Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Little Trefewha Praze-an-Beeble Camborne Cornwall TR14 0JZ 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: Diana Penrose
Date: 3 1 0 3 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 27 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 27 Information about the care home
Name of care home: Address: Little Trefewha Praze-an-Beeble Camborne Cornwall TR14 0JZ 01209831566 01209831566 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Little Trefewha Limited care home 20 Number of places (if applicable): Under 65 Over 65 20 old age, not falling within any other category Additional conditions: 0 To include one named person under 65, outside the category of registration Date of last inspection Brief description of the care home Little Trefewha is situated in the village of Praze-an-Beeble, close to the towns of Camborne and Helston. It is set in its own spacious, very well tended grounds and has reasonable parking space for staff and visitors. The home is part of a group of homes owned by a locally based company and provides residential care for up to twenty elderly people. The premises consists of a two storey detached building with a ground floor extension at the back. There are offices accommodated by the Companys General Manager and administration staff included. The upper floor is accessible by a stair lift. all the rooms are single. Five rooms have en suite facilities. The home provides ample shared space including a large lounge and a smaller quiet lounge. Meals are prepared in the kitchen on the ground floor and served in the dining room, or individual bedroom if preferred. Outside there is a patio and extensive lawns with seating and tables accessible to residents. Suitably experienced care staff provide Care Homes for Older People
Page 4 of 27 Brief description of the care home personal care within a relaxed, friendly, welcoming atmosphere. Information about the home is available in the form of a residents guide, which is available in the home and can be supplied to enquirers on request. A copy of most recent inspection report is also available in the home. Fees range from 400 - 550 pounds per week; this information was supplied to the Commission on the day of inspection. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Care Homes for Older People Page 5 of 27 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: An inspector visited Little Trefewha Care Home on the 31 March 2009 and spent eight hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that peoples needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that people s placements in the home result in good outcomes for them. All of the key standards were inspected. On the day of inspection 19 people were living in the home, one was receiving respite care. The methods used to undertake the inspection were to meet with a number of residents, staff and the registered manager to gain their views on the services offered by Little Trefewha Care Home. Records, policies and procedures were examined and Care Homes for Older People
Page 6 of 27 the inspector toured the building. The manager has returned a completed Annual Quality Assurance Assessment (AQAA), which also informed this inspection People using the service expressed satisfaction with the care and services provided at the home and the atmosphere in the home is relaxed and friendly. This report summarises the findings of this inspection. What the care home does well: The home provides a comfortable homely environment that is very clean and well maintained for people using the service, staff and visitors. There is ample sitting and dining space and suitable washing and toilet facilities. There are spacious grounds that are accessible to the people using the service and extra car parking has been provided for staff and visitors. There is a friendly welcoming atmosphere and the people using the service say they are happy living in the home. They say the staff are very kind and caring and work well together. A relative commented The home is lovely and very well run, there is nothing else to say. Information about the service is available in the home and provided to people who enquire about the home. People are only accepted into the home following a full assessment of their needs. From this each person has a written care plan detailing their individual requirements; this directs staff on how best to meet their needs. The plans are compiled with the resident, reviewed regularly and signed. Doctors, nurses and other healthcare professionals visit the home to provide care when necessary. Two visiting professionals spoken with during this inspection expressed satisfaction with the care provided and said the home is well run. One person said I would happily place a parent here. Equipment is provided for moving and handling purposes and for the prevention of pressure sores. People say their privacy and dignity is respected at all times and this appeared to be so during this inspection. People using the service are able to maintain contact with their family and friends as they wish. Visitors are welcome in the home and some residents go out with their families. A range of activities are on offer in the home, including a monthly religious service, and residents can join in as they wish, some said they stay in their rooms and this is accepted. Staff said they do try to spend time on a one-to-one basis with residents. People using the service said their individual preferences are generally respected and they are supported to maintain their independence. They get up and go to bed when they wish and go out according to their ability. All the bedrooms are personalised with peoples own belongings. The food served is to a good standard with homemade cooking, fresh fruit and vegetables. Special diets and individual needs are catered for. Comments about the food were very good. There is an appropriate complaints policy available in the home and there is a method for recording complaints, the action taken and the outcome. There have been no complaints. Care Homes for Older People Page 8 of 27 Residents said that staff are kind and caring and there are enough of them to meet their needs. 63 of care staff have an NVQ qualification in care. The homeh as a registered manager who is competent and experienced to run the home. Staff, residents and healthcare professionals feel she is approachable and listens to what they have to say. What has improved since the last inspection? What they could do better: The manager must ensure that where risk assessments have a scoring system the details are included in the care plans with appropriate instruction for staff to follow The medicines policy needs some further additions to fully detail what the homes specific procedures are. This was discussed with the registered manager who said she would work on it with the general manager. A controlled drugs cupboard that complies with current legislation must be provided for safe storage. Care Homes for Older People Page 9 of 27 People on as required medicines, self-medicating and so on need to have a medicines care plan to fully instruct staff on the actions they must take. 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 10 of 27 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 11 of 27 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. The home has a statement of purpose available in the home. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide suitable care. Evidence: The statement of purpose was available for inspection and accessible to staff. It is in the process of being updated and is a much better document so far. The registered manager said that she or her deputy visit prospective residents or they come to see the home prior to admission. The assessment documentation for three people, admitted since the last inspection were examined. They show that a thorough needs assessment is undertaken with the resident and their family. There was also information on file from the department of adult social care and nurses at the hospital. These help the home to make a decision as to whether they can manage the persons
Care Homes for Older People Page 12 of 27 Evidence: needs. Care Homes for Older People Page 13 of 27 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. Each person using the service has a written care plan that directs staff to ensure that healthcare needs are met. There is an appropriate system for the use of medicines that safeguards the people using the service. Evidence: Each person using the service has an individual care plan and three were inspected. The plans are detailed and include social and religious needs. They are developed with the individual resident and signed by them or their representative when possible. Regular reviews take place. The manager said the care plans are all being updated. She must ensure that where risk assessments have a scoring system the details are included in the care plans with appropriate instruction for staff to follow. Day and night event records are maintained and informative. People using the service said their healthcare needs are met. They said that doctors and other healthcare professionals visit when required and records are kept. A community nursed and a dentist visited during this inspection. Both said that the home
Care Homes for Older People Page 14 of 27 Evidence: runs well and they are contacted when necessary. Staff said there is sufficient equipment for moving and handling and pressure relief in the home. There is a policy and system in place for the use of medicines in the home. The policy has been reviewed and is much better; a few additions were discussed to improve it further. A copy of the handling of medicines in social care document has been obtained. A monitored dose system is used and staff have received appropriate certificated training to enable them to administer medicines. Records are kept of all medicines entering and leaving the home and there were no gaps observed in the administration records. The manager is now auditing the charts. We found there is safe storage for general medicines including those requiring refrigeration, the temperature of the fridge is monitored and maintained within the recommended range. Controlled drugs are stored in a double locked facility, which does not comply with current legislation. This was discussed with the manager who agreed to address it. One resident administers his own insulin and has a lockable facility in his room for storage. The unopened insulin is kept safely in the medicine fridge. The homely remedies list has not yet been signed as approved by a doctor and this needs to be done. Handwritten instructions on the charts is now witnessed with two signatures provided. For people prescribed to have medicines administered when required we found that no record is maintained of any assessment made before the administration of the medicine. We also found that there is no reference made in the care plan about the use of this medicine, nor are there any directions on how to make an assessment if this medicine is required. People who are self-medicating also have no directions for staff in their care plans, for example guidance on what to do if blood sugar levels are out of the normal range. The manager agreed to address these issues. Peoples privacy appeared to be upheld during this inspection. Residents said they are treated with respect and their privacy is maintained at all times. They said they receive their post unopened and the telephone arrangements in the home are satisfactory, direct lines are supplied on request. There are currently no residents or staff from ethnic minorities, the local population is predominantly Cornish, and from a White UK background. Care Homes for Older People Page 15 of 27 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. Staff encourage residents to socialise and join in activities, visitors are welcome and efforts are made to ensure that residents choices and preferences are respected so they can live a life that suits them. Evidence: Some activities take place in the home, organised by the manager or her deputy, and there are posters displaying what is on. These include word games, brainstorming, quizzes, sing alongs and reminiscence. A religious service is held bi monthly and a mobile library visits. Events in the home include a fashion show and a pink day for breast cancer awareness. Easter raffle prizes were displayed in the entrance hall and staff and residents were enthusiastic about this. The people using the service told us they enjoy playing draughts and scrabble. A jigsaw was on a table in the lounge for people to enjoy as they wished. Three people were involved with this in the afternoon of the inspection and were enjoying a chat. There is a resident cat and a tank of goldfish in the home, the maintenance man brings in his dog and a pat a pet service is available. One resident said I am never bored. Another person who was in her room said she does not join in very much but her wishes are respected. Individual records are kept and other information is recorded in the daily event records.
Care Homes for Older People Page 16 of 27 Evidence: Staff interacted well with the people using the service during this inspection and they said they try to spend 1:1 time with everyone. All residents spoken with said their individual preferences are respected and they are supported to maintain their independence. They said they choose what they do and are free to go out when they wish, within reason. The manager said that two people have their breakfast in the dining room but the others stay in their bedrooms. She said one person goes back to bed for a while after breakfast. Some said there could be more choices around bath times, one or two said they would like a daily bath but did not think this was possible. Two people wanted to watch a television programme when tea was ready and said they had to leave it to go to the dining room. These issues were discussed with the manager. Some residents control their own money with the help of their families. All residents have their own belongings and some have their own furniture in their rooms. There is a set lunchtime menu but people said there are alternatives available, there is more choice at teatime. The lunchtime meal is written on a board in the dining room. Fresh fruit and vegetables are included on the menu and there are homemade cakes at teatime. Beverages were seen available for residents throughout the day. Likes and dislikes are recorded in the care files. Generally people said the food is very good and there is enough of it. Care Homes for Older People Page 17 of 27 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. There are suitable policies and processes in place for complaints and adult protection to ensure that people using the service are safeguarded. Evidence: The home has a suitable complaints policy and a method for recording complaints. The inclusion of reporting complaints to department of adult social care, in the policy, was discussed with the manager. There have been two complaints since the last inspection that have been dealt with and recorded. People using the service said there are no barriers to raising concerns with the staff or the management. Thank you letters and cards are kept and there are many. The abuse policy is appropriate and includes local authority procedures. Staff said they have received training regarding abuse and the records confirmed this. The registered manager has compiled a matrix to record staff training so she can see who has attended courses and when. There have been no abuse allegations regarding this home. Care Homes for Older People Page 18 of 27 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. The home is comfortable, very clean and very well maintained making it a safe homely place for people to live and work in. Evidence: The home provides a comfortable, homely environment and all residents spoken with said they are very happy with their surroundings. They said the maintenance man works hard to keep the home safe and well presented. They also said it is always clean and does not have any bad smells. Several rooms have been re-decorated since the last inspection and some new furniture and carpets purchased. The double room is now used as a single and two further single rooms have been created, one of which has en suite facilities. Offices for the general manager of the Company and office staff have been developed as well. This has been possible because the registered manager no longer lives on site and the flat has been utilised. A conservatory has been provided at the entrance to the home and several residents and visitors said this was a good investment. The step up into the home at the entrance has not however been made into a ramp for wheelchair users as previously implied. The grounds are kept very tidy and accessible; there is a ramp from the lounge to the garden. Further car parking has been established and has improved the facility. Care Homes for Older People Page 19 of 27 Evidence: The home was clean and hygienic on the day of the inspection and there were no unpleasant odours. The laundry facilities are suitable and red dissolvable laundry bags are used. Residents had no complaints about the laundry service. There are appropriate hand-washing facilities for staff and alcohol hand cleansing gel is in use. Protective clothing is provided for staff. A bedpan washer disinfector has been purchased but cannot be set up for use due to a problem with the power supply. The manager is very disappointed about this. Staff said that infection control training has taken place since the last inspection and the records confirm this. Care Homes for Older People Page 20 of 27 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. There are suitable staffing levels for the number of residents and 63 of care staff hold NVQ qualifications. Recruitment procedures are robust and staff receive regular training to update their skills this helps to safeguard people using the service. Evidence: Staffing levels seem to be satisfactory and there are no vacancies at the moment. One person is awaiting the return of a CRB check and references prior to commencing work. The rota shows there are usually three staff on duty in the mornings, two in the afternoons and evenings and two overnight, who remain awake. A cook and a maintenance person are also employed. People using the service told us the staff are very kind and they care for the residents very well. They said they are polite and nothing is too much trouble. The manager said that twelve care staff are qualified to at least NVQ level 2 in care, this equates to 63 of care staff. Two others are doing the course and two are waiting to enrol onto the course. Five staff files were inspected for people employed since the last inspection and contained the documents required by legislation. Interview records were seen and show that there is equality in the recruitment process. The manager said that when a
Care Homes for Older People Page 21 of 27 Evidence: satisfactory POVA first check is received the person comes in for training, they do not commence work with the residents until the full CRB disclosure and references have been received. This needs to be evidenced within the staff files. The induction programme for new employees is in line with the skills for care induction standards and an induction book was seen. Following induction the manager said that staff are enrolled onto an NVQ course if they do not already have the qualification. The manager has developed a training matrix, which shows when staff have attended a training session and easily identifies those who are due for an update. The matrix shows that most of the staff are up to date with the statutory training, some extra sessions have been arranged for those yet to attend. Certificates for training attended were seen in the staff files. There is other training arranged for staff including Deprivation of Liberties, dementia and palliative care. E-learning is being looked into. Staff said there is plenty of training available to them with opportunities to attend external courses where they meet other care workers. Care Homes for Older People Page 22 of 27 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 registered manager is competent in running the home and systems are in place to monitor and improve the service for residents and staff. An appropriate system is in place for managing peoples monies and training and safety checks are undertaken to ensure the health, safety and welfare of residents, staff and visitors. Evidence: The registered manager is competent and experienced in running the home. She has achieved the Registered Managers Award and keeps up to date with mandatory training. Recently she has attended training in the Deprivation of Liberties and Mental Capacity Act. She said that this year she is going to attend dementia and palliative care training and will continue to read magazines relevant to her client group to keep up to date. She said the monthly manager and directors meetings are very helpful and the new general manager is supportive. During this inspection staff and residents said the home is well run and they spoke positively about the registered manager and the general manager and they said they feel supported and can air their views and are
Care Homes for Older People Page 23 of 27 Evidence: listened to. An annual development plan has yet to be produced for the home. The annual quality assurance survey for the home has been completed and the results are being compiled into a report. The completed surveys seen were very positive about the home and the service provided. The AQAA states that the manager hopes to update the service users quality questionnaire. Regular staff meetings are held and resident / relative meetings have commenced, there are lists displayed of the meeting dates for 2009. The meeting minutes are informative and show that people air their views and actions are taken. There is an auditing system being developed that covers accidents and medicine charts at present. The manager completed her Annual Quality Assurance Assessment (AQAA) in detail and returned it to the Commission within the allotted timescale. One of the company directors, in compliance with legislation, visits the home each month and writes a report. These reports were available for inspection. There is a policy for the safekeeping of residents money which is being reviewed. Most people control their own money or are assisted by their families. Lockable facilities are provided for those who hold their own money. The manager holds cash for seven people; it is stored separately in a locked facility. Numbered receipts are kept for purchases and money received. Transaction sheets are maintained and two people sign the records. The records and money held for one person were checked and found to be correct. There is satisfactory evidence that appropriate health and safety and fire precautions are in place. An external consultant undertakes health and safety training with staff in the home. Statutory training is almost up to date with extra sessions now arranged for those who have not been able to attend previously. The accident records were inspected and nothing untoward found the home has relatively few accidents. Machinery and equipment service checks are undertaken regularly. Certificates show that these are up to date. We were told that the five-year electrical hardwiring test has recently been completed and the report is awaited. We were shown the report of a recent asbestos test and the Legionella testing is in progress. The environmental health officer was visiting during this inspection and the report was favourable, with a few recommendations that could easily be put in place. Care Homes for Older People Page 24 of 27 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 27 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 9 13 Arrangements must be made to ensure that controlled drugs are stored in accordance with the current regulations This will comply with current legislation. 08/10/2009 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 35 The homes policy for the safekeeping of residents monies and valuables should specifically detail the homes procedure to inform and direct staff on the process Care Homes for Older People Page 26 of 27 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 27 of 27 - 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!
