Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Cowbridge Nursing Home Rosehill Lostwithiel Cornwall PL22 0JW The quality rating for this care home is:
two star good 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: Diana Penrose
Date: 2 6 0 3 2 0 0 9 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. that people have said are important to them: They reflect the things 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 27 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 27 Information about the care home
Name of care home: Address: Cowbridge Nursing Home Rosehill Lostwithiel Cornwall PL22 0JW 01208872227 01208873109 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Cornwallis Care Services Limited care home 30 Number of places (if applicable): Under 65 Over 65 30 30 dementia mental disorder, excluding learning disability or dementia Additional conditions: 0 0 Service users to include one named adult under 65 years of age with a mental disorder (MD). Date of last inspection Brief description of the care home Cornwallis Care Services Ltd, own two nursing and one residential care home in Cornwall. Cowbridge Nursing Home is registered to provide accommodation and care to 30 residents who may experience mental health problems or dementia. Cowbridge Nursing Home is a detached property situated on the outskirts of Lostwithiel. The original house has a modern day extension. The grounds are extensive with views over the surrounding countryside. There is an area of garden and a patio that are enclosed and accessible to people using the service. Accommodation is provided on two floors with a very small passenger lift for access. There are rooms for both single and double accommodation - only one room has ensuite facilities. Assisted bathing and shower facilities are provided. All rooms have call bells. There are three sitting rooms and a dining room that have all been refurbished. Care Homes for Older People Page 4 of 27 0 9 1 0 2 0 0 8 Brief description of the care home Information about the home is available in the form of a statement of purpose and residents guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from 575 pounds to 625 pounds per week; this information was supplied to the Commission during this inspection. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Care Homes for Older People Page 5 of 27 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: two star good 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: An inspector visited Cowbridge Nursing Home on the 26 March 2009 and spent eight hours at the home. This was an unannounced visit. The purpose of the inspection was to undertake a statutory inspection and to gain an update on the progress of compliance to the requirements identified in the last inspection report dated 28 March 2008. A random inspection took place on 09 October 2008, with the help of on expert by experience to gain an update on the homes improvement plan, which was progressing well. On the day of inspection 28 people were living in the home. The methods used to undertake the inspection were to meet with the manager, residents and staff to gain their views on the services offered by Cowbridge Nursing Home. Records, policies and Care Homes for Older People
Page 6 of 27 procedures were examined and the inspector toured the building. The manager has returned a completed Annual Quality Assurance Assessment (AQAA), which has informed this inspection. CSCI have also received completed surveys from 4 staff and 2 healthcare professionals and these have also helped to inform this inspection. All of the key standards were inspected. The inspector carried out an observation session in two of the lounges during this inspection. Staff interaction was good with all residents not just those who could communicate well. It was evident that staff know the residents personalities and how to connect with them. Care practice was observed to be appropriate, people were put at ease and staff were calm and efficient in their approach. This report summarises the findings of this inspection. What the care home does well: The service provides a warm, clean home with no unpleasant odours. The grounds are tidy and there are plans to improve them. There are suitable laundry facilities and people were observed wearing clean clothes. The manager or a qualified nurse from the home assesses each person prior to them moving in. Assessments from external agencies are also acquired. Each person has a detailed care plan that has been further developed to inform and direct staff on how to care for them. Relevant risk assessments are included to enhance peoples care and welfare. The people using the service appear to have their personal care needs addressed appropriately for instance they appear clean, dressed well and receive suitable portions of nutritious food. Staff appear to be caring and show compassion and concern regarding peoples needs. All of the residents observed were treated with respect and dignity and their privacy was upheld. Healthcare needs are met and specialist healthcare professionals visit the home when required. Some of the nurses have their own special interests and link with the specialist teams. Appropriate equipment is provided for pressure relief and moving and handling purposes. There is a suitable system for medications that ensures peoples safety and only qualified nurses administer medicines. Activities and entertainment are provided. People were observed enjoying what was on offer during this inspection. Staff interaction was good and they were seen talking to residents and walking around with them. There is a nutritious menu and people seem to enjoy the food on offer. Fresh fruit and vegetables are included and drinks and snacks are available at all times. There have been no complaints since the last inspection but there is a system in place that ensures that complaints would be dealt with promptly and records kept. There is a suitable policy for the prevention of abuse and staff have received training in the protection of vulnerable adults and the procedure to be followed. There is a robust recruitment procedure that includes criminal record checks. Training is provided for staff to ensure legal requirements are met and that staff have the necessary skills for their work. Staffing levels are suitable with a skill mix to meet peoples needs, a qualified nurse is on duty at all times. 81 of care staff have an NVQ qualification in care and others are working towards a qualification. The manager has settled in to her role and staff say they feel supported and can air their views. There is a quality assurance system in place that allows people to air their views. The Care Homes for Older People Page 8 of 27 management team have a positive approach to improving the home and have addressed the requirements set by the Commission at the last inspection. There is a suitable system in place for the safekeeping of peoples money. The manager tries to make sure that working practices are safe. Relevant service checks take place as required and are up to date. Accidents are reported as they should be and there are few. What has improved since the last inspection? What they could do better: The risk assessment process for any restraint used in the home has been improved but could be developed further in line with the Department of Health guidelines. Care Homes for Older People Page 9 of 27 Interview records should be kept to further improve the recruitment process and to show that interviews are fair and consistent. When the manager is registered with the Commission it will bring the home more stability to the management. Policies should state the procedures actually undertaken in the home; those policies identified at this inspection to be reviewed include quality assurance, accidents and residents money. 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 10 of 27 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 11 of 27 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. People are only admitted to the home following an assessment of their needs to ensure the home can provide suitable care. Evidence: The manager said that she or another RMN visits prospective residents prior to their admission to the home. Assessments for three residents, including that of the most recent person admitted, were inspected. Appropriate information was recorded and they were dated and signed by the person undertaking the assessment. Documentation from the department of adult social care and NHS nurses was also seen in the care files. Care Homes for Older People Page 12 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person using the service has a written care plan, the details have been improved and now direct staff to ensure that healthcare needs are met. There is an appropriate system for the use of medicines that safeguards the people using the service. Evidence: The manager said that each person using the service has a written care plan and life histories have been compiled for everyone. The care plans are detailed to inform and direct staff in the care to be provided and have been signed by the resident or their representative. The manager stated that relatives are provided with a copy of the care plan. There are various risk assessments included with the care documents. Both the care plans and the risk assessments are reviewed monthly. The risk assessment for restraint has improved however the use of a more specific tool was again discussed with the manager who agreed to implement this. Event records are completed each day and night and those seen were informative. The inspector carried out an observation session in two of the lounges during this
Care Homes for Older People Page 13 of 27 Evidence: inspection. Staff interaction was good with all residents not just those who could communicate well. It was evident that staff know the residents personalities and how to connect with them. Care practice was observed to be appropriate, people were put at ease and staff were calm and efficient in their approach. The manager told us that residents have access to their GP and other health professionals when required. She said that links with specialist healthcare professionals is very good and there was evidence within the care documentation of visits by doctors and nurses. A CSCI survey returned for a visiting health professional commented, There are good links with the GPs and a doctor visits weekly. Other disciplines are actively involved and called in for advice for example the Speech and Language Therapist, Community Psychiatric Nurses, Tissue Viability Nurses, and the Psychiatrist. We were told that some of the nurses working in the home have their own special interests and link with external professionals. There is appropriate moving and handling and pressure relieving equipment in the home and hospital style beds are provided. There are suitable wound care plans and records kept. One person has a pressure sore that is responding well to treatment. There is a suitable policy and system in place for the use of medicines in the home. A monitored dose system is used and staff have received appropriate training, a registered nurse administers all medicines. We found that the home have in place a system for the safe storage of medicines including those requiring refrigeration, the temperature of the storage areas is monitored and maintained within the recommended range. Records are kept of all medicines entering and leaving the home and there were no gaps observed in the administration records. The issues identified at the previous inspection, in respect of medicines, have all been addressed. We saw that residents privacy was respected during the inspection and they were free to move around the home. The kitchen, staircase and staff only areas are restricted. Care Homes for Older People Page 14 of 27 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. Staff spend time with residents and activities are provided, links with family and friends are encouraged and people are helped to live a lifestyle that is suited to them. Evidence: There is a policy in respect of activities and families are consulted about the social interests of their relatives in the home. One person is responsible for the organisation of activities and was working during this inspection. The inspector spent half an hour observing a sing along session in one lounge in the afternoon. The activities coordinator was enthusiastic in her role and interacted well with people using the service. Other staff joined in and the seven people who were awake were included in the session even if they could not fully participate. One person slept throughout the session and was not disturbed to join in. Music was playing in a small lounge and the television was on, but not turned up loud, in another lounge. Throughout the day people were seen looking at magazines and staff were walking with people or sitting talking to people. There are individual activity programmes for people using the service with records maintained of their participation and emotional response. Activities include a large amount of music and singing, which
Care Homes for Older People Page 15 of 27 Evidence: the manager and staff say has had positive effects on people. They say that some people who did not communicate have started to talk or communicate in some way. Other things include one to one sessions, walks outside, exercises, dominos, knitting, massage, make up and manicures. Entertainers visit the home and trips out are planned for the summer months. A courtyard garden with a sensory area is being developed. The written monitoring of the times that residents get up and go to bed is no longer recorded for each person. Staff said that times are not set by the staff they are the choice of the individual or they are guided by residents actions. For example if someone is awake and agitated in bed they may get the person up, if it is not an unreasonable time. There is freedom of movement around the building and several people were walking around. The mealtime arrangements are satisfactory, most people use the dining room and there is a dining table in one lounge. People also eat at small tables in the lounges if they wish or in their bedrooms. The manager said that the piano is being removed from the dining room to make room for another table and chairs. Nutritional needs are assessed and documented in the care files. The menu is set but we were told that alternatives are available. There are several choices at teatime. Staff and people using the service said the food is good. All baking is homemade and the cook was making the cakes for teatime during this inspection. There are fresh vegetables and fruit available every day and this was evident. Beverages were seen available for residents throughout the day. Care Homes for Older People Page 16 of 27 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. There are suitable policies and processes in place for complaints and adult protection to ensure that people using the service are safeguarded. Evidence: The home has a suitable complaints policy and a method for recording complaints. The inclusion of reporting complaints to department of adult social care, in the policy, was discussed with the manager. There have been no complaints received by the home or the Commission since the last inspection. Thank you letters and cards are kept and there are many. The abuse policy is appropriate and includes local authority procedures. Staff said they have received training regarding abuse and the records confirmed this. The one abuse allegation referred to in the last key inspection report has been dealt with and there have been no further issues. Care Homes for Older People Page 17 of 27 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. The home is clean, decorated and furnished to a reasonable standard and there are no offensive odours making it a pleasant place to live and work in. Major improvements to the environment have been addressed and general maintenance and refurbishment are ongoing to ensure the home is kept safe and looking respectable. Evidence: The inspector toured the building and found the home to be warm, homely, comfortable and clean with no offensive odours. CSCI staff surveys voice concerns that the building is starting to look shabby, as the maintenance person had to leave, due to illness. The manager agreed that some areas need a coat of paint and that the upkeep of the building is an ongoing job. This should now improve as a new maintenance person has been employed and he is enthusiastic in his role. He was busy during this inspection with tasks around the home. An updated improvement plan has been received from the registered provider and shows that considerable improvements have been made to the home over the past year for the benefit of the residents and staff. All major works have been completed and maintenance and refurbishment is now ongoing to keep the home safe and looking good for residents, staff and visitors. Care Homes for Older People Page 18 of 27 Evidence: The wet room shower is in full use and staff said it is much appreciated by them and the residents. New carpet has been fitted to the downstairs corridor and lounge, which has vastly improved that area. A new television has been purchased and new furniture has been ordered. We were told that a new cooker and new dishwasher are to be provided in the kitchen. The manager said that the large upstairs windows at the front of the home are being repaired and an outside wall is to be rendered. The boiler was new at the last inspection however the manager said that some radiators were found to be on a different system and not working effectively. This has now been addressed. Work was seen to be in progress in the grounds, several trees have been felled. Staff are getting together to establish a courtyard garden and there was a list of plants and so on that they are donating. The manager is to hold a meeting to discuss this. Outside lighting has been provided at the front and side of the building. The home was clean and hygienic on the day of the inspection and there were no unpleasant odours. The bath upstairs was out of use as a new bath hoist was awaited. The manager is hopeful that a sluice with a washer disinfector will be provided upstairs and showed us where it is intended to be located. All laundry is dealt with in house and the facilities are satisfactory. Suitable protective clothing is provided for staff and they were seen using disposable gloves and aprons. Hand-washing facilities are appropriate. Staff said that infection control training has taken place since the last inspection and the records confirm this. Care Homes for Older People Page 19 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable staffing levels for the number of residents and 81 of care staff hold NVQ qualifications. Recruitment procedures are robust and staff receive regular training to help safeguard people using the service and ensure staff have the knowledge and skills to care for them. Evidence: The skill mix has again improved since the last inspection. CSCI staff surveys showed concern over staffing levels. The manager and staff said during this inspection that there were issues around Christmas 2008 but things have improved since then with new staff employed. The rota shows that a registered nurse is on duty at all times, sometimes there are two in the mornings. There are generally seven care staff during the day and two overnight. No staff sleep in overnight. The manager said she is sorting out the weekend staffing, as it is not consistent at the moment. Staff morale was good on the day of inspection. Staff commented We work well as a team, We all get on together and We support each other and get on well at work and at home, we go on trips away together. One CSCI staff survey commented Most of the staff have a very special bond with each other, we all work well together. The manager said that 13 of the 16 care staff have an NVQ qualification. Three are
Care Homes for Older People Page 20 of 27 Evidence: undertaking level 3 and three new staff will be enrolled onto NVQ courses in the near future. The staff files for the five newest employees were inspected and contained the documentation required by legislation. Relevant checks have been undertaken and none of these members of staff commenced work until these were obtained and satisfactory. Interview records were not seen in any of the five files but the manager agreed to ensure these are kept in future. The manager said that photographs of staff would be taken when she can get a film for the camera. There was evidence of induction taking place with completed checklists in the files. The skills for care booklets were with the employees for completion. The homes training matrix shows that training for staff is taking place regularly and certificates for training attended were seen in staff files. Moving and handling training was taking place during this inspection and the trainer is a member if staff in the home. She has undertaken the train the trainers course and said that sessions are held every week. She is also responsible for the moving and handling risk assessments undertaken for people using the service. Deprivation of Liberties, food hygiene and first aid training are planned. The manager said that a distance learning NVQ course on dementia was to be undertaken by all staff. Staff told us that impromptu training sessions on various subjects take place with the nurses in the home. Care Homes for Older People Page 21 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is competent in running the home and has applied to be the registered manager. Systems are in place to monitor and improve the service for residents and staff. An appropriate system is in place for managing peoples monies and training and safety checks are undertaken to ensure the health, safety and welfare of residents, staff and visitors. Evidence: The manager is a Registered Mental Nurse and has been in post for seven months. She is in the process of applying to the Commission for registration. She said she has settled in to her role and has been reviewing and improving systems in the home. She has attended various training courses in the past year to keep herself up to date and these include medicines, first aid, safeguarding adults, swallowing and feeding, fire and activities management. She is two units from completion of the Registered Managers Award. Care Homes for Older People Page 22 of 27 Evidence: During the inspection staff spoke positively about the manager and the operations director and said they feel supported and can air their views. There is a quality assurance policy in place that is being reviewed. A survey was undertaken with relatives in October 2008 and received a very positive response. There are a number of letters from relatives expressing their satisfaction with the care provided. Regular meetings take place with residents relatives and representatives. Staff meetings also take place every two months with impromptu meetings in between if necessary. The meeting minutes are informative and show that people air their views and actions are taken. There is an auditing system in place that covers care planning, training, care, accidents and medicines. The operations director, in compliance with legislation, visits the home each month and writes a report. The manager completed her Annual Quality Assurance Assessment (AQAA) in detail and returned it to the Commission within the allotted timescale. There is a policy for the safekeeping of residents money that is being reviewed. No one controls their own money. Money is held in individual plastic wallets in the safe and this is in varying amounts. There is no mention in the policy as to how much money can be held for each person. Numbered receipts are kept for purchases and money received. Cheques are sent to the companys head office to be cashed, there are tracking forms in the records. Transaction sheets are maintained and two people sign the records. The records and money held for one person were checked and found to be correct. The management endeavour to ensure that working practices are safe. Relevant service checks take place and certificates are held. Health and safety and fire risk assessments have been undertaken. There is a suitable risk assessment in place for the prevention of Legionella. The manager said that thermostatic valves have been fitted to hot water outlets in bathrooms and some hand basins. All are to be done eventually. The passenger lift is in working order and the manager said the registered provider is still considering whether a replacement is feasible. Staff receive statutory training regularly and records are up to date. The environmental health officers report was seen, some painting has been done and a new cooker is being purchased Accident reporting complies with data protection and the accident reports are audited. There were ten accident reports for February 2009 and four for March. The home s accident policy is due for a review. There is no evidence that accidents are investigated or that incident forms are in use as stated in the policy. There is still no evidence that a risk assessment takes place or that care plans are reviewed following accidents in the home. The Commission has received notifications of deaths and injuries in
Care Homes for Older People Page 23 of 27 Evidence: accordance with regulations 37 reporting. The manager stated that all occurrences have been reported since the last inspection. Care Homes for Older People Page 24 of 27 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 25 of 27 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 2 24 33 A sluice with a washer disinfector should be provided upstairs for infection control purposes. Policies should reflect the actual practice to be undertaken, so that staff know what is expected of them, this includes quality assurance, accidents and residents money Care Homes for Older People Page 26 of 27 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 © (2009) 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 27 of 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. 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!
