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Inspection on 23/10/08 for Forde Park Nursing Home

Also see our care home review for Forde Park Nursing Home for more information

This inspection was carried out on 23rd October 2008.

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

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

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 provides people with a comfortable and safe home. Care plans contain a good range of risk assessments. Health care needs are well met and the arrangements for administering medication are generally satisfactory. There is a variety of activities and outings on offer and visitors are made welcome at any time. There is a simple complaints procedure and people feel that their concerns are listened to and acted on. Good procedures are in place to ensure only people suitable to work with vulnerable adults are employed, and there is a high emphasis placed on staff receiving suitable training to enable them to meet people`s needs. Staffing levels are generally good and the manager promotes an open and honest atmosphere. One staff member commented via their survey form that they felt `each person is treated as an individual who needs to maintain dignity and independence and to make choices about the way they live`. Another commented `(we give) holistic care, we look after relatives as well as service users`. Since the last Key visit to the home, CSCI have changed the way in which they `rate` care homes. The rating for this home is `two star - good` which is equivalent to the previous `good` rating.

What has improved since the last inspection?

Pre-admission assessment forms have been improved and a `Discharge Questionnaire` is sent to people or their representatives when they have left the home. Record keeping has improved and staffing levels are more stable. Overseas staff have received training in spoken English. Some bedrooms have been upgraded to have full en suite facilities.

What the care home could do better:

The home needs to ensure people who are coming to live at the home have a comprehensive assessment before they move into the home, so that the home is sure it can meet their needs and so that people are assured they will receive the care they require. Everyone must also have a care plan completed so that staff are aware of the individual`s needs. The care plans also need to contain more detail of how staff are to meet the individual`s needs rather than just what those needs are. Information held about people must be stored securely and appropriately to ensure confidentiality and privacy is maintained. Handwritten entries on Medication Administration Records should be double signed to ensure the details are correct. The complaints procedure should be amended to show the correct details of CSCI so that people can contact the Commission if they wish to.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Forde Park Nursing Home 6-7 Forde Park Newton Abbot Devon TQ12 1DE     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: Sue Dewis     Date: 2 8 1 0 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. the things that people have said are important to them: They reflect 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 29 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 29 Information about the care home Name of care home: Address: Forde Park Nursing Home 6-7 Forde Park Newton Abbot Devon TQ12 1DE 01626354037 01626356847 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Paul Wood Crawford care home 47 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: Nursing includes young adults and older persons Date of last inspection Brief description of the care home Forde Park Nursing Home is accommodated in what was two large semi detached Victorian houses situated near the centre of the market town of Newton Abbot in Devon. The town is a level walk from the home and can be reached by those in wheel chairs. The main line railway station is approximately a five-minute walk from the home. Local buses pass close by, and shops, post office and churches are within easy reach. The home provides nursing care on a long or shorter-term basis to the elderly and young physically disabled individuals in mostly single rooms some of which have en-suite facilities. It is registered for 47 people but presently is configured for just 42 as multi-occupancy rooms have been reduced to large double rooms. The home has Care Homes for Older People Page 4 of 29 Over 65 3 0 3 47 3 3 0 47 Brief description of the care home been adapted to meet the needs of people living there and includes specialist bathing facilities and a shaft lift. The staff team consists of a Registered Manager who is a trained nurse with many years experience, Registered Nurses, Health Care Assistants and administration staff. Housekeeping, catering, maintenance and office staff also supports the nursing team. The homes fees are 590 - 850 pounds per week. Fees are based upon the level of need for care and equipment as identified in the assessment process. They do not include hairdressing, chiropody, newspapers, private transportation and escort duties or newspapers. People are also expected to contibute towards the cost of outings. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site. A copy of the most recent inspection visit is displayed in the entrance hall. Care Homes for Older People Page 5 of 29 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 unannounced visit took place over 13 hours, over 2 days towards the end of October 2008. The home had been notified that a review of the home was due and had been asked to complete and return an AQAA (Annual Quality Assurance Assessment). This shows us how the home has managed the quality of the service provided over the previous year. It also confirms the dates of maintenance of equipment and what policies and procedures are in place. Information from this document was used to write this report. During the visit 3 people were case tracked. This involves looking at peoples individual plans of care, and, where possible speaking with the person and staff who care for Care Homes for Older People Page 6 of 29 them. This enables the Commission to better understand the experience of everyone living at the home. As part of the inspection process CSCI likes to ask as many people as possible for their opinion on how the home is run. We sent questionnaires out to some people living at the home, health care professionals and some staff. At the time of writing the report, responses had been received from 10 people living at the home (some had been completed by their representatives), 3 health care professionals and 8 staff. Their comments and views have been included in this report and helped us to make a judgement about the service provided. During the inspection 2 people living at the home were spoken with individually and 7 others in a group setting. The interaction between the people living at the home and those who care for them was also closely observed. We spoke with 6 staff a senior nurse and the manager, Mrs Brenda Lowe. A tour of the building was made and a sample of records was looked at, including medications, care plans, the fire log book and staff files. A Random Unannounced visit was made to the home in August 2007 following a complaint made to the Commission about the number of care hours allocated to an individual. Two requirements were made following this visit, the first being that the home must make proper provision for for the health and welfare of people living at the home and the other that there must be a sufficient number of staff on duty to meet the needs of people living there. There have also been a number of safeguarding referrals made about the care given at the home and a number of recommendations were made at these meetings. These included that record keeping be improved and that overseas staff receive training in spoken English. The home has implemented all that was suggested following these meetings. What the care home does well: What has improved since the last inspection? What they could do better: The home needs to ensure people who are coming to live at the home have a comprehensive assessment before they move into the home, so that the home is sure it can meet their needs and so that people are assured they will receive the care they require. Everyone must also have a care plan completed so that staff are aware of the individuals needs. The care plans also need to contain more detail of how staff are to meet the individuals needs rather than just what those needs are. Information held about people must be stored securely and appropriately to ensure confidentiality and privacy is maintained. Handwritten entries on Medication Administration Records should be double signed to ensure the details are correct. The complaints procedure should be amended to show the correct details of CSCI so that people can contact the Commission if they wish to. Care Homes for Older People Page 8 of 29 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 29 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 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission procedure does not always ensure that there is a proper assessment prior to people moving into the home, and therefore people cannot always be assured that their care needs can be met. Evidence: There is a Statement of Purpose, Service User Guide and Brochure available to people thinking of moving into the home. These are also displayed in a file along with other useful information, in the main entrance hall. The files of three people now living in the home were looked at. The Manager told us the procedure that she follows when people have been referred for possible admission to the home. We were told that this usually included visiting the person, whether they were at home or in hospital to complete a pre-admission assessment. However, if the admission was urgent, or the individual did not live close by, then details may be Care Homes for Older People Page 11 of 29 Evidence: obtained by telephone. We were told that although people are always invited to visit the home, in general it is their family that looks at the home on their behalf. One person commented on their returned survey form that they felt that they had not received enough information about the home before they moved in. Two of the three files looked at showed some form of assessment had been completed prior to the person moving into the home. However, the third file showed no preadmission assessment. We were told this was because the person was only at the home for a short stay. A full social history is normally completed by the family as well as an in depth assessment of the persons physical needs completed by the home. The home does not provide intermediate care. Care Homes for Older People Page 12 of 29 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 are generally detailed and provide staff with some information to enable them to meet peoples health care needs on a day to day basis. The management of medication is adequate and generally helps ensure people are protected from the risk of not receiving their prescribed medication. Evidence: Not all people living at the home have an individual plan of care. We looked at the care plans for three people. On the first day of the visit we saw that care plans were kept in a locked trolley in an individuals bedroom. Each time care plans were needed the carer had to go into the bedroom to get the trolley. This had been the procedure for some time, even though the individuals representative had commented on the fact they thought it was an intrusion. We also saw reminder lists with peoples personal details left in various parts of the home. These procedures have the potential for compromising the confidentiality of private information and should be stored securely away from the eyes of the general public, people living at the home and their visitors. The home had made some changes to these procedures when we returned on the Care Homes for Older People Page 13 of 29 Evidence: second day. The home use a standardised form of care plan and these are drawn up using the preadmission assessments completed before people move into the home (where there has been an assessment). The care plans give some instruction to staff on how to meet peoples needs for example one stated needs prompting to ask for help. However, other instances were not so informative, for example one stated can be aggressive and uncooperative, but did not give guidance to staff on how to manage this behaviour if it occurred. Daily records on each individual were generally objective and descriptive enabling the reader to have a sense of the persons day. Recordings were generally nonjudgemental and showed that people are thought of as individuals. The records are usually written by the registered nurse on duty using information gathered from care assistants. One care plan clearly showed how the person had progressed from not being able to mobilise unaided, to being able to walk with a frame without supervision. Care plans contain a variety of risk assessments, including assessments for pressure areas, moving and handling and nutritional requirements. The care plans had been reviewed regularly and showed some evidence of involvement of the individual or their representative. Information about visits from health care professionals had been recorded in individual care plans, showing clear evidence that people are supported to maintain access to specialist medical services. One health care professional commented via a survey form that I am fully aware of the problems that have been highlighted at Forde Park over recent months, but have only witnessed good standards of nursing care and excellent leadership. All the patients seem contented and well cared for. Another commented I have no concerns regarding the care given by Forde Park Nursing Home. It is a well managed well run home and I would be very happy to have a relative of mine cared for there. Policies and procedures relating to medication administration were seen and we spent some time talking with the nurse on duty and observing them administering the medication. Medication administration records show that medicines are counted when received into the home and records relating to Controlled Drugs were well maintained. There were several hand written entries on the MAR (Medication Administration Record) sheets from when extra medication had been prescribed. The entries had not been signed by two members of staff, which is recommended good practice to ensure the correct information is recorded. Care Homes for Older People Page 14 of 29 Evidence: All people we saw during this visit looked well cared for and were treated with respect by the staff and their right to privacy was upheld (but see also above). Personal care was offered in a discreet manner. Staff told us how they respect peoples privacy when helping them with personal care and we heard staff speaking with people in a kindly, friendly way. Care Homes for Older People Page 15 of 29 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. Social interaction and activities are available, and there is some daily variation and stimulation for people living in the home. Evidence: Most people living at the home have a detailed social history on file that has been completed by their family. This includes details of their past life as well as what activities they enjoy. An activities organiser is employed by the home and we were told by the manager that this person tries to find something that the individual can enjoy doing. We were told, and some evidence was seen, that a variety of entertainment and social interaction is offered to people. Activities include, Bingo, movies and Dominoes and there had been a theatre trip the week before the visit. Care staff said that they did occasionally have some time to sit and chat with people, but that mostly the interaction was in passing or was task orientated. Church services are held at the home on a regular basis. Care Homes for Older People Page 16 of 29 Evidence: People living at the home told us that their family and friends can visit them at any time and that they are always made welcome. Two representatives were spoken with during the visit and they said that they were always made welcome and were happy with the care their relative received. Some survey forms sent out to people living at the home had been completed by their representatives, who commented that felt the home kept them informed. Staff were able to tell us how they offered choices to people thoughout the day, including what time they get up and what they wear. We saw people being offered choices at lunch time. People told us that the food was generally very good at the home and that there was always an alternative if they didnt want what was on the menu. However, one person commented via a survey form that they felt there were to many mushrooms. The cook normally prepares the menus, and we were told that they know everyones likes and dislikes and prepares the menu around these. Special and medical diets are prepared and liquidised food is reshaped in moulds to improve the presentation. People can choose where they eat their meals and there are two sittings to accommodate all those who wish to eat in the dining room. We observed lunch being served on the second day of the visit and it was very relaxed and unhurried with people chatting and laughing. Care Homes for Older People Page 17 of 29 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. There is a good complaints procedure and people can be confident that their concerns will be listened to. Suitable procedures are in place to ensure that people are protected from abuse. Evidence: There is a clear and simple complaints procedure that is displayed around the home. The contact details for CSCI need to be updated on this procedure, so that people can contact the Commission if they wish to. A complaints log is kept where details are kept of the complaint, any action taken and the outcome of the investigation. Some people living at the home who were spoken with during this visit were unable to tell us whether they knew about the homes complaint procedure or whether they would feel comfortable making a complaint. However, those who were spoken with were able to tell us who they would speak with if they were unhappy about anything. There was also a mixture of responses on survey forms. Again people were not always sure how to make a complaint, but knew to speak to a member of staff about any concerns. Records show and staff told us, that most of them had received training in Protection Care Homes for Older People Page 18 of 29 Evidence: Of Vulnerable Adults (POVA) issues. Those that had not already had the training were booked on to a course within the next few weeks. All staff were able to discuss different forms of abuse and said that they would report any suspicions they had to the manager. They were also clear about who they would report any concerns to, outside of the home. Care Homes for Older People Page 19 of 29 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 and safe environment for those living in, working at and visiting the home. Evidence: A full tour of the communal areas of the home was made and some of the bedrooms were looked at. Some areas of the home are being refurbished to a high standard and the home is well maintained and pleasantly decorated throughout. The communal areas of the home were light and airy with a comfortable homely feel. Peoples bedrooms contained many individual items and reflected the personality of the occupant. People told us that they had been able to bring things from their home when they had first moved in. The house was clean and free from unpleasant smells throughout. Radiators throughout the home are covered or have a low surface temperature which helps reduce the risk of people suffering burns from falling against them. Windows above ground floor level are fitted with restrictors which minimises the risk that people may fall from them. Thermostatic valves are fitted to the hot water system to ensure people are protected from burns from water that may be too hot. Care Homes for Older People Page 20 of 29 Evidence: There is a range of aids and adaptations around the home to help staff meet the needs of people who have limited mobility. Staff also said they had received training in moving and handling and people had moving and handling risk assessments in their care plans. Staff said that they had received training in infection control matters and were seen following good infection control procedures. Disposable gloves and aprons were readily available around the home. The laundry area was clean and tidy but does not have an impervious floor covering to help prevent cross contamination from soiled articles. Washing machines have the ability to meet disinfection standards and sluice machines are provided for the disposal of bodily waste and clearing commode pots. Care Homes for Older People Page 21 of 29 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. The numbers and skill mix of staff on duty are generally sufficient to meet the needs of people currently living at the home. People are protected by robust recruitment procedures to ensure people who may be unsuitable to work with vulnerable people are not employed. Evidence: The manager said that there are usually sufficient staff on duty to meet the needs of individuals, but that there are rare occasions when the numbers are down. There were mixed comments received via survey forms one person commented that staff were always available when needed and two others commented they were usually available when needed. Two members of staff commented that they would like more time to have more social involvement with individuals. Training has a high priority at the home and a training coordinator is employed, who provides some training themselves and obtains other training from outside sources. Records show and staff confirmed that they receive a wide variety of training, including a comprehensive induction for all new staff. Other training includes Fire procedures, Moving and Handling, Food Hygiene, First Aid and Infection Control. Overseas staff have received training in spoken English. Staff are also encouraged to work for NVQs (National Vocational Qualifications). Each member of staff has a Care Homes for Older People Page 22 of 29 Evidence: Personal Development Plan that shows what training they have received and any further training that has been identified. Staff were praised by people living at the home when we spoke with them and also via surveys we received, some of which were completed by relatives. Comments included The staff are always very pleasant and keep us informed about the general health and welfare of our mother, and staff are excellent no matter what time of the day or night you go in. Three staff files were looked at and all contained the required information including, references, proof of identity and satisfactory CRB (Criminal Records Bureau) and POVA (Protection Of Vulnerable Adults) checks. Care Homes for Older People Page 23 of 29 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 home is well managed resulting in practices that promote and safeguard the health, safety and welfare of people who live and work in the home. Evidence: The Registered Manager is a qualified nurse who has also obtained The Certificate in Management and The Certificate in Personnel and Development. She has worked at the home for many years and works hard to ensure there is an open and transparent atmosphere within the home. Staff told us that they felt supported by the manager to do a good job. Comments received via survey forms included Forde Park provides good care and management is really approachable and support staff well, and Mrs Lowe is approachable and any concerns or observations are acted on at once. The home has a formal quality assurance process that allows for consultation with all who have an interest in the home. Following a recommendation from a safeguarding meeting, the home now asks people to complete a discharge questionnaire and Care Homes for Older People Page 24 of 29 Evidence: monitors feedback received from these. The manager audits care plans each month and the provider is available at the home on a daily basis. Monies held by the home on behalf of people living there were seen to be well managed ensuring peoples financial interests are protected. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit, provided evidence that Forde Park Nursing Home complies with health and safety legislation in relation to maintenance of equipment, storage of hazardous substances, fire precautions, health and safety checks and risk assessments. Policies and procedures are not always inspected during the visit but the information provided on the AQAA helps us form a judgement as to whether the home has the correct policies to keep people living and working at the home safe. Information provided by the home, evidenced that policies and procedures are in place and along with risk assessments are reviewed regularly and updated where necessary, to ensure they remain appropriate and reduce risks to people living and working at the home. So that the risk of burning from hot surfaces is minimised, radiators within the home have either low surface temperatures or are covered and so that the risk of burning from hot water is minimised temperature controls are fitted to taps. Restrictors are fitted to windows above ground floor level to minimise the risk of anyone falling from these windows. Care Homes for Older People Page 25 of 29 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 29 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 3 14 The home must not admit anyone whose needs have not been fully assessed and a copy of the assessment obtained by the home. So that people thinking of moving into the home and the home, know that the persons needs can be met. 31/12/2008 2 7 15 Everyone living at the home must have a care plan So that staff have information on how to meet their needs 22/12/2008 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 2 7 9 Ensure care plans give details to staff on how to meet the needs of people as well as what their needs are. Ensure handwritten entries on Medication Administration Records have two signatures to ensure the correct information is recorded. Care Homes for Older People Page 27 of 29 3 16 The complaints procedure needs to be changed to show the correct details of CSCI, so that people will be able to contact the Commission if they wish to. Care Homes for Older People Page 28 of 29 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 29 of 29 - 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!