Inspection on 24/07/08 for Critchill Court

This inspection was carried out on 24th July 2008.

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

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

Other inspections for this house

Critchill Court 12/07/06

Critchill Court 24/01/06

Critchill Court 15/07/05

Critchill Court 07/02/05

Critchill Court 24/09/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Critchill Court Lynwood Close Frome Somerset BA11 4DP Lead Inspector Jane Poole Unannounced Inspection 24th July 2008 10:00 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 Critchill Court DS0000016011.V366268.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 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. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Critchill Court Address Lynwood Close Frome Somerset BA11 4DP 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) 01373 461686 01373 453114 susan.steeds@somersetcare.co.uk Somerset Care Limited Mrs Suzanne Catherine Steeds Care Home 50 Category(ies) of Dementia (16), Old age, not falling within any registration, with number other category (34) of places Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 34 persons in category OP and 16 persons in category DE May accommodate one person between the ages of 58 and 65 years within the 16 persons in category DE. 12th July 2006 Date of last inspection Brief Description of the Service: Critchill Court is a purpose built residential service supporting 50 older people with personal and social care needs. Situated in a quiet residential area of Frome, it is a short walk away from the local shop and approximately threequarters of a mile away from Frome town centre. The home is set in good sized gardens, which includes an enclosed courtyard area. Critchill Court is situated on the ground floor with 34 service users living in the main residential area, in single bedrooms. The other 16 service users, who require support due to dementia, live in a separate self-contained residential area known as Cedar and Oaks (referred to as Cedar Oaks). This area of the home provides specialist residential care for people with dementia and is supported by a nurse from Somerset Mental Health and Social Care Partnership. Although the home provides two residential areas the service users get together for social events and the supervisor on duty supervises both areas. The home is owned by Somerset Care Ltd and the registered manager Suzanne Steeds. Fees at the home range from £390.00 to £475.00 per week. Critchill Court DS0000016011.V366268.R01.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 3 star. This means the people who use this service experience excellent quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. The inspection was carried out over a one day period. During this time the inspector was able to talk with people living, working and visiting the home, observe care practices, tour the building and view records. The inspector was made welcome and given unrestricted access to all areas of the home. All records requested were made available. Prior to the inspection the registered manager completed an Annual Quality Assurance Assessment (AQAA) This was completed to a high standard and gave a clear picture of the home and plans for the future. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: Critchell Court has a very relaxed atmosphere with no rigid routines. This means that people are able to carry on their chosen lifestyles and pursue their interests. One person said that the best thing about the home was that it gave them “the freedom to live their own life in a safe environment” another said that they “could do what they liked and remained in control.” There is a clear management structure, which gives clear lines of accountability and responsibility. The manager is well qualified and has a commitment to ongoing improvement. She works alongside other staff to offer advice and guidance and to ensure that people receive a very high standard of care. Staff have good training opportunities and are well motivated. The inspector observed that people were assisted in a respectful and thoughtful manner. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 6 The home is divided into two areas, the main house and Cedar Oaks. Cedar Oaks provides care to people who have a dementia. There is clear signage to assist people to orientate themselves and staff have received in-depth training in dementia. There is an extensive activities programme in the home and people stated they are able to choose whether or not to join in with organised activities. Everyone asked was complimentary about the food in the home. The meal seen by the inspector was well presented and the inspector was impressed by the sensitive manner that staff assisted people with eating and drinking. The home has been awarded a food hygiene award from the local council for “Excellent food hygiene standards and healthy eating options.” What has improved since the last inspection? What they could do better: When asked no-one living at the home could think of anything that they would like to be improved. One person said “if we want something doing different we just ask and it gets done.” As a result of this inspection no requirements have been set but some recommendations for good practice have been made. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 7 Currently care plans give adequate information to ensure that staff are aware of the needs of the people living at the home. However they would benefit from more detail to ensure that they reflect the person centred care that is provided in the home. Protocols for PRN (as required) medication should also be more comprehensive especially for people who may be unable to express themselves verbally or to request medication when experiencing discomfort. 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. Critchill Court DS0000016011.V366268.R01.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 Critchill Court DS0000016011.V366268.R01.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): 1 & 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Anyone wishing to move into Critchell Court has their needs assessed and has an opportunity to visit the home to ensure that it meets their needs and expectations. Intermediate care is not provided. EVIDENCE: Before moving into the home people are given a copy of the statement of purpose, service user guide and a coloured brochure. Everyone wishing to move into Critchell Court has their needs assessed by the home and is able to visit before deciding to move in. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 10 People spoken to during the inspection stated that they had been able to spend time at the home to help them to decide whether or not they wished to move in. In addition to full residential care the home also offers respite and day care. Two people spoken to stated that they had originally had a respite stay which gave them an opportunity to make sure that it was the right place for them. The terms and conditions of residency state that there is a trial period at the beginning of any stay. This gives people an opportunity to ensure that the home meets their expectations and the home a chance to ensure that they are able to meet the individuals’ needs. The inspector saw copies of pre admission assessments completed by the home and full assessments completed by professionals outside the home. The manager gave evidence that as well as physical needs the assessment looks at social and emotional needs. Critchill Court DS0000016011.V366268.R01.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 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans would benefit from more detail to ensure they reflect the person centred care that is provided at the home. People living at the home have access to healthcare professionals in line with their individual needs. EVIDENCE: There is a computerised care plan system operating in the home, which all staff are able to access with a password. Hard copies are also maintained for those people who wish to read their care plans in a more traditional format. The inspector viewed a sample of 4 care plans. These gave adequate information to enable staff to meet needs but could be expanded upon to ensure that they give a more detailed picture of the individual including their preferences and lifestyle choices. However people living and working at the Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 12 home gave evidence that the care delivered is very person centred and all staff appeared to have a good knowledge of peoples’ personalities and preferences. Staff stated that they involve people living at the home, and their representatives if appropriate, in the creation and review of care plans. Records of care reviews show that people are present at their reviews and are able to contribute to the process. Everyone living at the home is registered with a local GP and other healthcare professionals according to their individual needs. The inspector met with one visiting healthcare professional who stated that the home is pro active in seeking advice and services for the people living at the home. It was stated that staff were very open to training to enable them to provide a good service to people living at the home and to monitor healthcare needs. Records of all appointments with professionals are recorded. The home uses a monitored dosage system for medication and all staff who administer medicines have received specific training in this area. Medication Administration Records (MARs) were well maintained. All medication is checked and signed for when it enters the home and when administered. This gives a clear audit trail. There are protocols in place for medication that is administered on an as required basis but these would benefit from more detail, especially for people who are unable to express themselves verbally or request medication when in discomfort. Each part of the home has a storage room for medication and temperatures of these rooms are recorded. On the day of the inspection both rooms were very warm and one exceeded the recommended 25 degrees centigrade. The home aims to care for people until the end of their life if they have the facilities to do so. All staff receive training in end of life care and support is provided by the district nursing team and local hospice. The visiting healthcare professional praised the care provided to people who have died at the home. Other evidence in the home shows that palliative care is considered to be a very important part of the care provided and families and friends are involved and consulted at this time. Throughout the inspection it was noted that people were treated with warmth and respect. People were assisted by staff in a sensitive manner and people spoken to stated that their privacy was respected. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. There is an extensive activities programme in the home to provide social stimulation and enjoyment. People are able to continue their chosen lifestyle within the home. Good quality food is provided and the assistance offered to people with meals is excellent. EVIDENCE: Routines in the home are flexible and people spoken to said that they could choose what time they got up, when they went to bed and how they spent their day. One person spoken to said that the best thing about living at the home was that it gave them “the freedom to live their own life in a safe environment.” Another person said that they “could do what they liked and remained in control.” Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 14 There are a variety of communal areas and the inspector observed that people were able to choose where they spent their time. Some people said that they preferred the privacy of their rooms whilst others said that they enjoyed the company of other people. The area of the home, which cares for people who have a dementia is locked by an electronic keypad but people have unrestricted movement around the area and are able to independently access a pleasant secure garden. There is an extensive activity programme and on the day of the inspection several people went out on a coach trip to the seaside. People said that they are able to choose whether or not to join in with organised activities or occupy themselves. Records of activities show that the activities workers spend time with people on a one to one basis as well as facilitating group sessions. People said that there was always something going on. There are numerous photographs around the home of activities and events that have taken place. Everyone asked said that they were able to have visitors at any time and many enjoyed trips out with family and friends. The inspector spoke to relatives visiting the home. All stated that they could visit at any time and were always made welcome. Everyone spoken to was complimentary about the food in the home. All said that they received ample portions of good quality meals. There is a choice at each meal. The inspector observed lunch being served in both areas of the home. Food was well presented and the inspector was impressed by the assistance offered to people who required help. People living in Cedar Oaks were shown two different meals to choose from and staff were discreet and respectful when encouraging people with eating and drinking. It was observed that people were able to choose where they ate their lunch and trays were taken to people who did not want to eat in the dining rooms. The home has been awarded a food hygiene award from the local council for “Excellent food hygiene standards and healthy eating options.” Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 15 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. People living at the home were confident that any complaint would be taken seriously and appropriately addressed. EVIDENCE: The home has policies and procedures on recognising and reporting abuse, making a complaint and whistle blowing. All staff receive training on the protection of vulnerable adults and staff spoken to were aware of how to recognise abuse and what to do in the event of an allegation being made. New staff were aware of the procedure to follow and of the whistle blowing policy. There is information around the home about abuse and it was noted that it is an issue discussed at staff meetings. People living at the home, and visitors, said that they would be comfortable to approach the manager or a member of staff if they were unhappy about any aspect of their care. People said that they would be listened to and action would be taken to address any worries. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 16 No complaints have been received by the home or the Commission for Social Care Inspection since the last inspection. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 17 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, 20, 22, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Critchell Court provides a comfortable homely environment for the people who live there. Standards of cleanliness are excellent. EVIDENCE: The home is divided into two main areas, the main house and Cedar Oaks. Cedar Oaks is separated from the main house by an electronic keypad and has been adapted to meet the needs of people who have a dementia. There is clear signage and some up to date research has been used to determine décor and colours to assist people to orientate themselves around the home. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 18 All areas of the home are fitted with a fire detection and emergency lighting system. There are a variety of communal areas to ensure people have choices about where they spend time. Communal areas are comfortably furnished and have been made to feel homely and welcoming. All areas of the home have access to well maintained and pleasant gardens with seating. On the day of the inspection doors were open to ensure that people had unrestricted access to outside space. Since the last inspection some carpets in hallways have been replaced, the main dining room has been refurbished and garden areas have been improved. Personal rooms are small but have been personalised to reflect the personalities and needs of their occupants. People are able to bring personal possessions and small items of furniture with them when they move in. Everyone asked was happy with their room. The manager explained that there are plans to update bedrooms and provide en suite facilities. There are adequate assisted bathroom and toilet facilities throughout the home. There is a laundry facility, which is adequate to meet the needs of the people who live at the home. Appropriate hand-washing facilities are available throughout the building. Many people spoken to commented on the cleanliness of the home. The inspector toured the building and noted that all areas were immaculately clean and fresh. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 19 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. There are good opportunities for staff training, which leads to a competent and well motivated staff team. Recruitment processes are robust to minimise the risk of abuse to people who live at the home. EVIDENCE: The home employs 38 care staff, 30 (79 ) have a National Vocational Qualification (NVQ) in care at level 2 or above. A further three people are currently studying for the award. (Figures taken from Annual Quality Assurance Assessment) Staff observed during the inspection were well motivated and competent in their roles. All spoken to said that there were excellent training opportunities for all levels of staff, including a comprehensive induction for new staff. With the exception of 5 people, all staff have received in-depth training in the care of people who have a dementia. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 20 Training records show that all staff have completed up to date statutory training which includes health and safety issues, the protection of vulnerable adults and end of life care. Other training has been completed appropriate to role and responsibility. The manager in the home shows a clear commitment to training and there are opportunities for people to develop themselves and further their career within the company. The home regularly reviews staffing levels and has made some increases in staff hours available since the last inspection. Rotas given to the inspector showed that the staffing is increased at busy times of the day. People felt that generally there were enough staff to meet their needs. Staff spoken to said that there were always adequate numbers of staff on duty. People living at the home and visitors praised the staff who worked at the home. Comments included “very good and kind” “staff are excellent” “staff are nice and you get the help you need” and “staff are always polite and nothing is too much trouble.” The inspector viewed a sample of 4 recruitment files which gave evidence of a robust recruitment procedure which included obtaining written references, checking people against the Protection Of Vulnerable Adults (POVA) register and carrying out Criminal Records Bureau checks before people began work. Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 21 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, 32, 33, 35 & 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is effectively managed taking account of peoples’ views and ensuring a high standard of care. There are formal quality assurance systems in place and a commitment to ongoing improvement. EVIDENCE: The registered manager, Sue Steeds, has been in post for 14 months. She holds National Vocational Qualifications in care and management and has Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 22 extensive experience and knowledge about the care of older people including the care of people who have a dementia. There is a clear management structure in the home leading to clear lines of accountability and responsibility. Everyone working at the home receives an annual appraisal and regular supervision. The manager has high standards and gives clear leadership to staff. The manager works alongside care staff to offer advice and guidance and to ensure that care is provided to a high standard. The manager keeps her knowledge up to date by reading and attending training courses. Everyone spoken to stated that the manager was extremely open and approachable. People living, working and visiting the home stated that they would have no hesitation in approaching the manager at any time. The manager demonstrates an excellent knowledge of staff and people living at the home. Throughout the day the manager was very visible in the home and everyone appeared very comfortable in her presence. The home does not act as a financial appointee or power of attorney for anyone living at the home. They do hold small amounts of money on behalf of some people to ensure they are able to have access to their finances. Personal finances were sampled and monies held correlated with records kept. Currently these monies are not audited by anyone outside the home but the manager stated that they are planning to arrange for this to happen. The company, Somerset Care Ltd, has various systems in place to audit the quality of care and ensure ongoing improvement. Questionnaires are sent out to people living at the home and other interested parties. The inspector viewed a sample of recently returned surveys which gave positive feedback about the home and services provided. There are meetings for people living and working at the home, which are an opportunity to share information and ideas. The area manager for the home carries out regular visits and records of these visits were seen. Prior to this inspection the manager completed an Annual Quality Assurance Assessment (AQAA.) This was completed to a high standard and gave information about improvements made and evidence of a strong commitment to ongoing improvements to further improve the service to people who live at the home. The home has taken appropriate steps to ensure the health and safety of people living and working at the home. All areas are well maintained and Critchill Court DS0000016011.V366268.R01.S.doc Version 5.2 Page 23 equipment is regularly checked and serviced. Staff have all received up to date training in health and safety issues. All accidents are recorded and the manager checks and signs all accidents reports. All records requested were made available, all were well maintained and up to date. Up to date certificates of insurance and registration are displayed in the main entrance. Critchill Court DS0000016011.V366268.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 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 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x 3 x 3 x 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 x 3 x x 3 Critchill Court DS0000016011.V366268.R01.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP7 OP9 OP9 OP35 Good Practice Recommendations Care plans should be more detailed to reflect person centred care. Protocols in respect of PRN (as required) medication should be more detailed and give personalised information about how people express pain or discomfort. Medication storage cupboards should not exceed 25 degrees centigrade. An independent person should audit all personal allowance, monies and records. Critchill Court DS0000016011.V366268.R01.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 Critchill Court DS0000016011.V366268.R01.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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