Inspection on 06/06/07 for Cedar House Pitsea

This inspection was carried out on 6th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cedar House Pitsea 14/06/06

Cedar House Pitsea 10/01/06

Cedar House Pitsea 16/05/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Cedar House (Pitsea) London Road Pitsea Basildon Essex SS13 2BY Lead Inspector Ann Davey Unannounced Inspection 6th June 2007 09:30 Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cedar House (Pitsea) Address London Road Pitsea Basildon Essex SS13 2BY 01268 01268 455 103 kingswood@donna-higby.freeserve.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Kingswood Care Services Limited Manager post vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2006 Brief Description of the Service: Cedar House is a five bed-roomed house located in Pitsea, close to the local town, bus route and shops. The home is within walking distance of Pitsea Centre, shops, pubs and medical centres. All bedrooms have ensuite or adjacent bath/shower facilities. Four bedrooms are on the first floor and one is on the ground floor. The home has a main lounge, kitchen/diner, sitting room, laundry, staff office and a staff toilet. The home has a well-maintained rear garden/decking area. The front of the property has off road parking. The current weekly fees are £1600.00 - £2183.00. Fees need to be discussed on an individual basis with the home as the exact amount will depend on assessed care needs. The home has a Statement of Purpose dated November 2004. The information within the document is out of date. There is a pictorial style Service User’s Guide which also requires updating. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced site visit, which started at 9.30am and finished at 4pm. The assistant manager and a registered manager from one of the company’s sister home’s assisted the inspector throughout the day. The acting manager was not on duty. All staff on duty throughout the day were spoken with, as were all residents except one who was on holiday. Some residents were spoken with on their own, others in the company of staff. Time was spent in the company of staff and residents. A partial tour of the home was made. Care practices were observed and a random selection of records was viewed. The inspector did have a notice explaining to any visitors than an inspection was taking place, but it was decided that on this occasion, it would not be of any benefit to display it. Staff were informed that if there were any visitors, then the inspector would be happy to speak with them. The home were sent surveys for residents and staff to complete but due to a short time span, these hadn’t been returned in time for this report but will be reflected in the next inspection. This was agreed with the home that was happy with this arrangement. However, the views and opinions of both staff and residents spoken with during the day have been included within this report. The home was friendly, hospitable and cooperative towards the inspector and the inspection process was undertaken with no difficulty. All matters relating to the outcome of this inspection were discussed with those present. Full opportunity was given for discussion and/or clarification both during and at the end of the inspection. The home is without a registered manager at present and because of this, it is important that the registered provider reviews current management systems, as some outcome aspects of this inspection were not complaint with regulatory requirements. Support and assistance should be given to the home to ensure future compliance. The telephone number for this home is 01268 458266. This information will be included under Service Information in the next report. What the service does well: This home has a warm, friendly and comfortable atmosphere. The home is light, bright and airy. The home is decorated and furnished to a good standard. Staff on duty were knowledgeable about residents care needs. The staff team work together well and were enthusiastic about their work. Residents are involved (as appropriate) in the day-to-day planning of their own care and in Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 6 the way the home is managed on a daily basis. There was a natural rapport between staff and residents. The way the meal times is managed is good. The home enables residents to enjoy a wide variety of leisure and social activities. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents cannot be assured that information available about the home is up to date, but they can expect a clear admission procedure to be in place. EVIDENCE: The home’s Statement of Purpose is dated November 2004 and some aspects are out of date. This means that any interested party would not have current information about the home. The home has a pictorial style Service User’s Guide that is appropriate for the majority of residents. However, some resident’s may/do have reading ability and it would be good practice if a text version could be available as well. It was also noted that some of the ‘pictures’ within the document were out of date. Since the last inspection, no new residents have been admitted. The home has a clear admission policy in place should a new placement be considered. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The process of review and amendment to documentation is not robust and therefore care plans and risk assessments did not always reflect current care needs EVIDENCE: Three care plan files were sampled and assessed. Each resident has a wellordered index care file. Within each file there are care plans, risk assessments and all other supportive appropriate documentation. However, risk assessments, assessed care needs and reviews all tend to stand in isolation and the process of assessment, review and amendment does not flow into forming a current overall plan of current care needs. For example, risk assessment are not being signed or dated, incident analysis documents are in place but not reference within care plans, ‘in house’ care plan reviews are taking place but these documents are not being completed fully and do not form part of any overall review of assessed care needs. Some documentation is also out of date. Clearly residents views and the views of all other associated Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 10 parties i.e. family, medical and other professional views are sought and reflected with documentation. The current system has the potential of being very effective, but there needs to be a robust review of present practice so that all the available information can be consolidated and information is current. It was positive to note that since the last inspection, care plan documentation is now stored in a secure place. Staff spoken with had a good understanding of residents care needs. On observing residents behavioural patterns, care practices and speaking with residents, many aspects of care plan documentation reflected care needs, but documentation must be reviewed and consolidated into forming a current plan of care. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to be supported in participating and experiencing a variety of social and leisure activities. Residents are provided with a balanced, varied diet. EVIDENCE: The home was able to demonstrate that residents are encouraged and supported enabling them to lead a fulfilling and meaningful lifestyle. All residents have a daily activity programme that incorporates further education placements, occupation resources, leisure and social activities and the pursuit of personal interests and hobbies. Each resident enjoys holiday breaks of their own choice and one resident was in America at the time of the inspection. The home was however disappointed that community daytime resources for residents within the Basildon/Pitsea area is beginning to dwindle, but so far this has not been too detrimental for the home. On the day of inspection, there was a lot of social activity going on. One resident was in the kitchen making Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 12 cakes with a member of staff, another resident was at college, another resident was out shopping and later during the late afternoon, three staff and two residents were in the back garden playing football. Staff impressed the inspector as being enthusiastic and creative about supporting and enabling residents. During quieter times during the day when one or two residents were in the lounge area with staff, there was appropriate stimulating conversation and interaction. The home has two forms of transport to take residents out and about. All residents have active family involvement and this enhances their lifestyle. The home was able to demonstrate that it supports residents in their choice of personal relationships and was able to further demonstrate that it supports the values of diversity and equality. The home was able to demonstrate that it provides a balanced varied diet for residents. Arrangements for mealtimes, where meals are eaten, venues and the food provided are appropriate for the age range of residents. Mealtimes are clearly enjoyable and are seen as a natural social occasion. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive good health and personal care support. EVIDENCE: Care plans demonstrate that resident’s personal and health care needs are recorded and met by the home. The home said that they had a good professional working relationship with all health care professionals. The majority of residents have complex care needs, but systems are in place whereby the needs are identified and the most appropriate social care/healthcare resources are engaged in supporting the resident and the home. Resident’s views and preferences about how they wished to be cared for are recorded. Medication is stored in a secure place and medication administration records were in good order. PRN (as/when required) medication administration protocols were not current as some were dated 2005 and 2006. The home agreed that these matter would be addressed along with other care plan documentation as referenced in the Health & Personal Support section of this report. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an appropriate complaints procedure in place. Staff have the knowledge to ensure that residents are protected from harm. EVIDENCE: The home has an adequate complaints procedure in place, but the content should be reviewed and amended to bring it in line with current Commission guidance. There is a pictorial style complaints procedure displayed in the home. The majority of residents would not have the ability to follow any written procedure, but the document displayed clearly indicates to residents that they have a right to ‘feel sad’ or ‘feel unhappy’ and that they should tell somebody. The inspector spoke to two residents about their understanding of this and both were clear that they would tell their key worker or ‘somebody else’. All residents have active involvement with their respective families and/or regular contact with external health/social care professionals. The home has active links with the local advocacy service and was able to demonstrate that this service is used as appropriate to ensure that resident’s wellbeing is paramount to any given situation. The home has a recognised complaints record book, but the home has received no complaints since the last inspection. The home has the Essex County Council ‘Safeguarding Adults from Harm’ documentation and guidance. The home did not have the central telephone number to refer any suspected case to. This was given to the home by the inspector. Staff have safeguarding adult abuse training during their induction and also a further training course as part of their professional development Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 15 programme. Two staff spoken with understood what was meant by ‘safeguarding adults from harm’ and said that if they suspected an issue then they would contact the Service Manager, ‘on call’ manager or the registered provider. Both staff knew that whomever it was reported to within their organisation, they had a duty to report it immediately to the Local Authority and be guided by the Authority about what to do next. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a clean, comfortable and safe environment. EVIDENCE: On arrival, a partial tour of the home was made accompanied by a member of staff. The home was clean, bright, comfortable and homely. The home is well maintained, furnished and decorated. At the time of the inspection a new carpet was being laid on the stairwell and a redecoration/refurbishment programme was well under way. Those areas completed had been tastefully decorated and refurbished. Communal areas were comfortable, measures were in place to ensure that the laundry and kitchen area were safe and bedrooms were very personalised. The home has an attractive safe rear garden with a decking and BBQ area and garden tables/chairs. At the back of the garden there is an office that is used by the area manager and also for staff training purposes. Staff come from other establishments owned by the registered provider. The assistant manager said that the use of this facility does not impact on residents’ privacy and Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 17 residents facilities within the home are not used. Access to this office is via a secure side gate. Cleary this arrangement has been in place for some considerable time and there has been no reported problem. The inspector was told that this facility does not infringe on the rights of residents. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident are supported and cared for by a team of trained and well-motivated staff. EVIDENCE: A clear organised staff rota was available for inspection. In the morning period there are a minimum of 5 staff on duty and in the afternoon/evening period there are a minimum of 6 staff on duty and at night there is one ‘sleeping in’ member of staff and one ‘awake’. Staffing levels reflect residents who require 1:1 or 2:1 resident/staff ratios. In addition, individual residents enjoy going out and staffing levels reflect that staff are available to facilitate this. Since the last inspection, the home reported that there has been a recruitment drive and that 75 of the staffing establishment has changed. At present, only two full time care support post remain vacant. These vacant hours are being undertaken by staff working ‘double shifts’ and the use of agency staff. The files of the two most recently recruited members of staff were sampled. Records were in good order. Staff receive an induction programme and staff Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 19 supervision sessions are managed well. Regular staff meetings take place. A staff training matrix was in place demonstrating that staff are provided with good training opportunities. Staff spoken with were open, friendly and demonstrated sound care values. All had a good understanding of work practices and routines. Although the staff team is relatively ‘young’ there was a sense of ‘working together’ and of a good team spirit. The rapport between staff and residents was warm, friendly and supportive. From observation during the day, residents related well to staff. Residents were relaxed and comfortable in the company of staff and when residents came back into the home from being out, they expressed clear pleasure when seeing staff again. Staff were observed to be consulting with residents about their views and opinions in relation to the afternoon and evening activity for the day. There was warmth and good humour about the way staff and residents interacted with each other. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Current local management process and systems need development prompting better care planning documentation and policies/procedures. EVIDENCE: The acting manager has been in post for 8 months and intends to apply for registration as the registered manager in the near future. The Commission would acknowledge that it has been a challenging six months for the home in that there has been significant changes in the staffing establishment and there has been some challenging matters for the home to deal with in relation to management of some residents care needs. However, the home must review current practice in the way care plans, risks assessment and other associated documentation is reviewed and managed. There are management process shortfalls concerning this particular aspect of care within the home. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 21 It was positive to see that the views and opinions of residents are sought in a variety of ways and that these underpin the way the home is managed on a daily basis. For example, care plan documentation contains preferences, observed practice demonstrated that residents are consulted and regular residents meetings take place. Communication systems within the home seem to work well. The home has a designated ‘communication book’ which is used appropriately and has become an invaluable daily communication tool. The home needs to review its current policies and procedures. Some were noted to be out of date and the process of review wasn’t clear. Without current documentation, practice could be out of date and staff would not have access to current guidance and procedures. In addition, the environmental/safe working practice risk assessment documentation was not adequate as much of the documentation wasn’t dated and the content needs review to ensure that documentation is current. This must be carried out to ensure that residents and staff live and/or work in a safe environment. The home undertakes and completes a monthly ‘Health and Safety Inspection Form’ which demonstrates that the homes checks that fire alarms, fire doors and fire fighting equipment are in good order. It was noted that fire drill are not undertaken on a regular basis. The home understands that it needs to develop a Quality Assurances System and competently spoke of the ways that this is going to be achieved. It is hoped that by the next inspection, the home will be in a position to demonstrate progress on this matter. The registered provider is reminded that regulation requires that Regulation 26 visits (visits by the owner or nominated person) must take place in accordance with regulation. Records must be maintained within the home to demonstrate compliance with this regulation. It would seem that there has been some misunderstanding about this requirement, but regulation is quite clear about it’s regularity, content and reporting procedure. Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 X Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4,5 & 6 Requirement The home must have a Statement of Purpose and service user’s Guide which reflects current practice and is made available and/or given to all interested parties. Amended documents must be sent to the Commission. Without these documents residents, relatives and all other interested parties will not have current information to make an informed decision about whether they would like to live in the home. 2 YA6 15 Every resident must have a detailed current plan of care. This document must include all aspects of assessed care/health needs and contain appropriate current risk assessment documentation. These documents must be kept under full review. Without adequate documentation, staff may not be Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 24 Timescale for action 31/08/07 15/07/07 3 YA37 YA42 12,13 & 26 aware of current assessed care/health needs or how they should be met. The home must have current working policies, procedures, guidance and documentation in place to promote and safeguard the safety and wellbeing of both staff and residents. Details are within the report. The management of the above must be reflected in the monthly Regulation 26 reports, which must be undertaken, by the registered provider or a representative. 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cedar House (Pitsea) DS0000061931.V338412.R01.S.doc Version 5.2 Page 26 - 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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