Inspection on 18/10/07 for Loudoun House

This inspection was carried out on 18th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Loudoun House 13/06/06

Loudoun House 06/09/05

Loudoun House 29/06/05

Loudoun House 01/12/04

Loudoun House 03/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Loudoun House Ridgeway Road Ashby-de-la-Zouch Leicestershire LE65 2PJ Lead Inspector Thea Richards Unannounced Inspection 18th October 2007 10:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Loudoun House Address Ridgeway Road Ashby-de-la-Zouch Leicestershire LE65 2PJ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01530 412184 01530 412184 Rushcliffe Care Limited Mrs Susan Roberts Care Home 35 Category(ies) of Dementia - over 65 years of age (20), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (4), Old age, not falling within any other category (35), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (4) Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person in categories OP, DE(E), MD(E), LD(E), PD(E) & SI(E), may be admitted into Loudoun House where there are 35 persons in total of these categories/combined categories already accommodated in the home. No one falling within category MD(E) may be admitted to the home where there are 4 persons of category MD(E) already accommodated in the home. No one falling within category LD(E) may be admitted to the home where there are 4 persons of category LD(E) already accommodated in the home. No one falling within category PD(E) may be admitted to the home where there are 10 persons of category PD(E) already accommodated in the home. No one falling within category SI(E) may be admitted to the home where there are 4 persons of categorySI(E) already accommodated in the home. No one falling within category DE(E) may be admitted to the home where there are 20 persons of category DE(E) already accommodated in the home. Service users between the age of 55-65 years who fall within the above categories and were resident in the care home at the date of registration continue to reside there. To be able to admit the person named on variation application number 49975 dated 24th June 2003 under category PD into the home. 13th June 2006 2. 3. 4. 5. 6. 7. 8. Date of last inspection Brief Description of the Service: Loudoun House is a care home providing personal care and accommodation for 35 older people with a physical frailty and/or mental health needs. There is a small provision for those with a learning disability. The home is part of the group of homes owned by the Registered Provider Rushcliffe Care. Susan Roberts has been the Registered Manager for several years. The home is situated close to the town of Ashby de la Zouch and can be reached by private and public transport. There is some visitors parking in the grounds. The accommodation is a purpose built two- storey home with a lounge/ dining Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 5 on the first floor and a lounge and a dining room with a bar on the ground floor. There are single bedrooms on both floors and the first floor can be reached by stairs or by a passenger lift. The home is well maintained and provides a safe, comfortable and homely environment for the residents to live in. Outside, there is a well – maintained patio area with seating and flower beds, which is easily reached for the residents to use in the better weather. The current registration certificate from the Commission for Social Care Inspection is available in the reception area with an up to date insurance certificate. The latest report from the Commission for Social Care Inspection is available in the managers’ office. The home can be contacted by telephone, fax or email. The current level of fees is £ 327.00 - £ 420.00 There are extra charges for hairdressing, chiropody, newspapers and personal items. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit the inspector spent five hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on the 13th June 2006. This included the Annual Quality Assurance Audit completed by the home. The visit took place on the18th October 2007 and lasted five and a half hours. During the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to three of the residents. To achieve this, the residents were spoken with. The inspector spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. The inspector also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. The inspector looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. The inspector looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with the manager, staff, the residents and their families. What the service does well: The home provides a pleasant, well -maintained environment for the residents to live in. The residents receive care, which is planned and given with privacy and dignity. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 7 The staff are well trained to enable them to give the best care for the residents. The residents have a good choice of meals, which are served in pleasant surroundings. The residents are listened to and have their views and opinions acted on. What has improved since the last inspection? What they could do better: The residents and/or their families could be involved in the care planning and the review of care, which will make sure that they are happy with the care being given. Where the residents are looking after their own medicines, a locked storage facility should be provided to keep the medicines safe. When the residents take part in activities this should be recorded to make sure that they have a choice in what they do. The health and safety records should be kept up to date to make sure that anything found to be wrong, can be corrected quickly. Improved wheelchair storage could be found to make it easier for staff to mange. Whilst formal supervision for the staff is taking place, the frequency should be increased to comply with the Care Standards requirements, to give the staff the opportunity of individual time with their ‘line manager’. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 8 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3. 6 is not applicable in this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ needs are always assessed before moving into the home and they are offered the chance to visit the home. They are given adequate information to allow them to make an informed choice about the home. EVIDENCE: All of the residents who were ‘case tracked’ had been given a Statement of Purpose, sevice user guide and a copy of the terms and conditions. Following a review of their registration certificate, Loudoun House should revise their statement of purpose. These can be made available in other formats, such as large print or other languages, which helps people to understand the information. Providing a comprehensive Statement of Purpose & Service Users’ Guide results in good information for the residents, making sure that they they can get the most suitable care. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 11 The manager or the deputy manager visits all prospective residents before they are admitted to the home and completes a pre admission assessment form. These were seen in the files looked at. A 72 hour assessment of the resident is completed when the resident is admitted to make sure that they can provide the right care for them. This makes sure that that the manager and the staff in the home have the the right information, so that they get the best care. It makes sure that the home can meet the residents needs and that the resident meets someone from the home who they can recognise. This makes the move into care easier to manage for them. The families spoken confirmed that they were given the opportunity to visit the home before their relative came in. Members of the staff spoken with said that they knew what the residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection (CSCI) was displayed in the entrance of the home. The latest report from the CSCI was available in the managers’ office. An up to date insurance certificate was displayed in the entrance hall. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents as identified in the care plans and give them privacy and dignity with their care. EVIDENCE: All of the ‘case tracked records were found to contain good individual evidence of the care being given to the residents. There are records of the involvement of G.P.s, district nurses, chiropodist, optician and dentist in them, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor and other health professionals when they needed to. There are records of the residents weight held in the care plans, which makes sure that they are not having unexplained weight loss or gain. The residents or their families had not signed their care plans to say that they had agreed with the care being given. However those spoken with said that Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 13 they had not been involved in the review process but were happy with the care being given. Consideration should be given to involving the resident and/or their families in the review process and either getting them to sign the care plans or document that they do not wish to sign them. The daily record of care is up to date, which makes sure that the residents have the right care and the staff know what has happened to them during the day or the night. The inspector saw the residents being treated with dignity and respect when staff spoke with them and gave them their care. Staff seen giving care did so in the right way, giving the residents privacy where needed and communicated with them whilst giving the care. Staff spoken with, were aware of the care needs of the residents and the residents and the families spoken with were happy that all care needs were being met. A comment from a resident was that she was very happy in the home and enjoyed the food. Medication records for the case tracked residents were in order. Medicines are given by the senior care staff who have had training to give medicines. The medicine round was seen by the inspector and medicines were administered individually and the residents seen to be taking them. The staff spoken with were knowledgeable about the medicines and where to find information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The manager regularly looks at the record sheets and records this. The chemist who supplies the medicines, regularly checks the record sheets and the medicines that are stocked. This had been completed the day before the visit and had been found to be in order. There is a policy for residents handling their own medicines, a resident who is in the home temporarily does administer their own. However, there is no provision in the residents’ rooms for a locked cupboard to store the medicines in. The manager should provide this for any of the residents who are administering their own medicines to keep them safe. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their social, spiritual and nutritional needs met. Their views are taken into consideration and acted on. EVIDENCE: There was evidence of an activities programme being provided for the residents. The residents and the families spoken with were happy with the amount and variety of activity arranged. There was no written evidence in the care plans or separately that the residents were taking part in activities. On the morning of the visit some of the residents were enjoying having their nails done. There were several visitors in the home on the day of the visit and those spoken with were positive about the communication with the manager and said that they were always made very welcome in the home. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 15 At times during the visit the staff were seen to be spending individual time with the residents. The residents have a choice of meals every day and the cook is able to offer the residents, alternative, individual choices if there is nothing the resident likes. The inspector spent time the dining room during lunchtime and all the residents spoken with said that they were enjoying their meal and that they always had a choice. The cook has a good understanding of the dietary needs of the residents including diabetic diets and can provide diets for people of a different ethnicity, such as Hindu. The staff were seen to be sitting and talking with the residents whilst helping them with their meal. The manager or the deputy sees each of the residents on a one to one basis every day. There are annual quality audits to get the views of the residents and their families. The manager completes various internal audits in the home to make sure that the standards are kept up. There are regular resident meetings and families are invited to these. The home holds regular kitchen meetings to discuss menus and the meal service. These practices make sure that the residents keep their contact with the community and their families and that their views for improvements can be considered. Religious needs are provided for, with a monthly service and a priest who visits regularly. A hairdresser visits the home weekly, which the residents enjoy. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place, which gives the details of how to complain and who to complain to if they needed to. The policy can be produced in other formats such as large print or other languages, which makes it easier to understand. The complaints book was looked at and was found to have an adequate record of any complaints received and when they were resolved. Complaints received since the last inspection on the 13th June 2006 had been resolved satisfactorily. The Commission for Social Care Inspection (CSCI) has not received any complaints since the last inspection. The residents spoken with were happy that they would speak to the manager or a member of staff, if they had a problem and that it would be dealt with. Families spoken with on the day of the visit said that they were aware of the procedure to complain and would have no concerns about doing so. The staff spoken with knew how to deal with a complaint, which was given to them. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 17 The staff said that they had had training in safeguarding adults, which was confirmed by the training records held in the home. The staff spoken with told the inspector how they would handle such an incident and that they would have no concerns about ‘whistle-blowing’. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a pleasant home, which is generally run in their best interests. A comfortable, clean and safe standard of accommodation is provided for the residents. EVIDENCE: Loudoun House is a purpose built home close to the town of Ashby-de-laZouch. There are two lounges, one of which includes dining tables; these take up a large part of the room, with the lounge chairs around them. There are plans to move the dining area, which will improve the facility for the residents. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 19 However, the residents spoken with said that they liked it how it was and didnt want to have to go to another area for their meals. There are television and music centres in each lounge area. The home is well maintained, clean and free from any unpleasant odours and it gives the residents a pleasant place to live in. There is a pleasant patio area and garden, which are very well kept and easy for the residents to get to in the better weather. The bathrooms are clean, tidy and free of any hazards. One bathroom did have some unnamed toiletries in it, which could be a hazard for the residents if someone who is confused drank them. They could cause cross infection if used for more than one resident. This was shown to the deputy manager, whom had the items removed before the end of the visit. There is very little storage provided for wheelchairs, which could be looked at to make it easier for the staff to manage. With their permission, the case tracked residents bedrooms were looked at by the inspector. They provided good accommodation, which had been personalised with the resident’s belongings. The bedrooms were clean and well maintained. There was evidence of equipment such as hoists having been provided to help in the care and comfort of the residents. The cleaning materials were kept in locked cupboards and the staff have had training in handling dangerous chemicals. The fire records and hot water temperatures were being completed regularly but were not up to date, these should be done at the right frequency to make sure that the residents are kept safe. There were no further outstanding safety or maintenance issues seen on the tour of the premises. There is an ongoing programme of redecoration in the home and a bedroom was being redecorated on the day of the visit. The registration certificate from the Commission for Social Care Inspection was displayed with a current certificate of insurance. The inspection reports are available in the managers’ office. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 (Not inspected) 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ needs are met and their safety protected by the recruitment policy and by the training that is in place. There are enough staff at the home to provide for the residents needs. EVIDENCE: There is evidence of a good skill mix of staff to make sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and relatives spoken with felt that there were always enough staff on duty to look after them properly. Rushcliffe Care Limited, Epinal Way Care Centre completes the recruitment process centrally and this is inspected when inspecting the care homes at the Epinal Way Care Centre. There were records of staff training including induction and the staff spoken with confirmed that they received regular training in moving and handling. They said that they had training in first aid, food hygiene and medicine training. The home has more than the required level of staff with a National Vocational Award (NVQ) at level 2 or above and is to be commended. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 21 The manager has completed the registered managers award through the National Vocational Award programme. The National Vocational Qualification is a qualification for care staff to make sure that they receive the right training in the needs of the resident group whom they are caring for. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is committed to the best care for the residents through training, good communication and effective management. EVIDENCE: The deputy or the manager was available throughout the visit to the home. The manager is an experienced manager who has completed her registered managers award. There was evidence that regular staff supervision was in place, the members of staff spoken with confirmed that they had received regular supervision. The frequency of supervisions should be increased to meet the required level. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 23 The process of formal supervision time gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. There are regular meetings held with the staff to pass on and exchange information. The one and and manager meets regularly with the residents and their families as well as to one discussions both to pass information on and to listen to their views opinions. There are annual quality questionnaires sent out to residents their families to gain their views about the home. These practices allow the manager and the responsible person to respond to the residents and the staff’s needs. There are accounts held to manage the residents personal allowances and are being managed correctly with two signatures and the receipts in place. The policies and procedures are in place for the home and are regularly reviewed. They are available for the staff to read to make sure that they know how the residents are to be cared for and protected. All of the notifications (Reg. 37s) that the Commission for Social Care Inspection has received since the last inspection on 13th June 2006 have been dealt with correctly. Records for the maintenance of fire equipment, fire drills and training were found to be in place but not up to date. Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X 2 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The Registered Person(s) should demonstrate that the residents and/or their families are involved in planning their care and agree with the care plans. The Registered Person should provide appropriate, locked, storage in the residents bedrooms to keep medicines for those residents who administer their own. The Registered manager should make sure that all activities in which the residents take part are documented. The Registered manager should make sure that all health and safety records are maintained and kept up to date. The Registered Person should provide suitable storage facilities for equipment used to assist the residents. The registered manager should make sure that formal supervision for the staff is carried out at the required frequency. 2. 3. 4. 5. 6. OP9 OP12 OP19 OP22 OP36 Loudoun House DS0000058947.V351230.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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