Inspection on 04/11/08 for Laurel Care Home

This inspection was carried out on 4th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Laurel Care Home 07/11/06

Laurel Care Home 31/08/05

Laurel Care Home 12/04/05

Laurel Care Home 27/10/04

Laurel Care Home 04/05/04

Similar services:

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

St Vincents

The Cotswold Home

Newbeech House

Winton House

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Laurel Bank Care Home Salisbury Road Totton Southampton Hampshire SO40 2RW     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: Ian Craig     Date: 0 4 1 1 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 28 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 28 Information about the care home Name of care home: Address: Laurel Bank Care Home Salisbury Road Totton Southampton Hampshire SO40 2RW 02380869861 02380660249 janetbache@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Janet Bache Type of registration: Number of places registered: Laurel Bank Care Home Limited care home 57 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 57 The registered person may provide the following category/ies of service only: Care home with nursing only - to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Older Persons (OP) Physical Disability (PD) Dementia (DE) Mental disorder, excluding learning disability or dementia (MD). Date of last inspection 57 57 0 57 Over 65 0 0 57 0 Care Homes for Older People Page 4 of 28 Brief description of the care home Laurel Bank is a spacious, detached residence, which stands in two acres of ground, on the eastern edge of the New Forest. The home is situated one mile from the centre of the town of Totton, and is easily accessible from junction 2 of the M27. Laurel Bank is a family run business, managed by Janet Bache and provides care and nursing care for up to 57 residents, over the age of sixty-five, who may also have dementia or a mental disorder. At the time of the visit a manager was covering the role of the registered manger. All bedrooms are single apart from 3 double bedrooms. All bedrooms are en suite. There are five lounges, which includes a conservatory. Accommodation is arranged on two floors, with a passenger lift providing easy access between floors. The current fees are 416.00 to 735.00 pounds sterling per week. There are additional charges for hairdressing, newspapers and chiropody. 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: The inspection was unannounced 6 hours and 20 minutes. The inspector was accompanied by an Expert by Experience who compiled a report which has been used for this report. These are people who have experience of using care services and are used by the Commission as part of the stakeholder engagement policy. A tour of the premises took place. A number of residents were spoken to and 3 care staff were interviewed. The senior nurse on duty and a member of the catering staff were spoken to as well as another nurse on duty. Discussions took place with the manager and with one of the directors from the company who own the home. Care Homes for Older People Page 6 of 28 Surveys were sent by the Commission to residents and staff. These were returned by 5 staff and 11 residents. Information in the surveys has been used for this report. Services are required to submit an Annual Quality Assurance Assessment(AQAA). This was completed and returned by the home and has been used for this report. Records, documents, policies and procedures including residents care records were looked at. What the care home does well: What has improved since the last inspection? The home now provides nursing care which means those receiving long term care may be able to stay in the home as their needs change. Body mapping has been introduced as part of the pre admission assessment. Care plans have been developed to include End of Life needs. A programme of reviewing care plans has been introduced. The provision of activities has been developed. Areas of the physical environment have been improved. 20 new single rooms have been created and 15 bedrooms have been refurbished. All bedrooms now have an en suite facility.There are plans to make further improvements to residents bedrooms. The number of shared rooms has been decreased. Additional communal living space has been created including a balcony. The kitchen and the laundry room have been improved. Four new specialist baths have been installed. The home has increased its staff numbers. The numbers of staff attending NVQ training has increased. Care Homes for Older People Page 8 of 28 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. Potential residents are able to make an informed choice about their decision to move in or not. The home carries out assessments of those referred for possible admission to help ensure that only those whose needs can be met are admitted. Evidence: The home has a Statement of Purpose and a Service Users Guide. These give details about the services provided such as hairdressing, chiropody as well as information about activities, outings and the homes complaints procedure. Copies of the Service Users Guide were seen in residents bedrooms. Each of the surveys completed by residents confirms that they received enough information about the home before moving in which helped them decide if it was the Care Homes for Older People Page 11 of 28 Evidence: right home. A resident described how he/she visited the home to see if it met his or her needs. Prospective residents needs are assessed before the home makes a decision regarding whether they can meet the persons needs. A senior member of the nursing team described how assessment visits are made to those referred for possible admission and that a record of this is made. The home completes its own assessment of the potential residents needs using a pro forma with the following headings: breathing and circulation, communication, pain, nutrition, hygiene and dressing, mobility/transfer/balance, falls risk assessment, skin integrity, elimination, rest and sleep, family/work/leisure, health promotion, cognition, abbreviated mental test and spiritual/emotional/sexual health. Completed copies of these assessments were seen for 3 people recently admitted to the home. These are signed and dated by the person completing them, although it was noted that this had not been done for one assessment. The senior nurse described how the home obtains copies of health service assessments during the homes pre admission assessment of those referred for nursing care. Copies of social services care managers assessments are not routinely obtained for those referred for possible residential placement. This should be followed up so that the home access to relevant information when assessing those for possible admission. 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. Residents needs are detailed in care plans so that staff have guidance to meet care and health needs. The home liaises with health and social services to provide a good standard of care. Some improvements are needed to ensure that staff are effectively deployed to meet care needs and preferred daily routines. Evidence: Care records were looked at for five residents. The home carries out a number of assessments in addition to those completed before a new resident is admitted to the home. These include risk assessments for falls with a corresponding action plan, moving and handling risk assessments, barthel assessments, a nutritional screening tool, continence assessment and waterlow score assessment. Different care plans are devised for those receiving nursing care and those in receipt of residential care. A nursing care plan is devised for each assessed need. For one person these included mobility, falls, personal hygiene, elimination, psychological support, pressure area care, eating and drinking and communication. Care Homes for Older People Page 13 of 28 Evidence: Records and discussion with the manager and senior nurse confirm that care and health needs are reviewed and up dated. Care staff state that they are given up to date information in care plans and that care needs are met, although comment was made for a need for more staff. A staff member felt that this had affected the routines of residents being able to get up at their preferred times. This was also witnessed on the day of the visit by the Expert by Experience. The manager stated that the home has recruited extra staff and that the matter of residents not being assisted to get up at their preferred times will be addressed. The AQAA, staff rota, observation and discussions with staff confirm that the a Registered General Nurse is always on duty. Nursing staff have a variety of specialist backgrounds including working with those with respiratory disorders and in palliative care. An issue of ensuring that residents receive appropriate personal care was raised by the Expert by Experience. The manager agreed to address this. A discussion took place with the manager about the care plans. The home intends to review and improve the care plans and this includes details of mental health and dementia. Staff have received training in understanding dementia and the manager explained plans to provide more up to date training in both dementia and mental disorder. Daily running records are maintained for each person. These are signed and dated by the person recording any information. These show that the home assesses and responds to the changing needs of residents. Medical support and intervention is sought by liaison with general practitioners and mental health services. 9 of the 11 surveys returned by residents state that they always receive the medical support they need. One person answered usually. 10 of the 11 residents who returned a survey state that they always receive the care and support they need. One person answered usually. Each person has his or her own room. The Service Users Guide gives information that residents can have a key so that they can lock their bedroom door and/or a telephone. Residents reported that care staff treat them with kindness. The home has specialist equipment in the form of track hoists in bedrooms, electronically operated profile beds, portable hoists, stand aids, lifting aids and pressure relieving mattresses and beds. Care Homes for Older People Page 14 of 28 Evidence: Medication procedures were looked at. This involved discussions with a registered nurse and looking at medication storage and records of medication administered. Medication administration recording sheets are signed by the staff member who administers medication. These are, on the whole, always completed but there were notable absences of a signature when medication containers showed the drug had been administered for one day for one resident. Procedures were looked at for controlled medication. A controlled drug register is maintained showing that the staff follow pharmaceutical guidelines for 2 staff witnessing, and recording the balance of medication remaining. A discussion took place with one of the registered nurses regarding the storage of controlled medication. The home is refitting a room specifically for medication storage including controlled drug storage. The inspector advised that the home checks that the planned controlled drug storage meets the current Royal Pharmaceutical guidelines. Medication is administered by trained nurses and records show that staff also receive supplementary training including instruction with statements of competency from community nursing services for administering more specialist medication. 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. Residents benefit from a range of varied activities and entertainment. Meals are nutritious and varied although some improvements are needed to ensure that people have access to drinks throughout the day. Evidence: An activities programme is displayed in the hall for the period 29 October to 19 November 2008 and includes the following: crafts, a Halloween party, pub games, film nights, Christmas flower arranging, and a ladies night. Quizzes also take place each Wednesday afternoon. A poster advertisement for a performance by a singer and guitarist on 19 November 2008 was displayed throughout the home. Results from the 11 residents surveys returned are as follows: 7 people say that activities are always provided and 2 that they are usually provided. One person said, Trouble is taken to make the day pleasant. Two people said that activities are provided but that they prefer to stay in their rooms. One person said, The entertainment supplied by staff is first class and I commend it. Care Homes for Older People Page 16 of 28 Evidence: The Expert by Experience states: There was a list of activities on offer. There was variety and they looked interesting. The residents I spoke to were very happy with the activities on offer. The home has a staff member with a specific responsibility for organising activities for the residents. Staff spoken to on the day of the visit confirmed that activities are provided and that the home has a staff member to coordinate this. The home has extended the activities provision in the last 12 months by offering manicures, and simple massage therapy sessions. Residents were observed receiving visitors. Religious services such as holy communion take place in the home on a regular basis. The home offers residents a choice at meal times. This was evidenced from discussions with a member of the catering staff, records and discussions with residents. Residents are asked what they would like to eat in advance of meal times. This is recorded as a choice. The Expert by Experience commented: There is choice on offer. Special diets are catered for. The response from residents was in the majority positive. Some comments were, The food is very tasty, presentation is wonderful, its lovely, not bad. The Expert by Experience commented that drinks were not available in a number of residents rooms and that two people asked for a drink when she spoke to them. This was raised with the manager who said that jugs of drinks are provided but that the staff had not put these out on the day of the visit. Meals include roast dinners and casseroles. On the day of the visit the lunch meal was egg, bacon, beans and mashed potato. A resident said how much he liked this meal and that it was his favourite. 10 of the 11 surveys returned by residents said that they either always or usually like the meals. One person said, I look forward to all my meals with great enthusiasm and enjoy all that I receive. Another person said that he or she would like more choice in the food that he or she, saying, I would like to be asked each day and have more say in what I eat. Nutritional screening assessments are carried out on residents where this is identified as a need. 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. The home deals effectively with any complaints and steps are taken to help ensure that residents are protected from possible harm. Evidence: The homes complaints procedure is included in the Service Users Guide, which is supplied to each resident. The procedure is also displayed in the hall. Residents surveys confirm that 8 of the 11 people who completed the forms knows how to make a complaint. Three people said they dont know how to make a complaint. The acting manager has dealt with 3 complaints about the service. Records were seen of how the complaint was looked into and the correspondence sent to the complainant. Staff receive training in adult protection procedures. This was confirmed from training records, discussions with the and staff and from the AQAA. It was identified that the home needs to liiase with social services regarding the needs of one residents behaviour. This was discussed with the manager. Care Homes for Older People Page 18 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has been updated and improved, however, areas of the home need to addressed so that the home is a safe, clean and well maintained place for the residents to live. Evidence: A tour of the premises was undertaken. The inspector saw a sample of bedrooms and the communal areas. The Expert by Experience looked at each bedroom and the communal areas. It was evident that the home is undergoing a refurbishment programme. New bedrooms have been created and other areas have been refurbished. Each of the bedrooms has an suite toilet with a wash basin. Where new bedrooms have been created the en suites are clean and well decorated. Those in the older part of the home could be improved as the cubicle has a curtain rather than a door. It is understood that these bedroom facilities will be upgraded. The Expert by Experience commented that the bedrooms could be improved by greater attention to tidying so that items such as pads are not left on the floor. It was noted that a large number of decorating and building equipment was left in corridors such as a step ladder and large pieces of plasterboard, which posed a possible safety hazard. Several bedrooms had Care Homes for Older People Page 19 of 28 Evidence: odours caused by incontinence. Each of the surveys returned by residents states that the home is always fresh and clean. Bedrooms contain items of personal possession such as televisions, pictures, photographs and books. The newly created bedrooms each has a track hoist for helping people in and out of bed. Residents were observed sitting in their rooms watching television. Lockable storage is provided in bedrooms and residents are able to have a key to their bedroom door. Bedroom doors have the name of the resident in large type for assisting those with dementia. Communal areas consist of a main lounge area, a music lounge, a conservatory with a balcony, dining areas, and 3 other lounges one of which is used a a cinema room. The Expert by Experience commented that the communal areas could be improved by the greater use of ornaments, flowers and pictures. The home has a passenger lift for those with mobility needs. Each room has a call point so that residents can summon assistance. Residents commented that staff respond when they use the call point. Care Homes for Older People Page 20 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. Staff have not always been deployed so that the care and daily routines of the residents are met. Residents are protected by the homes recruitment procedures. Staff receive training and support to help meet residents needs although improvements are needed to the supervision arrangement. Evidence: Staffing levels were looked at. the manager explained that the home aims to provide the following staffing levels: 2 nurses and 5 care staff from 7.30am to 2pm and one nurse and 5 carers from 2pm to 9pm each day. Night time staff consists of 1 nurse and 5 care staff. There was evidence that the home is not always achieving these staff levels and that the home does not always have enough staff to meet residents needs. The staff rota shows that the intended staffing levels were not being achieved for the week of the visit. A resident and staff reported that in the recent past there have not been enough staff on duty to meet residents needs. One staff member said that residents are Care Homes for Older People Page 21 of 28 Evidence: sometimes left in bed until midday and up to 1.30pm as there arent enough staff to get the residents up and about. One resident complained to the Expert by Experience that he/she is often left in bed and not given help to get up. This was discussed with the manager who stated that staffing levels have improved recently which was also echoed by a member of the care staff. The manager and one of the care staff commented that the the home has been able to reduce its use of agency staff by recruiting more staff employed by the home. The home now has its own bank pool of 4 registered nurses for occasional shifts. The residents surveys state that staff are either always or usually available. One person added, Just ring the buzzer. The home also deploys the following : 2 cooks, 5 kitchen assistants, and 8 domestic staff. Staff report that they received an induction when they started work at the home. Copies of completed induction checklists were seen. Care and nursing staff report that they work as a team to meet residents needs. Residents describe the staff as helpful and that they listen and act on what residents say. Staff report that they receive regular training. This was also confirmed by training records which show that training in the following has been provided in the last 2 years: first aid, moving and handling, food safety, fire safety, administration of medication, adult protection and health and safety. 17 care staff have either attained or are studying the National Vocational Qualification level 2 in care. The home employs 10 registered nurses with varied specialist backgrounds such as working palliative care and community nursing for older persons. Recruitment records show that staff are only employed after criminal record bureau and protection of vulnerable adults checks have been carried out and 2 written references have been obtained. This was also confirmed by staff. Care Homes for Older People Page 22 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. There has been a lack of continuity in the homes management which has been addressed by the appointment of an acting manager who is addressing areas in need of attention. The home promotes the health and safety of the staff and residents with the exception of hazards created by building equipment and materials not being tidied away. Evidence: The home is currently managed by an acting manager due to the absence of the registered manager since February 2008. This coincides with the home increasing its capacity from 36 to 57 residential beds with an additional category that the home can now accommodate nursing residents. The home has a senior staff member who is a Registered General Nurse with responsibility for coordination of nursing care to those placed with the home for nursing care. Care Homes for Older People Page 23 of 28 Evidence: The homes management have informed the Commission of the management arrangements. The acting manager has the National Vocational Qualification level 4 in Care Management as well as the Registered Managers Award. Staff described the homes management as supportive and approachable. Supervision of staff has been inconsistent with staff reporting that it has lapsed or that it takes place only sometimes. The manager is addressing this. The home seeks the views of residents by providing surveys for completion on a regular basis. These were seen for the current year and the manager explained how these will be collated into a summary of key points for any action. A comprehensive quality assurance audit and report was seen which was completed in 2006. The homes management intend to complete a similar quality assurance audit and report in the near future. The home does not handle or look after any residents valuables. Staff receive training in first aid, moving and handling, infection control, food hygiene and health and safety. On the day of the inspection the homes staff were receiving fire safety instruction. The homes appliances and equipment are tested and serviced by suitably qualified persons. Radiators are covered to protect residents from possible burns. Temperature controls are fitted to hot water outlets to prevent possible scalds from hot water. Restrictors are fitted to first floor windows to prevent possible falls. Care Homes for Older People Page 24 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 25 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 1 15 16 Residents must have access to drinks throughout the day. So that residents do not become dehydrated. 25/12/2008 2 19 13 Building materials and tools must be stored and not left in communal areas. Bedrooms and communal areas must be tidied. So that residents do not have accidents by tripping into obstacles. So that residents live in a clean environment that promotes their dignity and privacy. 25/12/2008 3 26 16 Steps must be taken to minimise odours caused by incontinence. So that residents live in an odour free environment. 25/12/2008 Care Homes for Older People Page 26 of 28 4 27 18 Sufficient staff must be deployed to meet the care needs of the residents. So that staff are effectively deployed to meet care needs and daily preferences. 25/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 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 © (2008) Commission for Social Care Inspection (CSCI). 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