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Inspection on 22/06/05 for Claybourne Residential Home

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

This inspection was carried out on 22nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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.

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

Claybourne is a home specialising in the care of older people with a dementia and as such, the environment, staffing levels and training, along with care planning are geared to meet the needs of highly dependant residents. The home offers its residents the opportunity to experience a good quality of life, with flexible daily routines and a wide range of social activities.

What has improved since the last inspection?

Having had many years of stability the management team experienced a significant change last summer with the resignation of the former Registered Manager and the appointment of a new manager. During this inspection the Inspector was pleased to find that the management team was now working well together, having initially experienced some teething problems.

What the care home could do better:

From the information provided in the pre inspection questionnaires received from relatives, the Inspector fed back to the home the need to more clearly communicate the home`s complaint procedure. The Inspector acknowledged that a poster was on display in the reception but recommended that the details of the complaints procedure should also be periodically included in the home`s newsletter.

CARE HOMES FOR OLDER PEOPLE Claybourne Residential Home Turnhurst Road Chell, Stoke on Trent Staffordshire ST6 6LA Lead Inspector Norma Welsby Announced 22 June 2005 09:30 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 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 Older People. 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. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Claybourne Address Turnhurst Close Chell Stoke on Trent Staffordshire ST6 6LA 01782 790500 01782 832642 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Methodist Homes for the aged Mrs Zoe McCallum Care Home 45 45 45 Category(ies) of DE(E) registration, with number DE of places Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) 45 DE(E) minimum age 50 years on admission 2) The Care Manager achieves the Registered manager award by 31 March 2006 Date of last inspection 3 November 2004 Brief Description of the Service: Claybourne residential care home is a modern purpose built home, specialising in the care of older people who have a dementia. Opened in the autumn of 1997, the home is run by the Methodist Homes for the Aged, (MHA), which is a national voluntary organisation specialising in the care of older people. The ethos of the home is inspired by Christian values and is based upon providing a quality lifestyle for older people with dementia. Prospective residents do not have to be Methodist but can be from any religious denomination. The home is registered for 45 long stay residents with dementia, (DE(E)), and at the time of this announced inspection was occupied by 44 long stay and 1 resident was in hospital. The design and specification of Claybourne provides a high standard of environment and facilities for people with a dementia. The accommodation is divided into three wings, each of which is equipped with a large lounge/diner/kitchen. An additional quiet lounge, bedrooms, bathrooms and toilets are also located in each wing. Centrally there is a large open plan sitting area, used for activities and entertainment and throughout accommodation is light, spacious and comfortable. Residents are able to move freely throughout the home and have easy access to the enclosed gardens that surround the entire property and which are a particularly positive feature of the design. Claybourne is situated in Chell, near Tunstall and is well located to access a wide range of local community facilities. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Ms Norma Welsby carried out this Announced Inspection on the 22nd of June 2005. It found that the majority of standards assessed were fully met and the Inspector was very satisfied with the findings of this inspection. Helpful assistance was provider by the Registered Manager and all staff on duty throughout the period of the inspection. Residents and several visitors to the home who were extensively consulted throughout the day made positive contributions to the inspection process. Written information provided to residents prior to admission was of a very good standard and a thorough assessment procedure was in place. The health and personal care needs of residents were being met appropriately and each resident had a written care plan, a sample of which were examined and found to be very satisfactory. Residents were encouraged to pursue a good quality daily life and a wide range of social activities was provided. Residents and visitors alike complimented the choice and quality of meals. A thorough complaints procedure was in place. One complaint had been received and dealt with by the home satisfactorily during the past 12 months. Protection policies and procedures were also in place and all staff were given appropriate training and guidelines. The environment of Claybourne provides very high standards. Communal areas are very spacious, light and comfortable. All bedrooms are for single occupancy and have an en suite toilet and basin. Both the internal design of the home and the attractive gardens that surround the property, provide a sense of freedom, enabling residents to wander safety and without constant supervision from staff. Staffing levels provided at Claybourne were found to be satisfactory. Staff training is given high priority and NVQ training was progressing well. Observations of staff conduct throughout the day, along with several discussions with staff at different levels, confirmed to the Inspector that staff were competent and caring. The Registered Manager has been in post now for almost one year and the Inspector was pleased to find during this inspection that the management team was working well together. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 6 What the service does well: 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. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,4 & 5. Standard 6 is not applicable to this home. The Inspector found that the home has very detailed pre admission assessment procedures and was able to demonstrate that the needs of residents were being met appropriately. EVIDENCE: Claybourne has a very detailed pre admission assessment procedure that is well supported by comprehensive written records, samples of which have been examined and found to be satisfactory. If the prospective resident lives many miles away and closer to another Methodist Home, then that Registered Manager/Senior Team may undertake the home assessment using the corporate model. At Claybourne, the Assistant Managers have been taking more of a lead role in assessments, always with a second person, either the Registered Manager or a Care Assistant. Needs are identified and a plan of care is established which is developed further as the period of assessment reveals more information of individual needs and how these are to be effectively met. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 9 Pre admission visits are encouraged, but not always possible as Claybourne admits older people with dementia from all over the country. However admission to the home is arranged on a mutual ‘trial’ basis and extensive documentation via the Statement of Purpose and Service User Guide is always provided. Following the 6 weekly review meeting a quarterly monitoring of need is undertaken. During this inspection the dependency of residents was thoroughly discussed. Three highly dependant residents identified during the last inspection that had been referred for reassessment had since been discharged from the home. The home had also recently instigated another assessment as the needs of one resident were now felt to require nursing care. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 & 10 The Inspector found care planning to be of a good standard. The health and personal care needs of residents were being met appropriately. The home had comprehensive policies and procedures in place for the management and administration of residents’ medication. The Inspector was satisfied that residents were treated with respect and their right to privacy was being up held. EVIDENCE: A 15 sample of care plans were examined during this inspection and the Inspector was satisfied that a good standard of care planning was being achieved. In February/March all care plans have been re-written. In the previous inspection of the home, the Inspector had raised the need to ensure that care plans are maintained as ‘live’ documents and there was better evidence during this inspection that this was being more consistently achieved. The Registered Manager undertakes an examination of a sample of care plans each week and a care plan audit tool is being considered to ensure the most effective way of maintaining a high standard. Discussions with staff and residents confirmed that good standards of health and personal care were provided at Claybourne. An examination of care notes Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 11 also confirmed a thorough approach. The Registered Manager discussed a particular issue with the Inspector and the Inspector recommended that the home maintain a thorough record of its activities and the rationale for these. The Inspector was notified that one resident was under the care of a district nurse for a small pressure sore to the heal, which was acquired in hospital. Due to the high dependency of residents at Claybourne, none self medicate. All medication is managed and administered by staff and one of the Assistant Managers takes overall responsibility. All staff that administer medication have had relevant training and a monitored dose blister pack is used. An examination of medication stock, records and signatures confirmed a very comprehensive approach. The storage of medication was also found to be very satisfactory. Throughout the period of the inspection, the Inspector observed several very positive interactions between staff and residents, which confirmed that residents of Claybourne are treated with respect and afforded privacy. The Inspector observed residents being consulted about a variety of things and staff were demonstrating patience and sensitivity. Extensive discussions with staff of different levels also confirmed a positive and respectful manner. Consultation with residents and visitors to the home equally conveyed a feeling of mutual respect that exists between residents and staff. Throughout the day staff were observed to be knocking on bedroom doors before entering and promoting privacy when assisting residents to transfer and in a variety of other personal care situations. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 & 15 Claybourne provides a very good range of social, religious and recreational activities and opportunities. Contact with families is promoted. Residents are extensively consulted and encouraged to make choices that determine personal routines and activities for daily life. The quality of meals continues to be of a very high standard. EVIDENCE: The home employs an Activity Assistant for 25 hours each week, providing 5 hourly sessions over 5 days. Consultation with the Activity Assistant confirmed to the Inspector that a good variety of social activities and recreational opportunities were being provided, including one to one activities to meet individual assessed needs and group activities. On the afternoon of the inspection, two musicians visited the home and a large group of residents gathered in the central area to enjoy this entertainment. Regular events such as this take place each month. The home advertises planned events in the home as well as detailing them in its newsletter. Specific requests are also encouraged and an example of this alerted to the Inspector was a forthcoming tea dance and supper, which had been specially arranged for a small group of residents and their partners. Evidence of spontaneous activities was also apparent with staff encouraging residents to sit and walk in the garden in order to enjoy the lovely sunny weather. Consultation with residents and visitors to Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 13 the home confirmed their satisfaction with the range and level of activities provided at Claybourne. During this inspection, the Inspector had the opportunity to consult with several visitors, including a family of a former resident who was visiting the home to see old friends and thank staff for the ‘fantastic’ way in which their elderly relative had been cared for while living at Claybourne. Both these relatives and others, who visited the home during the inspection, confirmed to the Inspector that they felt very encouraged to visit the home and remain in close contact with their elderly relatives. Claybourne also hosts a Relatives Support Meeting, usually once each month and to which specialist speakers are invited. The purpose of these meetings is to provide support and information to partners and other relatives. From observations made during this inspection, the Inspector was very satisfied that residents are appropriately consulted and encouraged to make choices in their day to day lives. As well as observing direct examples of this, discussions with residents and relatives also confirmed this good practice. Three residents have an independent advocate and others have assistance from a solicitor. The Inspector observed the cooked lunch and light tea that was provided on the day of this inspection. Both meals looked appetising and were well presented. A mid morning breakfast for a late riser was also observed. Copies of menus were supplied to the Inspector, which confirmed an excellent variety and choice of meals. Comments from several residents confirmed their satisfaction with the quality, quantity and choice of meals provided. The Inspector established that the food budget had been modified since April, resulting in Claybourne losing its allowance previously given to ensure choice of menu can be provided on the day. Due to residents having a dementia, choice of preferred meals in advance, even the day before, it not always tenable and so a full choice has always been available each day, but this obviously leads to additional waste which has cost implications. The Inspector discussed this situation with the Registered Manager who confirmed that full choice had continued to be offered, but this was likely to lead to an overspend. It was also ascertained that the situation was under discussion as the home was committed to continuing to provide an excellent standard of catering to residents. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Claybourne has an established complaints procedure. There are written policies and procedures in place in respect of protecting residents from abuse, along with associated staff training. EVIDENCE: Claybourne has received just one complaint from a relative of a resident during the past 12 months. This was dealt with satisfactorily by the home. No additional complaints have been raised directly with the CSCI. In the pre inspection questionnaires distributed to relatives prior to the Announced Inspection, it was revealed that some relatives felt unsure of the complaints procedure. While the Inspector acknowledged that a poster was on display in the reception, it was also recommended that the home include details of the complaints procedure in its Newsletter. The home has comprehensive policies and procedures, including ones on the protection of vulnerable adults. All staff receive specialist training in the care of older people with dementia, included in this is abuse awareness and associated guidelines. Many staff had recently attended refresher training on dementia care. The Organisation also has a confidential reporting system, called ‘Speak Up’. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20 & 26 Claybourne provides excellent environmental standards. The home is well maintained, comfortable and safe. The design of the home and its grounds enable residents to wander freely and safely. During this Inspection, the environment throughout was found to be clean, pleasant and hygienic. EVIDENCE: Claybourne provides an accessible, safe and well maintained environment that meets the needs of residents. There is a rolling programme of decoration and maintenance intended to ensure high standards are maintained. While Claybourne is a large home, its design, which consists of 3 separate living areas leading off from a large central recreational area, provides a very attractive and homely interior. Throughout the period of this inspection, many residents were observed to be wandering freely and utilising many different areas of the home and garden. Observations on the day of this Announced Inspection confirmed that the environment was clean, pleasant and hygienic. Several windows and doors leading to the garden were open allowing through ventilation for residents Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 16 within. Robust policies and procedures were in place for the control of infection and appropriate hand washing facilities and disposable gloves/aprons were provided throughout the home and staff were observed to be accessing these during this inspection. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28, & 29 Staffing levels provided at Claybourne were satisfactory. Staff training is given a high priority. NVQ training was progressing well. EVIDENCE: On the day of this Announced Inspection the home was staffed as follows: Registered Manager: 5.30am/4pm 2 Assistant Managers: 7am/3pm and 8am/4pm 9 Care Assistants: 7am/3pm Activity Assistant: 9am/2pm Cook: 9am/5.30pm Kitchen Assistant: 9am/3pm Maintenance: 7am/3pm 2 Domestic Assistants: 9am/3pm and 9am/1.30pm Administrator: 9am/1.30pm Senior Carer: 2pm/10pm 9 Care Assistants: 2pm/10pm 4 Waking Night Care Assistants: 9.45pm/7.15pm The above staffing levels were felt to be typical of the day to day cover at Claybourne. The Registered Manager had arrived early for her shift in order to meet with the night staff, which she does periodically. Observations of staff on duty throughout the inspection confirmed that staff were competent and caring in their conduct. The Inspector was particularly Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 18 impressed with the positive rapport and friendliness towards both residents and visitors to the home. At the time this inspection 33 of staff had achieved NVQ level 2 or above, with five more staff awaiting to see the assessor which if successful will increase the percentage of staff with NVQ qualifications to approximately 42 . In addition another 10 care assistants had recently registered to commence NVQ training and were due to start imminently. One of the Assistant Managers takes responsibility for on going mandatory training, maintaining a schedule programme. Claybourne has well established recruitment procedures. All staff in post have had CRB checks. A discussion took place in respect of such checks and in the instance of one being returned having identified previous convictions. The Inspector recommended that in the event of this occurring and the organisation making the decision to employ, or in this particular instance, to continue to employ, then a procedure needs to be established to put in place additional safeguards which may include an extension of the normal probation/supervisory period. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35 & 38 The Registered Manager of Claybourne, Mrs Zoe McCallum has been in post for nearly a year. During this inspection the Inspector was pleased to find that the management team was working together positively, following some initial teething problems. An examination of the management of residents’ monies was satisfactory. The health, safety and welfare of residents and staff were promoted by extensive policies and procedures and safe working practices. EVIDENCE: Extensive discussions with the Registered Manager and members of the management team confirmed that professional working relations had improved and there was a greater sense of teamwork and shared commitment. The Registered Manager is a qualified psychiatric nurse (RMN) and is also part way through completing the Registered Managers Award. One of the Assistant Managers have recently completed the RMA and others are upgrading their NVQ levels. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 20 The management of residents’ monies was examined and found to be satisfactory. Residents now have better access to their money. Records were examined and were satisfactory. The home also maintains a record of valuables kept in the safe. Some of these the home has been safe keeping for several years and the Inspector recommended that if appropriate these should be returned to the resident or by following correct procedures relatives could be asked to take responsibility for them. Observations throughout the day confirmed that safe working practices were in operation. Comprehensively written policies and procedures were in place and staff were being provided with a rolling programme of health and safety training. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 4 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x 3 x x 3 Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 22 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. 1. Standard Regulation Requirement none identified during this inspection 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. Refer to Standard 8 16 29 35 Good Practice Recommendations The home should maintain a detailed record of issues discussed concerning the health care/referral of one resident, including the homes actions and rationale. The home should consider additional ways to inform relatives of the complaints procedure, such as including it in the homes newsletter. The home should develop a procedure to follow in the event of a CRB check revealing previous convictions but the home deciding to continue to employ. The home should make every effort to return valuables to residents or their relaltives. Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Claybourne Residential Home E51 E09 S8219 Claybourne V227936 220605 Stage 4.doc Version 1.30 Page 24 - 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!