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Inspection on 19/12/08 for Fernlea Residential Home

Also see our care home review for Fernlea Residential Home for more information

This inspection was carried out on 19th December 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

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What has improved since the last inspection?

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What the care home could do better:

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Inspecting for better lives Key inspection report Care homes for older people Name: Address: Fernlea Residential Home 114 Sandon Road Meir Stoke-on-trent Staffordshire ST3 7DF     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: Keith Jones     Date: 1 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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: Fernlea Residential Home 114 Sandon Road Meir Stoke-on-trent Staffordshire ST3 7DF 01782342822 F/P01782342822 Fernlea114@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Priorcare Homes Limited Name of registered manager (if applicable) Mrs Rachael Foden Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home Fernlea is located on the outskirts of Meir, Stoke-on-Trent and is within walking distance of a small supermarket, a fish and chip shop, a newsagents and a post office. The property is set back from the main road, adequate parking is available. Fernlea provides care and accommodation for up to thirteen people with a physical disability, eight of whom may be over 65 years of age. Fernlea also has the facility to care for three adults with a learning disability. All accommodation is single storey, all the bedrooms are singles but none have an en-suite facility, not all of the bedrooms meet the minimum twelve square metres standard size, as specified by the National Minimum Standards for Older People, Care Standards Act 2000. A spacious lounge dining room and a large recreation room provide adequate communal space for the currently fully occupied home. Access to kitchen is limited due to the domestic style Care Homes for Older People Page 4 of 27 care home 13 Over 65 0 8 3 13 Brief description of the care home and size; however, a kitchenette area has been created in the recreation room to enable people to remain as independent as practicable. Bathing facilities are provided in a spacious assisted bathroom and a separate walk-in shower room. Two additional assisted toilet facilities are also provided. The home has a good sized patio and rear garden which is well used during the warmer months. The full range of fees were not detailed in the service Statement of Purpose, or Service User Guide documents as routine. The reader may wish to contact the service to obtain more detailed and up to date information about fees. 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: . Care Homes for Older People Page 6 of 27 What the care home does well: 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 7 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 8 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 needs of people who may use the service are accurately assessed before they are offered a place. They and their relatives can be confident that the service will be able to meet their needs. Evidence: We examined the services revised Statement of Purpose and Service User Guide, and found them to provide a good description of their aims, objectives, and the way it operated. The Guide is available in large print option, and consideration is being given to the production of a pictorial, and an audio version. It is stated in the Annual Quality Assurance Assessment (AQAA), and we recognise, that the Statement of Purpose represent the essential services and principles on which the home operates upon, and offering people better information to make an informed choice. Care Homes for Older People Page 9 of 27 Evidence: Through our case tracking of three people who use the service, we clearly identified that the care manager, or her deputy, at the point of reference, personally conducted the admission assessment. Care records showed us that people are involved in planning their short and long term goals. We were informed that each applicant is given the opportunity to visit on a number of occasions, and where possible, an overnight stay is arranged before a decision is reached. Those care records we examined confirmed this to be true, and showed care planning was based upon need, for each individual, with full cooperation between that person, family and the care manager. Case tracking and discussion confirmed that a valuable exchange took place, and resources were made available. We received several comments from surveys sent out to people who use the service: I came for an overnight stay, and visited on a number of occasions. The information I received was very informative and helpful. During the course of our inspection we had opportunity to sit and talk with people who use the service and staff. We found evidence that much care had been taken in involving people and their families in the admission and care planning process. A comment received from a relative: I am more than satisfied with Fernlea, X is the happiest she has ever been. Care Homes for Older People Page 10 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. A wide range of needs are addressed through the care planning process, meeting clear principles of respect, dignity and privacy towards people who use the service. Medicine administration systems are safe and secure. Evidence: We found that care records, through case tracking clearly showed that outcomes in this section are well met, maintaining a good quality process of assessment. We recognise that the pre admission assessment represented the basis for a well considered, and detailed care planning process, in association with Social Services reports. There was evidence to show us that a full review of the care process has produced a good standard of meeting peoples care needs. We found that the pre-admission and admission profile of the persons social, physical and psychological status offered an individual plan of care, based upon dependency assessment and activities of daily living, regularly and frequently reviewed. We conducted case tracking of three Care Homes for Older People Page 11 of 27 Evidence: individuals care plans and records, each showed vital information on the individual, their life style and needs, events and contacts, procedures and actions, monitored on a daily basis, and reviewed monthly with effective risk assessment. The process has also established a life history and social likes and dislikes for each person, which has proved to be useful in improving understanding of personal needs. We noted that the health of each person is continually monitored and, where needed, specialist advice is sort. From our observations we confirmed that reviews are held regularly between the care manager and senior care support workers. We confirmed through our discussions with staff an effective understanding of need, enabling staff to identify risk areas and put systems in place to reduce risks. We saw that carers interact with people who use the service with purpose and compassion. Comments received from people using the service, through surveys sent out beforehand: I am very pleased with my care and support I receive. I am very pleased with the staff. Staff always give me help when I ask. In the process of meeting people who use the service it was acknowledged that their general appearance indicated that personal care was attentive to detail, and effective. A comment from a person receiving care indicated: Im just happy to be at Fernlea, I wouldnt be anywhere else. We found the administration of medicines adhered to procedures to maximise protection to people who use the service. The storage was secure, with good environmental controls, including a medicines fridge. Our examination of the record of administration of medicines showed consistency, with no omissions observed. It was advised that all medicine keys be kept together by the person in charge. We discussed drug regimes with the administrating carer, and found that there was a good understanding of needs to treatment. People who wish to self medicate were seen to have a locked facility, available to them in their bedrooms following risk assessment, with regular reviews being carried out to assess capability. It is stated in the services Statement of Purpose, and the AQAA, that independence, privacy and dignity are encouraged, with the full involvement of family in all matters concerning the well-being of people. This was confirmed in our discussions with people who use the service, visitors and staff, and that relatives have freedom of visiting, which emphasised the importance of maintaining social contact. We looked at bedrooms presented to facilitate privacy for the individual, which included medical examinations and personal care procedures being performed in private. We were impressed with the confidence and closeness within the Home, and the mutual respect that prevailed. Care Homes for Older People Page 12 of 27 Evidence: Our discussions with people confirmed that individual spiritual persuasions, and diversity was seen to be respected. There are regular trips to the local Church of England services. No other diverse religious needs were identified. Care Homes for Older People Page 13 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. Peoples rights to live a meaningful life are central to the homes aims and objectives. People are offered opportunities to exercise choice and control over their lives. People are offered a healthy, well balanced diet. Evidence: We found the daily routine to be flexible, offering choices for meal times, personal and social activities, including recognition of varied religious needs. Our discussions with people who use the service and with staff, clearly identified a relaxed and informal atmosphere in which the peoples needs were respected, with the security that there are familiar events to the day they could relate to. Staff were observed to hold a friendly, sympathetic and confident relationship with people. Peoples life histories are discussed and used as a basis for individualised social care, offering choice and support. Lifestyles are discussed with families prior to admission, and documented as far as possible, to promote supported independence. The recording of social activities was seen to be a valuable component of care reporting and planning. We recognise the principle that activities are a key element of care, with visitors encouraged to be involved in a partnership style with care staff. Evidence of a Care Homes for Older People Page 14 of 27 Evidence: diverse nature of activities was seen throughout the inspection. We have recognised initiatives in improving peoples lives with the introduction of a wider scope of activities, such as movement to music and in-house pottery classes, now established on a four weekly basis. We looked at examples of a very high standard of pottery making and craftwork. We were informed that the Home is planning activities to add to those already in place, included festive season events. I think a few more social activities could be provided, was one comment received by us. Others suggested: There are always activities going on in the home, and I enjoy taking part in them I have started to go to Gala Bingo, and enjoy the pottery and movement to music classes. During the course of the inspection we saw staff interact with people in a positive and polite manner. It is stated in the Statement of Purpose that personal choice and relative self determination are respected in policy and action. Throughout the inspection we found this to be true. Those individuals rooms inspected showed a significant influence of personalisation in the inclusion of belongings, some furniture and general decor. We found that the standards of catering offered a satisfactory service, to which those people we spoke with were highly complimentary of all aspects of quality. There was sufficient evidence to recognise that people using the service were involved in the planning, through menu meetings. A varied menu offered a wholesome popular choice, and we observed a very pleasant lunch of fish, followed by apple pie, served in a comfortable and clean dining area. People interviewed on the day confirmed that that the quantity and quality food provided was good: I thoroughly enjoy meals at my home, and enjoy menu meetings, and We all choose the menus together. We discussed diversity with the care staff, who indicated an awareness in meeting individual needs; individual preferences were recorded in assessment; with there being diabetic and soft diet special needs at the time of the inspection. Three meals are offered daily, along with snacks and hot and colds drinks throughout the day. We saw that staff offered discreet assistance to those who required it. The choice of dining room, lounge or bedroom was at the discretion of those people using the service. Care Homes for Older People Page 15 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 service has a meaningful complaints policy. People are given opportunities to freely express any concerns, and these are quickly responded to. People are protected from abuse, and their human rights are promoted. Evidence: We found that peoples legal rights are protected by the systems in place in the service to safeguard them, including their contract, the continual assessment of care planning and policies in place, for example, the complaints procedure, which we examined. There were a few minor concerns, which we feel would be better dealt with through a record of concerns, complaints and safeguarding, to record peoples concerns in a meaningful and effective manner. From our talks with people who use the service, and staff, it was evident that any small matters were handled immediately, discretely and to the satisfaction of all concerned. All people had received information on the procedure to complain, including reference to us. This process was evidenced through the Service User Guide, on examination and case tracking and discussion. We identified that there had been no complaints or allegations made to us directly since the last inspection. The AQAA informed us that people are reminded of the complaints procedure and assured that they can complain as and when they feel the need. This we found to be true. Comments we received from people who use the service through the surveys Care Homes for Older People Page 16 of 27 Evidence: returned: I would speak to Rachel or my keyworker. Yes, if Im not happy, in my way I know I can ask the manager of the home, or my member of staff. If I want to make a complaint I would go to the manager of the home, or any member of staff. Our discussion with the care manager confirmed that there is satisfactory evidence of a protocol and response, to anyone reporting any form of abuse, to ensure effective handling of such an incident. The policy and procedure for handling issues of abuse was examined, and found to be appropriate. We examined three staff records to confirm that staff were suitably checked through Criminal Records Bureau (CRB), and Protection of Vulnerable Adult (POVA) disclosure. We found staff received training on abuse at induction, this includes the right to whistle blowing, consistent with the Public Disclosure Act, 1998. Care Homes for Older People Page 17 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. Fernlea provides a safe, well maintained, clean and comfortable environment for the people who use the service. Evidence: Our inspection of the home verified that the premises were generally fit for purpose, clean warm and tidy, and being satisfactorily maintained. A residential, ground level care home for physically disabled adults, Fernlea has been open for over 20 years. External car parking and the grounds were found to be satisfactory and well maintained. There are extensive and attractive garden areas lending to a pleasant outdoor facility, for practical use by people using the service. It is hoped to start a vegetable garden next Spring, and a rabbit enclosure is a popular addition. The state of repair and maintenance is generally very good, offering a comfortable, homely yet secure environment. We were informed that on admission the care manager assesses each individuals needs for equipment and necessary adaptations, we found this to be correct, and saw those facilities available throughout the Home, with suitable fittings of hand and grab rails, in adequate, well lit and airy corridors. Wheelchair access was satisfactory throughout the Home. Care Homes for Older People Page 18 of 27 Evidence: We found communal spaces furnished in a traditional style, yet presented a very comfortable and homely atmosphere, offering social and private areas, as the mood takes. Efforts had been made to provide a homely atmosphere and the decor throughout was found to be of a good standard. Decoration of bedrooms, new carpets and upgrades to bathrooms were satisfactory. The lounge spaces allow activities to be presented in very pleasant areas of the home, with furniture and fittings of good quality. The dining area is well furnished, and presented to provide a conducive environment to enjoy a good meal. Staff supervision is available throughout the day. Each of the bedrooms were seen to have been personalised with peoples possessions and some furniture brought in with them. All personal electrical equipment were seen to be tested. People we spoke to during the course of the inspection expressed their general approval of their accommodation standards, which was complemented with the large number of personal items brought in to enhance the homeliness of their rooms. Comments we received on the day from people who use the service: Lovely place, very homely and comfy. Ive lived here for five years and can not think anything bad to say of it, its my home and they are my family. The home presented to us a generally clean and pleasant atmosphere, much to the credit of staff. To complement the presentation there were numerous pictorial and photographic displays of events. Toilets and bathrooms were located in close proximity to bedrooms and communal areas, and that each bathroom needed a bath thermometer. We found the kitchen presentation showed satisfactory standards of cleanliness, and evidence of sound food hygiene practices. We found the newly sited laundry was well organised and equipped to a good standard, safety regulations were available, and would be enhanced with posters clearly displaying, and relevant to, solutions in use. Care Homes for Older People Page 19 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. Staffing levels ensure that suitably trained staff are provided to meet the needs of people who use the service. Recruitment processes are consistent and robust, protecting the people who use the service from harm and abuse. Evidence: There were twelve people using the service on the day of inspection. We examined three weeks of duty rotas, from the 01/12/08 through to 20/12/08. The consecutive duty rotas provided sufficient evidence that the home is suitably staffed in numbers, skills and qualifications to ensure that peoples needs are met. Agency and bank staff are rarely used to meet shortfalls in covering shifts, with attention offered to overtime and flexible rostering, with the care manager providing shift coverage in times of need. The care manager has Level four National Vocational Qualification (NVQ) and the Registered Managers Award (RMA), and we were informed through the AQAA that all care staff are qualified to NVQ Level two or above, and a number have recently enrolled to begin their level three. This we confirmed to be true through examination of training records and speaking with staff. Several comments we received from surveys, and with talking to people on the day: Staff always give me help when I ask. I am very pleased with the staff. The staff are very kind and helpful in all situations. Care Homes for Older People Page 20 of 27 Evidence: The Providers and care manager have established, and continue to pursue a satisfactory procedure for interview, selection and appointment of staff. Inspection of three staff records demonstrated that all required pre-employment documentation, including a copy of identity, appropriate work permits, two references and a satisfactory Criminal Records Bureau Check (CRB) was in place, to ensure the safety and welfare of individuals in the home. Three staff were interviewed and helped to confirm the policies in action. Improvements can be made in ensuring that all staff have their interview noted, and that letters of appointment go out to all new appointees. All new staff goes through an extended induction process that will ensure that they are going to be the right person for the home. Our discussions with staff and the care manager indicated that extensive training was given, including the use of video training programmes. However the records were fragmented, and did not evidence the degree of training as indicated. We advised that the staff record be reviewed in the way information is organised and presented. Care Homes for Older People Page 21 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 (management team) ensure that staff promote the health, safety and welfare of people using the service, and that working practices are safe. People who use the service can be assured that the home is run in their interests, based on openness and respect. Evidence: The experienced Home Manager Rachel Foden has, over the years, demonstrated a solid management foundation, put in place to achieve a good standard of aims, objectives and care. She has been actively engaged in quality reviews and audits with the Registered Provider following our last inspection, meeting requirements and addressing recommendations we made. She has achieved her NVQ Level four and Registered Managers Award qualifications, and the deputy care manager has completed her NVQ level four. We acknowledge the influence of six-monthly quality assurance audits undertaken by Care Homes for Older People Page 22 of 27 Evidence: the Providers. The presentation of a thorough AQAA has helped in the formation, and collection of evidence for us to make a valid judgement of this section. We observed an openness, professional, and pleasing confidence in the interactions of staff, relatives and people who use the service, based on mutual trust and respect. Comments from those people we met and surveyed included: I am very happy in my home in every way, I get all the support I need in every way. I feel happy here and have now settled in well. I get on well with the other residents, and have made some new friends. I get on well with the staff. I am very happy in my home More outings, more activities. Through the inspection process we found appropriate risk assessments in place for people using the service, through care planning and monitoring, staff selection and of the general environment, these are up to date and accurate. The manager offered evidence of procedures and safe working practices, although it was felt that a review is appropriate of all procedures. The accident book was seen and found to be in order, with a regular analysis of trends and frequency. Discussion with staff demonstrated that supervision at a formal level has not kept pace the last twelve months, and that an established regime of formal supervision, six times a year be reinforced. We acknowledged a programme of annual staff appraisals are established and effective. We were informed through the AQAA, and by the manager that financial arrangements for people who use the service are controlled by a clerical officer, and administered by the Registered Provider and care manager. We examined the system and found the process straightforward, and well organised. Evidence gained showed us that the administration and management of the home is efficient, uncomplicated, and sensitive to the needs of people. Care Homes for Older People Page 23 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 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 Consideration be given to present the Guide in pictorial and audio versions to facilitate an informed decision for those people challenged with poor eyesight and learning difficulties. That the medicine keys be kept by the person in charge to ensure security of medicines at all times. A Concerns, Complaints and Allegation book be established to more effectively monitor incidents. Obtain a bath thermometer for all bathrooms to ensure safe water temperature conditions for bathing people. That safety notices be displayed in all areas involving the use of hazardous chemicals, to complement existing procedure sheets. That consideration be given to record the staff interview and forward a letter of appointment to confirm the outcome of the appointment process. That a staff training programme be established on a formal structured basis to ensure that all mandatory training is recorded as achieved within the given time. Update procedure manual to reflect changes and meet new Page 25 of 27 2 3 4 5 9 16 21 26 6 27 7 30 8 33 Care Homes for Older People regulation and legislation. This will offer staff a more relevant and up to date assistance in applying policy effectively. 9 36 All staff to receive adequate formal supervision, six times a year, to ensure that all staff have the opportunity to review all aspects of practice, discuss policies and consider career development needs. 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!