Inspection on 21/01/09 for Cale Green Private Nursing Home

This inspection was carried out on 21st January 2009.

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

Cale Green Private Nursing Home 10/03/08

Cale Green Private Nursing Home 03/10/07

Cale Green Private Nursing Home 30/01/07

Cale Green Private Nursing Home 01/08/06

Cale Green Private Nursing Home 21/11/05

Cale Green Private Nursing Home 18/05/05

Cale Green Private Nursing Home 24/01/05

Cale Green Private Nursing Home 22/06/04

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 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cale Green Private Nursing Home Adswood Lane West Stockport Cheshire SK3 8HZ     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: Fiona Bryan     Date: 2 1 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Cale Green Private Nursing Home Adswood Lane West Stockport Cheshire SK3 8HZ 01614771980 01614800989 calegreen@smallwoodcarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ellen Moorhouse Type of registration: Number of places registered: Smallwood Homes Ltd 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: No service user may be received in the establihment who is less than 30 years old, male/female. Date of last inspection Brief description of the care home Cale Green nursing home is a care home that provides 24 hour nursing care and accommodation to 50 adult service users. Many of the service users accommodated at the home have high physical dependency needs. The home is privately owned by Smallwood Homes Ltd. Cale Green nursing home is situated in Cale Green on Adswood Lane West, about one and a half miles from the centre of Stockport. Local bus services are available. A small driveway leads to a car park and the main entrance to the home. The home is a two storey, purpose built building which has been extended to provide 43 single bedrooms and three shared rooms. Eleven rooms have en-suite toilet facilities. Assisted bathing facilities are available on both floors. There are lounges on Care Homes for Older People Page 4 of 28 Over 65 50 50 0 10 Brief description of the care home both floors. The ground floor also has a separate dining area. Adaptations and aids are provided, including a passenger lift and hoists. The current weekly fees range from 350 to 535 pounds dependent on the package of care required. Further details regarding fees are available from the manager. Additional charges are also be made for hairdressing and other personal requirements. 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, which included a visit to the home, took place on Wednesday 21st January 2009. The staff at the home did not know that this visit was going to take place. All the key standards were assessed at the site visit and information was taken from various sources, which included observing care practices and talking with residents, the manager and other members of the staff team. Key standards refers to those standards we feel are particularly important in ensuring the health, safety, welfare and quality of life of people living at the home. The care and services provided to three residents were looked at in detail, looking at Care Homes for Older People Page 6 of 28 their experience of the home from their admission to the present day. A selection of staff and care records was examined, including medication records, training records and staff duty rotas. Before the inspection, we asked for surveys to be sent out to residents and staff asking what they thought about care at the home. Seven residents and two staff returned their surveys. We also sent surveys to some GPs that visit the home to see patients there. Two GPs returned them. Comments from all these questionnaires are included in the report. We also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we see the service. The manager completed the form quite well and we discussed ways in which she could give us further evidence of improvements to the service the next time we request an AQAA. What the care home does well: What has improved since the last inspection? Since the last inspection a new manager has been appointed who is in the process of registering with us. Staff said the new manager was very supportive and felt she was making changes that were improving the service they offered. People living at the home felt confident in the new manager and found her approachable. A new care planning and assessment system had been implemented, which ensures staff have much clearer and more detailed information about the care they need to provide and how they must monitor peoples progress. A better system was in place to ensure that communication between staff on different shifts was effective. This means that peoples health care issues were being followed up more pro actively and staff were ensuring people received prompt medical attention when required. Care Homes for Older People Page 8 of 28 The above changes have been made largely in response to the findings of several safe guarding investigations that have been concluded since the last inspection. At the time of these investigations it was found that there had been failures in some instances in monitoring peoples health properly and this had been made worse by poor record keeping and inadequate communication between staff. It is to the managers and staffs credit that they have worked hard to make changes to try to ensure that shortfalls in care do not occur again. Observation of the morning routine showed that whilst the workload remained high for staff, better organisation and prioritising of work was ensuring that people got attention in a more timely way, although it was recognised that they did still sometimes have to wait for staff to be available. 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 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. People moving into the home received enough information to help them make a decision and staff received enough information to understand the persons care needs. Evidence: We looked in detail at the care provided to three people living at the home. Preadmission assessments had been carried out for all of them and the information used to create informative care plans. Since the last inspection a new assessment and care planning system has been introduced, which allowed staff to record much more information about peoples needs. Staff felt that the new system helped them be better prepared and have a good understanding of the needs of someone new to the home. We spoke to one person that had been admitted to the home as an emergency. This Care Homes for Older People Page 11 of 28 Evidence: person had not been well enough, when admitted to have much involvement in planning their care, but they said when they were feeling better staff had given them more information about the home and had checked to make sure that all their care needs were being met in the way they wanted. Another person told us a family member had been to look round the home on their behalf before they were admitted. This person was satisfied with the information she had been given about the home and felt she was settling in well. of 7 people living at the home that returned surveys, 6 said they had received enough information about the home before they made a decision to move in. 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. Peoples health and personal care needs were being met by staff that respected their privacy and dignity. Evidence: In the AQAA the manager told us that since the last inspection a new care planning system had been implemented, which she felt allowed staff to plan care that was more suited to each individual and made it clearer for all staff how the care they were providing should be monitored and reviewed. We looked at the care provided to three people in detail. All three had care plans that specified the individual abilities and care needs for that person. Peoples preferred daily routines had been included, with very good detail, for example about peoples preferred bedtime routines, including what time they liked to go to bed, if they preferred a lamp on in their room, how many pillows they wanted and what type of supper drink they liked. Care Homes for Older People Page 13 of 28 Evidence: Risk assessments had been carried out in relation to peoples skin (risk of pressure ulcers), nutrition, risk of falling and moving and handling. Other risk assessments had also been undertaken in relation to specific issues concerning each person, for example regarding medication they were taking and potential side effects that staff needed to be aware of. At the last inspection we had concerns that poor communication systems between staff meant that peoples health care needs were not being followed up as promptly as they should have been. New communication and recording systems have now been put in place and we could see that samples such as blood, for testing, had been obtained at the correct times and staff had been proactive in checking that results were obtained and acted on. The home does accommodate a lot of people who have a high degree of dependency and a number of people stayed in bed until quite late in the morning. During previous inspections we have had concerns about this , as we could not always be certain that staff were checking on them regularly and they were being given drinks etc. However, at this inspection the morning routine appeared more organised and we could see from the records kept in peoples rooms what care had been given. We did however note that one person was not helped to move whilst in bed for a period of six hours, which was too long. We spoke to the manager about this, who agreed to follow it up and speak to staff about it. The format for writing a daily report on each person had improved, as it was a preprinted form that had prompts so staff remembered to record all relevant information about the care given to that person each day. Of 7 people that returned surveys, 6 said they always or usually got the care and support they needed and that staff listened to them and acted on what they said. All said they always or usually got medical support and treatment when they needed it. One commented All the staff are very helpful at all times. We received two surveys from doctors that visit the home. Both said that staff at the home always or usually sought advice from them and acted on it to manage individuals health care needs and that peoples needs were always or usually met. We spoke to people living at the home and they were positive about the care they were receiving. One person said the home had a happy atmosphere and that all the staff were nice. We observed staff behaving in a respectful and friendly manner. The care plan for one person was very good in highlighting their wishes around personal care and gave information to staff about how their dignity could be maintained. Care Homes for Older People Page 14 of 28 Evidence: Staff were mostly well informed about individual peoples care needs and said that they were encouraged to read peoples care plans and familiarise themselves with the contents so they understood the care they needed to provide. Since the last inspection they had received training on the new care planning system and had more involvement in keeping the records up to date. We looked at how medicines were managed in the home. The senior sister said she was responsible for the ordering of new medicines each month and because of this she had been able to reduce the amount of stock kept at the home by using existing stock and not ordering more until it was really needed. People living at the home had been asked if they wanted to manage their own medicines and their wishes were recorded on their care plan. Medicine records were up to date and showed that staff had followed the correct procedures when storing, administering and disposing of them. 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. Social activities and meals are both well managed and provide daily variation and interest for people living in the home. Evidence: Of 7 people living at the home, that returned surveys, 6 said there were always or usually activities going on that they could join in with. Photographs were displayed around the home of people enjoying various activities. The home has adopted a donkey, which was brought to visit everyone living there and on another occasion there was a pet day and people were able to hold and pet small insects and animals. We met one person who lived at the home, who was doing craftwork in the dining room. He said he enjoyed helping the activity organiser with different events and regularly played the piano and the organ for the entertainment of other people living at the home. This person also said the owner of the home had been very helpful in getting materials for his craft work and a small table had been set up for him at one end of the dining room to keep everything in one place. Care Homes for Older People Page 16 of 28 Evidence: On the day of our inspection one person was celebrating their birthday and the quiet lounge was being used for a party for their friends and family. Staff and the manager at the home had gone to a lot of trouble to mark the occasion. The people we spoke to said routines were fairly flexible, although some said they could not always get up immediately they wanted to, as they needed help and they had to wait for staff to be available. People seemed to understand this and did not see it as a big problem. We have previously had concerns that where people were in bed until late morning, they were left unattended for long periods. During this inspection, we saw that staff were checking on people in their rooms more, seemed to be prioritising their work better and were more aware of which people still needed their attention. Of the 7 people that returned surveys, 4 said they usually liked the meals provided at the home, whilst 2 said they sometimes did (one person did not answer the question). One person commented that the meals were too stodgy. One person who required a special diet did not like the food very much. She had discussed this with the manager and the manager was trying to ensure that meals provided were more to her taste. Menus were displayed in the reception area and each of the dining areas. A choice of dishes was provided at each mealtime and staff were heard during the morning, discussing the following days menu with people and asking them what they would like. There was a calm, relaxed atmosphere during the mealtime on the ground floor. Since the last inspection, following consultation with people living at the home, the large dining room on the ground floor had been made into a quiet lounge and a dining area had been provided in one half of the large lounge. This area was nicely arranged, with the tables attractively set with table cloths, cutlery, crockery and condiments. The first floor mealtime was less of a social occasion, as people were served on small side tables and stayed sitting in their own armchairs in the lounge. This meant people were less inclined to socialise and consideration could be given as to how mealtimes could be enhanced for people living on the first floor. 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. People living at the home and their relatives are able to complain and action is taken to respond to their concerns. Evidence: A copy of the complaints procedure was available in the reception area of the home and a copy was provided in each bedroom. Of 7 people returning surveys 6 said they always or usually knew who to speak to if they were unhappy about anything. One person we spoke to during our inspection said she had complained about the quality of the food and the manager had spent time discussing this with her and had been very nice and was trying her best. The manager had kept a record of complaints received and this provided information about how the issues raised had been investigated and responded to. We were told by one person that had made a complaint that they had been invited to a meeting, which had been very thorough in looking at the concerns they raised. At the last inspection 2 safe guarding investigations were being carried out, which have since been concluded. The findings of the first case were inconclusive but there was some evidence of poor care and failure on the part of staff to access appropriate health care services in a timely way. The investigation into the second case found that Care Homes for Older People Page 18 of 28 Evidence: staff had been neglectful in the care and monitoring of someones catheter. A third safe guarding investigation has also taken place since the last inspection. The findings of this investigation were also inconclusive due to poor record keeping and inconsistent reports of events that had happened. Concerns were noted about the lack of communication and exchange of information between staff and about the level of support for staff. Following the findings of these investigations, the manager and staff have worked very hard to implement new systems that could minimise the risk of failures in care happening again. We saw at this inspection that the systems for communication between all grades of staff had improved considerably and the manager and staff have demonstrated their ability to take note of the areas that were highlighted as being of concern and work to effect improvements. In the AQAA the manager said that it was her intention to continue with the training programme in safe guarding adults for all staff and we recommend this. Two staff we spoke to had not yet undertaken this training although they were aware of the steps they would take if they suspected abuse and knew where the homes policies were kept, which they could use for reference. 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. A clean, pleasant and comfortable environment is provided for people living at the home. Evidence: A partial tour of the home was conducted. The home was fresh and clean and there were no bad smells. The bedrooms were of a good size, nicely decorated and personalised with peoples own ornaments, photographs and belongings. Since the last inspection a new front door and some new windows have been fitted and the balcony on the first floor had been refurbished with a new bay window area so people will be able to enjoy sitting out in the summer. The manager said various parts of the home had been redecorated and new equipment bought. During this inspection major work was being carried out on the passenger lift. This had become necessary as the lift had broken down several times over the past year, which was an inconvenience to people living at the home and staff. The owner of the home had written to everyone at the home before the work was Care Homes for Older People Page 20 of 28 Evidence: started to explain about the disruption and two stair lifts had been installed to enable people living on the first floor to get downstairs. In the AQAA the manager recognised that reducing potential isolation for some people and encouraging socialisation was an area that could be improved. As stated in the section about daily life and social activities, looking at the arrangements for dining for people living on the first floor could be useful in achieving this. 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. People receive care and support from staff who have the skills to support them correctly. Evidence: On the day of our inspection there were 19 people being cared for on the ground floor by 1 nurse and 3 carers. On the first floor 25 people were being cared for by 1 nurse and 4 carers. Staff said this was the norm and they found staffing levels appropriate in the main. We were told that 1 nurse and 4 carers worked at night. Examination of the duty rota for the week commencing 19/1/09 confirmed these figures. Of the 7 people who returned surveys 6 said there were always or usually staff available when they needed them. One person commented If the staff are very busy and they always are, they will come as soon as they can. Another person said they had had problems at night but they did not specify what these problems were. Two staff returned surveys and both said there was usually enough staff on duty to meet the needs of people living at the home. One commented, occasionally we can be short staffed. When this happens the staff who are on duty put in the extra effort to ensure the service users are looked after to the expected standard. Care Homes for Older People Page 22 of 28 Evidence: One person we spoke to during our inspection said she didnt usually have to wait too long if she rang for help. We looked at 3 staff personnel files. Criminal record bureau (CRB) disclosures or a check against the POVA register had been made for all of them prior to them starting to work at the home. References were available for two of the staff, including references from their most recent employers. Only one reference was available for one person but it was recorded on their file that the manager was trying to obtain the second reference. Staff told us they had received training in a range of topics such as the new care planning system, nutritional screening, care of people with diabetes, moving and handling and fire safety. Training records confirmed this. The manager was planning to arrange training for some staff to become fire marshalls and some staff were due to attend training about catheter care. Some staff, including the manager were also due to start a distance learning course in the safe management of medicines the following week. The 2 staff that returned surveys said they were given training that was relevant to the care they needed to provide to people. In the AQAA the manager said that 77 of carers had achieved NVQ level 2 and 22.4 of carers had also achieved NVQ level 3. 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. Cale Green is managed with systems, policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. Evidence: Since the last inspection a new manager has been appointed who is in the process of registering with us. Staff said the new manager was very supportive and had introduced some changes that they felt were beneficial to the running of the home. Two staff who returned surveys said they saw the manager regularly and one commented There is a more positive feeling in the home. The manager had held several staff meetings and was planning to hold a residents meeting in the near future. This had been delayed due to staff sickness. The manager was also planning to distribute some satisfaction surveys to get feedback from people living at the home about the services being provided. Care Homes for Older People Page 24 of 28 Evidence: A new team leader role has been created to ensure carers are appropriately supervised and directed. The manager said she had received a lot of support from the owners of the home. The owner has visited the home in accordance with Regulation 26 of the Care Homes Regulations 2001 and reports were available of their findings. A new audit (checking) system has been implemented so the manager can assess how staff are carrying out the homes policies and procedures. Procedures for the management and safekeeping of residents money were satisfactory. Records were available to show that health and safety checks had been carried out in the building and equipment had been regularly serviced. 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 15 Consideration should be given as to how mealtimes for people living on the first floor can be enhanced to make them more social occasions. The manager should make sure that two written references are recieved before a member of staff starts working at the home. The manager should seek the views of people living at the home and their relatives so she can continue to improve the service and develop it in a way that meets peoples expactations. 2 29 3 33 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 © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 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!