Inspection on 16/01/07 for Crest Lodge

This inspection was carried out on 16th January 2007.

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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Crest Lodge 15/01/09

Crest Lodge 25/11/05

Crest Lodge 05/07/05

Crest Lodge 17/01/05

Crest Lodge 11/08/04

Crest Lodge 16/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

Prinsted

49 Glendale

The Springs Community

Crossways Community

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

CARE HOME ADULTS 18-65 Crest Lodge Churt Road Hindhead Surrey GU26 6PS Lead Inspector Graham Cheney Key Unannounced Inspection 16th January 2007 11:00 Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crest Lodge Address Churt Road Hindhead Surrey GU26 6PS 01428 685327 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) Mr L Hasham Mr Thomas Feury Care Home 27 Category(ies) of Past or present alcohol dependence (6), Past or registration, with number present drug dependence (4), Mental disorder, of places excluding learning disability or dementia (27) Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. From time to time the home may admit service users over the age of 65 years. 25th November 2005 Date of last inspection Brief Description of the Service: Crest Lodge is a large detached property located in Hindhead, close to the amenities of Beacon Hill. The home is owned by Care Homes of Distinction and provides accommodation and nursing care to up to 27 adults with mental health needs. The accommodation is arranged over two floors with the first floor being accessed by stairs or passenger lift. All bedrooms are single and all have ensuite facilities. There is a bathroom and separate shower room on the ground floor and a bathroom on the first floor. Communal facilities include a lounge, two dining rooms and a designated smoking room. The home has its own mini-bus to access the local and wider community and there is parking for several cars to the front of the property. A public bus stop is close by. There are gardens to the front and rear of the property, however they are not at present accessible to service users as neither are enclosed and they lead onto a busy main road. The range of fees charged by the home is £750.00 to £850.00 Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes site visit by the CSCI as part of the key inspection process and carried out by Mr. Graham Cheney. Service users are referred to as individuals in this report as this was how they preferred to known. The site visit commenced at 11.00hrs and finished at 16.30hrs and included a tour of the premises, interviews with staff and individuals in the home, and a review of documents and care records. The inspector would like to thank the individuals in the home, the manager and staff, for their contribution to the inspection. What the service does well: The assessment process was excellent, providing individuals with sufficient information and opportunities to visit the service to ensure they would be confident their needs are met. Each individual has a personalised care plan providing a good level of information on his or her needs and identifying how these are to be met. The care plans were regularly reviewed with individuals central to the process. The home operates a good process of assessing risk, which considers the individual’s rights to take appropriate risks and their safety. Individuals are supported by the manager and staff to ensure they retain control of their lives, by making informed decisions and choices on a daily basis about how wished to live. The home offers a varied activity programme, which includes opportunities for personal development, personal fitness and leisure pastimes. Individuals were also supported in making use of the amenities in the local area and were welcome in the local community. The home places an emphasis on the importance of respect, privacy and independence in regard to everything that happens within the home. The general standard of the accommodation was good with rooms observed to be clean and tidy. The home operates good recruitment, induction, supervision and development processes to help ensure that individuals are supported and cared for by suitably vetted, competent, qualified and trained staff. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 6 The home undertakes an annual quality assessment, which surveys the opinions of individuals and their families to ensure that the care and support provided each individual is maintained at a good standard. 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. The summary of this inspection report can be made available in other formats on request. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective users’ individual aspirations and needs are appropriately assessed, and their families have sufficient information about the home to make an informed choice as to whether it would be suitable and able to meet their needs. EVIDENCE: The assessment tool used by the home was comprehensive, having a structured and specialised model of assessing the mental health needs of the individual. The tool also covered the person’s own view of their needs, their current care, social needs and their previous history. The assessment also takes account of the views of the individual’s carers and relatives. The manager stated that prospective residents have the opportunity to visit the home for a meal on at least 2 occasions and gave the example of one prospective resident who had already visited on 4 occasions before making a decision to move into the home. This gave the individual the opportunity to make an informed choice not only based on the written information provided by the service, but also their personal experience. Such visits also gave the Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 9 home’s residents the chance to meet prospective individuals and to express their views as to whether they thought the person would fit into the home. The manager also stated that visits would also be used to assess the individual’s compatibility with others in the home and whether their needs could be met appropriately. Individuals in the home confirmed that they or their family had made a good decision in choosing Crest Lodge and that they were very happy living in the home. The manager stated that the home does not take emergency referrals. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for individual needs and choices were generally good and reflected in care plans, enabling individuals to take control of their own lives and have assistance as required. The home operates a good process of assessing risk, which considers the individual’s rights to take appropriate risks and their safety. EVIDENCE: Each individual has a personalised care plan generated from the initial needs assessment and, where appropriate, their Care Programme Approach (CPA) assessment complied by their care manager. The care planning system was well maintained and updated by senior staff, with daily comments and monthly reviews recorded. Specific records were kept of personal care, doctor’s visits, key-worker input, risk assessments and social activities. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 11 The care plans were clearly written, giving detailed information on the needs of the individual and there was documented evidence that they were reviewed monthly. Individuals who spoke to the inspector were aware that the home kept a care plan on them and knew that these included details of who they were and what care and support they needed. Three of the individuals stated that they recently had their care programme review with their family, staff and care manager. Risk assessments were in place for all service users according to their individual circumstances and needs. These were clearly written giving specific information on managing identified risks to individuals. The manager provided evidence of how the home approaches the assessment of risk with an emphasis on balancing the home’s duty of care to the individual’s rights and independence. Particular examples were presented for individuals accessing the local community independently and safely. This included a situation where a member of the public had raised concerns about an individual crossing the road. In discussion with the individual the problem was resolved by changing the place where the road was crossed to give a better view of traffic. Each individual was supported by a key worker and encouraged to make decisions and choices on a daily basis about how wished to live. The individuals who spoke with the inspector all knew who their key worker was and some explained how they met on a regular basis to talk about their care. Keyworkers recorded information in the individual’s care plan. A residents’ committee met on a regular basis. The minutes confirmed they discussed a range of issues including meals, laundry, key workers and care plans. Individual’s who spoke with the inspector confirmed they were on the residents’ committee and attended meetings, they all said that they found these helpful and thought that could change things in the home through these meetings. The manager gave an example of the residents asking for a cooked breakfast each day and how this was now offered. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home offers a excellent and varied programme of activity arrangements for life style are good ensuring service users have valued and fulfilling lifestyles. Respect, privacy and independence was promoted in the home. The support for individuals in maintaining contact with family and friends and making use of the amenities in the local area was excellent with individuals welcomed by the local community. The standard of meal provision was good, ensuring that individuals were offered a healthy and well balanced diet. EVIDENCE: During the site visit two activity sessions were observed by the inspector, the first in the morning being a discussion group looking at the day’s news, the second in the afternoon was a fitness group. Discussions with individuals in the Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 13 home, staff and the manager indicated that activities were offered twice a day. A programme was posted in the activity room to advise individuals what was on offer each day. Individuals spoken with said that they were able to take part in activities if they wished and that they felt supported by the staff team to do so. Several individuals said that they enjoyed making use of the amenities in the local area and were welcome in the local community. Some of the people in the home held a front door key, which enabled them to come and go as they pleased. Risk assessments were in place. The manager reported a good relationship with the neighbouring community, with individuals made welcome at any local events. A church service took place in the home on the day of the visit. Evidence confirmed that each individual was supported to maintain contact with families and friends. Individuals who spoke with the inspector confirmed that visitors were welcome at any time. The inspector observed staff interacting with the service users in a meaningful and respectful way and in line with the manager’s values of ensuring each individual is treated with respect, and recognition is given to their independence and right to privacy. Menus were rotated four weekly, clearly displayed and appear to offer a varied diet. Individuals who spoke with the inspector said that they were very happy with the food and could have an alternative if wished or a special meal if needed to suit their diet. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for personal and health care were generally good promoting the physical and emotional health and well-being of individuals, and providing support in accordance with their preferences. The arrangements for medication need to be improved to ensure that individuals are protected by the home’s policies and procedures. EVIDENCE: The registered manager places an emphasis on ensuring everyone in the home is treated with respect, their independence encouraged and their privacy respected. Every bedroom had a notice to remind people of these values. Whilst these notices detracted from the homely nature of the service, individuals who spoke with the inspector felt that they were important and reminded everyone of how important these values were. Individual’s preferences regarding personal support were recorded in their care plans. Members of staff were observed supporting service users in a dignified Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 15 and caring manner. All of the individuals spoken with said that the staff cared for them well and were kind. Individual’s emotional and physical needs were assessed and detailed in their care plans, which were monitored on a daily basis. Reviews were held regularly with input from social worker, consultant psychiatrist, General Practitioner, and community psychiatric team. Medication was supplied mainly in blister packs from a local pharmacy. The pharmacy carries out audits and gives advice and training sessions to the home. The medication was stored securely and appropriately. Medication administration records were sampled and observed to be completed accurately with no gaps or errors apparent. Medication was only administered by the home’s registered nurses, who were trained in the home’s procedures. The senior nurse on duty described how medication was administered with many of the individuals going to the medical room where their medication was given directly from the prescribed container, either a blister pack or individual bottle or pack. Some of the residents were given their medication elsewhere for example in their bedroom. In these situations the nurse described how the medication would be dispensed into an unmarked container and taken to the person. The medication record would be signed on returning to the medical room. Taking medication to an individual in an unmarked container meant that there was no means to identify what the medication was and who it was for once the nurse left the medical room. Whilst the nurse was confident that this was a safe practice a requirement was made that the procedure for administering medication away from the medical room must be risk assessed. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements in place for responding to and managing complaints and adult protection issues promoted and protected the welfare of individuals living in the home. EVIDENCE: Individuals spoken with during the visit knew how to make a complaint if they need to and some stated that they could discuss any problems with their key worker or the manager with whom they had an open relationship. A residents meeting was held on a regular basis and individuals said that this gave them another opportunity to raise any concerns. The manager attends each meeting and requests other staff as necessary for example the chef was asked to attend a recent meeting to discuss the provision of sandwiches at suppertime. Minutes were recorded of these meetings. The home kept a record of complaints and evidence indicated that there were no current complaints. Staff members have received training on adult protection and the home has its own procedures in place. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 17 All of the residents manage their own finances, some with the support of their families. The home has a safe that they can keep money in if they wish, and this was managed by robust accounting procedures. The manager stated that all of the individuals in the home had their own Post Office or bank accounts with arrangements in place to make it easier for some individuals to withdraw cash. Whilst there was evidence to confirm that this was done with the individual’s agreement, it was a requirement that this practice must be reviewed to ensure that individuals’ finances are safeguarded, with any risk of financial abuse or allegations there of, minimised. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s environment was clean, hygienic and comfortable for individuals. EVIDENCE: A tour of the home was undertaken. Observations and discussions with individuals confirmed that the home was clean and tidy with house keeping staff undertaking the general cleaning duties. During the visit a member of staff was observed carrying out their duties in a quiet and effective manner. The home was found to be generally in a good state of decoration and repair. The manager provided evidence to confirm that new carpet had been ordered for the upstairs corridor and that this should be fitted within the next few weeks. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 19 Individuals spoken with said they were happy with their rooms and that they had everything they needed. Some of the individuals said that they had their own key to ensure their privacy. Some also had a front door key to enable them to come and go as they wished. A risk assessment process was in place to ensure each individual’s safety. Staff could unlock all bedrooms in an emergency. Every bedroom door had a notice on it with the words respect and independence, whilst these detracted from the homely nature of the service, individuals and staff stated that this helped to remind them how important these things were to everyone The home shares a laundry provision with the adjacent nursing home operated by the same provider. This was not seen in action during this visit. The preinspection questionnaire confirmed that the home has policies and procedures in place and readily available to staff on the control of infection. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for staff recruitment, supervision and training were good and competent and qualified staff supports individuals in the home at all times. EVIDENCE: Staff files sampled all contained documented evidence that a robust recruitment process was in place. Included in the vetting of staff were reference and CRB (Criminal Record Bureau) checks to help ensure the safety of individuals in the home. The staff files also contained details of staff training and development providing evidence that staff were appropriately trained to meet the needs of individuals in the home. Mandatory (essential) training was conducted on a rolling programme, so that staff could be kept up to date. This was arranged by the company’s training manager. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 21 The registered manager stated that 90 of the current staff team were qualified to NVQ level III standard or above. There was also a commitment from the manager and staff for all remaining staff to complete either level II or III during the current year – 2007. The manager explained that he undertook the supervision and appraisal of the senior staff, who in turn supported the care team. This was confirmed by supervisory records, discussion with the senior on duty and with care staff. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for day to day management are good ensuring service user benefit from a well run home. The opportunities that the home offers individuals to express their views was good, meaning that they all had the opportunity to influence the way the home was run. The health and safety practice was adequate, with some review to ensure the safety and well being of everyone in the home. EVIDENCE: Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 23 The registered manager provided details of his background, which confirmed that the home has a well established, experienced and suitably qualified manager responsible for the overall running of the home. He was supported by a team of senior staff all holding RGN (qualified) status, their registration was confirmed by their PIN (The reference for the Nurse and Midwifery Council to which qualified staff must register). The manager stated that he operated an open door policy to his office and this was in evidence throughout the visit. The observed relationship between the manager and individuals in the home was mutually respectful, with individuals able to talk openly and honestly. The home undertakes an annual quality assessment with surveys of the opinions of individuals and their families completed. Quality was also monitored through the key worker system and regular residents meetings, with evidence recorded of the individual’s views on the home. All members of staff receive health and safety training at induction, with refresher training as a part of an ongoing programme. The home has a health and safety policy and members of staff were made aware of this through supervision, meetings and training sessions. On the trolley used to carry cleaning materials was an unmarked container which had a blue liquid in it, which was described by the staff member as toilet cleaner. This was contrary to COSHH (Control of Substances Hazardous to Health) Regulations. A requirement was made that the home undertake a thorough review of practice to ensure that all staff operate in compliance with the COSHH Regulations to ensure the health and safety of individuals and staff. Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X X 2 Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 25 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 YA23 Regulation 13(6) Requirement The registered person must review the arrangements in place with respect to the management of individuals’ finances to ensure finances are appropriately safeguarded. The registered person must ensure that the medication practices are reviewed to protect the welfare of individuals, including The registered person must ensure that unnecessary risks to individuals safety are identified and eliminated as much as possible and that all substances which may be hazardous to health are appropriately and safely used and stored. Timescale for action 14/02/07 2 YA20 13(2) 14/02/07 3 YA42 23(5) 14/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 26 Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Crest Lodge DS0000017604.V325420.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!