Inspection on 25/11/08 for Greta Cottage

This inspection was carried out on 25th November 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.

Other inspections for this house

Greta Cottage 30/11/07

Greta Cottage 29/08/06

Greta Cottage 22/02/06

Greta Cottage 25/07/05

Greta Cottage 08/11/04

Greta Cottage 27/08/04

Greta Cottage 06/01/04

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Greta Cottage Greta Street Saltburn-by-Sea TS12 1LS     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: Katherine Acheson     Date: 2 5 1 1 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 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: Greta Cottage Greta Street Saltburn-by-Sea TS12 1LS 01287622498 01287626400 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Greta Cottage Limited Name of registered manager (if applicable) Mrs Heather Yvonne Russi Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 29 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 29 Dementia Code DE, maximum number of places 3 Date of last inspection Brief description of the care home Greta Cottage is a converted Victorian House in a residential area of Saltburn. The home is registered to provide personal care for up to twenty-nine older people. Within the twenty-nine registered beds the home can accommodate a maximum number of three people with dementia. There are twenty-seven single bedrooms and one double bedroom. Some of the bedrooms have en-suite facilities comprising of a toilet and hand washbasin. Bedrooms in the home environment meet with size requirements of Care Homes for Older People Page 4 of 29 care home 29 Over 65 0 29 3 0 Brief description of the care home National Minimum Standards. On the ground floor of the home there are three lounge areas and a conservatory. The conservatory is also used as a dining area. A passenger lift enables people to access the first floor. There is an enclosed garden area for people to use. Greta Cottage is managed by the provider and supported by a team of staff. 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: The Quality rating for this service is two stars. This means that people who use the service experience good quality outcomes. We have reviewed our practice when making requirements to improve national consistency. Some regulations from previous inspections reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the services are not being put at risk or harm. In future if a requirement is repeated it is likely that enforcement action will be taken. This announced key inspection was carried out on 25th November 2008. The Manager completed and returned an Annual Quality Assurance Assessment, Care Homes for Older People Page 6 of 29 (AQAA). The AQAA is the services self assessment of how they think they are meeting national minimum standards. This information was received before the inspection and was used as part of the inspection process. The reason for the inspection was to see how good a job the home does in meeting the national minimum standards set by the Government for care homes. Numerous records were examined including care records of people living at the home, medication records, risk assessments, complaints and staff records. People living the home and staff working there were also spoken to. Both the Manager and Assistant Manager participated in the inspection process. Before the inspection surveys for people that use the service and surveys for staff were sent out to the agency for the Manager to distribute accordingly. Surveys sent to people that use the service were asked to comment on care received. Surveys sent to staff were asked to comment on what it was like working at the home and training. We received eight surveys from people that use the service. We received four surveys from staff. Comments in surveys received can be read in the main body of the report. The cost of care at the time of the inspection visit ranged from 446.25 to 470.43 per week. What the care home does well: What has improved since the last inspection? What they could do better: Some care plans for people that use the service could be improved by including more detail. An example being, one plan looked at during this inspection highlighted that a person had pain, but it did not describe the location of the pain or if the person could request medication for the pain. Risk assessments for those people who need bed rails to maintain safety need to developed. Risk assessments need to consider the suitability of the bed rails for the person and the compatibility of the bed rails with the bed they are to be used on, as well as safety measures for staff to follow whilst bed rails are in use. In general good systems were in place in respect of medication, however people do not always get their medication as prescribed. One person did not get there morning medication for a number of days because at the time it was prescribed they were asleep. Alternative arrangements need to be made with the GP to ensure that the person gets their medication to ensure wellbeing. Care Homes for Older People Page 8 of 29 The home looks after small amounts of money for people that use the service. When purchasing items or services such as hairdressing receipts should be obtained as proof of purchase. receipts as proof of purchase. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments of people that use the service are carried out before they move in to make sure that the home can meet their needs. Evidence: Before going into Greta cottage people are assessed by a Social Worker. The Social Worker sends a copy of the assessment to the home for the Manager to look at before the person moves in. The Manager can then determine if the persons needs can be met at Greta Cottage. Before moving in the Manager or her Assistant Manager carry out their own pre admission assessment either visiting the person at home or in hospital. If people are self funding then the assessment of people who are to use the service is usually only carried out by experienced staff working at the home. Reviews are carried out after six weeks to ensure that the person using the service is happy and that care needs are being fully met. Further reviews take place on a yearly Care Homes for Older People Page 11 of 29 Evidence: basis or more often if needed. The Assistant Manager said that people who are to use the service and their representatives are encouraged to visit the home to make sure that it is what they are looking for. One relative spoken to during the inspection said, I looked at sixteen homes before choosing this one. The home is lovely, the staff are great and everyone is treated the same The home does not provide intermediate care so standard 6 does not apply. 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. People who use the service are happy with the care that they receive. Some improvement is needed in respect of medication to ensure that people living at the home receive their prescribed medication to ensure wellbeing. Evidence: The files of five people that use the service were looked at during the visit. Files examined contained evidence of assessment before they moved into the home, a further detailed assessment of needs and a plan of care. Of the five files examined some were more informative and detailed than others. Some described in detail the persons needs, what they could do for themselves and what they needed help with. Some plans of care could be enhanced by adding some more information. An example being a plan of care described a person as having pain but did not say where the pain was, how the person presented when they were in pain or if they were able to ask for medication to help with the pain. One file looked at was that of a person that required bed rails to maintain their Care Homes for Older People Page 13 of 29 Evidence: safety.This file contained a risk assessment, however this was insufficiently detailed. The risk assessment did not contain information in relation to safety checks that should have been carried out before bed rails were used and safety checks to follow whilst they are in use. Care plans were evaluated on a monthly basis and contained evidence on involvement from people using the service. There is clear evidence of the involvement of GPs, District Nurses and other health care professionals such as chiropodists. People living at the home confirmed that if they were feeling unwell, the GP would be called. People spoken to during the visit were complimentary about life in the home and care received. Comments made included, I like the home very much everyone is treated with respect and everyone is treated the same. The care is good We feel so lucky to have found such a lovely place. We think it is wonderful and the staff are lovely Its like everywhere it has its ups and downs. The staff are good and I am always treated well The staff are lovely, friendly and happy Staff spoken to during the inspection know the people they are caring for very well. During the inspection arrangements for receiving, storing, administering, recording and disposing of medication were observed and examined. It was identified at the last inspection that medicines were stored within drug trolleys in lounge areas and as such distracted from the homely feel. The Manager said that options for the storage of medication trolleys is being considered. The Assistant Manager said that it is the responsibility of senior care staff to give out medication. Prior to giving out medication all staff complete a Safe Handling of Medication Course and have their competency checked. Competency checks are carried out on a regular basis thereafter. Records were available on staff files sampled during the visit to confirm that this is the case. Care Homes for Older People Page 14 of 29 Evidence: In the main medication practice was good with a clear systems for ordering, receipt and returns. The Medication Administration Records were well written with clear direction. However one Medication Administration Chart looked at during the visit highlighted that a person had not received their aspirin for nine days because at the time it was prescribed to be given they were asleep. It was pointed out to the assistant manager that this should be discussed with the persons GP to determine alternative arrangements. Another Medication Administration Record identified a person had been refusing their medication for nearly two weeks. It was pointed out to the Assistant Manager that she should be contacting the GP to discuss this. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that use the service lead fulfilling lifestyles through exercising choice and control over how they spend their day. Food provided is enjoyed by people that use the service. Evidence: A plentiful supply of activities and outings are provided at the home. The homes Activity Co-ordinator left two weeks ago but the Assistant Manager said that that has not stopped activities taking place. Activities begin mid morning with armchair exercises and stretches. The majority of people who use the service were observed to take part. One person that uses the service said, I Like to join in the exercises with a figure like mine you have to. Other activities taking place on an afternoon include, bingo, crafts, dominoes, quizzes and magnetic darts. On the day of the inspection the home were hosting a clothes party. People that use the service were being assisted by staff to choose new clothes in a colour and style Care Homes for Older People Page 16 of 29 Evidence: that they liked. They were also trying the clothes on for size. Some people using the service were seen to be enjoying a glass of wine. The home regularly arrange entertainers to come into the home. Recent entertainment has included Marske Fishermans Choir, a country and western singer and a old time music singer. Entertainment was booked for the 19th December 2008 which was an afternoon of defying gravity and juggling. The homes Christmas party was booked for the 22nd December 2008. This was expected to be a fun event with friends and family visiting. Since last inspection a small area of the lounge has been changed into a library where there is a plentiful supply of books available for people that use the service. The Assistant Manager said that there are monthly visits from representatives of the local Roman Catholic, Church of England and Methodist Churches. One person that uses the service use uses the Shop Mobility service to go to Redcar on a regular basis whilst another regularly visits friends. The home have just purchased a games console (Wii) for people that use the service. This enables those people who have limited mobility to sit in their armchair and take part in bowling and other activities. Comments made in respect of activities and outings included, I dont like to take part in the activities but I do like to watch I love the bingo The social gatherings are fun One relative spoken to during the visit said that she had been involved in arranging a Halloween event at the home. She said that a number of people who use the service had taken part whilst others had enjoyed watching. The homes kitchen is domestic in nature and as such and at quieter times those people who are able are actively encouraged to wash up and help the cook the cook. One relative spoken to during the inspection said I visit about three times a week. I am always made to fell welcome. Its like a family. We well all try and help. If I go into the kitchen to wash up my mam will come in and help. She likes to wash up, it helps to maintain her Independence Care Homes for Older People Page 17 of 29 Evidence: Food provided by the home is enjoyed by people who use the service. Meal time was relaxed with appropriate music being played. The lunch time menu of the day was roast beef, Yorkshire pudding, potatoes and vegetables. For dessert there was bakewell tart and cream. Menus are available on dining tables and also include options of what else can be provided if people dont like what is on the menu for that day. The manager said that sometime on a Friday people that use the service like to have fish and chips from the local fish and chip shop. Comments made in respect of food provided included, The cook is good with residents. My mum enjoys all of the food that is provided The food is good Good home cooking I am very happy with the choice of meals Friends of a person who had recently started using the service said, We were told by staff that we could stay for a meal. We had lunch today. The food was beautiful we had beef and homemade Yorkshire puddings and the best gravy ever tasted Care Homes for Older People Page 18 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. People who use the service are confident that their complaints would be listened to, taken seriously and acted upon. Staff working at the home receive adult protection training which will help to ensure the safety of people living at the home. Evidence: The home has a complaints procedure which informs people of how and who to make a complaint to. There have not been any complaints in the last twelve months. People spoken to during the inspection said that the Manager and staff were approachable and that they felt that they could raise any concern that they may have. One person spoken to during the visit said, All of the staff are approachable you can tell them anything The Assistant Manager said that all staff receives adult protection training when they start working at the home and on a regular basis thereafter. 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 standard of the environment is good providing people that live there with an attractive, homely and comfortable place to live. Evidence: Greta Cottage is registered to provide personal care to twenty nine older people. Within the twenty nine registered beds the home can accommodate a maximum number of three people with dementia. There are twenty seven single bedrooms and one double bedroom. Some of the bedrooms have a toilet and hand wash basin. Bedrooms in the home environment meet the required amount of space. The ground floor of the home has three lounge areas and a conservatory. The conservatory is also used as a dining area. A passenger lift enables people to access the first floor. There is an enclosed garden area for people to use. During the visit the Inspector walked around the home with the Assistant Manager. The lounges and conservatory were homely with good quality furniture. Bedrooms of Care Homes for Older People Page 20 of 29 Evidence: people that use the service that were looked were nicely decorated, had appropriate furniture and were personalised. One person spoken to during the visit said that the bedroom of their relative was too warm. The Assistant Manager said that there had been a problem with the heating in the room and that she had already contacted the heating engineer who was to visit on the day of the inspection. She said that if the heating was not fixed that night she would make alternative sleeping arrangements for the person. A telephone call was made to the home after the inspection to confirm that the heating had been fixed. The Manager said that the home have a contract with British Gas and as such they had visited that evening and repaired the fault. The garden area to the rear of the home is to be landscaped this year. Since last inspection a herb garden has been developed. The Assistant Manager said that this is well used by the Cook. The homes laundry is situated on the lower ground floor. Appropriate laundry facilities were in place. The Assistant Manager said that the home do not have a Laundry Assistant it is the Care staff who do the laundry at quieter times during the day but not at night. On the day of the visit the home was clean and odour free. One survey received from a person that uses the service said, The home is very clean but not clinical, which I think is good 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 homes recruitment procedure is good, which helps to ensure that people are protected. Mandatory training and other training relevant to the job staff do is provided ensuring that staff are knowledgeable and experienced to meet the needs of people using the service. Evidence: The Manager said that there are four care staff on duty during the day until 3pm when the number increases to five care staff until 5pm. From 5pm until 10pm there are three care staff on duty. On night duty there are two care staff. The Manager said that on each shift there is either the Assistant Manager or a Senior Carer. In addition to Care staff on duty the Manager of the home works full time Monday to Friday. People spoken to during the visit said there was enough staff on duty to meet their needs. One person said, The staff are always there and willing to help when you need them The Assistant Manager said that all but one of the care staff employed have achieved an NVQ level 2 in care with six care staff working towards achieving an NVQ level 3 in Care. Care Homes for Older People Page 22 of 29 Evidence: Records were available to confirm that the Manager in general follows good recruitment procedures. Three files of staff working at the home were examined. Appropriate references were on file as was evidence of Criminal Record Bureau checks. It was noted that the references of one of the files examined had been received after the staff member had started working at Greta Cottage. The Manager said that the reason for this was because the originals had been lost and as such she had needed to re-apply. Records were available to confirm that staff working at the home receive induction training. The Assistant Manager said that new staff commencing work at the home complete the Skills for Care Induction. This induction is a progress log of standards to be met by the staff member and looks at the principles of care, understanding the organisation and the role of the worker, maintaining safety at work, communication, abuse and the development of the worker. Each new staff member also completes an induction that is specific to the home and looks at daily routine and policies and procedures. An unused induction was shown to the Inspector and it was observed that this was already signed by the Manager. When the Manager was asked why this copy was already signed she said that it was presigned for ease as it had always been. She said that she would still go through the induction with the staff and as it was pre-signed only the staff member would need to sign to confirm that they had completed the induction. It was pointed out to the Manager that it would be good practice for both the Manager and new staff member to sign the induction at the same time. Staff files examined during the visit contained certificates to confirm that staff had recently attended training in Moving and handling, food hygiene, health and safety, fire and adult protection. The Assistant Manager said that all staff working at the home have recently had dementia training. She said that Redcar and Cleveland Borough Council have funded a Community Psychiatric Nurse to visit homes in the area and that staff at Greta Cottage have been lucky to benefit from the training. She said that the training provided so far has been invaluable. 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 run and managed in the best interest of people who use the service. The health safety and welfare of people that use the service is promoted. Evidence: The owner/Manager of the home has many years experience of working with older people in a social care setting. The Manager is both experienced and qualified having completed an NVQ level 4 in both management and care. The Assistant Manager works closely with the Manager ensuring that the home is run efficiently whilst also in the best interests of people using the service. Appropriate quality assurance monitoring systems are in place. Surveys are sent out to people that use the service on a yearly basis to make sure that they are happy with the home and the care that they receive. The Manager said that she is is a little late in sending them out this time round as she had given out CSCI surveys for this inspection and some other surveys for independent auditing and felt that it would be Care Homes for Older People Page 24 of 29 Evidence: too much and unproductive to do too many surveys at once. The home looks after Small amounts of money for people who use the service. Each person has an individual record which details money held and transactions. The system for looking after money was looked at during the visit and although good record keeping was in place the home did not always get/keep the receipt of items purchased and services used such as hairdressing. A sample of health and safety records were examined and found to be in order. Records were available to confirm that the homes gas boiler, fire alarm and fire extinguishers had been serviced in the last twelve months. Water temperatures are taken and recorded on a weekly basis to ensure that they are within safe limits. The manager said that weekly tests of the fire alarm system are carried out. Appropriate records are kept of accidents/fall for people using the service. The Assistant Manager of the service regularly audits the accident records to try an identify any common factors so that measures can be put in place to reduce/prevent accidents from occurring again. 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 8 13 The Registered Person must ensure that risk assessments for people who have bed rails include detailed safety measures. This will help to ensure the safety 30/01/2009 2 9 13 The Registered Person must make every effort to ensure that people living at the home receive their prescribed medication. To ensure wellbeing 30/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 The Registered Person should develop those plans of care that contain limited information about the person using the service. Care plans should clearly describe individual care and help needed and include capabilities and limitations of the person to ensure that care needs are met. Risk assessments for those people who have been assessed Page 27 of 29 2 8 Care Homes for Older People as needing bed rails should be signed by a multidisciplinary team to confirm that a number of people have been involved in deciding that bed rails are the safest option for the person. 3 4 9 29 The Registered Person should provide suitable, safe storage for medication trolleys. The homes induction should be signed by both the staff member receiving induction and the Manager at the same time. The Registered Person should ensure that receipts are obtained when purchasing items or services for people that use the service to confirm proof of purchase and safeguard people. 5 35 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. 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