Inspection on 04/10/07 for Keller House

This inspection was carried out on 4th October 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.

Other inspections for this house

Keller House 29/08/06

Keller House 06/12/05

Keller House 12/05/05

Keller House 11/01/05

Keller House 15/06/04

Keller House 03/06/03

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

CARE HOMES FOR OLDER PEOPLE Keller House 52 Carew Road Eastbourne East Sussex BN21 2JN Lead Inspector Elizabeth Dudley Key Unannounced Inspection 4th October 2007 09:45 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 Keller House DS0000021145.V348600.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. Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Keller House Address 52 Carew Road Eastbourne East Sussex BN21 2JN 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) 01323 722052 01323 722052 Mr Twalebuddeen Durgahee Mrs Erlinda Durgahee Mr Twalebuddeen Durgahee Mrs Erlinda Durgahee Care Home 15 Category(ies) of Dementia - over 65 years of age (15) registration, with number of places Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fifteen (15). That only service users with a dementia type illness may be accommodated. 29th August 2006 Date of last inspection Brief Description of the Service: Keller House is registered to provide care and accommodation for fifteen service users that meet the registration category of older people with dementia. Conditions of registration will be reviewed by the South East regional registration team as part of the ‘Modernising registration Agenda’. It is a large detached house situated approximately ¾ of a mile from Eastbourne town centre and the train station. The home comprises of eleven single bedrooms and two double bedrooms. There is a large lounge area, a separate dining room, which is situated next to a compact kitchen. On the lower floor there is a conservatory, which leads out to a natural garden. To the front of the house there is a patio area. There is a passenger lift and a stair lift that allows level access to all areas of the home. Copies of inspection reports and the homes Statement of Purpose are made available only if requested. Fees charged as from 1 April 2007 range from £404-£430, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Keller House DS0000021145.V348600.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 on the 4th October 2007 over a period of four hours and was facilitated by Mrs Durgahee, manager and owner (the provider). Prior to the inspection ten comment cards were sent to residents and relatives of residents and two to health care professionals. Of these a total of five were returned from relatives of residents and one from a health care professional. The comments received were about the home were very positive, with relatives saying ‘ the home is always clean and well cared for, a credit to the staff’; ‘I cannot fault the care and attention to the residents by all the staff I feel (the resident) is fortunate to be here’. ‘ Always someone available to help, meticulous supervision, good activities and meals, and I am very satisfied with the care and attention (the resident) receives. A health care professional stated that ‘residents always receive the care needed’. During the inspection a tour of the home took place and four residents, three visitors to the home and two members of staff were spoken with. Various documentation, which included care plans, medication records, menus, staff personnel files and training records were examined. What the service does well: Keller House provides personal care for 15 people with mental health illness of the older person in a homely and relaxed environment. Routines in the home are flexible and based around the resident’s wishes, allowing choice within the daily activities and life in the home. A programme of activities is provided and this is based on the type of activities that the older person would pursue in their own homes. Board games, knitting, crosswords and outings to the local shops, park and pub are offered, with residents taken to the sensory garden in the sister home owned by the providers. Those residents who enjoy gardening are encouraged to help and others are able to do small tasks around the home if they wish to do so. Care planning identifies all the physical, psychological and social needs of the residents and provides clear instructions to staff on how to deliver the care to Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 6 meet these needs according to the preferences of the individual. Health care professionals visit the home as required. Relatives said that the home ‘ gets medical and nursing attention to the resident very quickly’ and ‘ they provide a good level of care’. Catering is based on home cooking with plenty of fruit and vegetables offered. The menu offered the choices of food in line with the tastes of the generation cared for whilst being sufficiently flexible to allow for alternatives to the offered meals. Residents said that they enjoyed the food. The home is very pro-active in providing staff training and giving staff the opportunity to undertake specialised dementia training at both the lower and higher level to ensure that they are able to provide an understanding of the psychological processes of these residents. The manager has produced pictorial questionnaires for residents, which help them make their views about the service offered known to the management and staff. The results of these have been acted upon to improve the services offered. Staff turnover is low which ensures that residents experience a continuity of care from staff that are familiar with their needs and with whom they have formed a bond. What has improved since the last inspection? What they could do better: Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 7 The Service User Guide is not produced in a format that is suitable for residents to read and understand. As the service user guide includes information for residents about the life of the home, it would be of benefit if some thought were to be given to the presentation of this. Risk assessments for all residents, especially for those who perform small tasks around the home should be put in place. Auditing of medication on a regular basis should be commenced especially with the drugs, which are in the category of Controlled drugs; this is essential to ensure resident safety. The staff and manager should demonstrate that they are monitoring safety around the home on a daily basis. Staff must not commence work at the home until all documentation required by the regulations is in place in order to fully safeguard the residents. Whilst outcomes on the services provided to residents are good, three immediate requirements in the outcome areas of health and personal care, environment and staffing have been made on the home in the report, which pose a high level of risk to residents. The manager demonstrated that she will address these and these will be followed up at the next inspection. 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. Keller House DS0000021145.V348600.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 Keller House DS0000021145.V348600.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 People who use the service experience good quality outcomes in this area. Prospective residents have sufficient information to enable them to make an informed choice over whether they wish to live at the home. The service user guide does not provide information in a suitable format for the residents in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide; all residents have a copy of the Service User Guide. Both documents include the information that is required by both the National Minimum Standards and associated regulations, the Service User Guide does not include information relating to the daily life in the home and is not produced in a format suitable Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 10 for residents live in the home to read and understand easily. This was discussed with the manager. All residents or their representatives are in receipt of a copy of the terms and conditions of residence that meets the standard and regulations. Prospective residents have a thorough preadmission assessment by the manager or a senior carer to establish their needs and whether the home can meet these. They and their representatives are encouraged to visit the home and resident are admitted initially on a four week trial period, this ensures that they have the time to decide whether the home is the place they wish to live. Residents admitted on an emergency basis also receive have a full assessment process prior to their admission. The home admits residents for respite care but not for intermediate care. Keller House DS0000021145.V348600.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. People who use the service experience good quality outcomes in this area Care plans give clear instructions for care to be given to meet the assessed needs of the residents. Practices in the administration of medication whilst generally safeguarding residents, require further attention to ensure that pharmaceutical legislation is met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans (33.5 ) were selected and examined in depth. The standard of care planning reflected the current and changing personal care, psychological and social needs of the residents. Nutritional and general health needs were addressed and care plans had been reviewed on a regular basis and gave information to care staff providing the care to address the assessed needs. Not all care plans showed evidence of being formed in consultation with Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 12 the residents or their representatives and the manager said that this would be done. Care plans included any communication difficulties residents may have and how to address these and included factors which may trigger challenging behaviours and how to minimise this. There was evidence of visits by other health and social care professionals including General Practitioners, district nurses and psychiatric specialist nurses. Risk assessments were needed both in relation to a bed stabilising bar and also for a resident who takes an active part in the daily life of the home. All care staff that administer medications have the appropriate training and policies and procedures relating to medication issues were in place. The administration and general recording of medication safeguarded the residents. The controlled drugs record showed that there was a shortfall in the amount of the corresponding medication, which is treated as a controlled drug. An immediate requirement was made to the manager to look into this and to contact the dispensing pharmacist. The recording of controlled drugs should be carried out in a manner which allows for any errors to be seen easily and should follow pharmaceutical guidelines. During the inspection the residents were seen being cared for with respect and kindness and their dignity being protected at all times. Keller House DS0000021145.V348600.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15 People who use the service experience good quality outcomes in this area Residents are able to make choices in how they wish to spend their day and there are opportunities for participation in activities and outings. A choice of menu ensures that residents benefit from a nutritious and varied diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Comments received from both visitors to the home and residents, and entries in care plans, showed that residents benefit from a flexible lifestyle within the home and that their choices and preferences over activities of daily living are met wherever possible. Care plans show the preferred times of getting up in the morning and going to bed at night. Residents were engaged in an exercise session during the morning of the inspection and the activities programme showed that a range of activities is on offer which includes some crafts such as knitting and drawing, visits to the Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 14 shops, park and local pub and visits to the sister home in the group to allow residents to do gardening and benefit from the sensory garden there. There is an open visiting policy with visitors coming in throughout the day. Ministers of religion are called in if residents wish to see them, but no regular visits or service. The menu provided was varied and listed alternative choices to the main meal. Residents are made aware of what is on the menu by care assistants on that day to facilitate their memory of this, there is also a menu on the table in the dining room. Residents spoken with said that they enjoyed the food and the meal seen at the inspection was well presented with the emphasis on home cooked food and a variety of vegetables. Residents can have second helpings if they require and there is a choice of dessert. Snacks and drinks are available all day and jugs of squash were available in the lounge. A comment from a relative of a resident stated, “Staff spent much time sitting with her and encouraged her to eat and now she has recovered her appetitewonderful”. Keller House DS0000021145.V348600.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good quality outcomes in this area. Residents and their representatives confirmed that they would feel comfortable raising a complaint and that this would be dealt with in a professional manner. Staff and management were aware of their responsibilities in the safeguarding of those in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints policy, which is displayed in the home and included in the Statement of Purpose and Service User Guide, these need amendments made to the contact details for the CSCI. There has been one minor concern relating to heating in the home made in the past twelve months. Records of past concerns and complaints identified that investigations and responses were thorough and within recommended time scales. Comment cards received from residents and relatives said that they knew how to make a complaint if necessary, and relatives spoken with during the day said that they would feel comfortable with making a complaint and sure that this would be dealt with in a professional manner which would not compromise the residents care. Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 16 There have been no adult safeguarding issues and management and staff have received training both in safeguarding those in their care and the correct reporting protocols. Staff spoken with were aware of their responsibilities towards the residents. Keller House DS0000021145.V348600.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24.25,26 People who use the service experience good quality outcomes in this area. Keller house provides a pleasant, comfortable and clean home for the residents. Improvement to the garden area will, once completed, add to the resident’s enjoyment of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is generally well maintained and decorated throughout. There is a large garden to the rear, which is in the process of being landscaped; the provider intends to provide a sensory garden and a water feature. A pleasant conservatory from the ground floor accesses this. There is a large paved Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 18 garden area to the front of the property, which has tables and chairs for the use of the residents. Communal accommodation consists of a large lounge and a separate dining room. Residents have been provided with portable call bells and the provider states that call bells are provided in both the lounge and dining room. Resident’s individual accommodation is pleasantly decorated and furnished, with residents being encouraged to bring in personal possessions including furniture if they so wish. All rooms have a lockable door and a lockable drawer, with residents given keys if able to use them within the auspices of a risk assessment. One radiator cover was found to be broken and could result in residents being at risk from laceration or burning, and an immediate requirement was made about this. Water temperatures of the residents outlets are monitored on a regular basis by either the maintenance person or the manager, records showed that these were kept within recommended parameters. There are sufficient toilet, washing and bathing facilities to meet the needs of the residents. One WC on the first floor does not have a hand wash facility, either this should be provided or its use monitored. This was discussed with the manager at the last inspection and she said that action to address this would now be taken. A bathroom on the ground floor is out of order and the manager said that this would be repaired in the near future. Specialised equipment to encourage independence is provided e.g. handrails in bathrooms, hoists, wheelchairs and lifts to all areas of the home. A call bell facility is in place. Polices and procedures for infection control are in place and the home was clean, and with the exception of one room, free from offensive odours on the day of the inspection. Relatives spoken with and questionnaires received said ‘The home is always fresh and clean’. “ The home always looks lovely”. Keller House DS0000021145.V348600.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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience adequate quality outcomes in this area Staff are employed in sufficient numbers and with suitable training to meet the needs of the residents. The homes recruitment systems do not sufficiently safeguard residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff rotas and discussions with staff showed that there were sufficient staff on duty over a twenty-four hour period to meet the needs of the residents in the home. Two care assistants, one sleeping and one waking are on duty over night, and the manager is on call for any emergencies or queries. Care staff are supported by catering, domestic and maintenance staff. Staff complete a local induction course on commencing at the home, but the ‘Skills for Care’ recognised induction course is in the process of being implemented. The home is pro-active in providing ongoing training for staff and this is undertaken at regular intervals, training records identified that mandatory and Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 20 other training including safeguarding and dementia training has been put in place. Catering staff have the ‘Food Hygiene Course’. One member of staff (14 ) has the National Vocational Qualification level 2 and 3 in care, with three other staff now signed up to do this. Four staff records (60 ) were examined and these with the exception of one member of staff. contained all documentation as required by the regulations. A member of staff did not have a Criminal Records Bureau check relevant to the home and an immediate requirement was made relating to this, the manager must ensure that residents are safeguarded until this has been received. The manager was also informed that no member of staff could work without a Criminal Records Bureau check or Protection of Vulnerable Adults First check relevant to the home being in place. One new member of staff commenced at the home recently and came into the home prior to the Protection of Vulnerable Adults first being obtained to do induction only, the manager gave assurances that she had not been involved in caring for residents or been on a one to one basis with residents. Keller House DS0000021145.V348600.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36,37,38 People who use the service experience good quality outcomes in this area The management of the home ensures the safety of residents, visitors and staff. Regular monitoring of the services provided, and listening to views of residents and their representatives, ensures that services offered by the home meet the expectations of those living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is the co owner of the home; she has qualified in the past as a registered mental nurse, but due to present duties has given up her Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 22 registration with the Nursing and Midwifery Council. She is in possession of the National Vocational Qualification level 4 in care and Registered Managers Award and is registered as manager with the CSCI. She works at the home on a daily basis and is supernumerary to the care staff. The atmosphere in the home is relaxed, friendly and routines were seen to be flexible. The home sends out questionnaires on a six monthly basis to relatives of residents and to residents that would be able to fill them in. The manager has implemented a good questionnaire for those residents with limited cognitive ability which asks a question in simple format and then provides picture answers of happy/sad faces for the residents to mark; several responses had been gained using this method. The manager changes the services provided by the home in response to information gained from the questionnaire. The Annual Quality Assurance Assessment was received within the required dates and whilst parts of this accurately identified what was taking place in the home, the information was in places insufficient to give adequate information about this. This was discussed with the manager. Staff meetings take place three monthly and staff are receiving supervision on a two monthly basis. The manager is a co-owner of the two homes in the group, but as this is a partnership this requires that monthly visits are undertaken by one of the partners, It was recommended at the last inspection that the managers (coowners of each home) visit each other’s homes to inspect them, but this has not commenced, this has now been made a requirement. Reports generated from this visit should be made available to the CSCI at inspection. Policies have been regularly updated and revised as required. The servicing of utilities and equipment has been undertaken apart from the electrical wiring certificate, which is now due, and the home is waiting for this to take place. There is a fire risk assessment in place and doors are kept open by devices, which respond to alarm in the event of fire. Risk assessments around all areas of the home are required and the manager said that these would be undertaken. No Regulation 37 (incident reports required by the CSCI on events affecting residents) have been received by the CSCI for residents following accidents requiring hospital attention. The manager says she will commence these. Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 23 The door to the lower ground floor was left unlocked, which is contrary to the policy within the home, and could result in residents falling down stairs, the manager will address this. The manager was able to demonstrate that she would address the areas posing a high level of risk to residents, which resulted in three immediate requirements being made in the report, and these will be followed up at the next inspection. Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 24 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 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 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 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 3 3 Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 25 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 OP7 OP38 Regulation Reg 13(4) Requirement That risk assessments are put in place relevant to the implementation of bed rails and to safeguard residents in all areas of care and daily life in the home. Timescale for action 01/11/07 2 OP9 Reg 13(2) That the dispensing pharmacist is contacted regarding the shortfall in a medication treated as a controlled drug within the home. 07/10/07 3 OP29 Reg 19.Sched 2 4 OP38 Reg 13(4) That no member of staff 04/10/07 commences employment at the home prior to a Protection of Vulnerable Adults First check and Criminal Records Bureau check relevant to this service being obtained. That the manager ensures service users are safeguarded prior to the Criminal Records Bureau check being obtained relevant to a specific staff member That the radiator cover discussed 04/10/07 DS0000021145.V348600.R01.S.doc Version 5.2 Page 26 Keller House 5 OP36 Reg 26 (a) in the main body of the report is made safe to prevent service user injury from laceration and burning. That one of the partners shall undertake visits to the home once a month in accordance with the regulation and prepare a written report on the conduct of the care home. 30/11/07 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. Refer to Standard OP1 Good Practice Recommendations That an up to date service users guide be available to residents and their representatives in a format suitable for the category of resident cared for in the home. Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Keller House DS0000021145.V348600.R01.S.doc Version 5.2 Page 28 - 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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