Inspection on 09/10/08 for Lansdowne Road 75-77

This inspection was carried out on 9th October 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

Lansdowne Road 75-77 28/11/07

Lansdowne Road 75-77 02/11/06

Lansdowne Road 75-77 14/06/06

Lansdowne Road 75-77 30/01/06

Lansdowne Road 75-77 13/07/05

Lansdowne Road 75-77 11/01/05

Lansdowne Road 75-77 13/07/04

Lansdowne Road 75-77 09/03/04

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: Lansdowne Road, 75-77 Lansdowne Road, 75-77 Handsworth Birmingham West Midlands B21 9AU     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: Sarah Bennett     Date: 1 3 1 0 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: Lansdowne Road, 75-77 Lansdowne Road, 75-77 Handsworth Birmingham West Midlands B21 9AU 01215542738 F/P01215542738 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Delores Matadeen Type of registration: Number of places registered: care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 75-77 Lansdowne Road is situated in a popular residential area of Birmingham. It benefits from being close to local amenities including public transport, shops, health services and places of worship. The community is a rich mix of cultures, faiths and nationalities. The home was originally two houses. They have been thoughtfully converted into one large home. The home has three floors and there are bedrooms and bathrooms on all three levels. There are both single and shared rooms. No bedrooms have en-suite facilities. A passenger lift enables access to all floors. On the ground floor are a communal lounge and a large dining room. At the rear of the property is a pleasant garden and paved area. The home has a large kitchen. Main meal meals are prepared at another home in the company and delivered to the home. The home has a laundry and can undertake most routine washing of clothes and bedding of the people living there. The home provides a service for older people with an enduring mental Care Homes for Older People Page 4 of 29 14 Over 65 0 Brief description of the care home illness, nursing is not a service provided at the home. The service users guide did not state the scale of current charges for the home. The last inspection report is available in the home for the people living there and visitors who wish to read it. 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: The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. The visit was carried out over two days. The home did not know we were going to visit on the first day. This was the homes key inspection for the inspection year 2008 to 2009. The last key inspection was in November 2007. The focus of inspections we, the commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Care Homes for Older People Page 6 of 29 Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and the Annual Quality Assurance Assessment. This provides information about how they think they are meeting the regulations. Three people who live in the home were case tracked this involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. The people living there, the owner, the Acting Manager and the staff on duty were spoken to. Time was spent observing care practices, interactions and support from staff. We looked around some parts of the home. Care, staff and health and safety records were looked at. The service users guide stated that each person has a contract where it states the fees charged to them for living there. What the care home does well: What has improved since the last inspection? What they could do better: Risk assessments must be in place for all risks identified to individuals to make sure Care Homes for Older People Page 8 of 29 they are safe. Peoples weight must be checked regularly to ensure they are well and do not have any health needs that are not being met. Care plans that are not relevant should be removed so that staff know how to support people to meet their needs. Staff should support people to communicate so to help reduce their frustration and be able to express their needs and wants. Activity records should state the activities provided by the home that people enjoy. People should be supported when needed at all mealtimes so they get the nutrition they need to be well. Chairs in peoples bedrooms should be replaced where needed so they are comfortable. Information should be available as to when staff have had their Criminal Records Bureau checks to ensure that suitable people are employed to work with the people living there. All staff should have regular meetings so they know how to support the people living there. 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 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. Quality in this outcome area is good. People have the information they need about the home to help them make a choice as to whether or not their needs can be met there. Evidence: The owner said she was updating the service users guide and statement of purpose. The owner sent us a copy of the updated version of the service users guide. This included all the relevant and required information so that prospective service users would have the information they need. It stated that each person would be told of the fees they would be charged to live there in their individual contract with the home. The AQAA stated and staff said that no people had been admitted to the home since the last inspection. Therefore the standard relating to the assessment process before Care Homes for Older People Page 11 of 29 Evidence: people move into the home was not looked at. There were 12 people living there so there were two vacancies. An admission policy and procedures are available so if referrals are made for people to live there these can be used. The home does not provide intermediate care. Therefore the standard relating to this was not assessed. 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. Arrangements do not always ensure that staff know how to support people to meet their needs and ensure their health and well being. Evidence: The records of three of the people who live there were looked at. These included an individual care plan that stated how staff are to support the person to meet their needs and achieve their goals. Individuals key workers had completed an evaluation each month of how effective the care plan was in meeting the persons needs. Amendments had been made where needed. Where people were able to they had signed their care plan to show that they agreed to it. One persons care plan stated that staff needed to monitor so the person does not become constipated. It did not say how often they needed to monitor this. The Acting Manager said that the person was not at risk of constipation so this care plan should be removed as it does not reflect the needs of the individual. Care Homes for Older People Page 13 of 29 Evidence: Records sampled showed that where appropriate health professionals were involved in the care of individuals to meet their health needs. People had regular check ups with the dentist, optician and where needed the chiropodist to keep them well. Records showed that people had not been weighed regularly. One persons care plan stated that their appetite was poor so they needed to be weighed monthly but this had not been done. Another persons weight chart showed that they had lost 12 pounds between November 2007 and July 2008 but they had not been weighed since August 2008. Their nutritional risk assessment had not been reviewed since they had lost weight. This may affect the outcome of the assessment so staff may need to support the person to ensure they are adequately nourished. A significant loss or gain of weight can be an indicator of an underlying health need. The Acting Manager stated that some people found it difficult to stand on the scales so they had asked for scales to be provided that people could sit on. The owner said that these were available but not needed at another home she owns and would be provided. One persons nutritional risk assessment had been signed but not completed. The Acting Manager said she knew it had been completed but it could not be found so it was not clear whether or not the person was at risk of malnutrition. One persons assessment as to whether or not they were at risk of getting a pressure sore stated that they were at a very high risk. Only one part of the assessment had been completed for which a score of zero was given so it was not clear how staff came to this conclusion. This could put the person at risk of not receiving the care they need. Some work had been done on updating risk assessments but these were not all completed. The owner had talked to staff about what needed to be included in some of these. Staff had not included all the necessary information in some so that appropriate action could not be taken to reduce the risks, which could put people at risk of harm. Staff said that a pharmacist from the Primary Care Trust had recently completed an audit of the medication and stated that improvements had been made. The report of this was not yet available. At the front of each persons Medication Administration Record there was a photograph of the person so that unfamiliar staff would know who to give the medication to. Records sampled showed that medication had been given as prescribed to ensure that individuals health needs are met. Staff who give medication receive training. Information is provided on what each medication is for and what the potential side effects are. Staff said this helps them to monitor these and report if there are any so that the medication does not have a detrimental effect on the person. People had been assessed as to whether or not they were able to take their own medication without staff support so they would be given the opportunity to do this if it Care Homes for Older People Page 14 of 29 Evidence: was safe to do so. All the people living there were dressed appropriately to their age, gender, cultural background and the weather. Staff were observed commenting in a positive way to people on their appearance so helping to raise their self esteem. In two care plans it stated that the person would benefit from staff communicating with them using pictures or writing words down on a pad. Records did not show and it was not observed that staff used these so that the person could communicate. This may help to reduce their frustration so they can make their needs known. One persons care plan stated that they communicated using touch and gestures. Staff were observed offering the person choices and asking them to touch which one they wanted. 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. The people living there do things that they enjoy and want to do to help them to lead fulfilling lifestyles. People are offered a healthy and varied diet so they can keep well. Evidence: The people living there and staff said that some activities are provided in the home. On the first day a member of a local church visited and led a service which several people attended. On the second day an outside agency visited and led an exercise session which most people attended. People said that they enjoyed these activities. Some people are able to go out on their own. They said that they could come and go as they wanted and enjoyed the freedom. On the first day one person came home in the middle of the afternoon. Staff had saved their lunch for them so that they did not miss their meal. People who need support to go out have less choice about what they do and this should be considered so that all the people living there have oppportunities to do the things they want to do. Records sampled showed that some people had gone out with staff to the local park. Care Homes for Older People Page 16 of 29 Evidence: The activity folder recorded only a few activities, which were the exercise session and church service. Another activity recorded was the people who go out on their own and stated that they seem to enjoy what they do. This does not show that a variety of activities are provided by the home. Staff were observed sitting and talking to people while they read the newspaper or listened to music. Other people spent some time watching a film which they said they enjoyed. Records sampled showed and people said that they are able to keep in touch with their family and friends if they want to. This means that they can maintain the relationships that are important to them. People were observed making choices about what they did, where they spent their time and what they ate and drank. People were encouraged to be as independent as possible. Some people who were able to had their role in the home such as serving drinks or laying the tables for meals helping them to feel valued and maintain their independence. The main meal of the day is served at lunch time and cooked at another home operated by the owner and transported to the home. Meals were observed to be well presented and of adequate portions. Food records showed that people have a varied and nutritious diet. The owner said that the Dietician has had input into the menus and is to be consulted further so they can ensure that people receive the required nutrition so helping to keep them well. Two peoples records sampled stated that they needed staff to sit with them to assist them with their meals. This was observed at lunch time but not at the evening meal which could put people at risk of not receiving the nutrition and support they need to be well. People said that they enjoy their meals and get the best food. One person said that their soup was delicious. An alternative to the main meal is offered and one person was observed to choose this. Throughout the day snacks and drinks are offered. People were offered fresh fruit as a snack and also as part of their main meal. Care plans sampled included what food and drinks people liked and disliked. Records sampled showed that people were not always offered these. For example one persons records stated that they did not like to drink tea but their records showed they often had this. Staff said that the person would drink tea if they were in the mood. Other drinks were observed to be offered so that people did have a choice. 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. This judgement has been made using available evidence including a visit to the home. Arrangements ensure that the people living there can be confident that their complaints will be listened to and acted on. The people living there are protected from abuse. Evidence: The complaints procedure was reviewed in January this year. It clearly stated how people can complain if they are unhappy with the service provided. It was displayed in the home and in the service users guide so that people had the information they needed. People who live there said they knew how to make a complaint if they were unhappy with the service provided. Since the last inspection a complaint from a relative was sent to us about the management of their relatives finances. This was investigated by us and no regulations were found to have been breached. Further investigation was undertaken by the owner and their auditor. The owner said that receipts had all been found so that the money spent by the person was accounted for and a report of their findings was being written up. All the staff have received training in the Mental Capacity Act. This Act came into force Care Homes for Older People Page 18 of 29 Evidence: in April 2007 and states that an assessment of peoples capacity should be done if there is any doubt that they do not have the capacity to make choices and decisions about their lives. If they do not have the capacity an Independent Mental Capacity Advocate can be appointed so they can act in the persons best interests. It is good that staff know about this legislation and how it may affect the people living there. All staff have received training in safeguarding so they know how to protect the people living there from abuse. Some staff this year have completed further training in safeguarding including the Acting Manager who completed a four day course. The owner said that all staff have been booked to attend updated safeguarding training so they know about current legislation and practices. 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. Improvements are continuing to ensure that people live in a safe, homely, comfortable and clean environment. Evidence: Communal areas were generally well decorated and homely making it a pleasant place to live in. Around the walls of communal areas there were pictures making it a homely and comfortable place to live. On some walls there were pictures of Birmingham reflecting the cultural background of the people living there. The AQAA stated that all windows have been replaced with double glazing. They have replaced the boiler with two new ones that are energy efficient and will ensure that there is a back up if one fails to work. The home was warm and comfortable so that people did not feel cold. Bedrooms seen were personalised according to individual tastes and interests. People said that they could have their personal possessions in their bedrooms. Some chairs in bedrooms were very worn and needed replacing so they were comfortable. The owner said that these had been identified as needed replacing and were on the homes refurbishment plan. Care Homes for Older People Page 20 of 29 Evidence: Staff said that the kitchen was going to be refurbished soon. A dishwasher was to be provided as part of this which they said would improve the hygiene standards as well as reduce their work load. Staff have to do all the washing up by hand now. The home was generally clean and there were no offensive odours making it a nice place to live. A housekeeper is employed who does most of the cleaning of communal areas. On the first day there was an offensive odour in one persons bedroom. Staff immediately cleaned the room thoroughly so eliminating the odour. The Acting Manager said that daily checks by senior staff have and will to be done so that this does not happen again. The owner said that staff would be reminded of the need for good infection control practices within the home. The laundry has been refurbished and industrial washing and drying machines provided. There is access to the garden from the laundry so that washing can be dried outside. 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. The arrangements for staffing, their support and development do not always ensure that staff know how to meet peoples changing needs and people are protected by the homes recruitment practices. This could impact on their safety and well being. Evidence: During the day there were adequate staff to meet the needs of the people living there. More staff are provided at lunch time so that people have assistance with their meals if needed. After 5pm there were three staff on duty until 9.30pm. Staff said that this was sufficient as long as there was not an emergency. They said that if there was an emergency there are staff on call who would be available to help. Staff said that sometimes they work split shifts so that there are sufficient staff at peak times of activity to ensure people get the support they need. Staff meeting minutes showed that the senior staff have regular meetings. Meetings that all staff attend are not held. The Acting Manager said that seniors would pass on the information that staff need to know. This does not provide an opportunity for staff to keep updated with changes to peoples needs, changes in care practices and to ask questions about these. The AQAA stated that all staff have achieved National Vocational Qualification in Care Care Homes for Older People Page 22 of 29 Evidence: at level 2. Some senior staff have achieved level 3 or 4. This ensures that staff have the skills and knowledge to meet the needs of the people living there. The records of three of the staff that work there were looked at. These included the required recruitment records except evidence that a Criminal Records Bureau check had been completed. The owner said that she has a list of these and all had been completed. Staff confirmed that they had a CRB check before they started working at the home and have had further checks since being there to ensure they are still suitable to work with the people living there. The owner should provide evidence that these have been completed to ensure the people living there are safeguarded. Staff records sampled showed that staff had received training in how to meet the needs of the people living there and how to ensure their safety and well being. When staff had first started working at the home they had completed an induction so they knew how to support the people living there. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally well managed so that the people living there are safe so ensuring their well being. Evidence: There has not been a Registered Manager for several years. The owner has been overseeing the home and senior staff have been managing the home on a day to day basis. One of the seniors is now the Acting Manager and is planning to apply to be registered with us. They have the experience and qualifications to be a Registered Manager. This will ensure that the home is managed in a way that benefits the people living there and that regular management support is available for staff. Regular internal audits are completed to ensure that home is safe and meets the needs of the people living there. The AQAA stated that they evaluate these audits to provide evidence of achievement and identify the areas that require improvement. Questionnaires are regularly sent to the people living there, their relatives and visiting Care Homes for Older People Page 24 of 29 Evidence: professionals to ask their views. The AQAA stated that the outcome of these were positive and these comments are used to make improvements where needed. The personal finance records of three people were looked at. The local authority responsible for placing each of the people at the home is their appointee. Their records showed that they had received their personal allowance regularly. The amount stated on the persons records was the same amount as the money held securely for them in the home. Receipts were kept of all expenditure. People had spent their money on personal items and not on things that should be provided by the home as part of the fees paid to the home. A senior member of staff is now responsible for health and safety. They do monthly audits and said that through these they identify staff training needs so staff know how to keep people safe. They said that if they identify that something is broken or there are risks to peoples health and safety they send a memo to the owner and this is addressed. Staff were observed moving people safely and as stated in their care plan so that they were not at risk of being injured. Where people used wheelchairs staff ensured that they had footplates on so to reduce the risk of injury to the person. This was much improved from the last inspection. Staff said that they had received updated moving and handling training so they know how to do this safely. Records showed that staff test the water temperatures every week to make sure they are not hot which could put people at risk of being scalded. Records showed that staff test the fridge and freezer tempeartures regularly to make sure that food is stored at the correct temperature to minimise the risk of food poisoning. Records showed that the passenger lift and equipment used to move people is serviced regularly so it is well maintained and safe. Fire records showed that staff test the equipment regularly to make sure it is working. Records showed that an engineer regularly services the equipment to ensure it is well maintained and works. Records included individual emergency evacuation plans so that staff know how each person would need to be supported in an emergency. Regular fire drills are held so that the people living there and staff would know what to do if there was a fire. 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 7 12 There must be clear risk assessments in place for all risks identified to the individual. This will ensure that staff know how to support the person to be safe and well. 30/11/2008 2 8 12 Peoples weight must be checked regularly. To ensure that they are well and do not have an underlying health need. 30/11/2008 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 Care plans that are not relevant to the person should be removed so that staff know how to support each person to meet their needs. Staff should support people to communicate as stated in their care plan. This will help to reduce their frustration and help them to communicate their needs and wants. Consideration should be given to ensuring that people who cannot go out on their own have opportunities to do the Page 27 of 29 2 10 3 12 Care Homes for Older People things they enjoy. 4 12 Activity records should state the activities that are provided by the home so it is clear that a range of activities that people enjoy are provided. People should be supported appropriately at all meal times to ensure they get the nutrition they need to be well. The chairs in peoples bedrooms should be replaced where needed. This will ensure that they are comfortable. Regular staff meetings that all staff attend should be held and minutes written. This will ensure that all staff are kept updated about peoples changing needs and current care practices. Evidence that all staff have had a Criminal Records Bureau check should be available to ensure that staff are suitable to work with the people living there and people are safeguarded. 5 6 7 15 24 27 8 29 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. 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