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Inspection on 09/01/07 for Innisfree Residential Home

Also see our care home review for Innisfree Residential Home for more information

This inspection was carried out on 9th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service provided a good standard of personal, social and health care to all of the residents living at the home, in an informal family approach, which supported residnets in making choices. The owner, the manager and staff team had successfully continued to provide a good standard of care to residents. None of the staff or residents spoken too said they had any concerns about the running of the home or the care provided. Staff said that the home was a "homely place, where residents views were listened to and where they choose meals, trips out and entertainment". Residents described `Innisfree` as a "wonderful place, the people are so kind" and as an "extremely well run and friendly home". The service provides a good working environment were staff are supported to train and develop so that they can provide the care residents want. This is demonstrated in the level of management and qualifications every member of staff has in the home. For example the manager had successfully completed qualifications in care up to and above NVQ level 5 and additional training also included the Registered Managers Award and NVQ Assessors award. most of the staff team had achieved or were achieving nationally recognised qualifications in care. This ensures that all staff had the knowledge and skills to promote the health and safety of residents.

What has improved since the last inspection?

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Innisfree Residential Home 15-17 Polsham Park Paignton Devon TQ3 2AD Lead Inspector Andrea East Unannounced Inspection 9th January 2007 10:45 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 Innisfree Residential Home DS0000064536.V291186.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. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Innisfree Residential Home Address 15-17 Polsham Park Paignton Devon TQ3 2AD 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) 01803 665436 Mrs Jacqueline Glenning Mrs Linda Mary Wilbraham Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1/03/06 Brief Description of the Service: Innisfree is a large detached property situated on the level and within walking distance of local facilities including library, park and shops. Accommodation is provided in single rooms, all with en-suite facilities. The home offers a choice of communal areas; the ground floor has a day room, conservatory and a dining room; and on the first floor there is small quiet lounge. To facilitate access within the home, there is lift to the first floor and a stairlift for a short internal flight of steps between levels. The home is situated near to the local facilities of Paignton town centre and beaches. The range of weekly fees for the home ranged from £325.69 to £ 420.14. Additional charges were made for toiletries, clothes, hairdresser, outings, holidays and days out. The information about additional charges was provided as part of the homes inspection site visit on 09/01/07. The homes service users guide had been recently updated and a copy of the last inspection report could be found in the entrance to the home and in service users files. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a day with the homes manager, residents and staff. Two residents care was looked at in detail and the inspector spoke with most of the sixteen residents in the home either in private or in the homes lounge and dining room. A range of documentation was also considered throughout the inspection including care plans, care assessments and staff files. Twelve care staff survey forms, eleven relative survey forms. One health professional form and fourteen residents surveys were returned to the Commission prior to the site visit. These surveys gave a range of information, which helped to inform the inspection visit and this report. What the service does well: What has improved since the last inspection? The home had continued to improve upon the décor and furnishings in the home with residents being part of choosing new furniture. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 6 The manager and staff team had continued to review and update risk assessments for the premises and reconsider the quality assurance system. These documents help to inform staff, identify areas of improvement and demonstrate the action taken to safeguard residents and staff from harm. The manager had also made sure that all staff were aware of where these records were kept, so that when she was not in the home staff were still fully informed. 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. The summary of this inspection report can be made available in other formats on request. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 7 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 Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards: 3 and 6 Residents did not move into the home without having his or her needs assessed and being assured that these needs would be met. The home did not provide intermediate care EVIDENCE: Two residents files were examined and discussed with the manager of the home and the care staff on duty that day. This included discussion about how the home obtained information prior to residents coming into the home and how the home assess and inform potential residents. The files examined showed a range of assessment documentation including correspondence with residents’ relatives asking for a social history of residents past and present likes, dislikes, hobbies and interests. Assessment information also included an initial enquiry form, which staff confirmed was completed with discussion with the potential resident, the resident’s representative such as a Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 9 care manager or a relative. Assessment documents detailed potential risks including risks from falls and manual handling. Well-completed assessments are important as they provide staff with the information they need to meet residents needs right from the start of the service, when they first enter the home. A resident had recently moved into the home and she said that she had been provided with lots of information about the services and facilities. She also said that she had visited the home with her family before moving in and had been made very welcome. The welcome and the information she had received helped her to feel reassured that she would be well cared for in the home. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 7,8,9,10 Resident’s health, personal and social care needs were fully met and were clearly recorded in the individual residents plan of care. Residents who were able too, were supported in being responsible for their own medication. Residents who did not look after their own medication were protected from harm by the homes policies and procedures for dealing with medicines. Residents were treated with respect, care and sensitivity and their privacy was upheld EVIDENCE: Residents said that staff respected their individual choices and wishes. Residents said that staff usually knocked the door before entering rooms and they felt able to raise issues with staff and know that staff would not discuss those issues. The survey forms returned to the commission consistently said that residents received the care and support they needed. The forms completed by or on Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 11 behalf of residents said that care and management staff, were “kind, pleasant and caring”. Two of the forms gave examples of how care staff supported them in making sure health care needs were met for example going for eye tests and in having blood tests taken in the home. Residents confirmed that staff assisted them with all areas of personal care, social and health care needs and this was clearly documented in the homes care plans and daily records. The records examined showed regular visits from a range of professionals including district nurses, attendance at out patients appointments and this demonstrated consistent professional advice being sought to ensure residents needs were met. Resident’s files and ongoing records in the home including care plans showed that resident’s preferences and choices were part of the homes initial and ongoing assessments. The assessment forms, were forms that had been in use in the home for some time and while they are adequate do not really demonstrate the level of information that staff had about residents needs. The manger said that she had been exploring other ways of recording this information. Medication administration in the home was well managed, with records clearly showing the medication residents received, how medicines were ordered and disposed of. Storage areas for medication were clean and tidy and the member of staff showing the inspector the system used in the home had a keen interest in making sure medication was stored, administered and recorded safely. The storage of homely remedies such as cough mixtures and vitamins were not as well monitored as day- to- day medication so that some remedies had become outdated. The medicines waiting for disposal were not recorded until they were ready to send to the pharmacy so that medicines could be removed and this could go unnoticed. The manger and the member of staff who monitors medication administration agreed that immediate action would be taken to rectify this. The manager said that residents are offered the choice of looking after their own medicines, this was not recorded in the residents care plans are assessment information. Documentation to record this for the future was sent to the Commission shortly after the inspection visit. Residents said that they preferred the manager and staff looking after their medicines and said they felt safer with staff supporting them in this way. To make information more accessible to staff documents such as health care and medication records had been moved into a central area in the home. This means that visitors to the home could also have access to this information. The manager immediately considered alternative ways to store or limit access to this area. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Standards: 12, 13,14,15. Residents maintained contact with family and friends in the home and local community and the lifestyle in the home satisfied their social, cultural and recreational needs. Residents received a balanced diet in pleasant surroundings at times that suited them. EVIDENCE: Resident’s files and ongoing records in the home show that resident’s preferences and choices including recreational interests, were part of the homes initial and ongoing assessment of residents needs. The homes pre inspection questionnaire submitted to the Commission prior to the inspectors visit to the home, listed a range of activities available for residents and their families and friends. Including, an activities organiser who visits the home twice a week, bingo sessions, a residents computer, sightseeing trips, theatre trips and pub lunches. The manager and staff team worked throughout the year to provide events for residents to enjoy such as a barbeque garden party and a Christmas variety show that staff produced and took part in. A newsletter telling residents about forthcoming events was made Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 13 available to residents, friends and visitors to the home. The December addition gives information on residents meetings, Communion services and when the hairdresser and chiropodist are visiting the home. The survey forms completed on, our on behalf of residents consistently said that activities were provided and that they had a choice if they wished to participate in anything in the home or community. Residents consistently said that family and friends were welcomed in the home and survey forms complimented the homes manager for her good communication in keeping them informed and making them welcome. Two of the eleven survey forms completed by residents’ relatives said that there had been problems with the food and a lack of choice. The residents spoken too praised the food served in the home and said that there was a choice of what they eat. Residents described meals they had chosen and survey forms returned by residents said “meals and lunches are very good”, “meals are mainly excellent” and “the cook comes and checks with me if I require an alternative. Records including menu plans showed a variety of foods on offer and a record had been made when a resident had chosen something other than the menu. This would indicate that service users do have a choice of menu and are pleased with the food service in the home. The kitchen was clean and tidy. A member of the catering staff, was preparing meals and she confirmed that residents were offered a choice of meals, snacks and drinks. Staff training records showed that staff had received training in Basic Food Hygiene. Staff, were aware of good hygiene practices in the kitchen such as washing hands regularly and the need for cleanliness in the kitchen. Residents were observed eating in the homes dining room and in their own rooms and the residents said it was up to them where and when they eat. One residents survey said “ I always get a cup of tea when I want one”. The food presented appeared to be of good quality, good portion sizes and attractively put on to plates. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards: 16,18 Complaints were listened too, taken seriously and acted upon and the home protects service users from abuse including ensuring their legal rights are protected. EVIDENCE: Residents consistently said that they felt able to raise any concerns or worries with any of the staff or the manager. The survey forms received by the Commission also consistently indicated that the residents knew who to go to if they were unhappy with the care provided. A survey form completed by a relative said that their concerns had been “small” and they had been addressed by the manager, “who was cooperative and helpful”. Survey forms consistently said that relatives were aware of the homes complaints procedure. The manager also records complaints and the action taken to rectify or resolve any concerns or complaints. The home has a range of policies and procedures on how to deal with possible abuse and a complaints procedure is included in the homes service users guide. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards: 19,26 Residents lived in a safe, comfortable home. Resident’ rooms were comfortable, furnished with personal possessions and the home was clean, pleasant and hygienic. EVIDENCE: The provider had continued to purchase new furniture, in several areas throughout the home. This had improved the overall appearance of the homes lounge, dining and private residents rooms. One residents survey said that they had enjoyed being part of choosing the new furniture with staff. The manager confirmed that plans were in place to continue to update areas in the home as rooms became vacant. An ongoing record of repairs and day- today maintenance showed that staff identified areas that needed attention and the maintenance man acted quickly to rectify faults. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 16 On touring the premises the home appeared, clean and homely and personalised with residents personal affects. Residents said that they liked the home as it had a friendly family feel and staff survey forms said that the home had “a nice homely atmosphere” and was a happy environment to work in. Resident’s feedback forms consistently said that the home was always clean and tidy. The owner and manager had included the environment in their quality assurance system and risk assessments for the premises. Risk assessments included water temperatures, radiator guards and window restrictions. The manager said that she was continuing to review and update these documents. These documents are important as they demonstrate the action the provider, manager and staff have taken to ensure the safety of residents and for staff. Please also see standard thirty-eight Re; Health and Safety and the premises. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards:27,28,29,30 Resident’ needs were met by the numbers of staff and the skills of staff who were trained and competent to do their jobs. Residents were protected by the homes recruitment practices. EVIDENCE: The owner of Innisfree had past experience of running and managing care homes and had management qualifications in care, including the NVQ4 Advanced Care Management Award. This means she has the knowledge skills and experience to monitor and oversee the running of the home. The manager had continued with her formal education successfully completing qualifications in care up to and above NVQ level 5 and additional training also included the Registered Managers Award and NVQ Assessors award. This ensures that the manager and senior staff in the home has the knowledge and skills to inform staff and promote the health and safety of residents. Staff records showed that staff had continued to be trained in key areas such as first aid, manual handling and infection control. Certificates showing the training staff had completed were included in staff files or displayed in the home. Two staff files were examined and they included details of the training, supervision and induction of staff. Further plans for training was also Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 18 displayed on the homes notice boards. Staff training was recorded in a book and in staff individual files The manager did not have an ongoing record of staff training. An ongoing staff record would assist the manager in quickly identifying when staff needed training updates. The manager confirmed that ten staff had achieved or were working towards achieving National Vocational qualifications in care at levels two and three. The home had a core team of staff who had been employed at the home for some time (some years). When talking to staff it was clear that they had a detailed knowledge of the residents care needs and of residents likes and dislikes. Staff surveys also said that the staff “worked well as part of a happy team and on a real one to one basis with residents”. Staff files examined also included application forms and police checks and references. The staff application form made clear that convictions are not ‘spent’ under the Rehabilitation of offenders Act for those working in care. The application forms included questions about any past history of not being suitable to work with older people under the protection of vulnerable adults guidance. In addition the manager has introduced the development of set written interview questions with expected answers, employment contracts and job descriptions. This means that the home were making sure that staff employed in the home are suitable for working with vulnerable people. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards: 31,33,35,38 Residents live in a home, which is run and managed by persons who are fit to be in charge and residents benefit from their leadership and management. Resident’s financial interests, rights, health, safety and welfare are promoted and protected. The health, safety and welfare of residents was promoted and protected EVIDENCE: The manager and owner had a range of qualifications at NVQ level 4 and above, as well as practical skills, experience and regular updating on courses such as manual handling to ensure good standards of care for residents. Staff Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 20 and residents said that they benefited from the manager and owner’ leadership styles in the home, describing a friendly, relaxed atmosphere. Residents’ surveys said that the manager was “always cooperative and helpful” and that the home was “extremely well run and friendly”. The manager said that she was proceeding with the supervision and appraisal of all staff and this was documented in the staff files examined. At the last inspection the person in charge was not aware of the homes risk assessments for the premises and so could not confirm if water valves had been fitted to sink units to ensure water temperatures did not reach such a point that the water was hot enough to burn or scald residents. The manager confirmed that she had investigated and taken action to address this by informing staff through supervision and meetings where records were kept and by reviewing all sinks to make sure valves were fitted. One sink was not fitted with a valve device and the manager confirmed that this would be addressed. Shortly after the site visit the manager contacted the Commission and confirmed a valve was to be fitted. The manager confirmed that risk assessments for the premises and health and safety were being reviewed and updated. This demonstrated the managers’ commitment to ensuring the safety and welfare of staff and residents. Resident’ finances were managed through residents relatives or advocates acting on their behalf. The inspector examined financial records for any monies the home deals with and finances were clearly recorded and accounted for. The manager, owners and the staff team had continued to develop and extend a range of policies and procedures and a new quality assurance system to ensure the well being of residents. The quality system and the policies and procedures were tailored to suit the philosophy and approach of the home and there development had been linked to the best outcome for residents, with the involvement of staff and residents. This had also lead to the development of a number of things such as a key worker system and a board showing photographs of staff so that residents and relatives could identify staff and residents. This demonstrated the commitment the whole team continued to have in moving forward and in not only meeting the standards but in trying to meet all residents, relatives and visitors needs. In November 2005 the home was successfully in obtaining the investors in people award, this is an award that demonstrates the homes commitment to providing quality services. The owner provided to the Commission regulation twenty-six reports. This helps to inform the Commission of some of the day- to -day events in the home and demonstrated how the homes owner monitors practices and procedures in the home. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 21 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x 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 4 3 4 x 3 x x 3 Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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. 3 4 5 6 Refer to Standard OP7 OP9 OP9 OP30 OP38 OP38 Good Practice Recommendations Explore alternative assessment formats Up date the storage and recording of homely remedies such as cough mixtures and vitamins. Record the medicines waiting for disposal Develop a system for the recording of ongoing staff training Continue with the plans to review and update the risk assessments for the premises. Continue with plans to fit a valve device to the sink area to prevent injury through scalding. Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 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 © 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 Innisfree Residential Home DS0000064536.V291186.R01.S.doc Version 5.2 Page 24 - 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. 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