Inspection on 30/09/08 for Forest Hill Care Home

This inspection was carried out on 30th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Forest Hill Care Home 14/09/09

Forest Hill Care Home 28/11/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Forest Hill Care Home Forest Hill Park Worksop Nottinghamshire S81 0NZ     The quality rating for this care home is:   one star adequate 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: Stephen Benson     Date: 3 0 0 9 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 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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: Forest Hill Care Home Forest Hill Park Worksop Nottinghamshire S81 0NZ 01909530531 01909532239 foresthill@barchester.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Josephine Mary Tuddenham Type of registration: Number of places registered: Barchester Healthcare Homes Ltd care home 64 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 64. The registered person may provide the following category of service only: Care home with Nursing - Code N 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 - Code OP Dementia - Code DE Date of last inspection Brief description of the care home The home was previously part of Westminster Healthcare Ltd, as part of a reorganisation, the home transferred to an existing operations company called Barchester Healthcare Homes Ltd in January 2007. Forest Hill Care Home is a large, modern purpose built home on two floors. It provides 24 hour nursing care for up to 64 older people care. The home is situated in a quiet residential area north of Worksop town centre and close to Bassetlaw District Hospital. It has two units, one on each of Care Homes for Older People Page 4 of 30 Over 65 0 64 64 0 Brief description of the care home the two floors, which can be accessed by a lift. There is ample communal space on each floor and all bedrooms are single with en-suite facilities. Landscaped garden, with seating, is available at the front and rear of the building and there is a car park to the rear. The building is wheelchair accessible, with wide corridors and doorways, and level access on each floor. The current weekly fees were not provided at the inspection and although there is a section about fees, these, were not detailed in the service user guide. The Statement of Purpose and Service User Guide and are available in the main entrance area of the home and service users have a copy in their bedroom. Copies of previous inspection reports are available on request. 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: one star adequate 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 focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2008. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they Care Homes for Older People Page 6 of 30 completed. We sent survey forms entitled Have your say about... to a sample of people and of these were returned. The main method of inspection used is called case tracking which involves looking at the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: People wanting to move to the home must have a full assessment of their needs. Care plans must be updated in line with peoples changing needs and wishes Accurate records must be kept of all medicines received and administered All people living in the home must have opportunities to take part in suitable and regular activities. A choice of main meal should be provided at lunchtime. This will ensure that people have a variety of meals that they enjoy. A record must be made of any complaints, which include any investigation and outcome of the complaint. Care Homes for Older People Page 8 of 30 Fire tests must be carried out weekly. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Insufficient information is gathered during pre admission assessments to decide if the persons needs can be met. Evidence: Information provided on The Annual Quality Assurance Assessment (AQAA) stated that there have been 125 people admitted to the home in the last 12 months and there have not been any placement breakdowns. 4 care files were looked at checking on information gathered as part of the pre admission process. Standard letters were seen stating that the persons needs could be met as a result of the information gathered. Care Homes for Older People Page 11 of 30 Evidence: One person admitted 29/09/08 had a pre admission assessment dated 26/09/08. A pre admission template was used and the information collected was low in detail, having some sections not filled in at all. There was a Local Authority assessment which was faxed to the home 26/09/08. Another person who is of Polish origin whos wife is already resident in the home had a similar assessment completed. Sections on Gender, sexuality and relationships and spiritual and cultural needs were not completed. Under communication it just said Inappropriate at times and stated normal diet under eating. Another care file contained a pre assessment template but this had not been completed, although there was a more detailed admission assessment completed when the person moved into the home. Another care file had a poorly completed assessment with minimal information on. The manager said that either she or the clinical manager go out to assess prospective new people wanting to come to the home. Staff were aware of the assessment documentation used and agreed they did not contain a lot of information. Comments made by people living in then home included, My daughter arranged it all, I wanted to come here I was told its the best and Someone came to see me before I came here and we talked about what its like. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning and medication systems are not robust enough to ensure people reveive the care and medicsation threy require. Evidence: Care files were well ordered and broken down into sections. The plans contained details of peoples needs. Some were easier to read than others due to handwriting and some needed to be more succinct. Clear examples included wears spectacles at all times, appears to see clearly with them and able to use nurse call buzzer system. There was a section to update them and these showed they were updated monthly, however there was information seen that had not been updated. this included one persons contact with her husband now he had moved into the home and the plan for someone who has a bed bath said they have a shower each week. Staff were seen writing in care plans and said they refer to them when necessary. Discussions were had with the manager and staff about what information is recorded in the daily notes part of the care plan. When looking at medication records there were Care Homes for Older People Page 13 of 30 Evidence: some questions about why someone had their medication late and how another medication should be administered. There was no information about these in the daily notes and the manager said she would expect there to be so. In our survey forms called Have your say about... 2 people said they always receive the care and support they need and 2 said they usually do. One person also wrote The carers support is very good indeed. There were some files seen that had been signed by relatives showing their involvement or agreement with care plans, however there was no evidence of people in the home having done so. Comments from people included, Dont think anyone talked to me about a care plan, No one has gone through one with me and someone who has had a stroke said I am very happy with the care I get, I want to be able to stand and get in a car and go out for the day. Another comment was, Some staff rush a bit, others spend more time. There were risk assessments seen to promote peoples well being, including nutrition, tissue viability, mobility and risk of falling . There is a section in the care plan to record any contact people have with healthcare professionals. These showed that people have contact with a range of healthcare services including district nurses, Macmillan nurses, doctors, hospitals and opticians. One person said, I asked for the doctor to come and see me. The manager said there was plenty of equipment available for meeting peoples healthcare needs, including that needed for pressure relief and moving people. One person who spends most of her time in bed said, I have a mattress with ridges on. It was also said by someone who requires hoisting that she feels comfortable with most staff doing this but there are occasions when it is a bit rushed and she had been bumped twice. The manager said she was aware of this and had met with the family and social worker to discuss it, and had arranged for extra training for staff. In our survey forms called Have your say about... 2 people said they always receive the medical support they need and 2 people said they usually do. One person wrote, Yes, but my wife has not needed a lot. Files of people case tracked showed medication reviews are carried out shortly after admission. There was an assessment seen for one person who self medicates which showed the person was able to do this. There was also some guidelines to be followed for self medication. Care Homes for Older People Page 14 of 30 Evidence: The Medicine Administration Records were looked at at some errors were identified. Where the Medicine Administration Record had been hand written it had not been signed by the person doing so or checked for accuracy by another person. There were three gaps in the recording of medication seen in the sample of Medicine Administration Records seen. The information on two Medicine Administration Records differed with the record made in the controlled drug register. There was also a confusing entry in the controlled drug register for the receipt of controlled drug, where the amount was not recorded. It was also unclear about how one controlled drug was being administered, both the Medicine Administration Record and blister pack stated Take one three times a day but most days only one tablet was being given, and three never were. One person said, Staff bring my my tablets and leave them in the pot, I take them when I am ready. The manager said this should not be happening and people should be observed to take their medicine. Staff were seen closing doors when assisting people and promoting peoples privacy and dignity is included in the induction of new staff. Staff said they speak to people when assisting them and explain what they are going to do. One care plan referred to a person liking to look smart and wear coordinated clothes, which she was seen doing. Comments made by people living in the home included, I am able to dress myself, which I do in private and Staff always shut the door when helping me. Another comment made was, It was the most embarrassing day of my life when I first came here when a man helped wash me. The manager said she was aware of this and now people are asked if they have any preferences who assists them. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. More could be done to meet peoples dietary and social needs. Evidence: Two activities coordinators employed for 20 hours each working mainly in the afternoons. A trip was organised to take three people out to a local garden centre that afternoon. A photograph album was seen of events held in the home and trips out organised during the past year. The home took part in the world’s biggest coffee morning last week organised by McMillan nurses. People were seen sitting in lounge areas watching television and reading. There were also a number of people who were in their own rooms either through choice or because they are confined to bed. There is a life history and monthly review in care files as well as a chart to record any activities people take part in. Recent activities include nails, bingo, outings and visiting entertainers. It was noted however that people who are confined to bed do mot have much opportunity to take part in any form of activity and there is not much organised fro them. One person who is confined to bed said, I dont get much time spent with Care Homes for Older People Page 16 of 30 Evidence: me, sometimes in the evening. The activities record showed the person had 3 chats, a nail care session and an ice cream since March 2008. The manager said that she does not feel there are sufficient resources to meet the social needs of people in the home due to the high number of people with mobility problems. This was highlighted in a satisfaction survey carried out which wanted more varied and regular activities for all. There is a Friends of Forest hill group who help raise money for social activities. In our survey forms called Have your say about... 2 people said there are always activities arranged by the home they can take part in, 1 said there usually and 1 said there sometimes is. One person wrote Yes, but my wife is bedfast. Comments from people living in the home included, They have a lot of activities, but Im not the sort to play bingo, they bring me good books and Im a bit old for games, but I like doing crosswords. There is a mini bus at the home that is used for trips out. The manager said they have started going on a boat trip, which people enjoy. There were visitors seen visiting in communal areas and in peoples rooms. One person said, My daughter comes to see me and brings me biscuits. People were seen making choices about where they went in the home, a choice of tea or coffee at morning drink and what they wear. One person said, I am not able to make a great deal of choices, I can do very little for myself. The main meal is at lunchtime and dishes include steak and kidney pie, boiled ham with pineapple and salmon steak with parsley sauce. There is also a soup course an d a choice of puddings. There is a different type of fish on Fridays and a roast dinner on Sundays. There is a choice of soup, a hot dish or sandwiches at teatime. A cooked breakfast is also available, which the manager said has become quite popular with some people. There is an alternative main meal if someone says they do not want the dish that is on the menu, but there is not a choice of meal. Lunch today was minestrone soup followed by pork chop, mashed and roast potatoes, mixed vegetables and cabbage with apple sauce. There were a number of soft diets prepared, which were well presented. One person said he could not eat the pork chop as it was too tough as he did not have any teeth. There was a choice of pudding Care Homes for Older People Page 17 of 30 Evidence: including fruit crumble. In our survey forms called Have your say about... 2 people said they always like the meals at the home and 1 person said they usually did and 1 did not answer. One person wrote, The food is very good, I feed my wife 5 evenings a week. Comments made by people living in the home included, The food is great, I am able to feed myself and I like the food, sometimes there is too much. Care Homes for Older People Page 18 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. Complaints are not being properly monitored to see how improvements could be made. Evidence: It was stated on The Annual Quality Assurance Assessment that there have been 6 complaints made in the last 12 months, however the central complaints record only had details of one complaint in. The manager said she did not know where the records were of the other complaints, and it may be better if there was a complaints book kept on each floor rather than in the office as these would be more accessible to staff. The complaint seen was from someone living in the home and was about the fees and quality of the food. Appropriate action had been taken to resolve the complaint and it was recorded that the person was satisfied with the outcome. In our survey Have your say... 3 people said they knew how to make a complaint and 1 said they did not. People spoken with knew about their right to complain and one said, Cant recall having any complaint. Information provided on The Annual Quality Assurance Assessment showed that there Care Homes for Older People Page 19 of 30 Evidence: has been 1 safeguarding referrals made and 1 safeguarding investigation has taken place. There have not been any referrals made to the Protection of Vulnerable Adults list. The manager showed the Nottingham and Nottinghamshire Safeguarding Adults Policy, Procedure and Guidance for Alerters and Referrers and there is a whistleblowing policy in the policy and procedures file. There is an in house trainer who showed a training programme, which included safeguarding adults training provided to staff. One person commented about the rails on her bed, I couldnt manage without these, I would have fallen on the floor many times. Care Homes for Older People Page 20 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. People live in a safe, well-maintained environment, which is clean, pleasant and hygienic. Evidence: The home is a purpose built, two storey building, set in its own grounds with wellmaintained gardens. There is a rear garden with paved access, seating and raised flowerbeds. The home is fully accessible throughout and has a large lift between floors. A tour of the building showed that the layout was spacious with wide corridors and doorways. Bedrooms and communal areas had a homely atmosphere and were clean and tidy with no unpleasant odours. The manager said that both dinning room and corridors have been refurbished as well as 4 bedrooms with a further 9 planned for next year. In our survey Have your say... 4 people said the home is always fresh and clean. One person wrote, the home is spotless, the one thing that stood out to me was no smells at all. Care Homes for Older People Page 21 of 30 Evidence: All bedrooms are single with an en-suite toilet and washbasin. All rooms seen were of a good size and were well furnished and decorated. Infection control policies are in place and staff receive training on this. The manager said they have links with the infection control nurse from Bassetlaw Hospital who is going to provide further training. Staff were seen using protective clothing and 1 person said staff always use aprons and gloves when touching her. Care Homes for Older People Page 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are cared for by people who have been suitably trained and proven their suitability to care for them. Evidence: Information provided on The Annual Quality Assurance Assessment showed that there are 67 care staff and a further 30 support staff employed. 22 care staff have left the home in the last 12 months. The manager has assessed their minimum staffing levels to be 10 care staff and 2 nurses in the morning, 8 care staff and 2 nurses in the afternoon and 4 care staff and 2 nurses overnight. The manager said the staffing levels are increased according to work demands. Staff said they can have more staff on if things are busy and that they enjoy their work. Information provided on The Annual Quality Assurance Assessment showed that there are 19 care staff who have National Vocational Qualification level 2 or above. The manager said that there are three National Vocational Qualification assessors within the staff team, 2 who work on days and 1 who works nights. Care Homes for Older People Page 23 of 30 Evidence: It was recorded on The Annual Quality Assurance Assessment that all people who have worked in the home in the past 12 months had satisfactory pre employment checks. Staff files seen well organised and showed that the correct recruitment practices are followed. The home follows their equal opportunities policy in the recruitment of new staff. Information provided on The Annual Quality Assurance Assessment showed that 80 of catering staff and 95 of care staff have received training in safe food handling. It was also stated that the home has a staff development programme appropriate for the service they provide. Training records were seen and these showed that staff are provided with regular training and that they are kept up to date with all mandatory training. There is an induction programme for new staff. Some training is provided in house either by a trainer or following a computer based training programme, and some is delivered by external trainers. Care Homes for Older People Page 24 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. There are suitable management systems in place for the smooth running of the home including seeking peoples views on how the home is run. Evidence: The manager has considerable experience in this position and has successfully completed the registered managers award. The manager keeps up to date through undertaking further training. Staff said the manager is supportive and approachable. There are monthly audits carried out on services provided in the home and annual surveys are sent to people living in the home and their relatives. There is only one person who is provided with assistance in managing their finances and there are records kept of these. Families are involved in helping manage other peoples finances. Care Homes for Older People Page 25 of 30 Evidence: The maintenance person said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. It was stated on the Annual Quality Assurance Assessment that equipment is tested or serviced as recommended by the manufacturers or other regulatory body. A sample of these were looked at and it was found that fire tests were not carried out each week as required. It was also stated that there are written assessments on hazardous substances. Care Homes for Older People Page 26 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 27 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 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 People wanting to move to the home must have a full assessment of their needs. To ensure their needs can be met within the home. 29/10/2008 2 7 15 Care plans must be updated in line with peoples changing needs and wishes To ensure that people receive the support they require in the manner they wish 01/12/2008 3 9 15 Accurate records must be kept of all medicines received and administered To ensure that people receive the medicvastion they require 29/10/2008 4 12 16 All people living in the home must have opportunities to take part in suitable and regular activities 01/01/2009 Care Homes for Older People Page 28 of 30 This will ensure that people have opportunities to spend time doing things they find enjoyable and stimulating 5 16 22 A record must be made of any complaints, which include any investigation and outcome of the complaint This will ensure that any complaint made is fully investigated 6 38 13 Fire tests must be carried out weekly To ensure people are protected from the risk of fire 01/12/2008 01/12/2008 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 15 A choice of main meal should be provided at lunchtime. This will ensure that people have a variety of meals that they enjoy 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 © (2008) 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!