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Inspection on 05/03/09 for Castle Bank Residential Home

Also see our care home review for Castle Bank Residential Home for more information

This inspection was carried out on 5th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is confident that they can meet the needs of the people living there. This is because they receive good information about each person and their needs, from people that know them really well, before they invite them to live at the home. Staff are well trained and qualified to work with older people and receive specific training in relation to older peoples` needs. All are trained in working with people with dementia. This means that they understand care needs related to this and that they are able to support residents with dementia appropriately. Good relationships have developed between the staff and the residents. Many of the staff have worked at the home for many years and know the residents well. This helps to create a welcoming and pleasant atmosphere in the home, which in turn makes it a pleasant place to live. This home has good arrangements in place to ensure that residents live varied and interesting lives. An activity organiser makes sure that a variety of activities takes place in the home and visits into the local community and to local places of interests keeps the residents in touch with community life. In addition to this the way residents like to live and the cultures they prefer to follow are recognised and catered for. If people wish to practice their religious beliefs, this is respected and staff support them to do so. The home is managed well and the policies and procedures that are in place are monitored to make sure that the home runs in the residents` best interests.

What has improved since the last inspection?

All residents whether staying permanently or temporary are provided with contracts, so that they know the conditions of their stay. Details of the fees charged by the home are described in the Service User Guide. The home ensures that employees` recruitment documents are fully completed, so that full information is given about a person`s work history. This is so that that the work history is clear and that it is traceable and so that the home can gain the evidence and conclude that the applicant is a fit person to work at the home. This is to ensure that the best interests of the residents are safeguarded. An ongoing maintenance and refurbishing programme has meant that service users live in a comfortable and safe home. Many areas have been redecorated and some bedrooms have been enhanced with the development of en-suite facilities.

What the care home could do better:

So that all staff have the same approach and support residents in the same way when challenging behaviour is demonstrated, clear guidelines should be recorded in the care plan. This will mean that staff are guided to support the individual in a consistent way. This also relates to the amount of detail recorded in the care plans. If staff know, byfollowing guidelines in the care plan, the exact amount of support a person needs ie what tasks the person can do independently and what tasks they need support with, with detail of how the task is to be completed, then this will ensure that the person`s independence is promoted in the same way by everyone. So that the appropriate agencies, who have responsibilities to ensure that safeguarding procedures are followed appropriately, are informed of incidents in the home, reports must be sent off immediately following an incident in the home. To ensure that residents live in a comfortable and pleasant home the cleaning schedules should be monitored and the refurbishment programme should continue to improve the environment.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Castle Bank Residential Home 26 Castle Bank Tow Law Co Durham DL13 4AE     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: Elsie Allnutt     Date: 0 5 0 3 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 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 29 Information about the care home Name of care home: Address: Castle Bank Residential Home 26 Castle Bank Tow Law Co Durham DL13 4AE 01388731152 01388730891 june.pearson@x9healthcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): X9 Healthcare Castle Bank Limited Name of registered manager (if applicable) Mrs June Pearson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Castle Bank is a care home registered to provide care (not including nursing care) and accommodation for 34 older people. The home is owned by X9 Health Care Castle Bank Ltd. The home is located in the small town of Tow Law, which is in the West of County Durham and is convenient for all the towns amenities. The home consists of an extended and adapted, two storey building. All bedrooms are currently in single use although there are three rooms which can be used as doubles should the need arise. There are an adequate number of toilets and bathrooms to meet the needs of residents; the homes owner is also considering further developments with the installation of a level access flat floor shower. There is a through floor lift to the first floor. The home has a pleasant garden to the rear, which offers views over the local Care Homes for Older People Page 4 of 29 care home 33 Over 65 33 33 0 0 Brief description of the care home countryside and the town itself. The home also has a conservatory where residents can enjoy the views when the weather is unpleasant. The fees at Castle Bank Care Home are #417 per week for residential care and #437.50 per week for EMI clients. These fees do not include Chiropody, Hairdressing, Personal Newspapers, Toiletries, or Outings. All extra items are usually invoiced separately. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection on this service was comleted on 29th November 2006 and an annual service review was completed on 1st February 2008. Before the visit we looked at information we received since the last visit, how the service dealt with any complaints and concerns since the last visit, any changes to how the home is run and the providers view of how well they care for people. An unannounced visit was made on 5th March 2009. During the visit we, talked to people who use the service, relatives, staff, the manager and visitors. We looked at information about the people who use the service and how Care Homes for Older People Page 6 of 29 well their needs are met and we looked at other records that must be kept. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We looked at parts of the building to make sure it was clean, safe and comfortable and checked what improvements had been made since the last visit. We told the manager what we found. What the care home does well: What has improved since the last inspection? What they could do better: So that all staff have the same approach and support residents in the same way when challenging behaviour is demonstrated, clear guidelines should be recorded in the care plan. This will mean that staff are guided to support the individual in a consistent way. This also relates to the amount of detail recorded in the care plans. If staff know, by Care Homes for Older People Page 8 of 29 following guidelines in the care plan, the exact amount of support a person needs ie what tasks the person can do independently and what tasks they need support with, with detail of how the task is to be completed, then this will ensure that the persons independence is promoted in the same way by everyone. So that the appropriate agencies, who have responsibilities to ensure that safeguarding procedures are followed appropriately, are informed of incidents in the home, reports must be sent off immediately following an incident in the home. To ensure that residents live in a comfortable and pleasant home the cleaning schedules should be monitored and the refurbishment programme should continue to improve the environment. 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. Pre admission assessments demonstrate service users needs and assists the home to make informed judgements as to whether they can meet these needs. This ensures that the resident receives the appropriate sort of care and support from the home. Evidence: The home receives comprehensive information from the referring agency and other people involved in an individuals care, prior to making a decision that they can meet their needs. For example assessments from the referring care manager or information from the discharging hospital are received, the home also carries out a full assessment of need. These documents include clear and detailed information that is used during the assessment process and as a base line from which care plans are developed. Risks are also identified in the assessment process and these are reflected in the care planning process. Care Homes for Older People Page 11 of 29 Evidence: When a decision is made that the home can meet a prospective residents needs a letter is sent to the person to confirm this. This home does not provide intermediate care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Suitable arrangements are in place to meet residents healthcare needs and good procedures are followed for the safe administration of medicines. However some care plans could be improved by including more specific guidelines for staff to follow so that residents health, welfare and independence is promoted in a consistent way. Evidence: A care plan document, that is used with the assessment document to ensure that the identified care needs and any identified risks are addressed, is in place for each resident living at this home. Risk strategy plans are put in place when risks are identified and these are integral to the care plan. For example a pressure relief mattress and cushion are in place for someone who is frail and at risk of developing pressure sores. The care plans are person centred and are agreed with the individual. The plan is written in plain language, is easy to understand and looks at all areas of the individuals life including all aspects of their health and social care needs. It is good to Care Homes for Older People Page 13 of 29 Evidence: note that one care plan examined includes how the person is supported to continue to practice their spiritual belief, detailing the amount of support needed and the day and time. Staff understand the importance of this and support the person to continue their preferred lifestyle. For another person and in relation to their personal care and the maintaining of thier dignity and independence, specific detail is in place regarding how the individual is supported to maintain continence. A chart is in place to monitor the times staff are needed to support the person with their personal needs and tasks for staff to follow during the day and night are specified so that the persons dignity and comfort are maintained. This sort of detail ensures that the service user receives care that is consistent and although care plans generally are written to include such detail, there were some that could be further improved. Although in one care plan it states that the person needs encouragement and assistance with all levels of personal care, hygiene and dress, it fails to include detail to specific tasks and how these are to be carried out. For example how many staff are needed, the actual tasks involved and how the persons independence is to be promoted. For another person although it was noted over a period of time that their challenging behaviour was becoming erratic and as a result was putting others, including staff, at risk of harm, there were no specific guidelines in place to inform staff how to approach or support the person in a consistent and safe manner. However it was noted that most staff have received training regarding dementia care and handling challenging situations. The home is aware of their limitations regarding specialist interventions and in such situations refer to specialist healthcare agencies for advice, however they have experienced that this process can often be delayed, as in this case and as a result, this has left residents and staff in a vulnerable position. A discussion relating to this took place with the manager who was confident that more immediate action would be taken by the home in the future. Care plans are monitored and reviewed regularly, a six monthly review for one person who had recently moved into the home recorded the satisfaction of the person and their family and their agreement to make the placement permanent. Residents families are kept up to date with healthcare issues and they are encouraged by the home to take an active part in their relatives care, for example when hospital appointments are needed. Family members stated that they like to be involved in the care of their relatives, one family member takes responibility to visit the home at meal times so that they can support their relative with their meals. The staff are well informed and receive the necessary training regarding the residents Care Homes for Older People Page 14 of 29 Evidence: diverse needs. They interact with residents in a competent and respectful way attending to personal tasks directly and discreetly. There are suitable arrangements in place regarding the storage and administration of medication and staff receive the appropriate training regarding this. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff encourage service users to exercise and maintain choice and control over their lives by arranging activities and other forms of stimulation, while also maintaining contact with family and friends. This means residents are provided with different opportunities to lead fulfilling lifestyles and do not become socially isolated. Residents individual dietary needs are met by being served food that is appropriate to their needs, healthy and nutritious. Evidence: An activity organisor is employed to arrange and coordinate activities throughout the home and in addition to this an activities contractor visits the home weekly to organise in house activities. This helps residents to maintain an interesting and valued lifestyle. Residents and their families are informed about the different activities and events that are going on from notices detailing events displayed around the home. Photographs of recent and past events and activities that have taken place are also available for residents, friends and families to see. Although group activities are encouraged and are available, individual hobbies are also encouraged. These include knitting and Care Homes for Older People Page 16 of 29 Evidence: crocheting, art and keeping scrap books. Some residents have been supported to make photograph frames for their individual room doors, so that they can put a personal photograph in required that will remind them of the location of their room. Residents and staff talked about the variety of activities that have taken place inside the home and also trips out, these include visits to a local wildfowl park, a local craft centre, a visit to the seaside and a shopping trip to the Metro Centre. During the inspection process residents enjoyed a sing a long in the lounge and some returned to their rooms still singing the songs. One resident remarked, I really love singing, and I remember a lot of the words once I start. Several visitors called to the home and were made welcome by staff, some commented that they were kept up to date with their relatives health and welfare and also encouraged to take part in different events in the home. The cook leads a competent kitchen staff team and is aware of the diverse dietary needs of the residents and the training needs of the staff to address these. Although staff support residents appropriately during mealtimes relatives are welcomed to support family members if they wish to. Care plans are in place where residents dietary needs dictate that support is needed. A profile of each residents past history is recorded in the care file and staff use this information to encourage individuals to take part in different activities and to support them to make choices and decisions about their lives. This information is valuable and could be further developed to include comments about the activities that individuals have taken part in within the home and the community, with the outcome so that the success or failure of it can be recorded and noted for future decision making. 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 home has policies and procedures in place that proves they address complaints and concerns seriously and that they aim to protect residents from abuse. Evidence: The home has a comprehensive complaints procedure in place of which residents and their representatives are aware. Residents are confident that their concerns or complaints are addressed appropriately and they are encouraged to discuss these on a daily basis. Residents are provided with a copy of the homes complaints procedure in the information pack that they receive when they move into the home and in addition to this a copy of the procedure is available in the entrance to the home for people visiting the home to see. One relative confirmed that when they have concerns they have no hesitation in approaching the manager to discuss them. They also confirmed that they are always addressed directly and to their satisfaction. So that staff can understand behaviours from residents with dementia care needs, that at times can be verbally and physically aggessive, they have all received training regarding dementia care and how to deal with difficult behaviour associated with this. Care Homes for Older People Page 18 of 29 Evidence: This training has recently been updated. Staff also receive training regarding the local authoritys safeguarding adults procedures and they are aware of the action they would take if an abusive incident was observed or reported to them. A copy of the procedures is available in the home to which staff can refer. The home has recently demonstrated good practice by following their whistleblowing procedures to report an incident of bad practice within the home. Prompt action was taken and the homes disciplinary procedures were followed following an investigation into the allegation. This has been the only safeguarding issue in this home for ten years. However although the procedures followed immediately safeguarded the residents in the home, not all of the appropriate agencies were informed within the procedures timescales. This was discussed with the registered manager who has learned from this experience. Residents are encouraged to look after their own finances when appropriate. For those who need support with this comprehensive procedures are in place for staff to follow. The records that are appropriately kept are monitored by the manager. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a safe, well kept home that is clean pleasant and hygienic. Evidence: The home has an organised approach to safety and maintenance issues. There are ongoing safety monitoring checks carried out weekly monthly and on an occasional basis. A maintenance book is used to log work scheduled, required and completed and this work is completed by outside contractors and staff employed by the home. As the building originally was an old school, much work has been needed to make the environment fit for purpose and to meet the needs of the people living here. The old school hall has been divided into a lounge and dining area where windows have been lowered so that people can see out and a small conservatory area is available for residents to enjoy. The main structural work is now complete leaving some areas still to be decorated and older pieces of furniture to be replaced. However there are still some windows to be replaced and the front entrance is in need of attention. Some residents bedrooms have been refurbished to include en suite facilities and redecorated to the individuals taste. All include personal possessions and small furnishings that project individual personalities and interests. Care Homes for Older People Page 20 of 29 Evidence: Residents can access all parts of the home, a through lift accesses different levels of the home so that the stairs to the different levels do not have to be used. The home is generally kept clean and tidy, however the need to improve a cleaning schedule in one area was discussed with the manager. 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. The home has a competent and qualified staff team that effectively meets the residents care needs and the robust recruitment procedures ensures that their welfare and interests are protected. Evidence: The home employs a team of staff with diverse experience and qualifications and the number on duty reflects residents needs currently living at the home. There are four senior staff on the team which means there is someone in a senior position leading the staff on all shifts. In addition to the care staff there is a sufficient number of domestic and kitchen staff employed. The staff interact with residents in a competent and respectful way and they are enthusiastic about their work. Some made the following comments, This is a lovely place to work. Most of us have worked here for a long time. We are always training, we cant get enough. Care Homes for Older People Page 22 of 29 Evidence: Residents and their families spoke positively about the staff some said, The staff work hard and are very helpful. The care in here is good, the girls work hard and are really very nice to the residents. Sometimes they could do with more staff. Staff have a very gentle approach and they are good at their jobs. They make you feel very welcome. There is a positive approach to training, the manager is in contact with different training organisations and funding agencies, resulting in well established training programmes that have resulted in a well qualified staff team. Staff are up to date with mandatory training and attend training courses that reflect the needs of the residents and in addition to this they receive in house training regarding the principles of care and in particular the promotion of dignity and privacy. All staff have completed the distant learning training relating to dementia care. Recruitment records are in place and demonstrate that comprehensive procedures are followed. A completed application form demonstrating a clear work history, two references and a CRB (Criminal Records Bureau) check are in place. Records of a comprehensive induction process and supervision sessions are also kept. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A competent well qualified senior staff team and an effective quality assurance system supports the manager to maintain good management routines that deliver a service in the residents best interests. Evidence: The registered manager holds a wide range of qualifications, including the RMA (Registered Managers Award), the SEN nursing qualification (State Enrolled Nurse) qualification and the Diploma in Orthopaedic Nursing. She is also a NVQ Assessor and is up to date with mandatory training. So that she keeps up with current good practice and changing legislation the manager attends training related to her role, she has recently attended training related to the Deprivation of Liberty and the Mental Capacity Act and she is keeping up with dementia care issues and training on the DECHA (Durham Employee Care Health Alliance) E Learning programme. Good relationships have developed with the home and DECHA which means that the manager has excellent contact and up to date information about training courses available. Care Homes for Older People Page 24 of 29 Evidence: The manager is supported in her role by a deputy and four senior staff and in addition to this she is in weekly contact with the provider by telephone as well as receiving monthly one to one supervision sessions. Appropriate up to date records are kept in the home in a way that is clear and well organised. These ensure the health, safety and general welfare of the residents and staff working here and appropriate certificates confirms that the utilities and equipment used in the home are well maintained. The registration and insurance certificates are appropriately on display. The home is interested in what residents think about their care and these views are gathered, discussed and presented in a the homes newsletter a recent copy of which is available in the homes entrance hall. The information is gathered from surveys given to residents and their families and these, along with the outcomes of the homes monitoring systems, are used to develop the homes business plan. Good procedures are followed to record any money kept on behalf of residents and clear records and receipts confirm how individuals money is spent. This is monitored weekly by the manager and in addition Durham County Council carry out unannounced monitoring visits. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 The registered manager 30/04/2009 must ensure that when a person displays challenging behaviour, specific guidelines for staff to follow, must be put in place, so that support given to the person and the approach to the behaviours is consistent. So that the health and safety of the person and staff is addressed appropriately, safely and consistently. 2 18 37 The registered manager must report any incident in the home, to the CSCI, that adversley affects the well being of any resident without delay. So that the safety and well being of residents is promoted. 30/04/2009 Recommendations Care Homes for Older People Page 27 of 29 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 7 Care should be taken to ensure that all care plans include the detail that is needed to deliver a consistent service. There should be guidelines for staff to follow regarding individuals care needs specifying how they are to be addressed, while at the same time how the individuals independence is to be promoted. The cleaning schedules regarding the toilets and bathrooms should be reviewed so that these areas are cleaned to the highest standard at all times. The refurbishing of the home should continue as planned, so that residents benefit from a fully refurbished building. 2 19 3 19 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 © (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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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