CARE HOMES FOR OLDER PEOPLE
East Clune Care Home West Street Clowne Chesterfield Derbyshire S43 4NW Lead Inspector
Denise Bate Unannounced Inspection 9th November 2006 09:30 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 East Clune Care Home DS0000035742.V311548.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. East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service East Clune Care Home Address West Street Clowne Chesterfield Derbyshire S43 4NW 01246 348100 01246 348102 not given www.derbyshire.gov.uk Derbyshire County Council 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) Susan Steadman Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 24th February 2006 Brief Description of the Service: East Clune provides personal care for up to 30 older people. It is located within the village of Clowne, which lies to the north east of Chesterfield. Accommodation is arranged over two floors and there is a choice of lounge and dining space. There are 22 single and 4 double bedrooms, with one of the single room having an en suite. There is a choice of bathrooms and toilet facilities, which are suitably equipped. There is a central kitchen and laundry. Access to outside garden areas is level and provides seating. The Manager has the support of a team of deputies, care and hotel services staff and also external management arrangements of Derbyshire County Council. One of the communal rooms is accessed by a small group of older persons for the purpose of day care. Service users who live in the home are able to access activities there if they so choose. East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over six hours. During the inspection five residents, three relatives, and four staff members were spoken with. A visiting health professional was spoken to. The manager was present during the inspection and provided assistance and information. Written information was provided by the manager prior to the day of inspection. Ten surveys were received prior to the inspection providing feedback on the services provided. An assessment was made of the progress by the registered persons to address the requirements made at previous inspections. A number of records were examined, including care planning documentation, staff files, and medication records. Five residents were case tracked. A tour of the building took place. The inspection included a thematic enquiry as part of a national pilot scheme. This consisted of asking a number of standardised questions to a sample of the residents. The registered person was informed and the agreement of residents was sought before asking a set of questions about the care they received. What the service does well:
East Clune provides a comfortable, homely, and relaxed environment for both long term and short term care residents. Residents and relatives spoken with made extremely positive comments about the home and the staff and said they were provided with excellent care. Comments included ‘ it’s lovely here’, ‘staff will do whatever they can to help’, ‘I am looked after perfectly’. The home was found to be well maintained, the home has access to a local maintenance scheme ensuring any minor matters are dealt with promptly. The inspector was told by residents that the food was very good and they were always given a choice. The manager is experienced and appropriately qualified. Residents and staff said that the manager was very supportive and approachable and described the home as ‘well run’. Staff spoken to were experienced, enthusiastic and committed. They feel they have excellent access to training over a wide range of topics, including equality and diversity, and there are opportunities for gaining experience to further their careers if they wish to do so. There is a stable staff group and staff described themselves as working well as a team. There is a strong individual service user focus and a well established ‘key worker’ system which was described as very successful by both staff and residents. The home takes part in Derbyshire County Council’s system of independent quality assurance and information provided by this exercise is
East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 6 been made available to residents on a regular basis. This process reveals a high level of satisfaction amongst residents and relatives, with the last published report identifying 95 of residents and 100 of carers rating the overall service as excellent. The results of the most recent questionnaire have recently been collated and feedback indicates that the home is maintaining it’s high standards. There is a regular residents meeting. The home are working hard to improve the variety and availability of activities. Residents are able to take part in activities with day care residents as there is a day care facility on site. This works well, and many residents who move in permanently know the home through day care and short term care. The home follow Derbyshire County Council’s recruitment and selection procedures. There is a corporate complaints procedure, although minor concerns are dealt with on an informal basis. Residents and relatives were overwhelmingly positive and said they had ‘nothing to complaint about’, and all were confident that any concerns would be dealt with promptly and appropriately by the managers. What has improved since the last inspection? What they could do better:
Care planning documentation had improved since the last inspection, and appropriate care plans were in place. However, some risk assessments had not been filled in, and some files were not organised in a way that allowed easy access to information. The manager plans to do an audit of files to ensure that they are all brought up to standard. A recommendation at the last inspection was that the manager should introduce a simple risk assessment tool for the measurement of residents’ dependency needs. This was discussed again on this occasion as the home provides a very valuable short term care service, but this does put some pressure on staffing resources. A dependency tool would provide evidence on whether staffing was sufficient to meet residents’ needs at all times. It was
East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 7 noted that the manager can access up to 28 hours extra staff time and this flexibility is welcomed as it contributes to the appropriate care of residents. 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. East Clune Care Home DS0000035742.V311548.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 East Clune Care Home DS0000035742.V311548.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents report they have the information they need to make an informed choice about where to live. Residents have written contracts/statement of terms and conditions. Assessments are done by care managers or other professionals based in the community. EVIDENCE: Five case tracked residents filled in a questionnaire with the inspector which included matters relating to the home’s statement of purpose/service user guide and contracts. The home have copies of the statement of purpose/service user guide in the foyer and in the office. Copies have previously been kept in residents’ bedrooms or in the lounge areas, but they have tended to go missing. The home’s policy is to ensure that residents and relatives are informed of these documents, together with a residents’ rights document, at various stages, e.g.
East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 10 when they visit the home prior to placement, when they move in, and at reviews. Most residents had had contact with the home prior to becoming permanent residents, usually through day care and short term care, but also through knowing someone who had been in the home and being aware of the home’s reputation within the area. Most residents spoken with could not remember whether they had seen the statement of purpose or service user guide. Residents have their initial financial assessment done by community care managers or social workers before moving in to the home. Residents spoken with were satisfied with the arrangements for the payment of fees. Copies of contracts were seen on residents’ care planning documentation and these referred to the Statement of Purpose, Service User Guide, and Rights in Residential Homes. Financial assessments are dealt with centrally by a Central Assessments Team and contracts clearly state that letters are sent to residents or their representatives when there are any changes in fees. The home keeps a record of all items charged for, e.g. hairdressing, and these items are clearly identified in the statement of purpose. Copies of assessments carried out by care managers were seen on care planning documentation of all case tracked residents, and all residents spoken to remembered being assisted by a social worker or care manager which they found very helpful. Potential residents have a visit to the home and an assessment completed after that visit. All case tracked residents had signed their care plans. Several residents discussed their relationship with their key worker and all were very complimentary about the quality of care their receive. The home does not provide intermediate care. East Clune Care Home DS0000035742.V311548.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans relating to personal and social care needs of residents have been updated and are usually completed in sufficient detail to direct and inform staff on how individual needs should be met. Residents are encouraged and supported to be independent and to exercise choice and are treated with dignity and respect. This contributes to the enhancement of residents’ everyday lives. EVIDENCE: All case tracked residents had assessments and care plans which reflected the individual needs and preferences of residents in detail and provided comprehensive guidance to staff on how needs were to be met, e.g. daily routines. All files had signed documentation indicating that care plans had been
East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 12 discussed with residents. In addition there was evidence on files of daily logs, assessment forms for nutrition and tissue viability, risk assessments, monthly summaries, moving and handling and monitoring forms e.g. heath professional visits, etc. However, some files were not well organised or had some incomplete documentation which made some basic information difficult to find. This was discussed with the manager on the day of inspection, and she plans to do an audit to ensure consistent high standards for all aspects of care planning documentation. Staff and managers at the home are very ‘service user’ orientated, the key worker system works successfully, and service users and relatives spoke very highly of the quality of care they receive; ‘ staff do everything they can to help us’, ‘ I really like it here’, ‘they make me feel like one of the family’. Care planning documentation covered residents’ health needs. The home deals with a number of GP practices. A visiting health professional said that there were good relationships with the home and health professionals and the home worked well in providing support to vulnerable people. There is particular appreciation for the provision of short term care beds which enables residents to have short term care as part of a rolling programme or where extra support is needed for a short period of time. One resident commented that short term care gave her ‘all the support I need to recharge my batteries’. There is a separate medication room with two medication trollies and a controlled drug cabinet. The home dispenses medication from original packages and uses a cardex system. The medication records of some case tracked residents were seen and found to have been recorded correctly. There were sample signatures for staff dispensing medication, who had all received training. The date of opening was recorded on eye drops. The manager reported a good relationship with the supplying pharmacist who visits on a regular basis. The home are in the process of ensuring their systems comply with the new medication protocol produced by Derbyshire County Council. The manager and her staff are aware of the importance of maintaining up to date training, particularly as the home have a lot of short term care residents who take a variety of medication. Residents indicated to the inspector that they were treated with dignity and respect at all times. Preferred names were noted on care plans, residents’ wishes in relation to privacy were also recorded. Staff were knowledgeable and appreciative about residents’ rights and maters relating to dignity and respect. Some staff had received ‘rights and diversity’ training. Residents reflect the cultural background of the area, which was a mining area with a strong sense of community. Many of the residents knew each other, and some of the staff, before coming to East Clune. East Clune Care Home DS0000035742.V311548.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are provided that suit the expressed preferences of residents. Regular outside contacts are encouraged and supported. This assists in contributing to a pleasant atmosphere and the overall high level of satisfaction for service users. Dietary needs of service users are catered for with a balanced and varied selection of food available that meets service users’ tastes and choices. EVIDENCE: On the day of the inspection several of the residents were participating in a quiz, and one resident was playing the organ. Regular activities include craft, quizzes, outings, in house entertainment, bingo and religious services. Residents enjoy seasonal celebrations and birthdays. Four times a week the home also accommodates a small group of older persons for the purpose of day care, and the manager stated that residents at the home are able to participate within the day care group if they wish to. Recently money had been
East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 14 raised for charity by the home taking part in ‘the world’s biggest coffee morning’. The home has contacts with local community groups. It was confirmed by residents and relatives that visitors to the home are welcomed. Most residents have contact with relatives and friends and some go out on a regular basis. Residents meetings are held on a monthly basis and friends and families of residents are invited to attend. Copies of the minutes were seen and reflected consultation with residents about future events, as well as other matters relating to residents or staff. Residents and relatives spoken to were extremely complimentary about the standard of catering, and the choice of menus that are available. The inspector took lunch at the home on the day of inspection and the quality was excellent. East Clune Care Home DS0000035742.V311548.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 inspected at least once during a 12 month period. 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. There are systems in place which promote the Safeguarding of Adults from abuse. A clear and accessible complaints procedure is in place ensuring residents can be confident that any issues raised would be acted on effectively and promptly. EVIDENCE: There is a corporate complaints procedure in place, although most relatives and residents prefer to raise issues on a more informal basis. The manager is viewed by residents and relatives as approachable and responsive. There have been no formal complaints recorded. Residents spoken to were not all aware of the formal complaints procedure, which is displayed in the foyer. Some relatives spoken to were aware of the formal procedure, but felt that the approach of the manager was such that any problems would be sorted out before the formal procedure was instigated. Residents all emphasised they ‘had nothing to complaint about’, but if they were worried about anything would talk to the manager or the staff. All residents spoken to felt they had enough information to raise any concerns. One resident commented ‘ the staff would be offended if we didn’t tell them about anything we weren’t happy with’. The manager said that minor issues are logged in the office report book, e.g. lost laundry, and most issues
East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 16 resolved within two to three days. Any matters not dealt with in that timescale would be entered into the complaints book. The Commission has not received any complaints about the home. Derbyshire County Council has clear procedures for dealing with the safety of service users and safeguarding them from harm. Staff spoken to showed an awareness of safeguarding adults issues and would pass any concerns on to their line manager. Training in safeguarding adults has been provided for staff. East Clune Care Home DS0000035742.V311548.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally well maintained and provides residents with an attractive and homely place to live. EVIDENCE: A tour of the building took place. All areas of the home were clean, tidy, and comfortable. Several areas have been decorated including the kitchen, toilets and several bedrooms. The home are part of a local scheme involving several homes with a local handyman who ensures that any minor repairs are dealt with promptly and efficiently. There are several lounges, and a large and pleasant dining room. Standards of furnishings are good, and it is understood that Derbyshire County Council have been investing in the home to ensure and standards of safety and comfort are maintained.
East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 18 The home have recently had a shower room installed, with a new toilet and sink. Other bathrooms and toilets are satisfactory and meet residents’ needs. There is a hairdressing salon, and this service is very popular with residents. The kitchen has recently been redecorated and a new dishwasher has been ordered and should be available soon. The laundry is clean and spacious, and well organised. At present there is only one dryer, but the home is hoping to get another one in the near future. Several residents and relatives commented on the high standards of cleanliness within the home, and this was also observed on the day of inspection. A sample of residents’ bedrooms were seen, including several double rooms. Bedrooms are generally spacious and comfortable, with room for residents to bring their own furniture and other belongings. East Clune Care Home DS0000035742.V311548.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 at least once during a 12 month period. 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. A trained and competent workforce are in place which meet the dependency needs of residents currently accommodated within the home. Residents benefit from being supported by a trained and competent staff team. EVIDENCE: Residents and their relatives spoken with stated that there were adequate numbers of staff in order to meet their support needs, and stated that the staff ‘do everything they can to help’. Staff felt that although they were busy, all staff were prepared to be flexible by changing shifts, etc. to ensure that service users needs were met at all times. There are often five or six short term care residents so the dependency needs of the resident group can fluctuate. Staff say that looking after so many short term care residents can be very demanding. They take pride in their work saying they look after residents ‘as they would want their own mother and father to be looked after’. One resident commented that she is ‘treated like one of the family’ by staff. A recommendation to develop a dependency tool has been made to assist the manager in ensuring that resident needs continue to be met at all times. The manager has access to 28 hours of extra staff time per week, and this is a welcome enhancement to flexibility of staff hours. East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 20 Derbyshire County Council has made a commitment to staff training and 85 of staff are trained to NVQ2 or above. There is an ongoing programme of mandatory training as well as a wide range on non mandatory training. Recent training has included induction, IT training, activities training, NVQ level 3, moving and handling and fire safety training. Training planned for the near future includes protection of vulnerable adults, dementia training, NVQ3 for one relief manager, and NVQ4 for another relief manager. One staff file was looked at and contained evidence of CRB checks, induction and other training, contract letters, etc. There was not a copy of an application form or references on file, although it is understood that this is available centrally. East Clune Care Home DS0000035742.V311548.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is suitably qualified and experienced and staff demonstrate an awareness of their roles and responsibilities, thus ensuring the home is run in the best interests of residents. EVIDENCE: The manager is experienced and suitably qualified to run the home. Residents and relatives spoke positively about the manager, and felt confident that any matters raised with her would be dealt with. Staff felt the manager was approachable and supportive and helped them understand their roles and responsibilities, as well as encouraging them in taking up training opportunities and career development.
East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 22 The inspector was informed that the home is visited regularly by a representative of the registered person and copies of Regulation 26 visits were available, indicating that day to day matters are looked into, and action take where appropriate. There had been a quality assurance exercise which indicated that residents and relatives feel the home provides an excellent over all service. The manager feels well supported by her line manager. Regulation 26 visit reports were available and indicate that both general and individual issues are discussed with residents and staff. Monthly staff meetings are held. Minutes indicate that they are well attended and a varietyof day to day issues addressed and planned for. The inspector was informed that at present residents’ personal finance records are kept through Derbyshire County Council’s electronic scheme which appears to work satisfactorily. It was noted that residents’ families often handle personal finance. It is recommended that financial arrangements be included in reviews so that residents’ preferences be recorded formally. Staff confirmed that they have regular supervision. Information on maintenance and health and safety records was provided by the manager in the pre-inspection questionnaire and indicates that matters relating to health and safety are satisfactory. East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 23 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 3 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X 3 3 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 3 East Clune Care Home DS0000035742.V311548.R01.S.doc Version 5.2 Page 24 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 OP1 OP7 OP7 OP29 Good Practice Recommendations The registered manager should introduce a simple risk assessment tool for the measurement of service users dependency needs. Care planning documentation should be reviewed to ensure consistency in the organisation of files, risk assessments and reviews of care plans. A section on ‘finances’ should be included in care plans and reviewed regularly. Copies of staff application forms and references should be available at the home as well as being held centrally.
DS0000035742.V311548.R01.S.doc Version 5.2 Page 25 East Clune Care Home Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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