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Inspection on 14/10/08 for Clairmont Residential Home

Also see our care home review for Clairmont Residential Home for more information

This inspection was carried out on 14th October 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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 service offers a homely and comfortable environment in which to live and the level of specialist dementia care is very high. Families and a Care Manager spoke very highly of the care provided. All residents have indiviualised care plan that are regularly reviewed and any changes are acted upon. The management team is very proactive in accessing medical health care when needed, especially when they are struggling to obtain specialist help. This persistent approach has enabled one resident, in particular, to obtain the specialist support she required. The environment is well maintained and was clean and fresh on the day of the inspection. The majority of the staff have worked at the home for many years and this has meant that the staff group is very stable and they are all familiar with the needs of the individual residents. Staff morale appeared very high. Training was assessed as excellent with all staff having obtained an National Vocational Qualification (NVQ) to at least level two. Many staff have either completed or are completing level three. All mandatory training is current. Several staff have completed a variety of in depth specialist training courses. Medication is managed in accordance with the Guidelines from the Royal Pharmaceutical Society of Great Britain.

What has improved since the last inspection?

Improvements have been made to the environment including new flooring in the lounge, dining room and bathroom. A new electrical hoist has been fitted to the bath on the lower floor. Some new dining room chairs have been purchased. A new oven has been purchased for the kitchen. Other environmental improvements are detailed in the report. Staff supervision has improved immensely and all staff now received regular and structured supervision. Appraisals and development plans are now part of the supervision process. Quality assurance has also improved and the home now holds regular family support groups.

What the care home could do better:

The medication cupboard needs to be replaced in the medical room. Some of the bedroom carpets are in need of replacement. Some of the risk assessments need to give clear guidance to staff to ensure assessed risks are reduced as much as possible.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Clairmont Residential Home 89-91 Woodside Wigmore Gillingham Kent ME8 0PN     The quality rating for this care home is:   three star excellent 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: Sue McGrath     Date: 1 4 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Clairmont Residential Home 89-91 Woodside Wigmore Gillingham Kent ME8 0PN 01634361468 Telephone number: Fax number: Email address: Provider web address: dwynfrey@hotmail.co.uk Name of registered provider(s): Name of registered manager (if applicable) Susan Lewis Type of registration: Number of places registered: Mrs Gwyneth Hayward,Mr Godfrey Hayward care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: Future DE(E) service users have single rooms, unless it can be evidenced through a multi disciplinary assessment the appropriateness to share a room with another DE(E) service user. Date of last inspection Brief description of the care home Clairmont Residential Home is a large detached property situated in a residential area close to a public park and within easy walking distance of a local convenience store and Post Office. The home is on a bus route and within easy reach of Hempstead Valley shopping centre. The nearest town and main line station is Rainham, which is about a mile away. The home has an attractive rear garden part of which is sectioned off for service users, the remaining garden has a swimming pool, service users only access this part of the garden when accompanied by staff. The home provides accommodation to 13 residents with a diagnosis of Dementia on two floors and offers 24-hour care. Care Homes for Older People Page 4 of 28 Over 65 0 13 Brief description of the care home There is one waking night and one on call on the premises at night. In addition to the team of care staff one domestic staff and an activity co-ordinator are employed at the home. This is a non smoking home. There are no limits on the age of the dementia clients. The current level of fees range from 460 pounds to 480 pounds per week. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection that took place in accordance with the Inspecting for Better Lives (IBL) process. Key inspections are aimed at making sure that the individual services are meeting the standards and the outcomes are promoting the best interests of the people living in the home. The IBL process for a Key Inspection involves a preinspection assessment of service information obtained from a variety of sources including an annual assessment and surveys. It is a legal requirement for services to complete and return an Annual Quality Assurance Assessment (AQQA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. Care Homes for Older People Page 6 of 28 Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those who were spoken with. These judgements have been made using Key Lines of Regulatory Assessment (KLORA), which enable The Commission For Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. Further information can be found on the CSCI website with regards to IBL process including information on KLORA and AQAAs. The actual site visit to the service was carried out bu Sue McGrath, regulation inspector, who was in the home from approximately 09:30 to 15:00. The main focus of the visit was to review any improvements made since the last visit and the well being of the service users. Time was spent touring the building, talking to people living in the home, talking to staff and reviewing a selection of assessments, service user plans, medication records, menus, staff files and other relevant documents. Prior to the visit the AQAA had been returned and surveys sent out to the service users and other professional to gain further feedback as to their opinion of the service. Nine surveys were returned. To gain further independent evidence an Expert by Experience from Help The Aged assisted the Inspector during the visit. The expert spent her time talking to service users and staff. Further information regarding Experts by Experience can be found on CSCIs website. The one requirement made at the last inspection had been complied with. Because of consistently good outcome the Commission now considers this an excellent service. The Inspector on leaving the home was satisfied that the service users were both safe and well cared for and wishes to thank the manager and her staff for their assistance and hospitality. What the care home does well: What has improved since the last inspection? What they could do better: The medication cupboard needs to be replaced in the medical room. Some of the bedroom carpets are in need of replacement. Some of the risk assessments need to give clear guidance to staff to ensure assessed risks are reduced as much as possible. Care Homes for Older People Page 8 of 28 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are provided with the relevant information they need to make an informed choice about moving into the home. People who live in the home benefit from a comprehensive assessment of need prior to moving into the home to ensure their assessed needs can be met. People who wish to live in the home benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. Evidence: Since the last inspection the home has updated its statement of purpose so that prospective service users and their representatives are now provided with the written information in order for them to make an informed choice about living in the home. The statement of purpose now meets with requirements of Schedule One of the Care Care Homes for Older People Page 11 of 28 Evidence: Standards Act 2001. Each resident was provided with a statement of terms and conditions and these were held in the individuals files. The home and either the resident or their representative had signed these. The Registered Manager discussed the admission process which was thorough and comprehensive. Good working relationships with Care Managers ensure sufficient information was available before admission. The initial care plan was started following the assessments and developed after the resident was admitted. Residents and their families were involved at all stages of the admission process and any new resident only moved into the home on a trial basis. After four weeks a review was held as to whether the residents needs were being met and whether they were to remain as a permanent resident. The trial period could be flexible according to need. Unplanned admission were avoided where possible. The home offers specialist dementia care and has had many years of experience in delivering this type of specialist care. Staff are well trained and the people who live in the home can be confident their needs will be met The home does not offer intermediate care. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home can be confident their care plans are regularly reviewed and reflect their actual need. People who live in the home can be confident their health care needs will be met and that they will benefit from having full access to all professional health care services as required. They can be confident the home will manage illness and aging sensitively. People who live in the home also benefit from the homes policies and procedures with regards to the safe handling of medication. Evidence: Three care plans were viewed and were seen to contain relevant information to enable staff to deliver a very good level of care. The majority of the staff in the home have a good in depth knowledge of each of the resident, as many have worked at the home for many years. The care plans continue to be developed and the registered manager was advised to continue to expand the level of risk assessments and to include the Care Homes for Older People Page 13 of 28 Evidence: outcomes of the risk assessments. They should identify how best to manage the identified risk and give clear guidance to staff. Evidence was seen that health care needs are met very well with the management team being very proactive in obtaining the required medical intervention when needed. All residents have access to GPs, District Nurses, Dentists, Opticians and Audiologists, according to need. Staff displayed a good understanding of tissue viability and how to prevent and treat any skin problems. Nutritional assessments were undertaken on a regular basis and weights were recorded monthly to ensure people who live in the home maintain a healthy weight. There were procedures in places to address any unexpected weight losses. The need to respect residents privacy and dignity when delivering health and personal care was a key principal of the homes aims and objectives and staff promoted the residents independence where possible. Where not possible staff were seen to give full support and consideration. The home administers medication in a safe manner and staff are fully trained. The registered manager completed daily audits and assessed staff to ensure they remained competent in the safe administration of medication. However these audits were not recorded and the registered manager was advised to record these activities to evidence good practice. The actual medication cupboard was showing signs of wear and tear and it was advised that a designated metal medical cupboard be purchased and fitted appropriately. The registered manager was also advised to obtain The Royal Pharmaceutical Society of Great Britain guidance called The Handling of Medicines in Social Care. These are the latest guidelines available and are obtainable from their website. Staff practices seen on the day indicated that people who live in the home are well respected at all times and that preferred names of address were used. Excellent interaction was seen between staff and residents and several residents confirmed that staff looked after them very well. Comments included, staff are lovely and nothing is too much trouble for them and they do all I want of them. Staff were seen to be kind and compassionate. Comment cards also confirmed staff respect and care for residents in a kind and professional manner. The home had a comprehensive policy in place for handling illness, death and dying of residents, which would ensure their illness or death was handled with dignity and propriety. The registered manager again confirmed that people who lived in the home were able Care Homes for Older People Page 14 of 28 Evidence: to spend their final days in their own rooms, surrounded by their own personal belongings, unless there were good medical reasons to prevent this. The home had developed good working relationships with the District Nurses team and felt they received good support from them. Eight members of staff were undertaking an in depth course in palliative care. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are encouraged to maintain contact with families and friends, which ensures they continue to receive stimulation and emotional support. People who live in the home benefit from appetising meals and the balanced diet offered by the home. Evidence: The home cares for people with varying degrees of dementia and lifestyles can be very challenging for some. With the levels of dementia in the home it was not always easy to offer full choices, however staff did their best and worked in the best interest of the residents when choices could not be made. Staff were seen to offer lots of encouragement with all tasks undertaken by the residents. The home continues to employ an activities co-ordinator for two afternoons a week and at other times staff arrange suitable activities. All activities were recorded and included dancing, bingo, board games, cards and quizzes. Pampering session where nails could be polished and other skin care treatments could be enjoyed continue to be popular with the female residents. Care Homes for Older People Page 16 of 28 Evidence: During this inspection the inspector was assisted by an Expert by Experience from Help The Aged and her report concluded that all members of staff spoken with were very pleasant and friendly and treated residents with dignity and respect at all times. She confirmed the residents spoken with all said they were very happy in the home and felt they were listened to. The expert witnessed staff explaining reasons for not doing something in a concise and kindly manner. She also felt that life in the home was flexible and that residents could mainly choose what time to get up and if they were able to, they could choose their own clothing for the day. She noted the food appeared very important to the residents and that the meal served whilst she was in the home looked appetising and was served in a pleasant manner. She also noted that records were kept of residents likes and dislikes. Fresh vegetables were used for the main meal and residents confirmed they always sat at the table for breakfast and lunch. All of the residents spoken with told her the food was very nice. The residents confirmed they could have drinks whenever they wanted them and the expert witnessed extra drinks being given to a resident when she asked for one. The expert did notice that the television was on all the time and when she asked the residents if they were watching it they all said no they were not. The expert also noted the calender had not been changed for that day, which could be confusing for some. The expert spoke with some family visitors who confirmed they could visit whenever they wished. These relatives confirmed they were aware of the homes complaints procedures. The experts overall impression was that the home appeared to be a good, clean, caring and homely home. The residents appeared happy and were well cared for. The staff mostly stayed in post for a number of years and they said it was a happy home to work in. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are protected by a robust complaints system and residents and their relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures in place to ensure that residents are protected from abuse. Evidence: The home had a complaints procedure in place that ensured residents and relatives complaints were taken seriously and acted upon within a recognised timescale. The registered manager confirmed the home had not received any formal complaints since the last inspection. The home worked hard to ensure any issues that arise were dealt with efficiently before the need to raise a formal complaint became necessary. The home had adopted the Multi Agency Adult Protection Policy for Kent and Medway and staff spoken with were able to demonstrate an awareness and understanding of the policies within the home. The home has been involved with one Safeguarding Vulnerable Adults alert since the last inspection. They co-operated fully at all times. The alert was closed with no action being taken. All staff had received training in Adult Protection since the last inspection. Care Homes for Older People Page 18 of 28 Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from living in a clean, safe and well maintained environment and have safe access to comfortable indoor and outdoor communal areas. Evidence: There have been several improvements to the environment since the last inspection. These include new flooring to the lounge and dining room, new dining room chairs, new curtains in the lounge, a new oven in the kitchen, some new taps in the medical room and new non slip flooring to the downstairs bathroom. Residents also benefited from having a new electronically operated hoist in this bathroom. Two of the bedrooms had been decorated and new carpets had been fitted to both rooms. All of the radiators had been guarded and the Registered Manager confirmed all taps had thermostatic mixer valves fitted to prevent any risk of scalding to the residents. It was also confirmed that water temperatures were regularly monitored. The windows upstairs had restrainers fitted. Residents had full access to indoor and outdoor rooms. There was a non smoking polocy throughout the home. Smoking was only permitted outside the home. The home had five toilets and four bathrooms and one en-suite room. Each bedroom Care Homes for Older People Page 20 of 28 Evidence: had a hand basin. All of the rooms viewed appeared comfortable and were well presented although some had an odour. The Registered Manager was aware that some rooms had an odour and insisted they were regularly professionally cleaned. There were no odours in the main living areas. Several residents were spoken with and all confirmed they liked their rooms and said they were comfortable. Several examples of specialist beds and cushions were seen to enhance the lives of some of the residents who needed further assistance. The home generally was clean, tidy and homely and residents and visitors confirmed it was always like that. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from well trained staff who are competent and experience in delivering a high standard of care. Evidence: The home employed sixteen care staff, including the Registered Manager, who worked over a twenty-four hour rota. This had increased since the last inspection. The rotas were viewed and indicated that the home was suitably staffed. Several residents confirmed that staff were always available and were extremely helpful. Some very positive interactions was seen between staff and residents, particularly when assistance was needed with drinks and at mealtimes. Staff training is excellent with all staff having achieved a National Vocational Qualification (NVQ) to at least level two, with eight achieving level three. All mandatory training is up to date. Several ASET course, which are in depth courses, have been completed in medication (12), dementia (all staff except two who have completed a one day course) and infection control (6). Eight staff are currently undertaking an ASET course in Palliative Care. The majority of staff have either completed or are booked to complete training in The Mental Capacity Act and all staff have completed Adult Protection training. The member of domestic staff was Care Homes for Older People Page 22 of 28 Evidence: undertaking an NVQ in Cleaning and Good Housekeeping. Discussion with staff and the standard of care seen on the day indicated that the staff had the skills and the confidence to perform their duties very well. Residents are in safe hands. The homes recruitment procedures remains robust thus ensuring the safety of the residents. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from a clear management and organisational structure, which recognises the expectations of older people needing specialist dementia care. People who live in the home are protected by sound accounting procedures with personal finances safeguarded. People who live in the home benefit from staff that are well supervised and motivated. Current arrangement protect the health, safety and welfare of residents and staff. Evidence: The Registered Manager had completed the registration process with Commission and continues to develop as a manager. The proprietor had appointed a senior carer in charge, which indicated clear lines of responsibilities within the home. The proprietor Care Homes for Older People Page 24 of 28 Evidence: continued to be involved with the day to day running of the home and the management structure works well. The atmosphere in the home remained very positive and all staff spoken with said they felt well supported by the manager and her team. All staff appeared very settled and happy in the home. The home had worked hard to improve the quality assurance procedures in place and had completed resident satisfaction surveys in April 2008. Issues that had arisen from the survey had been responded to and acted upon. Another area the home had developed was a residents family support group. The Registered Manager had organised and led the meeting, which was very much appreciated by the families. Various issues were discussed and highlighted to the families and some positive actions came from the meeting. The manager planned to have further meetings on a quarterly basis. The proprietors mainly dealt with the finances of the home but the Registered Manager did handle some small amounts of personal monies on behalf of individual residents. Evidence was seen that there was a robust accounting procedure in place that safeguarded residents monies. Staff supervision had improved since the last inspection and is now far more organised and structured. The provider invested in Skills for Care information and each member of staff had a Skills for Care Passport, which gave a clear action plan for the further development of their skills. A lot of effort had been put into this piece of work and staff said it made them feel valued and confident. Clear guidance on supervision was also part of the programme. The Registered Manager expected this system to continue. The information given in the Annual Quality Assurance Assessment (AQAA) confirmed the home had a wide range of policies and procedures in place and managed the health, safety and welfare of residents and staff in a robust manner. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 It is recommended that the home purchase a new dedicated medication cupboard and obtains a copy of the Royal Pharmaceutical Society of Great Britains guidelines in the Handling of Medicines in Social Care Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!