soap went up his nose. This information was given to the manager who advised that she was going to act upon this and speak to the staff member and the resident involved. Care staff said they felt there was generally enough time to provide the care in a way that met the needs and wishes of the residents. One of the care workers said the mornings were generally busy but you do have to rush and then in the afternoon you can have some time to spend with the residents doing other things. It was observed that one of the care workers was very patient and listened carefully to one of the residents who wanted some support to have his position changed and a glass of water. Staff were observed to be respectful to the residents in the way they spoke to them and supported them. A number of the staff clearly knew the residents well and were seen to be having a good rapport with them. The wound care records for a resident showed details of the size, depth and type of wound and included records of evaluatuions and updates to show changes in the wound. The wound management care plan specified the type of pressure relieving mattress in place however a discussion highlighted the need to ensure the mattress setting was set correctly in line with the residents weight to assist in the promotion of the wound healing. Risk assessments concerning all areas of risk to each resident including the risk of falls, pressure sores and nutritional risks had been completed. Improvements were seen in the moving and handling and bed rails risk assessments. A visit to one of the residents who was assessed as needing bed rails showed he looked comfortable and these were protected with bumpers to minimise the risk of any injury to the resident in line with the health and safety guidance. One of the risk assessments looked at needed more detailed information, for example in relation to the use of a particular chair, a kirton chair, the assessment needs to show the reason for the chair and any associated risks rather than to relieve pressure and for support only. This would make Care Homes for Older People Page 14 of 28 Evidence: sure the risk assessment was specific for the individual. The care plans provided evidence that other health care professionals and services were provided to residents. There was evidence of input from tissue viability nurse, dieticians, general practitioners and opticians which showed the staff use the knowledge and experience of other professionals to meet the needs of the residents. A sample of medication records were looked at for six residents which showed the medicines were recieved into the home and records of medicines that were unwanted were kept. On the whole the medication administration records were filled out appropriately and these matched the medications dispensed. The reasons and the use of codes for one resident who was not given prescribed doses of medicine were not recorded and changes to the dose of medication had not been re written as we would expect. This has the potential of the resident not receiving their medication in a safe manner. A discussion with the manager showed that she was carrying out random checks of the medication, however agreed that in future regular monthly audits of the medication systems and practiceswould be carried out. Care Homes for Older People Page 15 of 28 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. Residents find the lifestyle experienced in the home matches their expectations and preferences and are given support to maintain contact with family and friends and to pursue leisure and social activities. Residents dietary and cultural expectations are met. Evidence: The home employ a full time activities coordinator who has links with the local community and further afield. A wide ranging programme of activities and social events were advertised on notice boards throughout the home and the activities organiser tells people individually about planned activities. Activities included dominoes, bingo, videos or DVDs, movement to music, baking and other one to one activities such as shopping, trips to the hairdressers, the local pub and sitting chatting. A small group of volunteers assist the residents where support is needed. The home has two minibuses which enables residents to attend events outside of the home. During the site visit a group of residents watched a western movie on the large screen television and the residents who expressed a view said they enjoyed this very much. Residents spoken to during the visit said how they had enjoyed other one off events including a Mardi Gras party which included a steel band and a marquee. A variety of Care Homes for Older People Page 16 of 28 Evidence: singers, entertainers and guest speakers have also been popular. The home has a fully licensed bar that is open four evenings each week and runs as a shop each week day morning. Twelve residents went on a hoilday to Southport in the summer and two of the residents spoken to said what a great time they had and how they had enjoyed the change. The staff are flexible in the times of the programme of activities provided so residents who choose to go to bed early can participate. The home has an open visiting policy that allows the relatives and friends of the residents to visit at anytime during the day. During the inspection visit there were visitors present and those spoken to were pleased with how welcoming they were made to feel. Residents were seen to receive visitors in the privacy of their bedroom or in one of the communal areas. Some residents chose to spend the day in their own room whislt others enjoyed sitting in the lounges, the smoking or non smoking areas. The care plans have a section to record the residents profile and their social care needs. Some of these were detailed and included the residents individual likes and dislikes. One resident said he liked to stay up late to watch the television and the staff were kind and supported him to do this. The expert by experience made some observations. He noted that there was a well stocked library although not many of the residents read the books. Two residents who had recently come to the home read a little and enjoyed magazines they were interested in. The expert by experience said that all the residents he spoke to were satisfied with the conditions of the home and there was high praise for the food provided. He had a meal with two of the residents and he said all three of them enjoyed it very much, it was well cooked and served and there was ample on the plates. these residents confirmed that each morning they were offered a cooked breakfast of egg, bacon, tomatoes as well as cereal, porridge, toast, tea or coffee. The main breakfast was served at 8.30am, however discussions with residents and staff showed that toast and cereal could be served earlier and cooked breakfasts later if the resident chooses. Residents who needed support during mealtimes were supported in a dignified way. One relative wrote in the survey that they felt the home provided outings and entertainment to help mental stimulation, the carers and staff are very sociable and are very helpful when needed. The menus are very good . The residents and their rooms are kept very clean and tidy. Some residents received communion as they wished and visits to the home were made by a local vicar and priest. Care Homes for Older People Page 17 of 28 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. Residents and relatives can be confident that their complaints or concerns will be taken seriously. Staff would be confident to refer on allegations of abuse to protect residents. Evidence: A complaints procedure is available in the service user guide and a copy is provided in all bedrooms. The eight people who responded to the service user and relatives surveys said they knew how to make a complaint. Since the last inspection we have received no complaints or concerns in relation to Broughton House. Five complaints or concerns made directly to the home had been appropriately investigated during the last twelve months. One resident spoken to said she always knew she could speak to the manager if she had any worries, however they were generally little things that I can sort out with the staff myself. Since the last inspection a large number of staff have attended training in Safeguarding Adults. When questioned the staff were clear of the course of action they would take in the event of an allegation of abuse. One care worker said she had found the training interesting and had learnt about the different types of abuse from this. A copy of Salfords Safeguarding policy and a whistle blowing policy was available for the staff to read. A number of cards and letters were on display from relatives of people who had lived at Broughton House thanking the staff for the care and support the staff had provided. Care Homes for Older People Page 18 of 28 Care Homes for Older People Page 19 of 28 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 residents live in a safe, well maintained home that was clean and comfortable. Evidence: The interior of the home was bright, airy and spacious with corridors and bedrooms designed to accommodate wheelchair users. All the corridors have hand rails, a passenger lift provides access to the first floor and ramps are provided. Residents were seen to be mobile around the home. The outside of the home provides large mature garden areas, well maintained grounds, a patio area and enclosed courtyard which are all wheelchair accessible. A partial tour of the home was carried out. The home was clean and tidy and bedrooms seen were personalised with photographs and ornaments. Bedrooms have en suite facilities and two residents who could express a view said they liked having a shower as part of their bedroom because it felt private. There is a Medal Museum which contained fascinating memorabilia from the two World Wars. There is an ongoing maintenance and decoration programme and the bedrooms seen and the communal areas were pleasantly decorated. Of the eight relatives who returned surveys four of them expressed comments in relation to the cleanliness of the home , one said, all the staff are very sociable and the residents and their rooms are kept very clean and tidy. Care Homes for Older People Page 20 of 28 Care Homes for Older People Page 21 of 28 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. The skill mix and deployment of staff made sure the health and safety needs of the residents are being met in full. Evidence: On the day of the visit there were forty three residents accommodated in the home. There were three qualified members of nursing staff on duty and seven care workers. The staff on duty appeared sufficient to meet the needs of the residents. A review of the duty rotas showed this was typical of the staffing levels. The home employed a number of domestic, catering, administrative, laundry and maintenance staff to make sure the home runs in the best interests of the residents. Since the last inspection the home had appointed a deputy manager to assist in the leadership of the care team. The expert by experience sat in the lounges and reported that the staff were very cheerful as they went about their daily work and they were very caring in their manner with the residents. A sample of staff records were looked at. The files contained a copy of the persons application form, disclosure checks, two written references and a utility bill confirming proof of identification. For one staff application a recommendation was made that a record to show that gaps in employment on the application form were discussed at interview. The manager stated she was aware the time out was whist the applicant Care Homes for Older People Page 22 of 28 Evidence: was raising a family however there was no record of this on file. A training matrix was available of the training provided to staff in the home and the records showed that most staff had received training in fire safety and safeguarding vulnerable adults. One of the nurses had completed the train the trainers course in moving and handling and had started to update the staff. Some staff had received mental capacity act training, palliative care training, diabetes, dementia care and first aid training. Staff spoken to said they enjoyed the training and found this very useful and interesting. The self assessment survey showed that 72 percent of permanent care staff currently working at the home had a National Vocational Qualification level 2 in care. Although it is clear the home have a commitment to training, all staff should receive an update in moving and handling to make sure they have the skills and knowledge to meet the needs of the residents. Six staff members returned surveys and all said they felt they have the right support, experience and knowledge to meet the different needs of people who use services. One staff member commented that she felt the home do not have to wait for equipment like electronic beds, pressure relief mattresses or cushions. The staff member went on to say that the staff have been here for a very long time and I feel this is good for the residents. Care Homes for Older People Page 23 of 28 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. Improvements have been made in management practices to promote and safeguard the health, safety and welfare of the people accommodated. Evidence: Since the last inspection the registered manager has returned to manage the home on a day to day basis. The manager was pleased to be back and staff spoken to were very positive about the improvements in the home. The manager clearly knew the residents well and relatives spoken to said they felt she was approachable and they felt confident she would address any concerns. Improvements have been made during the last twelve months in the areas of care planning, staff training, updates of policies and procedures, the management of residents finances and in staff morale. The manager said a quality assurance questionnaire was available and these have been sent out twice since the last inspection. The system in place currently allows for visitors to the home to complete a questionnaire. The AQAA states that the home plan to improve the quality audit Care Homes for Older People Page 24 of 28 Evidence: process during the next twelve months. There was evidence of equipment in the home being checked by professionals, for example fire safety equipment, hoist and gas safety checks. Policies and procedures have been updated in relation to Health and Safety and fire safety. Procedures had been developed and improved for the management of residents monies since the last inspection. A sample of these were looked at and were found to be accurate. Observations of equipment in place showed there was enough to enable the staff to carry out their jobs safely. An environmental health inspection was carried out earlier this year and the report suggested the purchase of a blast chiller for the kitchen. The catering staff confirmed this had been ordered. Care Homes for Older People Page 25 of 28 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 28 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 3 The manager should ensure that information in the pre admission assessments is followed up and records are clear that action has been taken to meet the needs of the residents. The care plans should be reviewed to show the changing needs of the residents to show how their individual needs can be met. A system should be in place for the staff to monitor and record the pressure relieving mattresses in place, to make sure they are set at the correct settings to minimise the risk to residents. A record is made on the staff members file that any gaps in a persons career history are explored at interview to make sure recruitment practices are safe. 2 7 3 8 4 29 Care Homes for Older People Page 27 of 28 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 28 of 28 - 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!