Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Dentholme Cragg Road Cleator Moor Cumbria CA25 5PR The quality rating for this care home is:
three star excellent 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: Nancy Saich
Date: 1 8 1 1 2 0 0 8 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. the things that people have said are important to them: They reflect 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 © (2008) 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: Dentholme Cragg Road Cleator Moor Cumbria CA25 5PR 01946810831 Telephone number: Fax number: Email address: Provider web address: dentholme@cumbriacc.gov.uk Name of registered provider(s): Type of registration: Number of places registered: Cumbria Care care home 38 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The home is registered for a maximum of 38 service users to include: up to 38 service users in the category of OP (Older people, not falling within any other category) up to 26 service users in the category of DE(E) (Dementia over 65 years of age) 1 named service user in the category of DE (Dementia under 65 years of age) may be accommodated within the overall number of registered places) The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Date of last inspection Brief description of the care home Dentholme is a care home operated by Cumbria Care, an internal business unit of Cumbria County Council. The home is registered to provide personal and social care for up to 38 older people, some of whom may have dementia. The registered manager is Care Homes for Older People
Page 4 of 27 Over 65 0 38 1 0 Brief description of the care home Mrs Catherine Watters. The home is situated in the middle of a housing estate close to the centre of Cleator Moor and all its amenities. Dentholme is purpose built on two floors, the upper being serviced by a passenger lift. Accommodation for residents is in four units, each with its own sitting and dining areas and kitchenette. There are thirtyeight single bedrooms, four of which have en-suite facilities. There are accessible toilet and bathing facilities close to all the accommodation used by residents. There is a large room on the ground floor that can be used for activities, visiting entertainers and parties. This room is also used as a venue for Cumbria Care internal training courses. There is a garden area, which is accessible to all residents and is used by them in the summer months. The cost per week ranges from 337 to 449 pounds per week 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: three star excellent 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: This was the main or key inspection for the year. The lead inspector Nancy Saich asked the manager to fill out a form called the Annual Quality Assurance Audit (the AQAA). This asks for details of what has improved in the home since the the last inspection and for the plans for the coming year. This was completed promptly with plenty of detail. We then sent out postal surveys to the staff group and we delivered surveys that were handed out to people who live in the home and their relatives by residents. We also sent surveys to visiting professionals. We had a good response to these surveys and we quote from them in the report. The responses were fairly positive and gave us a good picture of what its like to live and work in the home. Care Homes for Older People
Page 6 of 27 The lead inspector, Nancy Saich, visited the home on the above date and completed an unannounced inspection. A second inspector, Ray Mowat arrived a little later in the day and he spent time in one of the units for people with dementia. He spent two hours just observing what was happening with people in the lounge. This is what we call A Short Observational Framework for Inspection (SOFI). It is a way of judging how well people with dementia interact with each other, how they are occupied and how staff treat them. The outcome of this SOFI observation was very positive. We toured the building, sat in lounges and shared a meal with residents. We also looked at files and documents that backed up what was said and what was seen. What the care home does well: This home is good at making sure that they go out to visit prospective new people and allow them to come to the home. This means that staff know that they can care for the new person and that they will fit in with the existing residents group. It also allows people to take their time to decide about coming in to the home. They give people plenty of information about the service. This home is good at making sure people get the right kind of medical care and they use specialist health care professionals when there are health or behavioural problems with people who suffer from dementia. We checked on the management of medication and this was being done correctly. Our observations and the outcome of the SOFI gave us evidence that staff have a good approach to the residents. We also had this backed up by most of the surveys we received. Very good care and care staff are always there when I need them. People in the home told us they could spend their days much as they pleased and that there were enough activities for their needs. I choose what I want to do and like my own company. I like to be here (the lounge) and we are all good friends and I enjoy talking, singing, TV and reading. Staff are very good and help me get outside every day for a walk around. We saw staff interacting well with residents in all units and we thought that the team had started to develop some interesting activities for people with dementia -especially their life story books and reminiscence work. Our surveys, conversations with people and observations told us that people in this home have suitable activities on offer that meet most of their cultural, spiritual and social needs. The manager agreed to continue to explore all these things so that the home would continue to improve. We were impressed with the catering in this service and residents told us they were more than satisfied. The food is nicely prepared, always piping hot and there is plenty of choice. We can have snacks in between meals if needs be.... We judged that this service - and Cumbria Care - do listen and act on complaints and concerns. There had been no formal complaints received by ourselves or by the home. People told us that things were dealt with straight away, so they dont become complaints. There had been no matters of adult safeguarding but we checked with staff who could Care Homes for Older People Page 8 of 27 talk about what they thought was abusive and how they would deal with this. People who live in the home said that nothing of this kind was happening. I would talk to the manager or the lady who comes from Cumbria Care if something was wrong - I am not afraid to speak up for myself or other people. The staff are pretty good at helping if you are worried or unhappy...so I feel quite safe. Cumbria Care has suitable training so that staff are inducted and trained in the work they do. We looked at individual staff files and found that staff received suitable levels of training in the basic things needed to do their work and that they had the chance to do further courses that would expand their skills and knowledge. A good number of staff have NVQ qualifications in care. Cumbria Care makes sure that new staff are checked out in terms of background and suitability before they start to work with residents. We checked staff files in Dentholme that confirmed that this happens in this service. The home has an experienced and suitably trained manager. We could see that residents were happy to engage with her and several people told us they would go to her if something was wrong. Staff told us they were happy with the way the home was managed. The manager is always on hand to give advice or new ideas...I am well supported by her and the supervisors. We checked on a number of management systems including health and safety, fire safety, residents money and the application of Cumbria Cares various policies and procedures. We discovered that staff were following all of these correctly and that the team were aware of their individual responsibilities. The home has a good quality assurance system that gives the manager an understanding of what is working well and what needs improvement. Our SOFI results showed us that management of the home allows people with dementia to have a settled and fulfilling life and we look forward to seeing how the manager progresses this specialism in the home as we judged that there is the promise of this home giving people with dementia an even better lifestyle. What has improved since the last inspection? The manager and staff of this home have started to use Cumbria Cares new system for writing out plans of care for each resident. These care plans are now more detailed and more focused on the person. I can tell you all about my care plan...its new and I did it with the supervisor and my key worker and they wanted to know about me and all the things I like as well as all the things I am not so good at nowadays. We also saw a number of very good life story books that people in the home had enjoyed developing with staff. One person in the specialist unit said: This is my book and it tells people all about me and mine. Have a look at my pictures...this is my family....my life. Care Homes for Older People Page 9 of 27 We judged that these things had helped staff to improve the way they delivered care to people. We judged that the staff team had made improvements to the home by changing carpets and decor so that the lounges and bedrooms now had a more tranquil feel to them. We were told that Cumbria Care will continue to update and refresh the entire home. We looked at the rosters in the home for care and housekeeping and we could see that there had been more hours provided for care and for cleaning and laundry. People told us they thought that this meant they got more staff time. The dementia care units were well staffed throughout the day. What they could do better: 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. This home only takes new residents once they are sure that they can give them the right kind of care and that they will fit in with the existing group of people who live there. Evidence: We met with a number of people in the home who talked about their admission. They said that they had been given plenty of information about the home and several people said that their social worker or a family member had helped them to choose. We checked on residents files, spoke to people in the home and to the staff and the manager and we discovered that people are always visited before admission and staff make sure that they can care for the person properly and that they will fit in. Residents only come into the home if it is their choice. For people with dementia we saw evidence that they had received an assessment from a mental health practitioner who confirmed that they did suffer with dementia.
Care Homes for Older People Page 12 of 27 Care Homes for Older People Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home say that their health and personal care needs are attended to with respect and this allows them to have the privacy and dignity they need and deserve. Evidence: We looked at a number of the written plans in the home that helped staff understand how people want to be cared for. We had been told that these care plans had been written in a new way so that they were much more centred on the person and gave a better picture of every individuals wants and needs. We spoke to a number of residents who confirmed for us that they had been fully involved in drawing up these plans. We read a selection of the plans in different units of the home after we had spent a little time with each individual. We also checked on some plans where we had a survey returned from a named person. The care plans were detailed and up-to-date. Each file had a completed section called All about Me and we could see that staff were beginning to fill in lots of details about the persons history and preferences. Residents files also contained risk assessments, manual handling plans and nutritional plans.
Care Homes for Older People Page 14 of 27 Evidence: We were very impressed with a number of life storybooks that had been developed in the home. On the day of our visit we noticed that two people were spending a lot of time looking at their own life storybooks. Some books were based on photographs but others also had things like family trees and written memories. The manager told us that she hoped the staff would be able to complete more of these. We could see and were told that residents had suitable medical care when they were unwell and that people with dementia had support from specialist nurses and doctors who understand their needs. Our inspection started before nine oclock and we observed a senior member of staff and a care assistant giving people their medication. This was done with care and residents were kept informed of what they were being given. We also checked the medication storage and this was in order as was recording, ordering and disposal of medication. We also saw evidence to show that the manager and her senior staff team check on the administration of medication on a regular basis. There had been a query about one person in relation to medicines but this had been looked into and staff continue to monitor so that this person receives suitable medicine. On the day of the inspection both inspectors observed how staff interacted with service users. We had a number of very positive surveys saying how nice the staff were and how much they cared for vulnerable people who live in the home. One survey however did say that at times staff approach needed to be a little more subtle. We discussed this with the manager and she explained how staff are supervised and trained in the principles of care. The two inspectors in the home on the day did not see any abruptness or insensitivity. On the contrary we saw a caring and attentive team of staff who treated the older adults in their care in a kind, friendly and caring way. On the unit for people with physical frailty we saw people being treated in a way that respected their abilities and strengths. On the units for people with dementia we saw a lot of patient interactions and a calm, reassuring approach from all the staff on duty. The outcome of our Short Observational Framework for Inspection observations was extremely positive with good interactions between residents and staff, and resident to resident. People were suitably occupied and there was no negative interactions observed on the day. Residents on all units told us that the team of staff in the home were very good and very caring. Residents were aware that staff need to learn and be developed and everyone was able to say that the entire team treated them respectfully. Care Homes for Older People Page 15 of 27 Care Homes for Older People Page 16 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in this home have a good choice of options in their daily lives and they are being encouraged to further widen their choices by an enthusiastic staff team. Evidence: Residents told us that they could get up and go to bed when they wanted. On the day of the visit some people had their meals in their room and spent time on their own. Other people enjoyed the company in the lounge and a handful of people spend quite a long time going from one part of the building to another so that they could have a cigarette and a chat together in the downstairs smoking room. People in the dementia care units were very relaxed in their environment, staff kept an eye on them but they were free to use the space as they wished. The visitors book showed that a lot of people came to the home every day and we met a number of relatives and friends who were visiting.They told us they were always made welcome. One or two residents went out with friends on the day. The home has visits from local church groups on a regular basis and other community groups come to visit. The manager told us that they were starting a project with Age Concern to look at new ways of involving residents with activities. We had some evidence to show that staff were beginning to organise activities that were suited to
Care Homes for Older People Page 17 of 27 Evidence: people with dementia. Currrently staff try to engage people in different types of activity. Each unit has an activities record that shows the different things that are offered. These include reading and being read to, watching films on DVD, television, listening to music, singalongs, reminiscence using books and photographs, attending religious services and playing board games and cards. Residents had been making Christmas cards and decorations with staff. Staff said that since the introduction of the new person centred care plans and a change to the staffing levels they had been able to spend a lot of time talking to people about their lives and their preferences so that they could complete the care plans and the life story books. Residents and staff both said that they enjoyed this very much and it was an activity in itself. We were in the home at both breakfast and lunch and spent some time in two separate units at these meals. We saw staff helping people with dementia to eat as well as possible and to take plenty of fluids. We also saw people enjoying a sociable and relaxed lunch where staff didnt need to give so much help. Residents were asked their preferences and where they found this difficult they were shown the different foods on offer. We went to the kitchen and saw that it was well stocked with nutritious and good quality food. The cook had a lot of information on different diets and cultural preferences and requirements. For example she has information about Cooking for Older Vegetarians as well as details of special dietary needs for health reasons or religious belief. All three cooks had completed a course on nutrition in 2006. This home has a very clean and well organised kitchen and the cook had information about everyones dietary requirements. We were impressed with the quality of food on offer and it was nice to see that there was even a choice of home baking so that everyone would have treats that were also nutritious. Care Homes for Older People Page 18 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. People who live in this home are confident that they will be listened to and protected from harm because the staff are always willing to listen to any concerns. Evidence: We measured this outcome group in two ways. Firstly we spoke to the residents themselves and observed them interacting with staff and with each other. People told us that they were comfortable making any kind of complaint or suggestion and that they were always treated with respect and kindness. We asked some people specifically about possible abuse and they said that they were well protected from harm. We also asked staff about their understanding of complaints and Adult Protection and they were able to give a good account of themselves. They confirmed for us that they were trained on this and were able to talk about it in team meetings and on individual basis with their supervisors. Cumbria Care has suitable policies and procedures in place about complaints and safeguarding and these were available in the home on the day. Care Homes for Older People Page 19 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. This home provides people with a clean and comfortable environment where they can feel relaxed and safe. Evidence: Dentholme is a purpose-built home that was refurbished some years ago. Accommodation is in single rooms but only some of them have ensuite toilet facilities. Some rooms are under the required size of the National Minimum Standards but this is referred to in the homes Statement of Purpose. The home is arranged in four separate units. Each unit has a lounge/dining room and small kitchen. Individual bedrooms are situated in each living area. There is a large communal area on the ground floor where they have parties and entertainments. The home is provided with a call bell system and is adapted and equipped for people who have problems with their mobility. The management team are committed to upgrading the environment of this home and redecoration and purchase of furniture has been ongoing.We were pleased to see that in the specialist units for people with dementia redecoration and new carpets have created a calm and relaxed atmosphere. The lounge and corridor walls are now painted in a subtle and relaxing colour and floor coverings are plain. The manager and staff said that this change was done so that people with dementia would no longer be confused by heavily patterned carpets and wallpaper. We judged that these small
Care Homes for Older People Page 20 of 27 Evidence: changes had made units more restful. The home is situated in a residential part of Cleator Moore and is easily accessible by public transport. Staff said that they could take residents to the local shops. Most residents said that they didnt go that far but enjoyed sitting out in the garden when the weather was fine. The home was clean, neat and tidy with no bad odours at any time. We saw on each unit records that showed staff do routine cleaning and that everyone is aware of how to control infection. A number of residents said how nicely their clothing was laundered and their beds were always fresh. We were told by the manager that there has been an increase in hours available for housekeeping and this was evident on the day by the good standards in every part of the home. Care Homes for Older People Page 21 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. This home is staffed by a well trained team who have the necessary skills to look after vulnerable older adults. Evidence: We saw the rosters for the last four weeks before the inspection and we judged from these and from talking to residents and staff that this home was suitably staffed. The manager told us and residents confirmed, that extra hours had been put in for housekeeping tasks and this had given carers more time to work with residents. We checked on a recent recruitment and we discovered that the manager follows the policies and procedures of the County Council and recruits under the equality and diversity rules. Suitable checks are in place on identity, integrity and background. We spoke to different members of staff during the visit and we were impressed with their skills and knowledge. People confirmed that they received suitable training and that many of them had completed their National Vocational Qualification in care at level 2. We also saw a copy of the homes training plan and we could see that staff were trained in manual handling, the principles of care, safeguarding older people and were given a basic understanding of dementia awareness. Care Homes for Older People Page 22 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. This is a well-managed home where residents can live a relaxed life because the management systems are working well to give them a safe environment and appropriate care. Evidence: This home is managed by a person who has suitable experience, skills and training to look after vulnerable older people. We had evidence that she is fully supported by Cumbria Care. She continues to update her training on a regular basis and told us that she was doing some further training on looking after people with dementia. People who live in the home recognised her and we could see that they found her to be approachable. A number of residents told us that they would go to her if something was worrying them. We also had surveys returned where people said that they were happy with the way the home was managed. Dentholme is run using Cumbria Care systems and the staff team also have their own way of recording how they do their work to a good standard. For example each of the
Care Homes for Older People Page 23 of 27 Evidence: units had routines that made sure all the household jobs were done regularly. We observed supervisors carrying out routine tasks in an organised way. All of these things that keep a home ticking over are recorded and monitored. Senior staff also complete audits on things like medication and money. We looked at all of these and found them to be in order. As well as these routine checks on the day-to-day jobs we also discovered that there are regular residents meetings and staff meetings, that surveys have been sent out to relatives and we could see that these have been used to make improvements. The home also has a business plan that shows where they intend to develop things in the home. We looked at how people were supported in looking after their own money and we saw that any money kept in behalf of residents was properly accounted for. We walked around the home and we did not see anything hazardous on the day. The kitchen had very good systems to make sure that food safety rules were being adhered to. We went in to the laundry and that too was well organised. We looked at the fire log book and that was in order. Staff in this home are properly trained in moving and handling, fire safety, first aid and infection control. We also looked at the records relating to maintenance and repair and these were in order. The manager of this home is aware of her responsibilities in terms of reporting accidents or illnesses correctly. 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 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 © (2008) 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!
