Inspection on 09/02/06 for Eastbury Nursing Home

This inspection was carried out on 9th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eastbury Nursing Home 12/02/07

Eastbury Nursing Home 06/06/05

Eastbury Nursing Home 18/10/04

Eastbury Nursing Home 24/06/04

Eastbury Nursing Home 14/10/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Eastbury Nursing Home 12 Eastbury Road Northwood Middlesex HA6 3AL Lead Inspector Sarah Middleton Unannounced Inspection 9th February 2006 10:25 Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 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 Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Eastbury Nursing Home Address 12 Eastbury Road Northwood Middlesex HA6 3AL 01923 823 816 01923 841 623 info@mdhomes.co.uk 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) MD Homes Mrs Subiha Tabassum Hussein Care Home 20 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0), of places Physical disability (0) Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Adults over 40 in need of general nursing Physical Disability Learning Disability Mental Health problems Minimum Staffing Notice Date of last inspection 6th June 2005 Brief Description of the Service: Eastbury Nursing Home is a converted detached house situated in a residential area. It offers support and care twenty-four hours a day to a varied group of service users. The needs cared for are service users who have Physical Disabilities, Learning Disabilities, Dementia or Mental Health Needs. The home has a large well maintained private garden to the rear and car parking facilities at the front. Local transport facilities are available in the form of buses and Northwood underground station, which is within walking distance of the home. The accommodation consists of ten single and five double bedrooms. The first floor of the home has four single and two double bedrooms. There is a Parker bath, with shower attachment and two toilets on this floor. There is a stair lift for those service users unable to manage stairs. The home has a spacious conservatory, which is light and bright. Smoking is allowed at the home in one designated area, either in a part of the lounge or in the garden. The Registered Providers are MD Homes. There is a Registered Manager and a Group Operations Manager, who deals with the financial and personnel management of the four homes within MD Homes. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of four hours, 10.25am-2.25pm, was spent on the inspection. The Deputy Manager and the Registered Manager assisted with the inspection. The Inspector carried out a tour of the home and inspected service users plans, staff files and maintenance records. Five service users and two members of staff were spoken with as part of the inspection process. There were no visitors present during the inspection. It must be noted that it is sometimes difficult to ascertain the views of service users with various mental health and communication needs. The home had met the two previous requirements and two new requirements were made following this inspection. This report should be read in conjunction with the previous inspection report dated 6th June 2005. Key and additional standards were assessed at both the previous and this inspection. The Inspector would like to thank the staff and service users who assisted and contributed to this inspection. What the service does well: What has improved since the last inspection? The home now regularly consults with service users, or their representatives, when devising or reviewing care plans. This demonstrates the home takes time to consider service users opinions and incorporates their views into care plans. The home has an established quality assurance system in order to regularly self-audit the care the home offers to service users. Through completing these regular reviews the home can identify areas that need improving. In addition the home uses questionnaires to consult with service users and their relatives and then considers their feedback and comments. This ensures the home Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 6 considers aspects of the home that others feel are working well or that need attention. Servicing records were all up to date at the time of the inspection. These records promote the health and safety of all who live, work and visit the home. Water temperatures are now more closely monitored and checked to ensure there are no areas, for those using the water in the home, that are too hot. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Service users are assessed prior to admission to ensure the home can meet their needs. Prospective service users and their representatives are able to visit the home in order for them to meet other service users and members of staff. These visits can then encourage them to make an informed choice. EVIDENCE: Pre-admission documentation was viewed regarding a recent admission into the home. This provided a clear picture of the prospective service user’s needs, which included any mental health/dementia care issues, their sleep pattern, language and mobility needs. In addition the home had obtained information from the referrer, Social Services, in order to gather as much detail as possible. The Operations Manager usually carries out pre-admission assessments and discusses with the Registered and Deputy Manager the prospective service user and their identified needs. The Deputy Manager confirmed that wherever possible, prospective service users and their representatives are encouraged to visit the home prior to moving in. A recent admission had been unable to visit the home and so their social worker, who was familiar with the home, visited and discussed the service user with staff. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The health and personal care needs of service users had been identified and were being met. These were up to date and reflected individual abilities and where they needed support. Service users were assisted and encouraged to make choices and decisions about their lives. Staff recognised the varying degrees of understanding that some service users might have when making decisions. Risk assessments were in place and detailed individual potential hazards in a service users life. These aimed to balance safeguarding service users safety whilst encouraging them to have as much independence as possible. EVIDENCE: Individual service user plans were available and samples were viewed. Overall these were comprehensive and detailed how the service users’ identified health, personal and social care needs would be met. Service users or relatives had signed care plans to evidence that staff had discussed individual care plans with them. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 10 The Inspector noted that where one service user had disputed particular phrases and words used by staff in their care plan, staff had made the appropriate alterations. Service users spoken with confirmed that generally staff included them when writing about their needs and likes and dislikes. Care plans were up to date and reviewed on a regular basis. In addition the care plans were individual and covered a ranges of subjects that were relevant to the service user. One service user, who is on the enhanced care programme approach, under the Mental Health Act, had recently had a review where social services were involved. At this review the placement and the service users mental health had been reviewed. Assessments for nutrition, continence and moving and handling were in place. Bedrail assessments had been completed with consent obtained from relatives. The recent admission did not have a photograph on their file. This is a requirement. The Inspector, the day after the inspection, had been informed that this had been carried out. Staff spoken with were aware of service users rights and abilities to make some decisions in their lives. Where service users can make choices this would be noted on their care plan and staff support service users to be as independent as possible. Risk assessments were in place, in particular for one service user, who had a pressure sore. The documentation viewed for wound care, included pressure sore risk assessments. This was comprehensive and identified the wounds and plan of treatment. The tissue viability nurse had been informed of the pressure sore and the Registered Manager stated it was slowly healing. Overall risk assessments were reviewed on a regular basis and reflected service users individual needs. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14, 15 & 17 Social activities were in place and the home aims to employ an activities coordinator in order to offer additional stimulation and occupation for service users. Service users are able and encouraged to take part in leisure pursuits and interests that will enable them to have a varied life both in and out of the home. Visiting is flexible for family and friends and service users can choose where they meet with visitors. Meal provision in the home offers a well-balanced and nutritious diet that encourages service users to maintain positive good health. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 12 EVIDENCE: The home currently does not have an activities co-ordinator, but the Registered Manager is hoping the home will have this position filled in the near future as they are aware of the benefits in having a person who organises daily activities. This person would work on a part time basis in the home. In the meantime, staff offer activities to those service users who wish to engage and take part in sessions provided. Five service users during the week attend a day centre and one service user can go out into the community independently. Staff and service users spoken with stated they can play scrabble, use the computer, play bingo and will often attend parties that are being held at nearby homes owned by the same organisation. Some service users asked said they did not want to join in with others and preferred to read or watch television. One service user sits away from the others and when asked, stated they were happy sitting in their chair looking out to the garden and keeping any eye on what is happening in the home. One service user has the opportunity to go on a holiday where various activities are run all week. Another service user sometimes goes on holiday with their relatives. Day trips are run throughout the year and the Registered Manager stated they would be increasing the amount of day trips and hiring out a larger vehicle to ensure more service users can go out into the community. Where possible service users go out with staff to purchase personal shopping and often they go to the local pubs or church. The Inspector saw the local priest visiting the home, as some service users prefer this way of continuing practising their beliefs. There were no visitors to speak with during the inspection, however, service users spoken with confirmed they have family or friends visit whenever they want to see them. The lunch meal was sampled by the Inspector and was tasty and well presented. The cook works seven days a week, 9am-2pm and had attended training on infection control. They prepare fresh food for service users and incorporate special diets and alternatives that service users ask for. The menu was on a four-week rolling programme and individual meals are recorded. The kitchen was clean and organised at the time of the inspection. Fridge/freezer temperatures were taken on a daily basis and were within an appropriate range. Service users spoken with were happy with the food they received and stated they had a choice of various meals each day. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Service users receive personal support in a manner that respects their dignity and privacy. Both the staff in the home and external health professionals were meeting service users’ health needs. Overall medication systems were robust, however care must be taken to ensure all staff, if they have administered medication, sign for this to ensure the health and welfare of service users is protected. EVIDENCE: Service users are supported with their personal care in private. In the shared bedrooms, there is screening to ensure privacy. Service users spoken with said they could get up/go to bed when they chose to and could eat their meals wherever they wanted. Nursing care is supervised and recorded by the nursing members of staff. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 14 Service users health needs are identified and met through a variety of ways. Documentation was viewed that is used for when service users attend health appointments, which includes information for other staff to be aware of following health checks. The community psychiatric team visit the home, to review particular service users, along with the Dentist, Optician and Chiropodist. Pressure sore documentation was in place, with regards to one service user. The home and tissue viability nurse were monitoring the health needs of the service user and the plan of treatment was available. Samples of medication administration records were viewed. The Inspector noted that for one service user medication for one day was missing, or had been administered and had not been signed for. A requirement was made that all medicines administered must be signed by the appropriate member of staff. Overall medication was appropriately and securely stored. There were no controlled drugs in the home at the time of the inspection. Fridge temperatures, where medicines were stored, had been taken daily and were within an acceptable range. The home has a contract to dispose of the medicines appropriately. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home has a complaints procedure and service users were confident their complaints and concerns would be listened to and acted on by the Management. Systems were in place for the protection of vulnerable adults. EVIDENCE: The home has a clear complaints procedure that is freely available. There had been no records of complaints noted in the home. Service users spoken with said they would feel able to talk to staff, including the Registered Manager, if they had any concerns or worries. The Inspector viewed the home’s policies on the protection of vulnerable adults, (POVA). All staff had received training and information on this subject on a regular and continuous basis. The local authority’s POVA co-ordinator had run training internally for the staff team last year. Those staff asked were aware of the need to report any POVA concerns to the Management. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 & 30 The home offers a warm and welcoming environment for service users, staff and visitors. Service users bedrooms were individual and the home encourages service users to bring their own personal belongings for their bedrooms. The home provides sufficient bathrooms and toilets to meet the needs of the service users. The home has procedures in place to maintain a high standard of cleanliness. EVIDENCE: A tour of the home was carried out and a sample of rooms viewed. These were being maintained satisfactorily. The home was bright and welcoming at the time of the inspection. The maintenance plan for 2006 showed areas that would be decorated and areas in the home due for refurbishment. The home is due to have a downstairs shower room in the near future. Furnishings and fittings were of a good standard and provided a pleasant environment for service users. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 17 Service users bedrooms were spacious and personal possessions were in the bedrooms viewed. Lockable storage is available for service users and those wanting to lock their bedrooms can do so. The assisted bathrooms and communal toilets viewed were satisfactory and sufficient in numbers. Staff carry out laundry tasks and have received training in infection control. Laundry systems are appropriate to minimise the risk of infection and are located in a small separate room off from the dining room. Service users spoken with were content with the laundry services they received in the home. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 A competent and experienced staff team supports service users and are able to meet their individual needs. Staff work together in the interests of the service users. The recruitment procedures are robust and aim to safeguard service users. Staff attend training on relevant subjects to ensure they have the necessary skills and information to appropriately care for the service users. Staff receive support and supervision with their line manager to reflect on their practice and to seek advice and support to enable them to do their job to the best of their abilities. EVIDENCE: The home supports and encourages staff to obtain an NVQ level 2 or 3. The home is just about meeting its target of at least 50 of staff, (care workers) either in the process of or obtaining an up to date relevant qualification, usually NVQ. Staff were seen to interact positively with service users. The staff team working in the home are from various backgrounds, with different experiences, knowledge and bring these differing skills to the home. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 19 One recently admitted service user, requires boundaries and clear information from staff in order for them to remain calm and stable. Staff spoken with and observed by the Inspector were patient and consistent in their approach when communicating and supporting this service user. The Inspector asked both staff and service users if the new service user disturbed the peace and quiet of the home. Feedback from staff and service users indicated that this new service user did not impact on the service users. Staff spoken with stated the staff team is supportive and that they meet on a regular basis to communicate any issues regarding the home or the staff team. The home had no staff vacancies at the time of the inspection. Staff asked confirmed they had received a detailed induction when they had started working in the home. The Inspector viewed the induction programme used, which was comprehensive and informative. This induction is advocated and produced by the Skills for Care organisation, formerly known as TOPSS. Staff said they felt there were sufficient numbers of staff working in the home at any one time. The staff employment files viewed contained details of the applicants completed application forms, photograph, Criminal Record Bureau checks, medical declaration and two references. There is a robust system in place for the tracking of each application and the obtaining of all required documentation. Training is offered both externally and internally. Staff attend training on mandatory subjects, such as fire safety and food hygiene. Additional training on subjects relevant to the service users, such as mental health and supporting service users with challenging behaviour are also provided for staff. Staff spoken with were happy with the type and level of training offered to them and they felt it assisted them to meet the needs of the service users. Staff confirmed they received one to one support and supervision by their line manager. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Service users benefit from a well managed home where the Registered Manager has an open style of management. Robust regular audits and reviews are carried out on the home to ensure it runs effectively and meets the needs and opinions of service users and their relatives. Systems are in place to ensure servicing records are up to date and protect the health and safety of service users, staff and visitors. EVIDENCE: The Registered Manager had been in post for several years and had obtained the Registered Manager’s Award. The Registered Manager manages the home well, has good leadership and maintains a regular presence in the home. There are clear lines of accountability within the home. Staff spoken with stated that the Registered Manager and Management in general are flexible and approachable for when staff need advice or guidance. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 21 The home has various systems in place to review the care offered in the home. Service users and family members are consulted via questionnaires in order to gather their views on the home. In addition Regulation 26 visits are carried out monthly to check the running of the home and the Operations Manager also completes an audit looking at various aspects of the home. The Inspector viewed a recent quality assurance report. Servicing records were viewed at random. Water temperatures had been taken weekly and were within a safe range. The fire officer had made an inspection of the home the previous month and the home had acted on the comments made by this visit. The fire equipment, nurse call system, testing for Legionella and Gas Safety certificate were all up to date. Fire drills had been carried out at various times with different members of staff. The home had a general risk assessment for any areas that could pose a potential hazard to service users, staff or visitors. Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 3 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 3 3 x x 3 x Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA6 YA20 Regulation Schedule 3 13(2) Requirement The home must have a photograph of each service user. Medication administration records must be completed once medicines have been administered. Timescale for action 28/02/06 10/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST National Enquiry Line: 0845 015 0120 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 Eastbury Nursing Home DS0000010930.V283232.R01.S.doc Version 5.1 Page 25 - 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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