Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Kingston Nursing Home Kingston House 7 Park Crescent Leeds Yorkshire LS8 1DH The quality rating for this care home is:
two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paul Newman
Date: 0 9 0 2 2 0 0 9 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. that people have said are important to them: They reflect the things 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 28 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 28 Information about the care home
Name of care home: Address: Kingston Nursing Home 7 Park Crescent Kingston House Leeds Yorkshire LS8 1DH 01132666520 01132664171 kimmahachi@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): B & C Holt Limited Name of registered manager (if applicable) Mrs Kim Mahachi Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: One specific service user in the category DE, named on variation dated 2nd February 2007, may reside at the home. The place for PD is for the service user named in the variation application dated 3 April 2006 Date of last inspection Brief description of the care home Kingston House is a thirty seven bedded care home for older people situated in the north of the city of Leeds and provides nursing care. The bedrooms are located over four floors; these are accessed by a passenger lift and are a mixture of single and double rooms. Assisted bathing facilities are available as is other specialised Care Homes for Older People
Page 4 of 28 care home 37 Over 65 10 37 0 0 0 1 Brief description of the care home equipment. The home operates a no smoking policy. The home is off the main road but regular bus services are in operation. There is parking available at the home for visitors with cars. There are gardens to the front and side of the building and a conservatory has been added to the rear. A statement of purpose and service user guide are available from the home that give details about the facilities and services provided. The information provided at the time of the inspection visit in February 2009 detailed the weekly fees to be ranging from four hundred and forty four pounds to five hundred and fifty three pounds depending on whether the funding is provided by the Local Authority or privately funded. These figures do not include funded nursing care for which an assessment is made. Additional charges are made for hairdressing, private chiropody and outings. Fees are subject to annual review and more information should be sought directly from the home. Care Homes for Older People Page 5 of 28 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is an overview of what the inspector found during the inspection. The quality rating for this service is two star. This means that the people who use the service experience good quality outcomes. The accumulated evidence in this report has included, the previous inspection report, information we have received from the provider since the last inspection, what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement, relevant information from other organisations and information from people living at the home, relatives, staff and other health care professionals. Care Homes for Older People
Page 6 of 28 One inspector made an unannounced visit to the home that lasted seven hours on 9 February 2009. Before the inspection visit, we asked the manager to complete an Annual Quality Assurance Assessment (AQAA). This is a self assessment that if completed thoroughly, should tell us how the home is meeting National Minimum Standards, where we can find the evidence for this, what improvements have been made since we last inspected and what improvements are planned in the next year. The AQAA was returned on time and completed well and helped us to plan for the inspection visit. During the visit a number of pre selected documents were looked at and most areas of the home used by people living there were inspected, including some bedrooms. Apart from spending time with the manager, a good proportion of time was spent speaking with staff, visitors and people living in the home. Time was spent in communal areas watching what was going on and checking how the staff cared for and supported people. Surveys were sent out prior to the inspection to a proportion of people living at the home, staff and health care professionals. Feedback was provided to the manager and deputy manager at the end of the visit. What the care home does well: What has improved since the last inspection? There were eleven requirements at the previous inspection and all of these have been addressed. The service user guide has been reviewed and updated. Care plans are much improved and contain good information about peoples lifestyle preferences and choices and the plans checked during the visit showed risk assessments to be up to date. Problems with securing the services of a dentist are now resolved and the plans checked showed that people had been seen. There are now self medication risk assessments, consents to store and administer medication and the storage of medication has been made secure. Peoples ethnic and cultural needs are taken account of and there was evidence of special menus for people with Asian origins. Records are securely locked away and the issues relating to health and safety including fire safety have been addressed. Recruitment and selection records fully demonstrate that the home protects people by making all the necessary checks. In addition, staff training has been ongoing with regular updates of safe working practice training and further progress in the number of staff achieving National Vocational Qualifications. There has been additional specialist training and the home has been taking part in a Department of Health study into reducing infections like MRSA and has benefited from additional training and auditing associated with this. The activities programme has been extended. Dining arrangements have been improved to maximise people abilities and independence and give more time for staff to assist less able people. Work is underway to provide a sensory garden, a safe haven for people to enjoy during the good weather, with a particular focus on people with dementia. Care Homes for Older People Page 8 of 28 In the entrance hall, there is now an electronic announcement and information screen for people and visitors. This keeps them up to date with events and activities and provides other general information for visitors new to the home. There is also a staff information board that gives visitors a photo and job role of each member of staff so that they know who each member of staff is and what they do. Some of the improvements have come as a direct result of suggestions from people living at the home and their relatives. 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 9 of 28 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 28 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. People can decide to live at the home based on up to date and accurate written information that is available and visits to the home so they have a clear picture of the services and facilities provided. People are properly assessed before admission so all concerned can be sure the home can meet their needs. Evidence: The home has a statement of purpose and service user guide and followed advice given at the previous inspection and reviewed the documentation. Copies of the guide were seen in peoples rooms. Relatives spoken with said that they had been encouraged to visit the home and felt that they had been given good information. Surveys returned also indicate that people feel they had been given enough information.
Care Homes for Older People Page 11 of 28 Evidence: Three peoples care plans were checked to see if the home carries out good assessments before admission. These were chosen for specific reasons that included pressure area care and people from ethnic minority origin. The home uses easy care documentation as part of the assessment process but also carries out its own assessment. Before a decision is made about whether a person lives at the home, the information is carefully considered and it was good to see that this includes peoples ethnicity and cultural needs. Families and people are involved in the assessment process. The files checked showed that the right information is sought to make sure peoples basic and special care needs are known. One person had only been admitted to the home the day previously but there was a basic care plan in place based on the pre admission assessment and this was supported by risk assessments. The home does take emergency admissions from time to time and there are policies and procedures in place for this to make sure that essential information about the person is known. Care Homes for Older People Page 12 of 28 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People get the care they need and the care plans provide sufficient information and guidance to staff on how to meet peoples needs. People get the support and treatment of specialist health care professionals when they need it. People are treated with respect and live in a dignified way. Evidence: The three care plans that were checked showed that information from the pre admission assessment had been accurately used to complete a care plan and that the person or their relative had been involved and agreed the plan of care. Although the pre admission assessments could have been more detailed about peoples lifestyle preferences and choices, the care plans themselves contained good detail and in one case this even included the number of sugars the person liked in the cup of tea. Attention was also given to peoples ethnic and cultural needs in one of the care plans
Care Homes for Older People Page 13 of 28 Evidence: seen for a person of Asian origin. The plans seen addressed individual health, personal and social care needs and were supported by a range of risk assessments. The written guidance for staff to follow was clear. Nutritional screening is done and there was evidence of monthly weight checks or more often if necessary. One of the care plans checked was for a person who had risk of pressure sores. The equipment provided for this was checked and was working efficiently. Care and treatment was being given as outlined in the plan. There was evidence in the care plans of contact with health care professionals including psychiatric services, doctors and regular routine optical, dentistry and chiropody. One survey returned by a Doctor suggested that the home does well in meeting the complex needs of people, but also suggested that some very demanding people had been admitted who placed strain on care staff and other people living at the home. This should be considered by the manager when making assessments. The Doctor also suggested that whilst the manager and deputy manager are competent and understand the issues pertaining to residents, if they are both away the other staff sometimes lack perspective. This was discussed and the manager felt that this is a matter of nurses confidence in their own abilities and is being addressed through ongoing supervision. The team who carry out reviews for people receiving funded nursing care payments was contacted following the inspection visit and commented that risk assessments and care plans were generally complete and up to date but on occasion behavioral care plans have not been in evidence or insufficient in detail for clients with behavioral issues this could be seen as normalising the behavior leading to lack of detail in recording behavior in daily records which could put some staff who are unfamiliar with the client at risk. The home should take account of these comments but it was also said that staff were willing to discuss issues that arose during the reviews. The home has a policy on the safe handling, storage, disposal and administration of medication. These were discussed with nurses on duty and observations and checks made including controlled drugs. These were sound. Issues referred to in the last inspection report with regard to the safe storage of medication have been addressed by fitting a key pad lock to the office where drugs are held. The surveys, conversations during the day and observations made, showed peoples dignity and privacy is promoted. People looked well cared for regardless of whether they were up and about or being cared for in bed. Staff were seen knocking on doors and making sure that doors were closed at times when personal care was being given and people spoken with said that staff look after them well and sensitively when
Care Homes for Older People Page 14 of 28 Evidence: assisting them with bathing, washing and dressing. Indeed the professional and warm way that staff related to people, including visitors, was a positive feature of the day. The results of the surveys completed by people and/or their relatives were positive and although there were few written comments, those made praised the staff, the food, the range of activities and the cleanliness of the home. Relatives spoken with during the day were once again very positive. Care Homes for Older People Page 15 of 28 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. People are able to keep in touch with family and friends and lead their chosen lifestyle as far as they are able. People have the opportunity to join in a range of social activities. People have nutritious meals and snacks that offer them choice so that they can eat healthily with support, assistance and encouragement if they need it. Evidence: The results of the CSCI surveys suggest that people are satisfied with these aspects of home life. People living at the home feel there are good activities for them to join in including occasional trips out to venues chosen by them. The home employs an activity organiser and there is a range of activities provided in house that are announced on news boards and regular bulletins. The organiser spends time with individuals who are being cared for in bed. The home celebrates festivals like Christmas, Easter, St Patricks day, Halloween, Bonfire Night but has extended these to reflect the ethnic and cultural origins of some people currently living at the home to include Eid and Diwali. The organiser records the activities that people have been involved in and the
Care Homes for Older People Page 16 of 28 Evidence: care plans had life histories and social care plans. On the day of the visit there had been a bingo session during the morning and a reminiscence session in the afternoon. It was good to see the inclusive way this was done and how it brought smiles and animation to people who otherwise may well have been passive. It was clear that relatives are encouraged to visit, there was a regular flow of visitors throughout the day. They said that they are made to feel welcome in the home, some said they think the staff are marvelous, that they felt there is plenty going on and that they are kept informed of important issues like changes in health or accidents. A range of local clergy from different denominations visit and provide opportunities for communion. The current cycle of menus seen, provides variety and choice and meets the special dietary needs of people who might be diabetic or need soft or pureed meals. Nutritional screening is carried out with monthly weight checks or more frequent if necessary. People enjoyed the main meal of the day and it was good to see staff supporting and encouraging where necessary. Comments from visitors and people living in the home suggest that the food is consistently good. Other specialist diets are catered for and at the moment there is an Asian menu and in the past one person was provided with Caribbean cuisine. Whilst observing in a lounge area during the afternoon, one person asked for a sandwich and this was provided quickly much to her pleasure. There were regular refreshments and drinks throughout the day. All staff, including catering and housekeeping staff receive nutrition training on an annual basis and a dietician has given a briefing on the nutritional aspects of care of those people coming to the end of their lives. People spoken with said that they enjoyed choice in their daily routines and are able to choose when they get up and go to bed and where and how they spend their time. They looked well cared for, were happy and the relationships with each other and with staff were relaxed. Care Homes for Older People Page 17 of 28 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. If people have concerns about their care, they or people close to them know how to complain and feel comfortable in doing so. Their concerns are looked into and actions taken to put things right. The care home safeguards people from abuse and neglect and takes actions to follow up allegations. Evidence: The home has a formal complaints procedure that is displayed in the reception area and is included in the service user guide. People and relatives spoken with said that they felt comfortable in raising issues. People and relatives are encouraged to raise matters straight away so that things can be sorted out quickly, but where the formal complaints procedure is used, there are records kept to show what the problem was, what actions were taken and how things were resolved. Staff spoken with and the training records seen showed that training is provided in recognising abuse and actions that must be taken if abuse is suspected. There are policies and procedures to support this. Other checks made during the inspection visit on recruitment, medication and money held for safekeeping all met requirements.
Care Homes for Older People Page 18 of 28 Care Homes for Older People Page 19 of 28 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. People live in a safe and well maintained home that is clean, pleasant and hygienic. Evidence: A tour of the premises was made and things were found to be clean, well maintained and to the credit of the housekeeping staff, free from unpleasant odours, especially taking account of the high levels of incontinence. It is a large Victorian building with a large conservatory added, and while the building has its limitations, particulalry the number of shared rooms, it has character that people living there like. Bedrooms and lounge areas were comfortable and bedrooms were personalised. There is a programme of redecoration and refurbishment. There are good well maintained gardens and a safe sensory garden is being developed with a particular focus on providing a safe haven for people with dementia. The home has a maintenance person who is able to keep up with general day to day problems and improvements and safety checks. Specialist equipment is provided as part of the necessary nursing care for individuals and requirements to move and handle people safely. Training is provided in its use. The emergency call system was checked and a speedy response made and the people spoken with said that this was normal. No obvious health and safety hazards were
Care Homes for Older People Page 20 of 28 Evidence: noted and the records of safety checks on equipment were available and those checked were up to date. The surveys and conversations with people suggest that they consider the home to have a homely atmosphere and always clean and tidy. Staff were seen to wear protective clothing, said there was always a plentiful supply and there was good attention to infection control. The AQAA stated that the home is committed to working together with the Department of Health to reduce health care associated infection (including MRSA) through the Essential Steps to Safe, Clean Care. The home has taken part in two studies for MRSA research and all staff have received a Hand Hygiene training session from the Infection Control Team and the home has been audited twice as part of the MRSA research. Care Homes for Older People Page 21 of 28 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have safe and good support from staff who are competent and well trained. Staff go through a thorough recruitment process that includes checks to make sure they are suitable to care for them. Peoples care needs are met by staff whose training is kept up to date and are well supported and supervised by the manager. Evidence: The surveys that were returned and the conversations during the day give a clear indication that people, relatives and professional visitors think there are enough staff on duty. The home has some difficulties over the last year in retaining and recruiting staff but has not needed to use agency staff and believes this has continued to provide people with consistent care and familiar faces. A high proportion of the staff spoken with during the day have worked at the home for a considerable number of years. Staff spoken with talked about a good team spirit and like working with each other. The surveys that were returned by staff reflected that they felt there were always enough of them on duty, that they received good, regular and relevant training and support from managers. Some of the written comments about what staff felt they did well, reflected good team work, good attention to peoples privacy and dignity and providing good activities. The personnel files for three staff were checked to make sure the home carries out good recruitment procedures. All staff had application forms, job descriptions, induction checklists, a contract of employment, two references (one being
Care Homes for Older People Page 22 of 28 Evidence: from the last employer) and the necessary checks with the Criminal Records Bureau had been made. This makes sure that people are protected from staff who may not be suitable to work in the care industry. There is a training programme and the records seen and conversations with staff showed that they are up to date with safe working practice training that includes fire safety, food hygiene, moving and handling, infection control, the protection of vulnerable adults and for those staff involved in medication, the safe handling of medication. Specialist training is provided in some aspects of nursing care and dementia care. With the numbers of care staff currently working to gain a National Vocational Qualification (NVQ) the home meets targets outlined in National Minimum Standards. The home has three in house trainers for Moving and Handling. From what was seen during the visit, people look well cared for, have good and warm relationships with staff and there is a good friendly atmosphere in the home. Visitors also have good relaxed relationships with staff. Care Homes for Older People Page 23 of 28 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People get the right support because there is effective and supportive management. There is an open approach to staff, people and visitors that makes them feel valued and respected. People are safeguarded because the home has clear financial and accounting procedures, keeps records properly and makes sure that staff understand policies and procedures and follow the way things should be done. Safety checks on facilities and equipment make sure the home is a safe place to live and work. Evidence: The manager is an experienced nurse with a relevant management qualification. There was evidence in the surveys and from conversations during the visit that people think she is approachable and supportive. The Owners of the home take an active part in the
Care Homes for Older People Page 24 of 28 Evidence: day to day business and management. The home carries out its own satisfaction survey and actions are taken to make some of the improvements suggested by people and relatives. For example activity sessions have increased, there are improved dining arrangements and a staff information board with photos and job roles so that visitors are aware of who does what. There are regular staff meetings and individual supervision sessions for them to discuss work, any problems and their individual training needs. The home has its own quality assurance systems for checking that the home is meeting National Minimum Standards. This includes monthly reports completed by the owner about the conduct of the home. These were checked but should be more detailed to give a better picture of how the home is operating. The home benefits from having administrative support and the office presented as efficient and organised and holds some peoples personal money for safe keeping. The administrator described and demonstrated the systems for making sure that money is safe and properly accounted for. One persons records were checked and receipts for all purchases were held to support the transactions. Based on this, people can be assured their money is well looked after and accounted for. Staff were seen to be wearing protective clothing to reduce the risk of cross infection and their training is up to date. The AQAA confirmed that regular safety checks are made of facilities and equipment to make sure the home is a safe place to live and work. Staff are trained in safe working practices and are up dated on a regular basis. Some checks were made of records of safety checks, like fire safety, and were found to be up to date. Accident records were also seen and these are audited by the manager to see if measures can be taken to reduce the risk of accidents. Care Homes for Older People Page 25 of 28 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 28 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 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 The home should take account of comments made in surveys by a Doctor with reference to people admitted with complex needs who place strain on care staff and other people living at the home. The home should take account of the views expressed by the team who review people who receive funded nursing care with regard to behavioural care plans. The owners should complete the monthly reports on the conduct of the home (Regulation 26) in more detail to more accurately reflect how the home is operating and developing services. 2 7 3 37 Care Homes for Older People Page 27 of 28 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 © (2009) 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 28 of 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. 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!
