Inspection on 11/12/06 for Hawksbury House

This inspection was carried out on 11th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Hawksbury House 20/06/07

Hawksbury House 05/01/06

Hawksbury House 28/02/05

Hawksbury House 03/11/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hawksbury House Kellfield Avenue Low Fell Gateshead Tyne & Wear NE9 5YP Lead Inspector Irene Bowater Key Unannounced Inspection 11th December 2006 09:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hawksbury House Address Kellfield Avenue Low Fell Gateshead Tyne & Wear NE9 5YP 0191 482 1258 0191 482 5158 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Henry Beckett Mrs Jacqueline Murray, Mrs Freda Agnes Beckett Mrs Jacqueline Murray Care Home 35 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number disorder, excluding learning disability or of places dementia (1), Old age, not falling within any other category (35), Physical disability over 65 years of age (4), Sensory Impairment over 65 years of age (1) Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Hawksbury House is a large, adapted two-storey house with an extension. It is situated in a quiet residential area of Low Fell close to all local amenities and a short drive from Gateshead, Newcastle and the Metro Centre. The building comprises of three double bedrooms and twenty-nine single bedrooms, many with en-suite toilet facilities. All rooms are suitably furnished and have an emergency call system. A passenger lift is available to service the two floors. The Home has wide doors and corridors to allow easy access for wheelchair users, with the exception of a short area of corridor leading to the main ground floor lounge, which is slightly narrower, but still allows access. The home has two lounges, a lounge/dining room, a separate dining room, and a hairdressing room. There are well-maintained gardens to the front and rear of the home and adequate car parking facilities. Staff provide personal care for up to 35 older people, some of who have specific and complex needs. Nursing care is not provided. The statement of purpose available in the home. and service user guide are not up to date or readily There are extra charges for newspapers, hairdressing, chiropody, optician and dental care. The fee rates vary from £284 to £365. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over seven hours. The inspector spent time with the Registered Manager, staff, residents and visitors. The inspector looked around and talked to residents and staff, and saw the contact between them. Time was also spent checking the cleanliness, maintenance and decoration of the home. A number of documents were looked at including, care plans, training, maintenance, catering, medication, financial, recruitment, health and safety, and complaint records. Before the inspection a questionnaire had been completed by the Manager, which gave up to date information about the Home to allow more time to be spent with residents on the day. The Commission sent out surveys to residents and their representatives before the inspection. Ten residents and five representatives returned the surveys. All of the comments were complimentary about the care and service provision. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: The staff collects information together about the person before anyone moves into the home to make sure they can meet their needs. Staff involve the residents, their representatives and other professionals in the care planning which makes sure their needs can be met. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 6 The staff have formed good relationships with the residents and make sure their rights to privacy and dignity are met. They work hard to promote residents independence at all times. Comments from the surveys and from discussion with residents on the day included the following: “The girls are kind and thoughtful”, “I have no worries or concerns”, “I am very happy living here”, “I am looked after wonderfully”, “The home is clean, the food is good with plenty of choice and the staff are good”. Comments from representatives included: “Hawksbury House is first class and I am very satisfied with the care given.” “The care is good and I am happy that my relative is in the home” “The staff are led by an efficient team who set very high standards of care. “They know individual likes and dislikes and take time to talk to them.” “The food is excellent and well presented. They go the extra mile.” Visitors are made welcome and there are good links with the local community. Residents and relatives said they would be able to use the complaints procedure if they had a concern. Staff work hard to provide activities inside and outside of the home. The home is well maintained and a pleasant ,comfortable place to live. The staff receive the training they need to care for the residents needs. The recruitment policies are followed. A number of staff have worked together at the home for a long time. They said they get plenty of support from the senior staff and enjoy working at the home. All of the staff are enthusiastic and have created a positive and happy atmosphere in the home. What has improved since the last inspection? The home continues with the maintenance and redecoration on a rolling programme. Staff continue to receive training to meet residents needs. The one requirement from the last inspection has been met. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3, Standard 6 is not applicable. The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. Prospective residents are not given up to date information about the service provided. The rights and obligations of both parties are not clear to enable prospective residents make informed choices. The admission assessments and procedures ensure the residents care needs will be met. EVIDENCE: The home has a Statement of Purpose and Service User Guide. Both the documents need to be amended and brought up to date. The information refers to the previous Registered Homes Act of 1984 and to inspectors who no longer work for the Commission. Information about the home and the terms and conditions are available. The writing is not in large print, picture style or easy to understand. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 10 Each resident is given a contract, which sets out the charges and fee rates. The contract includes the provision of food, light, heat, laundry and personal care. The charges are to be paid in advance and these will remain the same unless 28 days written notice is given or both parties amend the agreement. It also states that there are no extra charges, however further down the page it states that there are extra charges for hairdressing, newspapers, clothing and toiletries. Residents spoken to did not know if they had ever received an amended contract. Five care plans were inspected. Evidence was seen of appropriate Care Management assessments, pre-admission and admission assessments by the home. Risk assessments were also in evidence and care plans are drawn up from this information. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The care planning systems do not provide staff, residents and their representatives with the information they need to meet resident’s needs. The health needs of all residents are being met. There is interagency working. The systems for the administration of medicines are not safe or consistent. Personal support promotes residents right to privacy and dignity. EVIDENCE: Each resident has a care plan that has been developed with the help of information gathered before they came to live in the home. The care plans inspected showed that accredited risk assessments are in place for falls, moving and handling and pressure sore care. Information is also gathered about residents social care needs so that the staff can help them maintain their lifestyles whilst living in the home. The care plans were brief and are not always reviewed and updated when residents needs change. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 12 One residents who may not eat and may exhibit some difficult behaviour did not have care plans to inform staff how to deliver care in a consistent manner. Families are sometimes included in regular reviews that are held to establish if needs of the resident have changed. However, where families are not involved this information needs to be noted and reasons documented so that there is a full picture of the resident that will to enable the correct decisions to be made. The good care practices observed throughout the inspection were not evidenced through the care plan documentation. Relatives said that the “care given is excellent”, “I could not ask for better care for my relative”. The residents have access to all NHS services and are able to retain their own GP on admission, or register with a GP of their choice as far as possible. Advice and support is available from other healthcare professionals when required such as the Continence Advisor, and tissue viability nurse. The home uses a monitored dosage system for administration of medicines that are prescribed to residents. This system is designed to minimise the risk of any errors if it is used correctly. Medicines are put into individual blister packs by the pharmacy and sent to the home every month. The blister packs are marked with the day the medicine is to be given and different colours denote the different times of the day. Some medicines cannot be stored in blister packs and are sent from the pharmacy in bottles. A random inspection showed that the staff were putting medicine into small named bottles for dispensing at a later time. This is called secondary dispensing and puts residents at risk, as all medicines must be dispensed from the original packaging supplied by the pharmacist. The medicine administration records (M.A.R.) showed that not all medicines were signed for when administered to the residents. There were gaps in recording so it was unclear why medicines had been omitted. The M.A.R. sheets also showed that all medicines are not being signed for when they are received into the home. Handwritten directions did not have any witness signatures, which would make sure there had been no error in transcribing. A check of the Controlled Drugs found no discrepancies. Residents spoken to felt that they are treated with respect and their right to privacy is upheld. Residents spoke about their personal wishes and preferences, which are respected by staff. Examples include locking their bedroom doors, receiving their mail, being addressed by their preferred name and being able to go wherever they wish inside and where possible, outside of the home. There was a good rapport between staff, residents and relatives, which was based on mutual respect and trust. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome is good. This judgement has been made from evidence gathered both during and before the visit to this service. Social activities provide stimulation and interest for residents living in the home. Residents are supported with opportunities to maintain their previous lifestyles. The residents’ day is flexible and they are encouraged to make choices and take control over their lives. Dietary needs of residents are catered for with a choice of food available. EVIDENCE: The home was pleasantly decorated for the Christmas festivities. The social events for December were readily displayed in the home and included a visit to the Pantomime a Christmas meal out and a Christmas party. On the day of inspection the local school gave a Carol Service, which was thoroughly enjoyed by all the residents. Other events during the year include a trip to the coast, a visit to a wildlife park and local shopping. Residents said the staff respected their wishes should they not want to join in any activity within the home. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 14 The residents are encouraged to be in control of their lives as far as possible. They are able to maintain links with the local community and local groups and the school visit the home. Visitors were seen to come and go throughout the inspection. Staff spent time with them and shared information about their relative if necessary. The residents said that they are able to spend their days as they wish. They confirmed that they could get up and go to bed when they want and mealtimes are flexible. Information about advocacy is readily available but all of the residents said that the manager would “always sort anything out”. All of the residents have brought small items with them making their own bedrooms homely and personalised. The Inspector observed the lunchtime meal being served in the two dining rooms. The tables were very pleasantly set with condiments, serviettes and sugar bowls. Hot and cold drinks were offered during the meal and the meal well presented with vegetables served from tureens and gravy in gravy boats. Alternative choices were served to those people who requested them. Staff were attentive and offered assistance to those who needed it, in a discreet, courteous and unhurried manner. The environment and the atmosphere were sociable and pleasant. Residents confirmed that such facilities and choices were offered on a daily basis. Comments from residents included: “food’s always excellent”,“we get plenty to eat here”, “and I have no complaints at all”. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The complaints procedures are clear. Residents and relatives are confident that their views are listened to and acted upon. Arrangements for the Protection of Vulnerable Adults are satisfactory and protect residents from harm. EVIDENCE: The home has clear complaints policies and procedures, which are displayed, in the home. The records showed that complaints are documented appropriately and include outcomes with signatures obtained to confirm the complainant’s satisfaction of the outcome. There have been no complaints received for over a year. All of the residents spoken with said they had nothing to complain about but were very clear that the manager would deal with any issue immediately. Within the complaints documents are many compliment letters and cards from relatives to the Manager and staff for the care and support given to service users and relatives, both during their stay in the Home and after death. This information should be shared with others who use the service either in a separate file or in the Service User Guide. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 16 The Home has a Protection of Vulnerable Adults Procedure (POVA) in place and a copy of the Local Authority’s Procedural Framework for the Protection of Vulnerable Adults, is available to staff. Training is completed with external agencies. Staff who were spoken with confirmed that they had received POVA training and were able to satisfactorily describe what actions and procedures should be taken on suspicion of abuse or if abuse was seen to take place. Evidence of staff training in this area was seen in some staff files Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home is clean, warm, well maintained and suitably decorated so that the residents have a homely and safe environment to live in. EVIDENCE: This is a large, adapted two-storey house with an extension. The home has two lounges, a lounge/dining room, a separate dining room, and a hairdressing room. There are well-maintained gardens to the front and rear of the home and adequate car parking facilities. The entrance and the communal areas were nicely decorated for Christmas. There is an ongoing redecoration programme and the home is furnished and decorated to a good standard. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 18 Bedrooms have en suite facilities. During the inspection it was confirmed that only one bathroom on the ground floor is used for all the residents as this has an adapted bath. The other bathing facilities including the shower are not used. All of the bedrooms inspected were clean, decorated and furnished to a good standard. Many of the residents have brought small items of furniture and keepsakes with them making the rooms highly individualised. On the day of inspection the home was clean, tidy and free from any odour. The laundry is separate from resident areas and was generally well organised. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome is good. This judgement has been made from evidence gathered both during and before the visit to the service. The current staffing levels and staff deployment ensures the residents assessed needs are met. The arrangements for training and recruitment ensure that residents are protected and staff are competent. EVIDENCE: The rota reflects the staff on duty over the twenty-four hour period. The day shift starts at 07:30 am until 16:00 and the late shift starts at 13:00 until 10:15 pm. The night shift starts at 10:15 until 08:30 am. There is an overlap of staff during the twenty-four hour period to make sure residents needs are being met. The home benefits from a stable staff team who have worked at the home for some time. The registered manager is supernumerary. The home has a deputy manager and senior care staff. Ancillary staff includes cook kitchen assistant, laundry, domestic, maintenance and administration. Residents said that the staff “are good and kind” “they are always there to look after me”. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 20 Over 66 of staff have completed NVQ level 2 training. Five staff files were inspected. There was evidence of Criminal Record Bureau checks, Protection of Vulnerable Adult checks, two written references and proof of identity. The staff complete an induction programme and have a training and development file. There is a training and development plan and programme in place. Records showed that all staff have received fire, food hygiene, infection control, moving and assisting and health and safety training. The staff have also received training in Safeguarding Adults, safe administration of medicines and positive dementia care. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home has an experienced manager who provides clear leadership. The systems for consultation and quality monitoring make sure that the views of residents are sought and acted upon. Residents personal accounts are managed to ensure their best interests are protected. The health, safety and welfare of residents are being protected as far as reasonably possible. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager has a Registered Nurse qualification, Registered Managers Award and NVQ level 4.She has many years experience in caring for older people. She attends training to update her knowledge and skills whilst managing the home. The responses from the comment cards and from discussions on the day confirmed that she is approachable, available and supportive at all times. The registered manager holds regular resident and staff meeting with records kept. Minutes are displayed in the home. Regular care reviews and medication and environmental audits are carried out. The home also uses some quality assurance methods including service user, staff and visitor questionnaires. From the results the home develops a plan to continually develop the service. An audit of five residents personal allowances was carried out. There were no discrepancies. All had individual records and separate wallets containing their money. The records are dated with two signatures and receipts are available for all transactions. Evidence was seen in the records and staff confirmed they had received training in health and safety issues such as fire safety, food hygiene, first aid, infection control, moving and handling and COSHH (Control of Substances Hazardous to Health). Accidents are recorded and the manager carries out an analysis to examine any trends. There is a fire risk assessment and a fire inspection was carried out in October 2006. In house health and safety checks are carried out weekly. Water temperatures are recorded to ensure temperatures of 44 C is not exceeded. External contract certificates are up to date. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4,5 Requirement The registered persons must make sure that the Statement of Purpose and Service User Guide are reviewed. The Guide needs to be in plain English and in a format suitable for the intended residents. The registered persons must ensure that residents or their representatives are provided with an amended contract when fee rates change. The registered persons must ensure that the care plans are reviewed by care staff at least monthly and updated to reflect changing needs. The registered persons must ensure that all medicines are dispensed from the packaging supplied by the pharmacy. All medicines must be signed for when they are received into the home. Handwritten directions must have two signatures. Any gaps on the Medicine Administration Record must record the reason for omission. DS0000007379.V304181.R01.S.doc Timescale for action 01/04/07 2 OP2 5 01/04/07 3 OP7 13,15 01/04/07 4 OP9 12,13,17 31/01/07 Hawksbury House Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP21 OP35 Good Practice Recommendations The registered manager should review the assisted bathing facilities in the home. The Manager should expand the financial policy to include all steps of the procedures taken when dealing with residents’ finances. Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South of Tyne Area Office St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hawksbury House DS0000007379.V304181.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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