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Inspection on 24/02/09 for Elm Lodge Nursing & Residential Home

Also see our care home review for Elm Lodge Nursing & Residential Home for more information

This inspection was carried out on 24th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home understands the importance of having enough information when choosing a care home. Each resident had a folder in their room, which contained information documents such as; the Service User Guide, which outlined what the home provided and information about any additional costs, such as hairdressing and chiropody costs, and a document called `Hear Your Views`. This document was a summary of the complaints procedure and gave residents all the necessary information they required if they are not happy with any aspect of their care in the home. Medication records were generally in order, contained required entries and had been appropriately signed by staff. We saw that residents were assessed regularly and that the completed risk assessments informed care practices. Staff identified some social activities that would please and stimulate the people using the service. Meals were freshly prepared and there was a choice available. The complaints procedure is supplied to everyone living in the home. Staff working at the home understand the procedures for safeguarding, and know when incidents need to be reported externally. This home provides a clean, comfortable and homely environment for the people who live here. Individuals` rooms are furnished with personal possessions that reflect their personal life history. This service recognises the importance of training and delivers a programme that meets the National Minimum Standards. A variety of training was offered to all of staff to ensure that collectively, they had the skills and experience, to meet the needs of the people living at the home. Recruitment procedures are fully adhered to so that residents are protected. The manager has the required qualifications and experience to run this home. She is working continuously to make improvements to systems that may improve the lives of the people who live there. Documentation that we looked at in the home, indicated that records are kept up to date, and audit processes are in place to assist in monitoring quality assurance within the home. Accidents and incidents are being reported appropriately and when necessary referrals are made to the safeguarding team.

What has improved since the last inspection?

Pre admission documentation was in place and was being used effectively for all prospective admissions to the home, to ensure their needs could be met efficiently in this home. Care plans had been completed in sufficient detail to ensure staff could provide continuity of care delivery.

What the care home could do better:

Internal auditing processes for medication reconcilliation could be improved. The pre admission assessment tool would benefit from an area for the date and signature of the person carrying it out. The home keeps a small amount of money for most of the residents in this home. These are kept locked in a safe which is only accessible to nominated members of staff. Each resident has their own money container and a small account book. Details of all transactions are written in this book and an ongoing balance calculated. We looked at the accounts of three residents. All funds remaining corresponded correctly with their account booklet, and receipts were generally filed and corresponded with recorded transactions. The only criticism is that many transactions only appear to have one signature, which is from a member of staff. We suggested that where possible residents should sign for withdrawals, and where this is not possible a countersignature from another member of staff is advisable.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Elm Lodge Nursing & Residential Home 18 Stoke Road Linslade Leighton Buzzard Bedfordshire LU7 2SW     The quality rating for this care home is:   two star good 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: Louise Trainor     Date: 2 4 0 2 2 0 0 9 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. that people have said are important to them: They reflect the things 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 © (2009) 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: Elm Lodge Nursing & Residential Home 18 Stoke Road Linslade Leighton Buzzard Bedfordshire LU7 2SW 01525371117 01525854537 elmlodge@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Elm Lodge Nursing and Residential Home care home 51 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: That the home is permitted to accommodate two service users under the age of 65 in the categories of PD and DE only. The home is permitted to accommodate one named service user (ref variation V25634), in the category of PD from 30 September 2005 up to their discharge from the home. Date of last inspection 0 0 0 Over 65 26 51 51 Care Homes for Older People Page 4 of 27 Brief description of the care home Elm Lodge is an extended Victorian House situated in Linslade on the outskirts of Leighton Buzzard. There are good road links to Milton Keynes, Bedford, Aylesbury and Luton and the centre of Linslade is within walking distance. There is parking available at the home and it is set in attractive grounds. The home can provide residential or nursing care depending on the assessed needs of residents. There are 49 single rooms and 1 room that can be used for shared occupancy providing a total of 51 places. There are 12 rooms with en-suites and various communal facilities including 6 separate lounges, dining areas, bathrooms and toilets located throughout the home. As the home has been converted and extended, the accommodation ranges across different floors and there is lift access to all areas. The fees for this home vary from £490.00 per week for residential placements, to £605.00 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: two star good 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 inspection was carried out in accordance with the Commission for Social Care Inspections CSCI policy and methodologies which require review of the key standards for the provision of a care home for older people that takes account of service users views and information received about the service since the last inspection Evidence used and judgements made within the main body of the report include information from this visit. This is a two star home and has therefore not recieved a Key Inspection since January 2007. This inspection was carried out on the 24th of February 2009 by Regulatory Inspectors Mrs Louise Trainor and Mrs Sally Snelson, between the hours of 07:30 and 12:00 hours. The home manager was present at the beginning of the inspection, but was scheduled Care Homes for Older People Page 6 of 27 for training for most of the day, however deputy manager and the owner of the home were available to assist throughout this inspection. During this inspection we picked three residents to case track in detail, and spoke at length to other residents about the care they recieved. We examined three staff files, and other doumentation relating to staff training and supervision, and had the opportunity to talk informally to two members of staff. A full tour of the premises was carried out, and documentation relating to health and safety checking procedures, medication administration, complaints, accident and incident reporting and residents finances were also inspected. Feedback was given periodically throughout, and at the end of the inspection. We also telephone the manager the day after the inspection to give her a full feedback. We would like to thank everyone involved for their assistance and support. What the care home does well: The home understands the importance of having enough information when choosing a care home. Each resident had a folder in their room, which contained information documents such as; the Service User Guide, which outlined what the home provided and information about any additional costs, such as hairdressing and chiropody costs, and a document called Hear Your Views. This document was a summary of the complaints procedure and gave residents all the necessary information they required if they are not happy with any aspect of their care in the home. Medication records were generally in order, contained required entries and had been appropriately signed by staff. We saw that residents were assessed regularly and that the completed risk assessments informed care practices. Staff identified some social activities that would please and stimulate the people using the service. Meals were freshly prepared and there was a choice available. The complaints procedure is supplied to everyone living in the home. Staff working at the home understand the procedures for safeguarding, and know when incidents need to be reported externally. This home provides a clean, comfortable and homely environment for the people who live here. Individuals rooms are furnished with personal possessions that reflect their personal life history. This service recognises the importance of training and delivers a programme that meets the National Minimum Standards. A variety of training was offered to all of staff to ensure that collectively, they had the skills and experience, to meet the needs of the people living at the home. Recruitment procedures are fully adhered to so that residents are protected. The manager has the required qualifications and experience to run this home. She is working continuously to make improvements to systems that may improve the lives of the people who live there. Documentation that we looked at in the home, indicated that records are kept up to date, and audit processes are in place to assist in monitoring quality assurance within the home. Accidents and incidents are being reported appropriately and when necessary referrals are made to the safeguarding team. Care Homes for Older People Page 8 of 27 What has improved since the last inspection? 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 9 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 10 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. The home understands the importance of having enough information when choosing a care home. Pre admission documentation was in place and was being used effectively for all prospective admissions to the home, to ensure their needs could be met efficiently in this home. Evidence: The home had a statement of pupose that covered all the areas required by the National Minimum Standards. Each resident had a folder in their room, which contained information documents such as; the Service User Guide, which outlined what the home provided and information about any additional costs, such as hairdressing and chiropody costs, and, a document called Hear Your Views. This document was a summary of the complaints procedure and gave residents all the necessary information they would require if they were not happy with any aspect of their care in the home. These documents were kept under review and updated as Care Homes for Older People Page 11 of 27 Evidence: changes occured. All of the people using the service whose care we tracked, had been assessed by the manager, or a qualified nurse from the home, before moving in. The assessments were in detail and included information from the hospital, or previous care home if this was applicable and available. The tool used for the pre-admission assessment would benefit from space for the person carrying out the assessment to date and sign the document. We saw copies of the contracts that clearly indicated the fees and identified what the fees did and did not cover, however did not show how the fee was broken down into accommodation, nursing and personal care costs and who was responsible for what cost. Residents that we spoke to during this inspection confirmed that they, or someone on their behalf, had visited the home prior to moving in. Elm Lodge does not provide intermediate care. Care Homes for Older People Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans had been completed in sufficient detail to ensure staff could provide continuity of care delivery. Medication records were generally in order, contained required entries and had been appropriately signed by staff. Internal auditing processes could be improved. Evidence: During this inspection we picked three residents at random to case track. We looked in detail at their care files. The care plans covered all aspects of care and gave staff the necessary instructions to ensure that care was carried out with continuity. Many of the plans were corporate and therefore in some cases would benefit from more detail, however it was apparent that the staff team were aware of the needs of the people they were caring for, and that some additional comments had been added by staff to individualise these care plans. One relative told us, they have all made an effort to get to know my mum and Care Homes for Older People Page 13 of 27 Evidence: have asked me about her. I had not met the night staff and they bothered to phone me to reassure me. Care plans were reviewed regularly and on generally documentation was altered as individuals needs changed. We saw that residents were assessed regularly and that the completed risk assessments informed care practices. For example a person who was weighed regularly, and had an unexpected weight loss, had been referred to the GP. Records indicated that GPs and other health professionals were contacted as and when necessary, and that residents were supported to attend health appointments. For example, on the day of the inspection, one resident had been referred for an X-ray and an additional staff member was rostered on duty to support her. We also heard the cook making arrangements to ensure that this resident had something to eat before she went. We examined the Medication Administration Record (MAR) sheets for the majority of the residents presently living in the home. These were generally well completed with signatures and omission codes where necessary. We did however find that some of the medication that was supplied in boxes rather than blister packs was somewhat difficult to reconcile. We believe the carrying forward of medication from month to month may be partially the cause of this problem, and that a review of the auditing process will eradicate this problem. We are confident the manager will address this with immediate effect. There were five residents prescribed Controlled Drugs (CD)s at the time of this inspection. These drugs were stored appropriately and remaining stocks and records reconcilled accurately. Care Homes for Older People Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff identified some social activities that would please and stimulate the people using the service, however there was limited evidence of how these meet the residents needs. Meals were freshly prepared and there was a choice available. Evidence: There was a friendly and relaxed atmosphere throughout this home. Residents were sitting listening to music, singing, reading, doing puzzles, watching television or just chatting. We saw staff engaging with residents on a one to one basis, for eample playing dominoes, and other staff were singing along with the music as they went about their duties, and engaging with residents as they passed through the communal areas. There is a programme of outside entertainers who visit the home on a regular basis, and and there are regular weekly and fortnightly activities such as church services, coffee mornings and exercise sessions. We visited the kitchen and observed some of the breakfast service. Residents were Care Homes for Older People Page 15 of 27 Evidence: being given choices and encouraged / assisted with eating when necessary, in a dignified and unhurried manner. The menus offered a wide variety of choice. On the day of the inspection there was a choice of sausage and mash, or baked salmon with hollandaise sauce, both served with fresh seasonal vegetables. Pancakes were on the menu for dessert as it was Shrove Tuesday. Care Homes for Older People Page 16 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. The complaints procedure is supplied to everyone living in the home. Staff working at the home understand the procedures for safeguarding, and know when incidents need to be reported externally. Evidence: This home has a complaints policy that is displayed and easily accessible to everyone entering the home. Each resident has a copy of the Hear Your Views document in their room. This gives a brief summary of information people may need should they be unhappy with any aspect of life in the home. It also included information relating to The Commission for Social Care Inspection (CSCI), so that if a complainant was unhappy with an outcome following an investigation by the home, they would know who to contact. The home had not recieved any complaints since the last inspection, however the complaints file contained old complaints which indicated that the manager was aware of the procedures. CSCI had recieved an anonymous concern on the day prior to this inspection. This matter was discussed with the manager, who was aware that there had been a similar issue raised amongst staff some months ago, but she thought it had been resolved. She agreed to revisit this matter immediately. We suggested that she also remind Care Homes for Older People Page 17 of 27 Evidence: staff of how to use their whistle blowing policy more effectively. The home had recieved many cards and letters of thanks and gratitude, which indicates that people are very satisfied with the care their loved ones recieve. One read. On behalf of us all, we would like to express from the bottom of our hearts gratitude for the way you cared, nutured and nursed dad. Others read. Thank you so much for the love, care and dedication. And Youve toched so many lives with your care. Staff that we spoke to were able to demonstrate their understanding of the local safeguarding policy and protacols and where in the home they could locate these documents. They were aware of what their role was in the reporting processes. Care Homes for Older People Page 18 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 a clean, comfortable and homely environment for the people who live here. Individuals rooms are furnished with personal possessions that reflect their personal life history. Evidence: This home is split into two sections, one for residential care and one providing nursing care. During this inspection we toured the whole premises inside and out. Inside the home was exceptionally clean, there was a warm welcoming atmosphere throughout. The communal areas are spacious and provide comfortable dining and lounge facilities. There are also smaller lounge areas, which are ideal for residents who may wish to spend some private time with visitors. The corridors of the home display notice boards with information of interest and forthcoming events, as well as photograph collages, which reflected celebrations and activities that had taken place over the years in the home, for example a costume and culture day, and a residents 107th birthday celebrations. Bathing facilities are numerous on both floor of the home, and include four wet rooms, and four bathrooms, some with specialist equipment. We visited several residents in their rooms during the course of this inspection. Rooms Care Homes for Older People Page 19 of 27 Evidence: were tastefully decorated, and many residents had furniture such as china cabinets and armchairs, which they had brought in from their own homes. Photographs and ornaments brightened the rooms giving them a personal feeling. One resident had a newspaper cutting framed on their wall, it had been taken in 1966 and reflected their career achievements. They were very proud to tell this story. This home is surrounded by gardens. Most areas of which are accessible for wheelchair users. Care Homes for Older People Page 20 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 service recognises the importance of training and delivers a programme that meets the National Minimum Standards. A variety of training was offered to all of staff to ensure that collectively, they had the skills and experience, to meet the needs of the people living at the home. Recruitment procedures are fully adhered to so that residents are protected. Evidence: At the time of the inspection the manager told us that there were currently no staff vacancies in the home. They have a good bank of staff that can be called on for occasssional shifts, and as a consequence they did not have the need to use agency staff very often. There is a well eatablished team of staff many of whom have been in post for several years. The manager herself has worked at the home for over 15 years, she is supported by a deputy. Staff are allocated to an area of the home and the staffing levels are sufficient to meet the needs of the residents. The duty rota that we looked at, confirmed that there was at least one nurse and nine carers on duty during the morning in addition to the manager the administrator and ancillary staff including cleaners and cooks. Staff spoke highly of the amount and level of training they received. The administrator kept detailed records of each individuals training and could easily identify the need for training and for updates. It was clear that the staffs training was discussed at their biCare Homes for Older People Page 21 of 27 Evidence: monthly supervison session and record kept of the meeting. All new care staff working at Elm Lodge undertake a period of induction and are encoraged and expected to complete or work towards an NVQ. The deputy manager was working towards the registered managers award. We looked at the files of three members of staff who currently work in this home. All contained fully completed application forms, which included an employment history. Notes from interviews were filed, and appropriate references had been obtained. Enhanced Criminal Record Bureau (CRB) checks are carried out on all staff, and where appropriate home office documentation and Nursing Midwifery Council (NMC) PIN checks were in place. 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. The manager has the required qualifications and experience to run this home. She is working continuously to make improvements to systems that may improve the lives of the people who live there. Evidence: The manager at this home is a qualified nurse and has worked here for many years, working her way up to managers level. She has a dedicated team of staff who support her, and enthuse about her management style. Whilst talking to two members of the team, they told us. We are very proud of Lynn, she is an inspiration, she works with us and so always knows whats going on. Similary residents and relatives that we spoke to also made positive comments about her. Documentation that we looked at in the home, indicated that records are kept up to date, and audit processes are in place to assist in monitoring quality assurance within the home. This includes questionnaires that are issued to residents and their families on a six monthly basis. Care Homes for Older People Page 23 of 27 Evidence: Accidents and incidents are being reported appropriately and when necessary referrals are made to the safeguarding team. We looked at health and safety documentation, including the fire log. There was evidence to indicate that fire call points and the emergency lighting were being tested on a regular basis, and that fire drills were carried out periodically. The last fire check had been the day prior to this unannounced inspection. Fire alarms were tested weekly and it was clear how any identified problems were corrected. Staff supervision is allocated to the senior staff, who themselves are supervised by the manager. They are confident in this process, and are happy that by each supervising two or three junior staff, everyone generally receives the required level of supervision. The home keeps a small amount of money for most of the residents in this home. These are kept locked in a safe which is only accessible to nominated members of staff. Each resident has their own money container and a small account book. Details of all transactions are written in this book and an ongoing balance calculated. We looked at the accounts of three residents. All funds remaining corresponded correctly with their account booklet, and receipts were generally filed and corresponded with recorded transactions. The only criticism is that many transactions only appear to have one signature, which is from a member of staff. We suggested that where possible residents should sign for withdrawals, and where this is not possible a countersignature from another member of staff is advisable. 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 1 35 17 The registered person shall maintain in the care home all records specified in schedule 4 (9)(a) People who live in this home must be protected by financial records. 13/03/2009 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 1 3 The home should consider reviewing their pre admission document to ensure there is an allocated space for the date and signature of the person who has carried out the assessment. The home should consider reviewing the internal auditing process for medication reconcilliation. 2 9 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 © (2009) 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!