Inspection on 27/08/08 for Grey Gables

This inspection was carried out on 27th August 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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: Grey Gables 29 Kennard Road New Milton Hampshire BH25 5JR     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: Joyce Bingham     Date: 2 7 0 8 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 © (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 29 Information about the care home Name of care home: Address: Grey Gables 29 Kennard Road New Milton Hampshire BH25 5JR 01425610144 01425638467 m.haniff@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Mohamed Irfaun Haniff Type of registration: Number of places registered: Grey Gables (New Milton) Ltd care home 24 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 to be accommodated is 24. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home 24 0 Over 65 0 24 Care Homes for Older People Page 4 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 2 star. This means the people who use this service experience good quality outcomes. The home visit was unannounced and took place between 09:45 and 19:00. A partial tour of the premises took place, documents and records were examined and staff working practices were observed. Residents, staff and visitors were spoken with in order to obtain their perceptions of the service the home is providing. One of the homes owner, who is also the registered manager, was present throughout the visit and was able to provide assistance and information when required. Other matters that contributed to this report included an AQAA (Annual Quality Assurance Assessment) completed by the home and returned survey forms completed by residents and/or their families. No surveys were returned by the staff. Care Homes for Older People Page 5 of 29 Care Homes for Older People Page 6 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 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 8 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 residents and their families/advocatesare supported to make an informed choice about the home by adequate information they are given. This an be further developed to be fully comprehensive and meet the legal equirements. The residents needs and wishes are identified and assessed prior to admission to ensure these will be met by the home. Life histories and personal profiles could be further developed to assist in understanding and applying the right approach for residents with dementia. Evidence: The home had some details displayed in the entrance hall that would be of interest to prospective residents, including the complaints procedure, the current AQAA (Annual Quality Assurance assessment conducted by the providers on their own service), the current CSCI inspection report and a newsletter for the current month. The provider explained that visitors enquiring about the service the home offers are shown around Care Homes for Older People Page 9 of 29 Evidence: and given a brochure. We drew attention to the legal requirements of the Service User Guide and showed the actual section of the regulations that include a set of the terms and conditions of the home and a sample contract and a summary of the internal quality assurance document. The home uses a pre-admission assessment form in order to assess and document the care that a client will need, taking in all aspects, including social needs. We were told that the written assessment is used to construct the plan of care. During the inspection four assessments were selected for people who had been admitted in recent months. In each case the deputy manager and/or one of the providers had conducted the assessment, and where appropriate a care management assessment and a hospital discharge had been obtained. Personal information was limited at his stage about the temperaments/life experiences and significant relationships of each admission. Copies of the contracts that had been established with the residents were available, but where in some cases people ahd been living at the home for some time the subsequent correspondence indicating rising rates and changing conditions was not kept in the home. The providers were advised that a copy of all correspondence between te residents and the providers should be kept at the care home, and this was agreed. Residents are not admitted for intermediate care Response to the confidential survey returns informed us that residents and/or their family had been supplied with sufficient information before they were admitted. My daughter and son-in-law visited several homes and decided this was the best for me. Care Homes for Older People Page 10 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. The residents are protected by access to health care services as needed. The staff are aware of the residents needs but the home places too much emphasis on the verbal transmission of important information. Written care plans and risk assessments are limited in scope and imprecise in detail. The current arrangements for drug administration and the training of care staff in the procedures are satisfactory, although training needs to be maintained. Evidence: We spent some time in walking around the home and observing some of the interactions between the residents and the staff. People were smiling and responsive to staff inspite of some memory loss and evident confusion and told us they can do what they like and everyone is kind here. We noted that some rooms on the ground floor were kept locked and a resident showing us her room had to return to the lounge to get a member of staff to unlock her door. She did not seem at all perturbed by this and was happy to walk back to her room again having asked the maintenance man to Care Homes for Older People Page 11 of 29 Evidence: assist her. She was unable to explain why her door was kept locked but said she was happy with it that way. On enquiry we were informed by several staff that the strategy had been established in order to reassure several people on the ground floor that their rooms would not be accessed by an uninvited resident who had a tendency to wander and use the room as if it was their own. We expected to find some reference to this in the written documentation affecting the people concerned but could not locate a record of this on their files. We read through four assessments detailing the needs of the residents on admission and found several important aspects of care needs were not incorporated into the care plans e.g. regular washing of a rash area, temporararily sleeping all night in a chair, hypersensitivity to touch causing the person to persistently scream. Discussion with the deputy manager and several carers, and observation on the day reassured us that these areas were being cared for but there was no supporting documentation found in the care plans. Some care plans recorded whether the resident needed one or two carers to support with their personal care needs. This indicated some initial thought had been given but failed to detail any specific guidance to the staff on what was required. We were told that the designated keyworkers had been made responsible for the production of the care plans (rather than the manager or deputy manager). In some instances the keyworkers use of the english language was found to be limited. Important aspects of care were not recorded e.g. a residents specialist review designating them as now registered blind. The responsibility of ensuring that adequate, personalised care planning takes place and establishing an acceptable level of detail in a workable format is the responsibility of the person registered as the manager and this was pointed out on the day of the inspection and accepted by the providers. There was an absence of written risk assessments. We saw evidence of some of the residents contributing to the information in their care plans in relation to their life history and significant events. Personal files did provide evidence of care for dental needs, hearing checks and hearing aids, eye tests, weight gain/loss, and accessing doctors. The care staff said they were able to call for medical help out of normal hours whenever they needed to and would then keep the manager informed. The provider said he would always come over to the home out of hours if the circumstances suggested it would be helpful. There was evidence on file of regular reviews. Responses to the confidential survey returns informed us that 97 felt they received the medical support they needed and 90 that they receive the care and support they need within the home. I feel lonely and sad at times. I would like to live with relatives Care Homes for Older People Page 12 of 29 Evidence: as a family. the staff call in the doctor if I need him. my mothers skin is the best it has been for years. Professional comments include: Its a sensible and well balanced house If we have an issue it is always acted on the home is excellent we have a really good dialogue with the staff this is one of the better ones Ive never observed anything that gave me cause for concern The staff are great. The drug cupboard and trolley were inspected and found to be clean and orderly. The current drug records were up-to-date and well maintained. When we asked her, the senior carer was able to tell us the purpose and possible side effects of the medication, demonstrating understanding of the needs of the resident and the objectives for the medication. However there was no written guidance for as and when needed medicine and this was pointed out to the provider/manager. From the records we learned that some of the staff had only just been given basic training in the administration of medicines although they had on occasions already been required to administer them. In response the manager said that all staff had had the homes procedure explained to them. All of the rooms are single and therefore any personal care takes place in privacy. Visitors were seen to be talking with people in private in their rooms, or in the lounge if they preferred. Care Homes for Older People Page 13 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. The residents needs are mostly met through in-house activities, with meal times offering pleasurable choices and a positive focus for social interaction. Meals are varied and well presented with choice of content and location for taking them. Residents are supported by the homes open culture for receiving family, visitors and friends. Evidence: We observed that the residents were coming into the lounge at various times after receiving breakfast in their rooms and being helped to wash and dress. Several people told us they like to come into the lounge rather than stay in their rooms. Others we spoke with said they preferred being in their rooms apart from at mealtimes. We saw a notice board in the lounge detailing activities for the week and a reminder board in the dining room about which day of the week it is, the date and time of year and the weather. On the day of the inspection there was a communion service in the morning, organised with a local church, and art and craft in the afternoon. Music was playing most of the day in the lounge and the residents who were able to comment said they very much enjoyed the music. The providers told us that every month there Care Homes for Older People Page 14 of 29 Evidence: is a trip out organised, but this normally is for two to three people only. We were told that many family members take people on outings, or home for visits. The sun lounge evidenced a large number of puzzles, crafts, books and music. On the day of this unannounced inspection at least five visitors came, and the opportunity was taken to speak privately with four of them. All of them were very positive about the openess of the home and had no criticism of the service they observe. Survey responses gave a 59 satisfaction with the activities provided in the home. Comments included: I enjoy the card games, bingo etc., and also my walks around the garden. We discretely observed the serving and eating of lunch, and were told there were no special diets/vegetarians or diabetics. People came into the dining room and did not have to wait long for their meals. Tables seating 3-4 people were arranged around the room. The tables were attractively laid with cloths and place settings. The meal was roast pork, roast potatoes, cabbage, carrots, stuffing and apple sauce, followed by cherry pie and custard. Meals on trays were carried by staff to some residents rooms and these were nicely presented, covered, with a separate apple sauce pot for people to help themselves. We asked a carer what the pudding was when it was being carried to a room and she said she had no idea. She returned to ask someone else what it was, a disappointing feature as residents would expect the staff to impart that fact as a matter of course. Some meals were pureed and we noted that all of the meal elements were combined together. Those eating them seemed to be enjoying them, and said they were very nice. The majority was eaten, and little was returned to the kitchen. However, we recommended to the providers that if each element was pureed separately it would enhance the appearance, the flavour, and the appeal of the meal. Varying portions were provided according to appetite and likes and dislikes. Choice was given every day of the supper dish and these were recorded. On this day it was bacon and poached egg or a sandwich of choice. The home employs two dedicated cooks. One was working a long day from 8 am to 7 pm. The other chef who works opposite, works split shifts. Comments about the food were all very positive. The weight charts in the personal records all indicate rising not reducing weight! Survey responses gave a 97 satisfaction with the meals. Comments included: The meals are wonderful. The cook is excellent and I always look forward to meal times. The meals are well cooked. Im sure they are home-made. I have found they are good. I came to the home for 2 weeks while my family were on holiday. I liked it so much I Care Homes for Older People Page 15 of 29 Evidence: stayed. Absolutely wonderful food. Care Homes for Older People Page 16 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. Service users are protected from abuse and are confidant that any complaints or concerns would be acted on. Evidence: The home provides a copy of the complaints procedure in the entrance hall for anyone visiting to see. We saw protection procedures and policies for whistle blowing and reporting abusive incidents/practice in the office area. We discussed the potential for abuse to occur with three of the carers and were satisfied that they were aware through their training and they expressed appropriate attitudes and values. The providers said that the complaints log had no entries as the home had received no complaints. However, we reminded them of the anonymous complaint received by the CSCI during the Summer about staffing arrangements that had been referred of for investigation by them. Although it was found by them to have been unsubstantiated, they were reminded they must by law keep that, and any other complaint received, in a central record. The survey returns indicated most residents knew who to speak to if they were unhappy about anything, and 75 knew how to formally complain. We discussed the homes arrangements for supporting the residents with managing small personal finances and looked at their procedure, sampling the records and plastic wallets containing money and receipts. These were found to be in good order. Care Homes for Older People Page 17 of 29 Care Homes for Older People Page 18 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 location and layout of the home and grounds are suitable and meet the needs of the residents. On-going improvements to the few very small rooms and the decor uplift in the communal areas will make this a quality environment. The home is clean and hygienic. Evidence: During the day we walked around the home and sampled several bedrooms. Apart from some of the bedroms on the ground floor where the rooms were locked during the day, as detailed above, we found the home was accessible, very clean and well maintained. Each bedroom was well furnished, all were single, and the majority had an ensuite facility. Two of the bedrooms are long and narrow, rather cell-like,and we were told the providers are considering how these can be improved. The lounge had been divided in two as a number of new chairs were being delivered in the afternoon. The provider showed us the new wallpaper chosen for the lounge and curtain fabric that were on order. The entrance drive and rear garden were well tended, with tubs of colourful flowers and hanging baskets. There were no observable hazards. Care Homes for Older People Page 19 of 29 Evidence: We also looked in the laundry, kitchen, bathrooms and wcs and found them to be very clean throughout, orderly, with no observable hazards. A call system has been fitted throughout the home with a visible display unit outside each bedroom to inform the staff which resident is calling for assistance, wherever the staff member happens to be in the building. The home scored 94 in the survey returns for always being fresh and clean. One negative comment was they wished the smell of the air freshener in the hallway could be changed. Care Homes for Older People Page 20 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 residents are supported by staff who express good values and attitudes and their needs are largely met by a reasonable ratio of residents to staff members. However, maintaining an adequate staff roster creates unreasonable pressure at times for some staff. Greater emphasis is needed by the providers on increasing the staff complement and maintaining an on-going training programme in all areas. Evidence: The staff records and staff rosters were available. We observed carers at work and we spoke in private with four of the staff ( two carers, a senior and the deputy). It was disappointing that the survey forms sent out to the providers for the staff to complete had not been passed on to them, particularly as a complaint had been recently made about staffing arrangements. We spoke with the providers about a number of features of our findings. Comments from some residents, visiting professionals, family visitors and friends about the staff were very positive and affirming, alluding to their kindness. From the homes internal audit we learned one suggestion for improvement, it would be good if the staff had more time to spend talking/interacting etc with the residents, especially those who do not get many visitors. From the confidential survey returns from the residents we learned that everyone felt the staff listened and acted on what they said, Care Homes for Older People Page 21 of 29 Evidence: and 84 felt the staff were available when they needed them. The following comments were made: Everyone is very kind. The staff are understanding. They are patient and kind. All the staff are very good. The staff roster indicated that some staff at times are working excessively long hours. One had worked 6 twelve hour shifts without a day off, another had worked 5 twelve hour shifts without a day off. Another member of staff who normally works 82 hours a fortnight had worked 102 hours in the current two week period. We checked that in each case it had been with the staff agreement and the providers acknowledged that staff turnover, some recruitment difficulty and the holiday season had created untypical pressure. However, we stressed to the providers that tiredness from excessive hours on duty diminishes competency and patience and can lead to unsafe conditions that put both the carers and the residents at risk. There was also a lack of clarity in some areas between the expectations of the Home Office for trained overseas staff in relation to grading and pay levels and the realities of their current roles. Although outcomes for the residents are currently satisfactory a strong recommendation was made during the inspection for the providers to review reasonable working time conditions for the staff. The home engages dedicated staff to undertake cooking and meal preparation, as well as domestic work. There is also a maintenance person employed in a part time capacity. Training records indicated that historically formal training in core areas had been of a limited nature. An increase of core training for each staff member had taken place more recently, including training in dementia from the Becton centre. We emphasised the need for on-going training for all staff. When asked what the most challenging part of the job was two carers said they felt that excessive hours on a stretch and residents who could be physically and /or verbally aggressive at times were the most difficult apects of the job. One member of staff said I have never worked anywhere else, and wouldnt want to. I love it here. When she had heard about the anonymous complaint from the provider she was gobsmacked and couldnt believe it. She was unable to think of anything that could be improved. From discussion with some staff morale in the team was placed at placed at 80 because they are a small group and get on well together. For others this rate was a lot lower. We were told by the staff that supervision is informal. However, there were records available and these were dated and signed. Staff meetings take place every three months and we were told that it is expected that everyone attend as they are paid to do so. Care Homes for Older People Page 22 of 29 Evidence: 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 providers and manager have the necessary skills and experience to ensure that the home is appropriately managed and run in the best interests of the people who live there. Peoples financial interests are safeguarded. The health, safety and wellbeing of staff and residents are promoted. Evidence: The registered manager, Mr Haniff, is also one of the owners, and he is present at the home on a daily basis from Monday to Friday and will visit if circumstances require it at the weekends. He is supported by an experienced wholetime deputy manager who plays a key role in providing leadership in the practical and inter-relational aspects of the care service. We were told that the deputy manager and senior carer work opposite each other to ensure there is always a senior carer available who knows the residents well. Mr Haniff told us he rarely works in a hands on capacity in personal care. Care Homes for Older People Page 24 of 29 Evidence: The homes annual development plan, raised in January 2008, was available and demonstrated thought had been given to developing and improving the service. An internal quality review involving service users and stakeholders had been conducted and the results were available to read. Records generally were well ordered and available. We noted that Regulation 37 Notifiable events had not been received for some time by the CSCI, relating to falls and fractures leading to hospital visits, deaths of the service users, and other events. We reminded the providers that this is a legal requirement. We looked at the accident book and found it was up-to-date and well maintained. However, we recommended that the manager routinely countersign each entry to ensure that any remedial action was identified and conducted, and relevant notifications made. The homes records for fire safety and the servicing and maintenance of equipment, and storage of substances were available, and were sampled. Procedures and protocols required for a care service were available in the staff duty area for quick reference. 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 2 5 The provider must produce a 17/12/2008 written guide including each item identified in the regulation. in order to provide potential and existing residents and their advocates with comprehensive information about the services and accommodation they are offered. 2 7 15 Each individual resident 17/12/2008 must have a written care plan showing how his/her needs in respect of health and welfare are to be met. This will include relevant risk assessment. to ensure appropriate consultation and arrangements are in place and that all staff are equipped to meet identified needs. Care Homes for Older People Page 27 of 29 3 37 37 the provider must notify the 17/12/2008 Commission without delay of the ocurrence of death, illness and other events as detailed in Regulation 37 to maintain integrity with the legal requirement and inform the Commission of significant occurrences. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 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 © (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 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!