Inspection on 29/09/08 for Jasmine Court

This inspection was carried out on 29th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jasmine Court 29/11/06

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Jasmine Court 38-44 Nottingham Road Loughborough Leicestershire LE11 1EU     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Anthea Richards     Date: 2 9 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 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: Jasmine Court 38-44 Nottingham Road Loughborough Leicestershire LE11 1EU 01509265141 01509236361 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Jane Lavinia Lindley Type of registration: Number of places registered: Rushcliffe Care Limited care home 66 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Additional conditions: No person falling within the category of DE should be accommodated at Jasmine Court when there are already 22 persons within that category accommodated at the home No person falling within the category of MD should be accommodated at Jasmine Court when there are already 22 persons within that category accommodated at the home No person falling within the category of PD or PD(E) should be accommodated at Jasmine Court when there are already 30 persons within that category/combined categories accommodated at the home No person falling within the category of SI or SI(E) should be accommodated at Jasmine Court when there are already 6 persons within that category/combined Care Homes for Older People Page 4 of 29 22 22 0 30 0 Over 65 66 66 66 30 6 categories accommodated at the home No person under 35 years of age who falls within the categories DE, MD, SI or PD should be accommodated at Jasmine Court Rushcliffe Care Limited are registered to provide personal care with nursing at Jasmine Court to male and female service users who fall within the following categories :- Old Age, not falling within any other category (OP) 66 Dementia (DE) 22 Dementia - over 65 years of age DE(E) 66 Mental disorder - excluding learning disability or dementia (MD) 22 Mental disorder - excluding learning disability or dementia over 65 years of age MD(E) 66 Physical disability (PD) 30 Physical disability over 65 years of age PD(E) 30 Sensory Impairment (SI) 6 Sensory Impairment over 65 years of age SI(E) 6 The maximum number of persons to be accommodated at Jasmine Court is 66 Date of last inspection Brief description of the care home Jasmine Court is a purpose built residential care home (with nursing) situated in Loughborough, close to the city centre. It opened in August 2006 and specialises in the care of residents with dementia, providing both long-term and respite care. The home has 66 single bedrooms, all with ensuite facilities, arranged into six units. Each unit has its own large lounge/dining area and kitchen. There is also an activities room, a hairdressing room, and two secluded patio areas at the back of the home. The fees are negotiated dependent on care needs. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of a care home for older people with dementia, which ended with an unannounced visit to the service. Before the visit we [throughout the report the use of we indicates the Commission for Social Care Inspection], spent five hours reviewing information received by the Commission for Social Care Inspection [CSCI] since the last Annual Service Review the 21st February 2008. The visit took place on the 29th September 2008 and lasted eight hours. During the visit we checked all the key standards as identified in the National Minimum Standards. Care Homes for Older People Page 6 of 29 This was achieved through a method called case tracking. Case tracking means that we looked at the care provided to four of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents and their families. With their permission the residents bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality questionnaires. The policy for handling complaints and how the home dealt with them was looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We looked at the Annual Quality Assurance Audit [AQQA] that the home had sent to us. This describes the services provided at the home for the residents, how the home are hoping to improve services and statistics about the residents and the staff. We looked at the comment cards that we had returned to us from the residents and the staff. During the visit we spoke with the senior manager, the residents, the staff and families and visitors to the home. 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 8 of 29 Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 1, 2, 3. 6 is not applicable in this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents needs are always assessed before moving into the home and they have good information to help them make the right choice about the home. Evidence: The residents who were case tracked told us that they had seen the Statement of Purpose and had been given the terms and conditions. The Statement of Purpose and Service Users Guide gave people the information that they needed to know to help them make a decision about the home. Providing a comprehensive Statement of Purpose & Service Users Guide gives the Care Homes for Older People Page 11 of 29 Evidence: residents good information, making sure that they they can get the most suitable care. The manager or a senior member of staff always visits prospective residents before they are admitted to the home and there is a thorough pre admission assessment form in place. This was seen in the care plans looked at and confirmed by the residents and the families spoken with. This makes sure that that the manager and the staff in the home have the the right information before the resident is admitted, so that they can get the best care. It makes sure that the home can meet the residents needs and that the resident meets someone from the home who they can recognise. This makes the move into care easier to manage for them. The families spoken with confirmed that they were given the opportunity to visit the home before their relative came in and were able to have a meal at the home. Residents are given the opportunity of coming for a trial visit. Members of the staff spoken with said that they always knew what the residents, needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection [CSCI] was displayed in the entrance of the home with an up to date insurance certificate. The latest report from the CSCI was available in the managers office. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 7,8,9,10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff are not always able to meet the care needs of the residents, where they can, it is with privacy, dignity and respect. Evidence: All of the case tracked records were found to contain good individual evidence of the care being given to the residents and reflected the care that the residents needed. There was evidence that the residents or their relatives have been involved in planning the care. The residents and the families spoken with told us about the care that they needed and that they were mostly happy that they received it, although it may be delayed because of lack of staff. They told us that there was often a shortage of staff but that Care Homes for Older People Page 13 of 29 Evidence: the staff that were there were excellent and did their best. There were risk assessments in place identifying any risk and how to manage it without restricting the residents activity. There are records of the involvement of G.P.s, district nurses, chiropodist, optician, dentist, dietician and speech and language therapist where needed in the care plans, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor and other health professionals when they needed to. There was evidence that the care plans are regularly reviewed and the residents and the families spoken with confirmed that they had been involved and were aware of the care to be given and that they were happy with it. The daily record of care was up to date and contained details about the residents day. Fully completed daily records make sure that the residents receive the right care and the staff know what has happened to them during the day or night. The registered nurses complete all of the care plans and these are kept in the managers office. This means that the care staff giving the care do not have easy access to the residents needs and the risk assessments. This information is passed on by mouth at hand overs. The care staff have a folder with tasks and tick sheets in them to record what has happened to the resident during the day or night. Care staff should have the care plans available on the floor where they are working so that they can record information directly into them and can look at the residents needs and how to handle any risks. We saw residents being treated with dignity and respect when staff spoke with them and undertook their care, particularly when moving them. They were seen to be knocking on the residents bedroom doors before they went into them. The staff sat down with the residents and spoke with them individually. Staff spoken with told us that they were happy at the home but often felt under pressure to give the residents the right care as they were short of staff. This could lead to the residents needs being given to suit the staffing levels and not when they want it, for example going to bed earlier than they would like to. We saw residents having to wait to be taken to the bathroom, being left in wheelchairs asleep and two with very dry and cracked mouths. There are records of the residents meals and drinks that make sure that the residents Care Homes for Older People Page 14 of 29 Evidence: are eating and drinking properly. There are records of the residents weight, which makes sure that they are not losing or gaining large amounts of weight. The staff spoken with were aware of the care needs of the residents and the residents and the families spoken with were happy that care needs were being met, although not always at the time that they needed them. This was confirmed in the comment cards received by the Commission for Social Care Inspection and in the AQQA. Comments from the residents included The staff are very kind Medication records for the case tracked residents were in order. Medicines are given by the registered nurses who have regular updating in medicines. We saw that the medicines were administered individually and the residents were seen to be taking them. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The manager carries out a monthly written audit of the medicines and the medicine sheets to make sure that they are correct. The controlled [dangerous] drugs and records were checked and found to be in order. There was a self-medicating policy in place but there were no residents looking after their own medicines at that time. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 12,13, 14, 15. Quality in this outcome group is good. This judgement is made using available evidence including a visit to the service. The residents enjoy the activities that are available and have their spiritual and nutritional needs met. Evidence: A member of staff was seen to be doing an exercise class with some of the residents. She was later seen to be asking them whether they wanted the television or music on and they were asked whether it was loud enough. She then spent time with them discussing the film with them. Where they could, the staff were seen to be spending individual time with the residents. The staff, the residents and the families spoken with told us that they did have activities and that they were happy with the amount, but that they didnt always happen because of staff shortages. There was evidence in the daily records and in the care plans about the activities that Care Homes for Older People Page 16 of 29 Evidence: the residents take part in. The activities organiser has left and the senior manager told us that they were looking for someone to replace her. All the families spoken with said that they were made very welcome in the home, which we saw whilst we were there. The home had a lot of visitors on the day of our visit. The residents spoken with said that the food was good and that they had a choice of what they had. The menus were varied and were discussed with the residents at residents meetings. Comments made by the residents included: The food is very good and we get a choice We spoke with the residents during their lunch and their supper, which was served attractively and they told us that they were enjoying. One carer was trying to cope with serving and helping people with their meals. She was excellent with them but was struggling to cope. There were visitors in the lounge who were helping their relative to eat, which helped her. Meals are provided for people with different needs such as vegetarian,soft, diabetic and any ethnically different wishes. The hairdresser visits for at least two days a week, which the residents said that they appreciated. Care Homes for Older People Page 17 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. 16, 18. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. There are systems in place to support and protect residents and staff are aware of the processes. Evidence: There is a complaints policy in place which gives the details of how to complain and who to complain to in the home if they needed to. This could be made available in a large print and other languages if it was needed, which would make sure that as many people as possible could read it. The home has received one complaint since the last Annual Service Review on 27th February 2008. The Commission for Social Care Inspection have received no complaints in this time. The home did not respond to the complaint in writing or within the required time limit. The complaints policy was not on display in the home. The residents and the families spoken with were aware of the policy, of how to complain and who to complain to. They were happy that their concerns would be listened to and acted on. The staff spoken with were aware of how to handle any complaints. Care Homes for Older People Page 18 of 29 Evidence: The staff spoken with were able to describe how they would deal with an allegation of abuse, knew the areas where abuse could happen and could describe the process that they would go through if they suspected any abuse. They confirmed that they had had training in safeguarding adults and whistle blowing and the manager and the records seen supported this. They were confident that the management would handle any issues correctly. We looked at the accident book, which had been completed correctly. These practices make sure that the residents are safe from any abuse. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 19, 23, 24, 26. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. The residents are protected by the policies and procedures in the home to provide a safe environment. Evidence: Jasmine Court is a large purpose built home on the outskirts of Loughborough. The home was clean, bright and welcoming on our arrival. There are bedrooms, lounge/dining rooms on all of the three floors. The first and second floors can be reached by the stairs or by the lift. The lounge/dining rooms were clean, bright and well decorated, with suitable seating for the residents. All of the bedrooms seen were found to be clean and well decorated, they were not all very well personalised. The families could be encouraged to bring personal items in to make the rooms more familiar for the resident. All of the bedrooms had en-suite facilities that included a shower. The residents spoken with were happy with the size of their rooms and the en-suite. Care Homes for Older People Page 20 of 29 Evidence: There was evidence of equipment in the home to help the residents, such as wheelchairs, special mattresses and hoists. There was a good provision of bathrooms in the home and these were found to be clean and clear of any items that could cause a hazard for the residents. Many of the curtains in the home were coming off the rails and we were told that they were having difficulty finding the right hooks. This makes the residents rooms and the lounges look uncared for. There two patio areas with tables and chairs that were easily reached by the residents and made a pleasant place to sit and walk for them. The residents and the families spoken with were happy with the cleanliness of the home, and told us that the staff worked hard to keep it clean. There are staff employed to complete the cleaning in the home and they have had training in health and safety. The cleaning products are stored in a locked cupboard, which we saw. This was confirmed by the staff spoken with and by the senior manager. The records for hot water testing were up to date and all the temperatures were within the recommended levels. The fire records for alarm testing and drills could not be found on the day of the visit, but the senior manager has sent them to us since the visit and they were found to be up to date. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 27, 28, 29, 30. Quality in this outcome group is adequate. This judgement is made using the available evidence including a visit to the service. The recruitment policy meets the residents needs and protects their safety. The training and staff numbers do not always meet the residents needs safely. Evidence: We looked were unable to look at the staff files on the day of the visit and we will make a visit to the main office to look at the files for the whole Rushcliffe group. However, Rushcliffe have always managed their recruitment of staff professionally and obtained all the correct information before employing staff. Staff spoken with confirmed that all the checks and paperwork had to be in place before they were employed. The senior manager told us about the recruitment process, which confirmed the correct process was in place. Some of the care staff spoken with told us that they had a good induction and worked with a senior member of staff for a period of time until they were confident to work on their own. This was confirmed by the surveys returned to us by the staff. The trained staff did not have the same induction period and were not always given a mentor to Care Homes for Older People Page 22 of 29 Evidence: help them in their first few weeks. We received this information from staff on duty on the day of the visit and from the surveys returned to us. All the staff, residents and families spoken with and in the surveys told us that there was always a shortage of staff. On the day of the visit there were not enough staff on duty to care for the dependency of the residents. There were three on each floor to care for 22 residents all with dementia, some of whom had challenging behavior needs. The main area where we were had two staff for most of the time as the nurse was involved with a review of a resident. The staff on duty were excellent and coping to their best ability. We were told that the manager felt that there was a safe level of staff on duty, although not the ideal number that they would like to have. The roster for that night was one short of what they felt was a safe level of staff, a further member of staff was found to work whilst we were there. Rushcliffe are currently trying to recruit staff. Information from them since the visit says that they have successfully recruited some more staff. There was a mixed response to the training that the staff have received. Most of them told us that they have had training in moving and handling, safeguarding and first aid. Two staff told us that they had not received an induction although others told us that they had, both on the visit and on the surveys. Training records seen, showed that there had been training arranged and that staff had attended. The level of National Vocational Qualification is well below the required level of 60 of staff having completed it. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 31,32,33,35,36,38. Quality in this outcome group is adequate. This judgement has been made using available evidence including a visit to the service. The residents needs may not be met by the management and staffing practices in the home. Evidence: The registered manager, who is an experienced manager and who has managed the home for many years, was not available during the visit. The manager has completed the registered managers award and is registered with the Commission for Social Care Inspection. The senior manager and another member of the management team were available throughout the visit. Care Homes for Older People Page 24 of 29 Evidence: There are regular meetings held for the residents and for their families, to discuss activities and menus in addition as to how the home is meeting their needs. There is an annual quality questionnaire sent to the residents and their families and the questionnaires that we saw on the visit confirmed this. The families and the residents told us that they had completed the questionnaires. We received positive comments from the residents and the families at the visit and through the surveys sent to them among st which were that the staff were very supportive of them and their relative. The residents and the families spoken with and those who returned the surveys all told us that they very rarely saw the manager. The staff told us that she was not often available to see them. The residents accounts were seen and all in order. There was very little evidence from the staff spoken with and from the surveys returned to us, that they are having regular, formal supervision with their line manager. We were told that the records were unavailable, as the manager was not there. The trained staff told us that they were to have training so that they could complete supervisions for the staff. Formal supervision of the staff gives them and their line manager the opportunity to discuss work and training issues and needs. There are regular staff meetings held, which was confirmed by records held and by the staff spoken with. The staffing levels in the home means that the residents could be at risk if a major incident such as a fire happened at the home. All the areas of health and safety such as hot water temperatures and fire drills and alarm testing were found to be in order. 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 27 18 [1][a] That adequate 31/10/2008 numbers of staff are on duty at all times. To make sure that the residents are kept safe and that they receive care when and how is needed. 2 30 18 [1][c][i] That all the staff receive both training applicable to their role and are assisted in achieving a National Vocational qualification at least at level 2. To make sure that the residents are cared for by staff who have training relevant to their needs. 31/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 That the staff caring for the residents record information directly into the care plans. Page 27 of 29 Care Homes for Older People 2 3 4 5 6 7 8 12 16 16 That the care plans are readily available to the staff who are working with the residents. That the staff are at all times able to meet the needs of the residents. That dedicated activity hours are provided to each residents lounge area. That the complaints policy is made available to all residents and visitors. That a system is put in place to make sure that complaints and concerns are responded to within the prescribed time limits and are documented. That adequate, suitable, supplies of curtain hooks are obtained. That the residents families are actively encouraged to personalise their bedrooms. That the manager makes herself more frequently available to the residents, families and the staff. That the manager makes sure that she makes sure that her responsibility to wards the staffing levels are met. That the manager puts a programme of staff supervision in place that meets the required frequency. 7 8 9 10 11 19 24 32 33 36 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!