Inspection on 16/08/06 for Chipstead Lake Cheshire Home

This inspection was carried out on 16th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 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

Chipstead Lake Cheshire Home 19/08/08

Chipstead Lake Cheshire Home 05/12/05

Chipstead Lake Cheshire Home 06/12/04

Chipstead Lake Cheshire Home 29/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Chipstead Lake Cheshire Home Chevening Road Chipstead Sevenoaks Kent TN13 2SD Lead Inspector Debbie Sullivan Key Unannounced Inspection 16th August 2006 09:05 Chipstead Lake Cheshire Home DS0000023913.V302061.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 Chipstead Lake Cheshire Home DS0000023913.V302061.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. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chipstead Lake Cheshire Home Address Chevening Road Chipstead Sevenoaks Kent TN13 2SD 01732 459510 01732 741059 chipstead.@lc-uk.org www.leonard-cheshire.org.uk Leonard Cheshire 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) Mrs Pia Rathje - Burton Care Home 22 Category(ies) of Physical disability (22) registration, with number of places Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care of two Service Users who are over 65 years of age is restricted to two persons whose date of birth is 08/08/1931 and 28/12/1936 5th December 2005 Date of last inspection Brief Description of the Service: Chipstead Lake Cheshire home is a purpose built service for people aged 18 to 65 with a physical disability. It is one of the Leonard Cheshire Homes and was built in 1977. The home is in the village of Chipstead that is very close to the town of Sevenoaks and can be accessed easily by the M25, there is a local bus service. The home can accommodate 22 people in single rooms. Eleven of the rooms have en-suite facilities; there is one dedicated respite room. Service users have access to the day activities facility on site and there are large attractive grounds. Local facilities are available in the town of Sevenoaks. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key inspection site visit took place over seven hours. Time was spent speaking with the manager, care and ancillary staff, speaking with a number of service users, touring the property and reading records and other documentation. A care staff handover meeting was attended and lunchtime partially observed. At the time of the inspection there were no vacant beds. Throughout the day staff and service users were helpful in supplying information. The current fees for the service range from £661.29 to £951.68 per week. A small number of comment cards were received from service users. Comments received from service users during the inspection and on comment cards were, “ I really love living here, it is like a holiday camp” “The meals are generally very good” “This is a good place to stay” “Would like to go out more, but not enough staff and drivers available” “The care is excellent” Comments made on comment cards from relatives and visitors included, “The staff at Chipstead Lake are always friendly and helpful” “ Staff have always shown great care and sensitivity to my (relative)” Two comment cards from Health and Social care professionals were returned, one stated, “We have always found Chipstead Lake to be a caring home and their staff always cooperate -------one of the best!” Comments made by staff during the inspection included, “It’s a lovely place” “I’m really enjoying it, everyone seems to communicate” “We are like a big family” Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 6 “The home is great” What the service does well: What has improved since the last inspection? Garden paths have been resurfaced so that the garden and grounds are more accessible to service users. The daily care staff rota is being reviewed with the focus on staff availability being more suited to the needs of service users. A questionnaire has been sent to service users about the meals provided by the catering agency contracted, and changes are being made as a result. The main lounge has been redecorated and recarpeted. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 7 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. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 8 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 Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Potential service users are able to access information about the home before making a decision to move in. Assessment takes place before admission and service users are only admitted if their needs can be met. EVIDENCE: The home has a Statement of Purpose and Service User’s Guide; the Service User’s Guide has recently been updated and is presented in a format using both written and pictorial information. Service users spoken with said that they had been able to visit the home prior to deciding to move in, one had spent some time there for respite whilst living in the community and decided that when the time came to go into residential care to move into the service as they knew and liked it. One service user had moved to the home from another service to be nearer to family. All service users spoken with felt the home met their needs well. Evidence of pre admission assessments was read on care plans and the manager gave an example of an assessment that had involved herself, a senior manager, the homes’ care manager and very thorough information gathering, Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 10 before a decision was made that the potential service user would be best placed at the home. The service user subsequently settled well. Care plans contained the terms and conditions of the home signed by service users. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Service users are involved in making decisions about their daily lives and the service as a whole. Care plans reflect needs, are accessible to service users, and are kept confidentially. EVIDENCE: A number of care plans were read, they included those of case tracked service users, a fairly recent admission and a service user over 65. Care plans included information on healthcare, daily care needs and preferences, personal and background information, review recording and assessments by the homes’ physiotherapist and information relevant in respect of particular needs, such as weight or skincare monitoring. The information was mostly up to date although the service user over 65 had not been reviewed at monthly intervals since May 2006. Service users are able to access their care plans and one service user who was not present for the inspection held their plan in their room. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 12 Care plans and medication information records are stored securely in the staff duty office. Service users are very involved in decisions about the home and their daily lives. There are opportunities to attend regular service user meetings, quality assurance surveys are circulated, and consultation has taken place recently with service users regarding meals, planned refurbishment to the home and possible changes to the staff rota. Service users are supported in taking acceptable risks, such as accessing community facilities independently and in being independent within the home. Service users manage their finances independently or with the help of legal representatives or families. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Service users have opportunities to access a range of activities within the home and the community. Contact with friends and families is supported. Improvements are being made to meals in consultation with service users. EVIDENCE: Service users can access a range of activities and opportunities to develop and maintain skills and interests. The home has an activities centre that can be attended by those living there and service users from the community, the centre premises are not inspected by CSCI, but were visited and were well attended by both groups with a variety of activities taking place. A wellequipped computer room is available. One service user said they liked to take part in as many activities as possible, whilst another preferred to spend time in their room. The manager said that staff offer opportunities to those who usually do not participate, so that if they Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 14 occasionally wish to they can be included. Trips are arranged, such as to the coast or Bluewater; service users commented that a shortage of transport and drivers can restrict opportunities to go out. The home had recently recruited some new staff that were drivers, so it was expected there would be more opportunities offered, the volunteer coordinator is trying to recruit more volunteer drivers. Activities such as crosswords, reading and discussion groups also take place in the main building for those wishing to remain there, as the activity centre can get quite busy. A Church of England service is held at the home weekly. The home was to host a large regional event the following week for other services in the organisation, based on “Pirates of the Caribbean” and some service users were involved in the preparation. Personal interests are encouraged, one service user said they liked going to the local pub, another went out shopping independently during the inspection and the manager pointed out an area of well tended garden that had been allocated to a service user at their request. Fishing is possible within the grounds, and the lake overlooked by the home offers opportunities for sailing. Contact with friends and family is supported; one service user spoke of going home at weekends and another of very regular family visits. The manager keeps in regular contact with families where there may be special concerns regarding health or other issues. Some service users have personal telephones or computers; a private telephone room is available to all so they can keep up contacts. Staff respect the privacy and choices of service users, service users spoken with individually were complimentary regarding the care staff. In 2005 the home started contracting with a catering company for the provision of meals, they provide three meals a day and prepare evening snacks. There had been some dissatisfaction with the meals and a meeting had recently been held with service users so they could air their views. The manager had written to the service users with feedback and to summarise comments. These included meals served at the wrong temperature and the need to identify the healthy choices on menus. Service users spoken with generally liked the meals, and the lunch served during the inspection was well received. Daily choices and options are offered and recorded and any special diets catered for. A number of service users require assistance at mealtimes, staff providing this did so appropriately. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Personal care is delivered as flexibly as possible; improvements to the building will enable more choices to be made. Health care needs are well met and contact with health professionals is supported and maintained. EVIDENCE: The personal care preferences and needs of service users are reflected in care plans. Service users spoken with felt that care staff supported them appropriately. Times for getting up and going to bed are as flexible as possible. Not all bedrooms currently have ensuite facilities and this can limit choice of when to bath or shower, as bathrooms can be in demand at peak times. One service user was late up for this reason on the day of the inspection and missed the main breakfast time. Plans are in place for adaptation and refurbishment of the home to allow for each bedroom to be ensuite, the timescale for this work to start is not yet known. Evidence was in place on care plans of contact with health professionals; a dietician called to see a service user during the inspection and another service Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 16 user was taken to the GP.Feedback on the appointment was given at staff handover. The home has a dedicated physiotherapy room with plenty of equipment and employs a physiotherapist; service users can have a physiotherapy assessment, a programme devised and regular sessions if they wish. One service user was very keen to attend sessions and hoped to regain some ability. Service users are given the opportunity to self medicate and a small number do so. The medication storage area was inspected; medication was kept securely in cupboards and the medication trolley. Two staff members were in attendance at the lunchtime medication round, the timing of the late evening round had recently been changed to make it less disruptive for service users and better spaced from the early evening round. MAR sheets contained photos of service users and were correctly completed apart from two sheets seen where a medication had not been given due to changed health needs, full explanation as to why it was not given was not the sheet. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The outcome in this quality area is good. This judgement has been made using available evidence, including a visit to the service. Service users and their families have access to a complaints procedure and can feel confident that any concerns will be taken seriously and acted upon. Service users are protected from abuse by the homes’ policies and procedures and recruitment process. EVIDENCE: The home has a complaints procedure, staff spoken with were aware of it, service users spoken with said they had not needed to complain but would feel confident in approaching senior staff or the manager if necessary. The complaints book contained information regarding one complaint made since the last inspection that had been properly responded to. Service users have opportunities to raise concerns at consultation and residents meetings. It was clear from discussion with the manager and care staff that concerns raised by service users are taken seriously and acted upon. There had been no Adult Protection alerts. Staff are provided with Adult Protection training and subject to CRB checks, policies and procedures to protect service users are in place. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Service users live in a clean, comfortable and accessible environment. Individual space is personalised and equipment to aid independence provided. Proposed improvements to the property will enhance personal and shared space. EVIDENCE: The home is purpose built for service users with physical disabilities, all the bedrooms and areas provided for service users are on the ground floor. All the bedrooms are singles and six have ensuite facilities. Planned improvement to the property will include the provision of each room with an ensuite. The home was clean and well maintained; due to the nature of the service a fair amount of wheelchair damage to doors and doorframes is to be expected and unavoidable. The manager arranged for repair to one badly damaged door during the inspection. Some redecoration and recarpeting is needed in corridors due to general wear and tear. The manager and maintenance man regularly undertake walking routes of the building to identify repairs needed. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 19 Individual bedrooms are decorated to the taste of service users and they can bring or buy their own furniture. One service user said their room had been redecorated prior to them moving in but they then chose to decorate again in a different colour, another said their sister had chosen the colour scheme for them. All the bedrooms inspected were clean and reflected the interests of service users, eg, videos, football, family photos and IT equipment. Pets are permitted with agreement of the manager and one room housed a pet rabbit. Equipment for personal or communal use was very much in evidence and care plans included information on assessments and requests for equipment such as wheelchairs. Some service users use communication aids. Communal areas comprise of a large lounge that can be partitioned to provide two areas, the dining room, and a room where visitors can be received in private. Improvements planned would also include the addition of a quiet lounge. There are large well kept and attractive grounds and gardens that are accessible to service users via paths. Security at the home has been improved upon following a recent suspected break in. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Service users are supported by a well trained and supervised staff team. The homes’ recruitment procedures protect service users. The recruitment of new staff will enhance the continuity of care provided. EVIDENCE: The home employs care, administrative and ancillary staff, a large number of volunteers assist with activities such as gardening, assisting at mealtimes, driving and befriending. The home also provides accommodation and work experience to a maximum of four oversees volunteers. Staff are supported by a well established regional management structure and within the home by the manager, care manager and team leaders. Staff were spoken with individually and in communal areas throughout the day, they were clear of their roles and responsibilities. The afternoon staff team handover led by the team leader was used to share information that was of concern or relevant regarding service users. Staff were clearly concerned to provide the best service they could, and were genuinely interested in the health and welfare of service users. Supervisions took place during the inspection, as did a fire awareness training session provided by the regional training coordinator. Staff said they received Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 21 regular recorded supervision; this was evidenced on staff files read. A staff induction and development portfolio file had recently been introduced. Several new carers had recently been recruited including bank staff. Agency staff had sometimes needed to be used in recent months, but it was hoped increased staffing would alleviate this. Staffing files included necessary recruitment documentation including CRB disclosures and references, service users attend interviews and their views are recorded. The overseas and other volunteers are subject to CRB disclosures. Staff spoken with felt well supported and said that induction and training opportunities were good and that mandatory and specialist topics were provided. Specialist topics had included dementia and Parkinson’s disease. The manager explained the training matrix held on computer and updated monthly by the training coordinator, the matrix gives easily accessible information on staff training undertaken and due for all employees,50 of the care staff are now NVQ trained. Staff have recently been consulted about proposed changes due to the shift pattern, views on this were mixed. Regular staff meetings take place. Staff said they liked working at the home and that there were sufficient staff on shifts. Service users were complimentary regarding the care and support given; a key worker system is in place. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well run in the best interests of service users and staff. Service users are consulted about the running of the home. EVIDENCE: The home is well run and the atmosphere is welcoming. Service users are offered opportunities to be involved in the daily running of the service and decisions about it. Their views have recently been sought on meals, the proposed new rota, and improvements to the home. Plans are in place for the development of the home and changes have been implemented that have improved or are proposed to improve the service, for example the rota changes and staff recruitment. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 23 Organisational policies and procedures are in place and these are accessible to staff. A range of policies is included in the new staff induction and development folder. Records are held securely in the staff or administrative offices and those seen were up to date. Maintenance and safety checks take place and fire practices are held 2/3 monthly. The home has a valid insurance certificate displayed. Twice daily temperature checks are made of kitchen fridge and freezer temperatures, these were in range and bath water temperatures are recorded. Staff observed were using safe working practices. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 24 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 3 2 4 3 3 4 3 5 3 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 3 26 3 27 3 28 3 29 4 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 3 LIFESTYLES Standard No Score 11 3 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 3 3 3 3 3 3 3 Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 25 NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard YA6 YA20 YA33 YA42 YA43 Good Practice Recommendations It is strongly recommended that the needs of service users aged over 65 be reviewed at least monthly. It is strongly recommended that where a medication is not administered the reason for this be given on the MAR sheet each time as well as a code being added. It is recommended that the staff rota state the full name of each staff member on duty. It is recommended that all opened jars and other containers of food in the fridge be labelled with date of opening. It is strongly recommended that proposed improvement to the property be advanced as soon as possible. Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 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 Chipstead Lake Cheshire Home DS0000023913.V302061.R01.S.doc Version 5.2 Page 27 - 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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