Inspection on 03/04/08 for Colindale Care Home

This inspection was carried out on 3rd April 2008.

CSCI found this care home to be providing an Adequate 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.

Other inspections for this house

Colindale Care Home 01/08/06

Colindale Care Home 14/11/05

Colindale Care Home 27/07/05

Colindale Care Home 27/01/05

Colindale Care Home 04/06/04

Similar services:

Fairfields Country Rest Home

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Fairfax House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Colindale Care Home 1 Richmond Park Avenue Charminster Bournemouth Dorset BH8 9DL Lead Inspector Martin Bayne Unannounced Inspection 3rd April 2008 09:00 X10015.doc Version 1.40 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 Colindale Care Home DS0000003941.V361781.R02.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 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. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Colindale Care Home Address 1 Richmond Park Avenue Charminster Bournemouth Dorset BH8 9DL 01202 514733 01202 258817 ian@colindalecarehome.wanadoo.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Jane Hart Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (14) Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate up to four residents above the age of 55 at any time. 1st August 2006 Date of last inspection Brief Description of the Service: Colindale Care Home is a large 1920s detached house that has been converted for use as a residential home. It is located in a quiet residential area of Charminster, within easy walking distance of a local park with a bowling green and cricket pitch. Local amenities include shops, a post office, restaurants, cafes and places of worship. A bus route to Bournemouth town centre is readily accessible. The home until recently was known as Four Seasons and provided care for up to 10 people. The home now has a registration for 14 people after substantial redevelopment and the name changed to Colindale (following the closure of the sister home formerly known as Colindale). Bedrooms are located on the lower ground, ground, first and second floors of the home. All service users have single rooms. Some have en suite facilities. The premises are centrally heated. Communal facilities consist of a separate lounge and dining room and a quiet room on the first floor. Outside there is a large patio area at the rear of the building with a raised grassy area. The summerhouse is used as an office for the Business Manager and Head of Human Resources. The home has a policy of being family friendly and staff often bring their children into the premises adding to the feeling of being in a family home. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience Adequate quality outcomes. We, the Commission, carried out a key inspection of the home between 9:30am and 2:30 pm, the aim of which was to evaluate the home against the key National Minimum Standards for older people and to follow-up on the one requirement and three recommendations made at the last key inspection in August 2006. We were assisted throughout the day by Mrs Hart, the Registered Provider, the Business Manager and the Head of Care. We were shown around the lower ground and ground floors of the home when we were able to meet with residents and observe interaction between the staff and residents. Due to the mental frailty of the residents it was not possible to gain much information about their experience of living at the home, however we were able to speak with one relative who visits the home every day and comment cards were sent to the home to be distributed to relatives, health and social care staff. Unfortunately due to postal errors comment cards were not returned in time for inclusion in the report. As part of the inspection we also saw records that the home is required to keep by regulation that provide evidence of how care is provided to residents at the home. The fees for the home range from £500 to £560 per week. Information regarding additional costs and charges are contained within the home’s Terms and Conditions of Residence. What the service does well: The home carries out an assessment of a person’s needs prior to their being offered a place at the home, to ensure that their needs can be met. Residents’ health needs are met through good care planning and associated risk assessment procedures. Residents are treated with respect and dignity and there is a range of activities in place to provide social stimulation for residents. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 6 The home provides a good standard of food for residents. Visitors are made welcome at the home and there are no restrictions on visiting. The home has full complaints procedures and staff are trained in adult protection. Colindale provides a ‘homely’ environment for residents. The home has a long-standing staff team who have been well-trained to meet needs of the residents. The home is generally well-managed and run in the interests of the residents. What has improved since the last inspection? What they could do better: Better monitoring systems should be put in place to ensure that medication administration records are completed accurately. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 7 Two written references must be taken up for all new staff appointed to the staff team. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their needs being assessed before they are offered a place at the home. EVIDENCE: At the last inspection it was recommended that the Statement of Purpose for the home be amended to inform people that the home does not have a shaft or stair lift and thus residents need to be able to manage stairs safely as a criterion for admission to the home. On the day of this inspection a stair lift was being fitted between the ground and first floor of the home. This will allow safer access to communal areas for residents accommodated in the four bedrooms on the first floor. We found that the Statement of Purpose had been Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 10 amended accordingly to provide up-to-date information for prospective residents and relatives. Throughout the inspection we used a sample of three residents’ files to track the records and paperwork that the home is required to keep up to date that also provide evidence of the care provided to residents of the home. We found that each of the three residents had their needs assessed prior to their being offered a place at the home, thus ensuring that the home only admits people whose needs they can meet at the home. We found the recording template covered all of the topics as detailed within the National Minimum Standards for Older People. On account of the home being a specialist unit to meet needs of people with dementia, we were told that it is usually relatives or care managers who make the decision on behalf of the person referred to move into the home. We were told that if it were appropriate, arrangements would be made for the person referred to visit the home, to assist them in choosing whether the home was the right placement for them. In cases where care managers arrange the admission, copies of the care management assessment and care plan are obtained as part of the pre-admission assessment of need. Prospective residents or relatives are always given a copy of the home’s Service User Guide to assist in the decision of choosing the home. The home does not provide an intermediate care service. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health needs are met through care planning and risk assessment processes and residents are treated with respect and dignity. Medication administration procedures could be tightened to ensure that no errors in recording occur. EVIDENCE: We found that care plans had been developed from the assessment of need for the three residents who we tracked through the inspection. Care plans were found to be up-to-date, clearly written and were available to staff. A summary care plan, the resident’s ‘daily routine’, is kept within each resident’s bedroom to ensure that staff are kept informed of changing needs of residents. Due to the mental frailty of the residents accommodated at the home, we were told Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 12 that they had limited ability to be involved in developing their plan, but where possible relatives are involved. We saw examples of this with relatives signing care plans. We saw that a photograph was on the front of each person’s file for easy identification of the person and that risk assessments had been carried out and recorded for managing residents’ safety in the home. Where a risk assessment had identified a high degree of risk an action plan was cross-referenced to the person’s care plan on how to minimise risk of harm to the person. We found examples within the documentation that health needs of residents were being met at the home. We saw an example of where a resident has sustained a fall and appropriate medical intervention had been sought. We also saw examples of where appropriate psychiatric support had been requested and also assistance from district nurses to deal with skin care and wound management. We were told that a chiropodist visits the home six weekly and dentistry is arranged on behalf of residents when this is required. The relative with whom we spoke told us that they had peace of mind that the home managed their relative’s health needs and that they were in ‘safe hands’. They also informed us that the staff were very kind and respectful of resident’s dignity and right to privacy. We saw that residents looked clean, with attention paid to their personal grooming and they were dressed in clean clothes. We also observed the staff interacting with residents and there appeared to be good relationships between the two with residents at ease with the staff. At the last inspection it had been recommended that the procedure for medication administration be changed to a system where records are signed immediately after individual administration medication to each resident. It was also recommended that when the kitchen refurbishment takes place, a purpose built, metal medication cabinet be purchased. We were told at this inspection that medication administration procedures had been changed in line with the recommendation and that a metal purpose-built cabinet was to be fitted with the imminent planned refurbishment of the kitchen. The home uses a unit dosage system for administering medication to residents and that due to their mental frailty none were able to take control of their own medication. The medication administration records for all of the residents were seen and it was found that generally these had been completed correctly, however there were a few gaps in the recording and it is recommended that better monitoring of the medication administration records be put in place. We also recommend that where hand entries have to be made to the medication administration records, a second member of staff checks and signs the record that it has been entered correctly. This should diminish the risk of errors being made and residents being given the wrong medication. We were told that the person in charge of the shift takes responsibility for the keys to the medication cabinet and administering medication. We were also told that members of staff who administer medication have been trained in safe administration of medication. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 13 We looked in the medication cabinet and found that medicines were being stored correctly. We also saw that medicines that require refrigeration was stored correctly in the fridge in a separate lidded container with maximum and minimum temperatures the fridge being recorded, thus meeting a recommendation made at the last key inspection. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provide with a balanced diet and can choose what they like to eat. They also benefit from activities being organised both communally and individually and can maintain contact with families, who are made welcome at the home. EVIDENCE: In order to better understand the needs of each individual resident, the home requests that relatives complete a life history of that person. The home then tries to meet each person’s needs with this information in mind. We were told that there are both group and individual activities arranged with residents to provide them with mental stimulation. On the day of our visit old-time music was being played in the lounge and staff were seen supporting and attending to individual residents. Light exercise sessions are run in the home each week. We were told that one person has visits from the Methodist Church. As part of Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 15 the assessment, people’s spiritual needs are recorded and the home ensures that these are met. The relative with whom we spoke said that they could visit at any time and were always made welcome within the home. We were told that relatives and staff take residents out of the home when the weather allows. We were told that the aim of the home is to provide people with as much choice as is possible whilst trying to maintain and promote their independence. We saw the residents in the home had a range of needs from those who were active and could make some choices to those who had fairly advanced illness and needed total care. All staff have had training in the Mental Capacity Act 2005 and are aware of their duty of care balanced against a person’s capacity to make decisions that affect their lives. Concerning food, we saw that food likes and dislikes of residents were recorded at the time of their assessment. We were told that this assessment is ongoing and that staff get to know what residents like to eat. The relative with whom we spoke said that he thought the food was of a good standard. On the day of our visit residents were provided with a beef pie, mashed potato and spaghetti followed by a dessert. We saw the records of food provided to residents and this reflected a varied and balanced being offered. The records also showed what each resident had eaten. We saw examples where specialist diets were being provided, examples being vegetarian diet, pureed foods and a diet for diabetics. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-publicised complaints procedure and the staff having been trained in adult protection. EVIDENCE: Since the last inspection one complaint has been made to the managers. We saw the complaints log and how this complaint had been investigated and responded to appropriately. Since the last inspection in August 2006 there have been no complaints of concerns brought to the attention of the Commission. The complaints procedure for the home complies with the Standards for Older People and is displayed on the front reception area and also within the Service User Guide. Relatives are given a copy of the Guide when a resident moves into the home and are therefore fully informed of how to make complaints. Due to the mental frailty of the residents accommodated at the home, they rely on their relatives or visitors to complaints on their behalf. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 17 The home has copies of all the relevant procedures and policies relating to adult protection and all of the staff have been trained in adult abuse prevention. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a clean, homely environment, which now provides better access to residents on the first floor. EVIDENCE: On the day of our visit, the home was found to be clean and free from unpleasant smells. As mentioned earlier in the report, at the time of our visit a stair lift was being fitted between the ground and first floor of the home. This will provide a further four bedrooms with better access for people with mobility problems to get from their bedrooms to communal areas. We were told that Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 19 should a resident accommodated on the lower ground floor or second floor become too frail to manage the stairs safely, they are offered a room on the ground, (or in future, the first floor of the home), so that they can safely access communal areas. As part of our inspection we looked around the ground and lower ground floor of the home. We found that furniture and fittings were in a good state of repair and the home was in good decorative order. We were also able to see some resident’s bedrooms and it was evident that they are able to personalise their room with possessions and furniture. The refurbishment of the kitchen is soon to take place, which will provide improved cooking facilities. This will be monitored at future inspections. As reported at the last inspection, the majority of the radiators in the home are uncovered. However, each is fitted with a thermostat that is set to a maximum of 43°C to ensure that residents cannot get burnt. We felt the temperature of several radiators and found this to be the case. Thermostatic mixer valves have been fitted to hot water outlets to prevent residents being burnt by scalding water. We saw that staff are provided with protective clothing and gloves in line with the home’s infection control policies. It was noted that an alcohol gel dispenser was available at the front reception area and that all staff are provided with their own alcohol gel dispensers. The home has no sluicing facility, however we were able to view policies and procedures for the cleaning of commodes. The home has a small, dedicated laundry area equipped with washing machines capable of carrying out a disinfection cycle. It was noted that there was only one sink available, which is used for rinsing and also for hand washing. This was discussed with the business manager and it was recommended and agreed that a second sink would be provided, to be used exclusively for hand washing. It was agreed that the second sink would be fitted within six weeks. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a longstanding, well trained staff team with there being sufficient staff to meet residents’ needs. EVIDENCE: We discussed staffing levels with the Business Manager, who told us that the current staffing levels met the needs of the residents accommodated. Between 8am and 2pm there are four care staff on duty and between 2pm and 8pm, three care staff. During the night-time period there is one awake member of staff and one member of staff who carries out a sleep-in duty. During the morning period one of the care staff is taken off care duties to work in the kitchen. In addition to the care staff the Registered Manager and Business Manager are available and work in the home throughout the week. At the last inspection a recommendation was made that the staff application form be changed to seek information in line with the requirements of the Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 21 regulations. It was found at this inspection that the application form had been amended as recommended and that appropriate information was being sought. Shortfalls in the recruitment of some newly appointed staff are reported in the Management section of this report. We discussed staff training with the Registered Manager. It was found that all members of staff complete an induction training that is compliant with Skills for Care standards and recommendations. Each member of staff receives core training in moving and handling, first aid, the Mental Capacity Act, adult protection, infection control and fire safety. We saw certificates for a sample of staff that confirmed the above. We found that training was being monitored through supervision and through annual staff appraisals to ensure that training requirements are up to date. Once staff have completed the core training, they are put forward for specialist training such as dementia awareness, medication administration, care of people with Parkinson’s disease and diabetes awareness. Concerning NVQ training, we found that five members of staff have been trained to NVQ level 3 and three staff to level 2, with four members of staff starting NVQ level 2 training in April. Currently at least 50 of the staff team are trained to NVQ level 2 or above. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from the home being well managed and run in the interests of the residents, however there were shortfalls in the recruitment of some new members of staff that could undermine the home recruiting good staff. EVIDENCE: Mrs Hart, the registered provider is an EN-M registered nurse and has completed the Registered Manager’s Award. The Business Manager has also obtained NVQ level 4 in management. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 23 We found that the home is well managed with good systems in place to ensure that care is delivered safely to residents. In general we found that the home was being run in the interests of residents. At the last inspection a requirement was made concerning staff recruitment, as it had been found that a member of staff had started work before the return of the check against the register of adults deemed unsuitable to work with vulnerable adults. At this inspection we sampled three staff recruitment records and found that all the necessary recruitment checks and records were in place, with the exception of written references for each of the staff. The Business Manager informed that telephone references had been taken up as there had been difficulty in obtaining written references; however there was no written record of these having taken place. A requirement was made that two written references are in place for each member of staff. We were told that the Registered Manager and staff do not get involved in managing residents’ financial affairs and no money is held on behalf of residents; should a resident need assistance in this area relatives are involved. We found that cleaning materials and substances harmful to health were stored away in a locked cupboard away from residents. We looked at the fire logbook and found the tests and inspections of the fire safety system were being carried out to the required timescales. The home maintains a record of accidents and notifications to the commission were being sent in appropriately. Colindale Care Home DS0000003941.V361781.R02.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 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 X X 3 Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP29 Regulation Schedule 2 Requirement You are required to ensure that two written references are taken up for each new member of staff recruited to the staff team. Timescale for action 05/04/08 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 OP9 Good Practice Recommendations It is recommended that there is better monitoring of medication administration records to ensure that complete records are maintained. Colindale Care Home DS0000003941.V361781.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Colindale Care Home DS0000003941.V361781.R02.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. 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. 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