Inspection on 22/01/09 for Eridge House Rest Home

This inspection was carried out on 22nd January 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eridge House Rest Home 30/01/07

Eridge House Rest Home 16/11/05

Eridge House Rest Home 13/06/05

Eridge House Rest Home 19/01/05

Eridge House Rest Home 12/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Eridge House Rest Home 12 Richmond Road Bexhill-on-sea East Sussex TN39 3DN     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: Melanie Freeman     Date: 2 2 0 1 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 30 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 30 Information about the care home Name of care home: Address: Eridge House Rest Home 12 Richmond Road Bexhill-on-sea East Sussex TN39 3DN 01424214500 01424214500 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Heidi Haddow Name of registered manager (if applicable) Mrs Linda Jeanne Stevens Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 43. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Eridge House is a detached property registered to provide accommodation and personal care for up to 43 older people. Nursing care is not provided. The home is situated in a residential area of Bexhill-on-Sea close to the seafront and near to Collington railway station. The town and shops are a ten minute walk away. The home has passenger lift that gives access to the first floor. The range of fees at the time of this report range from approximately 352 pounds to 470 pounds per week. Additional 0 Over 65 43 care home 43 Care Homes for Older People Page 4 of 30 Brief description of the care home charges, not included in the fees, include hairdressing, chiropody, toiletries and newspapers. Care Homes for Older People Page 5 of 30 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: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term service user to describe those living in care home settings. For the purpose of this report those living at Eridge House will be referred to as residents. This was a key inspection that included an unannounced visit to the home on Thursday 22nd January 2009, and follow up contact with visiting health and social care professionals. The allocated inspector spent approximately six hours in the home and was able to discuss matters with the homeowner who received the inspection feedback at the conclusion of the visit. Care Homes for Older People Page 6 of 30 A brief tour of the premises was undertaken and a range of documentation was reviewed including the homes statement of purpose and service users guide, preadmission assessment procedures, the systems in place for handling complaints and protecting residents from harm, staff recruitment files, quality assurance systems and some health and safety records. The care documentation pertaining to four residents were reviewed in depth and the inspector ate a midday meal in the dining room. Comments shared by residents and their representatives during the inspection process included I cannot fault the care that she is being given.The manager is helpful understanding and available she seems always to be there I found the staff to be very helpful with my problems considering all things I am generally happy and satisfiedthis home provides a good service and has a good reputation. At the time of compiling the report, in support of the visit, the Commission received survey forms about the service from seven residents, completed with help from a representative and nine staff members. The required Annual Quality Assurance Assessment (AQAA) was completed by the registered manager and returned when requested and was used to inform this inspection report. What the care home does well: What has improved since the last inspection? What they could do better: The admission process is improved to include written confirmation to the prospective resident or their representative confirming that the care home is suitable for the purpose of meeting their assessed health and welfare needs. This will ensure that decisions around admission to the home are informed and evidenced and enable prospective residents to make an informed choice about their admission to the home. The care documentation needs to be improved to promote person centered care and to ensure all the residents have individual plans of care recording how their health, personal and social care needs are to be addressed with suitable guidance for staff to follow. Appropriate risk assessments need to be used to inform the plan of care and ensure any possible risks are identified and responded to. Staff training needs to be improved to ensure all staff are appropriately qualified and competent and have the skills to meet all the needs of the residents living in the home. This will ensure that care is appropriate care is provided to residents in a safe way. The registered person must ensure arrangements are adopted to ensure all areas of the home are so far as reasonably practicable free from hazards for staff and residents. Care Homes for Older People Page 8 of 30 Appropriate risk assessments need to be completed, recorded and responded to. That the registered person ensures that all staff attend all relevant Health and safety training. This will ensure that staff undertake their duties in a way that promotes their own and residents safety. 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 30 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 30 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. Prospective residents receive sufficient information on the home to enable them to make an informed decision over whether the home is the right place for them. All prospective residents are assessed by the manager to ensure that staff have sufficient skills and training to enable the home to meet residents needs. Evidence: The home has a suitable service users guide and statement of purpose. These were available along with the last key inspection report in the general office. The registered provider confirmed that all prospective residents are given a copy of the service users guide before admission. Information within these documents was both full and informative. An assessment of the admission process included a review of the documentation used in respect of the last three admissions to the home. This demonstrated that all Care Homes for Older People Page 11 of 30 Evidence: prospective residents are fully assessed prior to admission by the manager and also with the allocated key worker in some cases. This documentation could be further improved to record where the assessment took place, and who else was present. All prospective residents are encouraged to visit the home, if they are unable to get to the home staff will collect and offer them a day at Eridge House so they can meet residents and staff. Contact with visiting professional confirmed that the admission process was thorough and included a pre-admission assessment. Respite care is encouraged at Eridge House and is not limited with short time scales so that people do not feel pressurised into making quick decisions. Although prospective residents and their representatives are told verbally if the home is able to meet their needs following their assessment this is not currently confirmed in writing. This was discussed with the registered provider who confirmed that she would address this shortfall. Intermediate or rehabilitative care is not provided at Eridge House. Care Homes for Older People Page 12 of 30 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. The home was found to be meeting residents health and general needs with assessed additional community support when needed however residents specific care needs are not reflected in a plan of care. Residents on the whole are protected by the efficient and accurate administration and recording of medicines. Care is delivered in such a way that promotes and protects the residents privacy, dignity and individuality. Evidence: Four individual plans of care were reviewed in depth as part of the inspection process these confirmed that residents are assessed before and following admission. It was seen as good practice that the documentation recorded residents preferred term of address and that staff used this. The completed assessments that included risk assessments identified a framework for the basic care needs however, the specific care needs are not set out within a plan of care. There was evidence that the care provided Care Homes for Older People Page 13 of 30 Evidence: is reviewed with monthly updates, although these generalised the care provision. For example the reviews for one residents indicated that all care provided and staff aware of pressure area care, but their was no guidelines for care staff to follow. Risk assessments are completed on each resident and these covered care activities and environmental risks that included making hot beverages, and riding a bike. These however need further development and should cover nutrition, risk of pressure sore development and self administration of medicines. Records confirmed regular contact with GPs and other health care professionals that support the home in providing a high level of care to residents. A community nurse contacted confirmed that the home provided a good standard of care and responded to any advice and instruction given by them. There was no evidence within the care documentation to indicate that residents are consulted with regard to the care to be provided or the risk assessments completed, residents individual choices and preferences are not explored or recorded. During the review of the documentation it was noted that liquid paper corrective fluid was being used to alter some records. All feedback received from residents and visiting professionals was positive with one resident saying I cannot fault the care that I am being given. Practice observed confirmed that medicines are administered in a safe way and the records examined were found to be on the whole accurate, although further attention needs to be given to recording topical creams and ensuring only current medicines are on the Medicine Administration Record (MAR) chart. Medicines are stored within a cupboard area in the general office and the temperature of this area is monitored. A new controlled drug cupboard has been purchased and and now needs to be secured appropriately in a suitable area. Some residents administer their own medicines and this is recorded on the MAR chart although individual risk assessment are not completed. A list of signatures confirming those staff trained to administer medicines is not held in the home and this needs to be established so that records can be clearly audited. All residents are well know to all the staff and are spoken to as individuals that happen to live in one place. The feeling and atmosphere was very much like a communal home.Staff rapport with residents and visitors was seen to be respectful with staff taking the time to know residents and always asking them or advising them of what was happening. Residents rooms are seen as their own personal accommodation and Care Homes for Older People Page 14 of 30 Evidence: those viewed were attractive and personalised. Care Homes for Older People Page 15 of 30 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. Residents are able to live their lives in accordance with their own preferences maintaining strong links with family and friends. Residents choices are well respected and the food provided is both appetising and wholesome and served in a way that promotes social interaction. Evidence: Residents living in the home are very able to direct there own days activity and their choices with regard to this are respected. There are no set routines in the home and this allows the care and services to be flexible. A group of residents arranged a game of Bridge and other residents preferred to either read watch television or chat. Residents spoken to said that further structured activity would be appreciated and the possibility of a film evening was discussed. The AQAA recorded that the provision of further outings are to be considered. Residents spoken to said they enjoyed getting out to the Seafront and the proximity of the sea was a real bonus. Although choices and preferences were not well reflected within the care documentation practice observed indicated that staff understood how important it was Care Homes for Older People Page 16 of 30 Evidence: for residents to maintain autonomy, with residents confirming that they were never told what to do. One staff member recorded that she encouraged independent lifestyles. Visiting is not restricted and it was clear that visitors were warmly welcomed to the home, and able to talk to the senior staff in the home if they needed to. The signing in book recorded that a high number of visitors come to the home and it was noted that on the day of this inspection visit one visitor stayed for lunch and joined residents for a game of Bridge. The home provides varies areas that allow for visits to be completed in private. A varied menu is offered which shows a range of homemade foods and fresh vegetables and fruit. Care staff speak to each resident daily to inform them of what is on the menu that day, and a copy of the rolling menu is on the notice board. The meal eaten with residents was very good and included a soup starter a main meal that included a steak and kidney pudding and fresh vegetables followed by a homemade dessert. All was well cooked and well presented and enjoyed by residents. Supper includes a cooked option and a selection of sandwiches followed by a dessert, cake or fresh fruit. Snacks and hot beverages are available at any time. Feedback about the food was all positive and contact with residents confirmed that there was always a choice of food and that peoples likes and dislikes are taken into account along with specialist diets. The dining room is located on the ground floor and provides a good amount of space so that those residents who want to eat in a dining room can. Care Homes for Older People Page 17 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that any complaint made would be listened to, investigated and responded to appropriately. Staff awareness and information in the home ensures that any Safeguarding Vulnerable Adult issue would be responded to appropriately when identified. Evidence: A clear complaints procedure is available in the home and feedback from residents recorded that they know what to do if they wanted to make a complaint, and would be comfortable to do so if needed. A record of complaints held in the home confirmed that the management team take all complaints seriously and record them fully along with any action taken to resolve them. The home has relevant policies and procedures on the protection of vulnerable adults, which include a whistle blowing procedure, and the homeowner confirmed that staff had received training on Safeguarding issues and further training had been arranged. The home has relevant policies and procedures on Safeguarding although they need to source the new local guidelines. The homeowner said that she would do this. Previous contact with the home has confirmed that the homes management takes the protection of vulnerable adults very seriously and has worked with Social Services in the past to resolve a Safeguarding matter relating to safe storage and administration Care Homes for Older People Page 18 of 30 Evidence: of medicines. Staff recruitment files confirmed that staff have a POVA check completed along with a Criminal Records Bureau check (CRB). Care Homes for Older People Page 19 of 30 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. The home provides a comfortable, homely, well maintained and clean environment for residents to reside in. Evidence: Eridge House is a converted premise that has retained a home like environment and has been upgraded and extended to meet the National Minimum Standards and now provides a high standard of accommodation for up to 43 residents. A tour of the home confirmed that the home is well maintained, clean with a light and airy feel. There are three sitting areas, one of which includes a dining area. These were found to be well decorated and furnished in a comfortable relaxing style. It was however noted that the recent heavy rain had resulted in the roof leaking in the conservatory area which made this unusable. The homeowner had been made aware of this problem and was following the problem up with her builders. During the tour four unguarded radiators were noted and identified to the homeowner. She immediately arranged for guards to be fitted and these were in place before the end of the inspection visit. Individual rooms have furniture, carpets and curtains which are fit for purpose, and there is a redecoration programme in place. All residents are able to have a lockable drawer and door facility if they want this. Residents spoken to Care Homes for Older People Page 20 of 30 Evidence: said how much they liked their own rooms and all those seen were personalised with residents own furniture and possessions. Staff were seen to be following suitable infection control measures and the laundry room is well equipped with suitable washing machines and driers. The care staff deal with all the laundry and the homeowner confirmed that suitable disolvable bags are used for the management soiled linen. The standard of cleanliness was high and one relative recorded that the cleanliness stands head and shoulders above many of the other 14 care homes that I visited in the area. Although the bathing facilities meet the National Minimum Standards discussion with one resident indicated that the bathing and showering facilities in all areas of the home do not allow for frequent baths or showers, this was raised with the homeowner. Individual choices and preferences around bathing need to be explored within the care documentation and reflected within the plan of care, with the home ensuring suitable arrangements and facilities are in place for all residents. Care Homes for Older People Page 21 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing numbers and skill mix provides a competent and well-motivated staff team that meets residents health and personal care needs. Staff training needs to be structured to ensure staff have the appropriate skills to care for all residents safely. Residents are protected by the recruitment practice followed. Evidence: At the time of this assessment visit there were 39 residents (one of which was in hospital) living in Eridge House Care Home. The staffing arrangements were found to be satisfactory, and residents spoken to said that there was enough staff and that they always come when they were requested. Feedback from staff and resident surveys however indicated that there was little time for talking and social integration and staff training could be improved. One survey recorded Perhaps do more courses relating to our job and needs of the service users. Give more quality time with the service users. A duty rota is maintained and this confirmed that seven care staff work from 8-2 , three care staff work 2-8 and two waking staff work at night time. The registered Care Homes for Older People Page 22 of 30 Evidence: manager explained that the care staff are supported by catering and domestic staff, and administrator and she works in the home most days, the homeowner is also usually available. She is confident that the staffing provision ensures residents needs are met and was able to give examples of when an increase of staff had been provided in response to increasing dependency of some residents. All feedback received about the staff working in the home was very positive and comments received included I found the staff to be very helpful with my problems the staff are very good and we get to know them well. The home operates a key worker system and this works well in the home with residents responding to the individual approach. Residents were able to identify their key workers and commented my key worker is very good its good to have the same people looking after you. This system is well maintained with a stable work force. The recruitment files pertaining to three staff were reviewed as part of the inspection process and were found to be full and included an application form evidence of two references and the required Criminal Records Bureau (CRB) and POVA checks on all staff. All new staff have induction training and the AQAA recorded that six of the care staff have an NVQ level 2 or above. Although the staff felt that staff training was good and the homes management recorded within the AQAA that staff training needs are well met. A review of three staff members records relating to staff training indicated that staff training was not sufficient to ensure staff had the relevant skills to meet residents needs in a safe way. This was discussed with the homeowner and manager. Both recognised the shortfall and are keen to establish a rolling programme of training for all staff to equip them in relation to specific care needs and all health and safety issues. Care Homes for Older People Page 23 of 30 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. Residents benefit from a qualified and competent manager who is approachable and provides clear leadership. Systems for monitoring the quality of care take account of residents views and residents financial interests are safeguarded. The health, safety and welfare of residents and staff are generally promoted and protected although staff need to have relevant health and safety training. Evidence: The manager has been in post for six years and has attained the National Vocational Qualification level 4 in care and the Registered Managers Award. She works closely with the homeowner who maintains a keen interest in the home being involved with the daily management of the home. An Administrator also works in the home each weekday. This structure provides a strong management team and all feedback Care Homes for Older People Page 24 of 30 Evidence: confirmed that the managers were approachable and pleasant at all times. The ethos within the home is one of openness and friendliness. The manager is readily available to staff, residents and visitors to the home and has an open door policy listening to problems and suggestions. Staff surveys indicated that staff support systems were good and comments recorded included We all have regular supervision. Linda our manager has an open door policy and she is available at any time to speak to give support and advice within our work If I do not have the knowledge or experience other members of staff or the management will and they will give guidance Always support if needed from manager 24 hours. I have confidence in my work because I have support and trust in my employer manager We have a lovely clean home well run by a lovely family and a lovely family atmosphere. We have a fantastic boss and I personally think its the nicest home I have worked in. The home uses questionnaires to gain residents and other interested parties views on the services in the home, these are reported on and used to improve the home wherever possible. It was recommended that these are shared with interested parties through the service users guide. The homes administrator confirmed that Eridge House does not take any responsibility for any of the residents finances, and most residents look after their own affairs, or have an allocated person to do so. The AQAA confirmed that relevant safety checks have been completed and that the home has appropriate policies and procedures, that have been updated this year. The homeowner confirmed that the fire risk assessment was up to date and that environmental risk assessments are completed in the home. Records relating to safety checks on the hot water supply are maintained a maintenance man responds to any risk identified. As previously identified staff are not receiving regular training on health and safety matters. Care Homes for Older People Page 25 of 30 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 26 of 30 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 1 30 18 The registered person must 01/04/2009 ensure that all staff receive suitable training to ensure that they are appropriately qualified and competent and have the skills to meet all the needs of residents in the home. This will ensure that care is appropriate care is provided to residents in a safe way. 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 3 14 Prospective residents must be provided with written confirmation that the care home is suitable for the purpose of meeting their health and welfare needs. This will ensure that decisions around admission to the home are informed and evidenced and enable prospective residents to make an informed choice about their admission to the home. 02/03/2009 2 7 15 That individual care plans providing specific guidance 02/03/2009 Care Homes for Older People Page 27 of 30 on person centered care that take into account residents choices, preferences and capabilities are devised for staff to follow for each resident. These need to be written in consultation with the resident or their representative and take into account relevant risk assessments. This will ensure that staff have clear guidelines to follow to meet all the needs of residents in an individual way and promote residents safety within a risk assessment framework. 3 8 13 That individual risk 02/03/2009 assessments that cover all residents risk are recorded and responded to. These should include a nutritional screening and a clear risk assessment for those residents self-administering medicines. This will ensure that possible risks associated with individual residents are identified and minimised as far as possible. That the registered person ensures that all staff attend all relevant Health and safety training. 02/02/2009 4 38 13 Care Homes for Older People Page 28 of 30 This will ensure that staff undertake their duties in a way that promotes their own and residents safety. 5 38 13 The registered person shall make arrangements to ensure areas accessible to residents are so far as reasonably practicable free from hazards to their safety. Appropriate risk assessments need to be completed recorded and responded to. This will ensure any risks within the home and garden areas are identified quickly and reduced as far as possible. 02/03/2009 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 Care Homes for Older People Page 29 of 30 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 30 of 30 - 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!