Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Moorfield House Nursing Home Fieldhouse Walk Off Stonegate Road Leeds Yorkshire LS17 6HW 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: Denise Rouse
Date: 0 9 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home
Name of care home: Address: Moorfield House Nursing Home Off Stonegate Road Fieldhouse Walk Leeds Yorkshire LS17 6HW 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) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 42 The registered person may provide the following category of service only: Care home with nursing - Code N; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following categories: Dementia Code DE, Physical disability - Code PD, Old age, not falling within any other category Code OP. Date of last inspection Brief description of the care home Moorfield House is a converted Grade 2 listed building located in a residential area north of Leeds City Centre. The home is located close to local amenities and public transport routes. There is ample parking to the front of the home for visitors. The home is registered to care for fifty-seven people, 42 older people and 15 younger adults with physical disabilities. Care Homes for Older People
Page 4 of 28 01132680528 moorfieldhouse@hotmail.co.uk Care Concern (Leeds) Limited care home 57 Over 65 0 42 0 5 0 15 Brief description of the care home Moorfield House provides accomodation for older people and the younger people are accomodated in Fieldhouse Lodge a purpose-built extension to the main house. Moorfield House provides accommodation on three floors with a passenger lift connecting each level. There are single and double bedrooms and some of these have en-suite facilities. There are a variety of comunal lounges and an activities room. In Fieldhouse Lodge there are fifteen single bedrooms, 6 of these having en-suite facilities. On the ground floor, there is a lounge/dining area. A passenger lift connects the two floors. A central kitchen and laundry serves both Moorfield House and Fieldhouse Lodge. Information is available to people in the form of the service user guide, statement of purpose and last inspection report. A brochure of the home is also available. This helps people to understand what services the home has to offer people. The fees charged on 9 January 2009 ranged from £520.00 to £1300.00 per week. 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 quality rating for this service is 2 star. This means people who use this service experience good quality outcomes. Thie evidence used in this report has includes: A review of the information held on the homes file since its last inspection. Information submitted by the registered provider in the Annual Quality Assurance Assessment, AQAA. Information received from surveys completed by six people living at the home. Care Homes for Older People
Page 6 of 28 An unannounced visit to the home which lasted six hours and ten minutes, undertaken by one inspector. Evidence gained by direct observation during the site visit. This involved speaking with people living at the home on both units. Speaking with the nurse in charge and with other care staff, the deputy manager and manager of this service. Inspection of records, including care profiles, medication administration records, staff files and some of the homes policies and procedures. We have reviewed our practise when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations. But only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will take place. What the care home does well: What has improved since the last inspection? People who are considering moving into the home now have access to all the relevant up to date information to help people make a decision about if the home is the right place for them. This information contains some pictures of the home and can be adapted to suit peoples special communication needs. Care plans have all been re-written and this has been undertaken with people living in Care Homes for Older People Page 8 of 28 the home and their relatives or chosen representative. Care plans say what a person can do to help themselves and what help is needed from staff. This helps to promote peoples independence and state of wellbeing. People are assessed to see if they are safe to self administer their own medication, where this is possible, people are allowed to undertake this which promotes their independence, health and wellbeing. People have their privacy and dignity respected. People have keys to their bedrooms if they wish and can lock their bedroom door when they want, to help them have control over their own environment. The activities offered within the home have improved and include one to one sessions with individuals, as well as trips out and in house activities on both units. People are asked for their input when the activities calender is being created, this helps to make sure that peoples social needs are being met. A snack menu has been created with food that is available to people at any time. Fruit is available in the lounge and people can help themselves. The lounge/dining area on Fieldhouse Lodge has been adapted so that people on this unit can make use of the kitchen area. A new hot water boiler is about to be fitted so that people can make their own hot drinks, which promotes peoples choice and independence. People are asked to take part in resident and relative meetings and Forum Group meetings are held on Fieldhouse Lodge to help gain peoples views about the services they receive. Management listen to peoples views and take action to make sure that peoples views are acted upon. The procedures in place to help safeguard people have been improved and are robust. Issues raised are reported to the correct authorities, this helps to protect people. The home has benefited from an occupational therapy assessment, this has helped to give management ideas about how the home environment may be adapted to help and promote the independence of people living in the home. A refurbishment programme has been undertaken since the last inspection which has vastly improved the decor and facilities available to people who live there to make sure it is a nice place for people to live. This programme of improvements is ongoing. Quality assurance systems operating in the home have been vastly improved to make sure that peoples views are known. The standard of service being delivered by all departments is now being thoroughly monitored and any shortfalls found are acted upon to make sure that people living in the home are receiving a good service. Telephone systems in the home have been improved so that communication is possible at all times. What they could do better: Balances of controlled medication received at the home should be counted upon receipt, to make sure that the pharmacy has sent the right amount of medication. Management should ask for more clarity about what the people on Fieldhouse Lodge Care Homes for Older People Page 9 of 28 would prefer have for their meals, to make sure individuals food preferences are being considered. 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 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 11 of 28 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are offered a place in the home, or information is provided by the care managers about peoples needs, so that peoples needs are known and can be met. Evidence: People are assessed before they are offered a place in the home. The assessment is undertaken by staff who are experienced and competent in assessing peoples needs. Information is gained from care managers,discharging hospitals and the persons relative or representative to make sure all necessary information is gained. Prospective residents are invited to spend some time at the home before making a decision about if the home is the right place for them. Information is provided in the statement of purpose,service user guide and homes brochure to help people understand what the home has to offer them.This information is available separately for each unit, so that people know what services are provided for older people and younger adults.
Care Homes for Older People Page 12 of 28 Evidence: A place is only offered to people if the home assesses that staff can meet the persons needs.People are invited to look around with their relatives and can stay for a trial visit, to allow them to experience what it would be like to live in the home. If people are admitted to the home as an emergency the care manager makes sure the home have an up to date care plan and have time to review this information to make sure that staff are able to meet peoples needs. Care Homes for Older People Page 13 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. Peoples health and personal care needs are met, their privacy and dignity is protected. Evidence: People spoken with said they were treated with dignity and respect by the staff, they said staff listened to them and acted upon what they said. Staff working in both units were seen to be attentive and patient when helping people who required assistance. A lot of work has been undertaken to make sure that care plans are personalised and clearly identify how people can be helped and supported to maintain their independence. Care plans state what each person can do for themselves and what help they need from staff to support them. Care plan reviews are undertaken regularly and peoples relatives are always made aware of the date so that they can attend if they wish to. Each person has a record in their care notes which is signed by the individual, their relative and named nurse to say they agree with the care plans and care being provided. Care documentation was reviewed each month for three out of four case
Care Homes for Older People Page 14 of 28 Evidence: tracked people living in the home, and the most important care plans for the fourth person had been reviewed, the others were going to be reviewed on the day of the site visit for this one individual,to make sure their needs were still being met. In Fieldhouse Lodge two people were case tracked, they both said they had taken part in creating their care plans. One had created these documents herself helped and supported by the staff. Both confirmed that their care documentation was reviewed with them and they were happy with this process.People are assisted by key workers and named nurses, so that staff get to know the people allocated to them well, and understand their needs in detail. Health care professionals visit the home as required and people are escorted by staff to hospital appointments as necessary. Specialist equipment is available on both units of the home to make sure peoples individual health needs are being met. People can choose to administer their own medication if they are safe to do so. Staff undertake an assessment of peoples ability to be able to carry this out safely before they are allowed to undertake this. Where people are assessed as being safe they are encouraged and supported to take their own medication to help promote their independence. Where this is not possible trained staff give people their medications as prescribed. The medication systems in operation in the home are generally robust. A new medication system has been introduced in the home since the last inspection which is working well. However two controlled medication balances were checked. The pharmacy had made an error when dispensing these two items. One discrepancy had been picked up by the staff and reported back to the pharmacy. The second issue was found at the time of the site visit. A new bottle of controlled medication contained one less tablet than it should have. Staff should open new bottles of controlled medication on receipt to check the balance of tablets stated as being supplied is correct. This will make sure that issues with the pharmacy are quickly addressed. 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. Peoples social needs are known and are being met. People receive a nutritious diet however some people would like to have more input into the food being provided on Fieldhouse Lodge. Evidence: All people who were case tracked had social care plans in place and these had details of peoples preferred activities. The activities co-ordinators ask people what they would like to do and undertake one to one activities such as hand massage as well as group activities. On Fieldhouse Lodge activities are less formalised as the younger people prefer to be asked what they would like to do at the time the activities co-ordinators are available, so that activities are more spontaneous and individualised. People can choose which care staff help take them on outings, which helps people feel they have a choice and that their preferences are respected. People can go out and stay with family and friends. One person who lives on Fieldhouse Lodge provides a shop facility for all people living and working in the home, this is appreciated by everyone. Care Homes for Older People Page 16 of 28 Evidence: A Snoozelam relaxation area has been created and is used for people from both units, this helps people relax and is beneficial for people who have communication difficulties and dementia. A diary is kept of its use. People who do not wish to join in with activities and who prefer to spend time in their bedrooms are visited by the activities co-ordinators each time they are on duty, to have a chat or take part in a one to one activity. This help make sure that people do not feel isolated and that their social needs are being met.There is a record kept of all social activities undertaken by each person. There have been outings undertaken to Armley Mills Museum and to The White Rose Shopping Centre. Musical entertainers also visit the home, and there is a wide variety of quizes and games such as bean bags and carpet skittles available to people. Reminiscence cards are available for people who have dementia, which can help stimulate peoples memories. Lunch was observed on both units. The choice of food was advertised in the dining room at Moorfield House. People were asked on both units what they would like to eat. People who needed assistance were helped by patient staff who assisted people in an unhurried manner. People said the food was good on Moorfield House and choice was available. There is a snack menu available for people to order from at any time. The food looked appetising. However on Fieldhouse Lodge people said that they did not like the meat and two vegetables on offer each day and would prefer to create their own menu, they said they had been asked about what foods they would like to have on the menu, but felt the menu never really reflected their preferences thoroughly and they would prefer to create a menu for this unit themselves. One person said I am not keen on the food, it is all like sunday dinners. This was discussed with management who said they would undertake this. The dining room in Fieldhouse Lodge has been refurbished and there is now a sitting area which is carpeted with a large flat screen TV for people to use.There are small tables which can be pulled up to people in easy chairs or wheelchairs whilst they eat their meals, and watch television. A new dining counter which has been fitted at a height so that people in wheelchairs can sit at the counter to eat their meals. There is also a dining table with dining chairs, so that people have a choice where they want to sit to eat. The room has been redecorated and is very pleasant. A hot water boiler is going to be fitted which is safe for people to use to be able to make themselves hot drinks. People were really looking forward to this and were very positive about the changes made to Fieldhouse Lodge to help them have a better dining experience available to them. A hot trolley was being used to keep meals warm so that meals were not being heated up in the microwave, this method of keeping food warm makes
Care Homes for Older People Page 17 of 28 Evidence: the food safer to eat. People did say that take away meals were available to them and they enjoyed having this facility made available for them. Care Homes for Older People Page 18 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. People are protected from abuse and complaints raised are listened to and acted upon, this helps to protect people. Evidence: People spoken with and those who completed surveys said that they knew how to raise issues they may have with the staff or manager. They said they felt any issue raised would be investigated and dealt with appropriately. There have been some complaints received since the last inspection,issues raised have been investigated and dealt with appropriately.People have been notified of the outcome of the investigation. One person spoken with said If I had a complaint I would speak to the staff and it would be resolved . Staff receive training about how to safeguard people during their induction and at regular intervals thereafter. Staff spoken with knew what to do if an allegation of abuse were to occur, this helps to protect people. Management have improved how they report safeguarding issues and any issues are promptly reported so that they can be dealt with appropriately.Other agencies who require to be informed of these issues are notified so that they can take part in resolving the issues raised,this helps to protect people. Care Homes for Older People Page 19 of 28 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home which is well decorated, homely and continues to be improved to make sure it is a pleasant place for people to live in. People are protected by the infection control measures in place. Evidence: The home has a secure door entry system to make sure unauthorised people cannot gain entry to the home, this helps keep people safe. There are two units Moorfield House for older people and Fieldhouse Lodge which is adapted to provide accommodation for younger adults. There are a variety of living rooms and a dining area provided for people in Moorfield House. A programme of redecoration has been undertaken and is ongoing, the hall stairs and landing have been carpeted and redecorated so they are clean and bright. The dining area has been re decorated and has new curtains and tables, this is very homely, and helps make mealtimes more sociable and enjoyable. A third lounge is currently being totally redecorated and this will help make sure that the home is pleasant for people who live there.Passenger lifts are available to help people gain access to all areas of the home. In Fieldhouse Lodge bedrooms are adapted so that they can meet peoples individual and special needs. People are encouraged to personalise their bedrooms and can have pets, which helps people feel at home. The
Care Homes for Older People Page 20 of 28 Evidence: dining area has been vastly improved since the last inspection and people spoken with said they were very happy with the way management were developing the home to help meet their needs. General maintenance is undertaken to make sure that the home is safe for people to live in. An occupational therapist has assessed the homes environment, which has helped the management team make some adaptions throughout the home, to make it better for people to live more comfortably and to help promote their independence. There are patio areas and gardens, which are accessible to people who use wheelchairs and those who may not be steady on their feet. Garden furniture is available for people to use. The laundry was inspected. Infection control measures are in place for handling soiled linen. Hand wash facilities are available for staff throughout both units to help maintain infection control. Care Homes for Older People Page 21 of 28 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are looked after by adequate numbers of well trained staff so that peoples needs can be met. Evidence: Staff are efficient and effective and are attentive to people living on both units.Staffing levels observed on both units were enough to meet peoples needs. Staff spoken with were happy with staffing levels and felt management helped and supported them in their work. Staff are recruited using a robust method, all necessary pre employment checks are undertaken and staff do not start at the home without the results of these checks being known, this helps to protect people. Two people who live at the home assist with interviewing prospective staff, this is good practise. New staff receive induction training and this helps them to understand what is required of them and gives them the skills they need to be able to give good care. Ongoing training and development is given to all staff. Supervisions and appraisals take place to make sure that staff are practising their skills safely and can raise any training needs they may have. This helps staff to keep their skills up to date. There is a training record kept for each member of staff , as well as a training programme for the
Care Homes for Older People Page 22 of 28 Evidence: year to make sure moving and handling, fire, infection control and training in all other relevant subjects is provided regularly for all staff. Staff are invited to attend in- house meetings where they can give their views, those not able to attend can read the minutes. The management staff have an open door policy and staff can speak with them at any time, to raise any issues, this helps staff to feel valued. Care Homes for Older People Page 23 of 28 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed, quality assurance systems have been developed to make sure that the services being provided in the home meet peoples needs. Evidence: The home is run by an experienced manager and there is a deputy manager in place. The proprietors support the management team and together they have the best interests of the people who live in both units of the home at heart. A lot of work has been undertaken to make sure that improvements have been made to the structure of the building. The quality assurance systems have also been improved to make sure that peoples view are gained about the service they receive. Any shortfalls highlighted are looked at and acted upon by the management team. The manager and deputy manager have open door policies so that people living in the home, their relatives or staff can speak with them at any time. Meetings are held on
Care Homes for Older People Page 24 of 28 Evidence: both units to find out peoples view of the service they are receiving, and to ask for peoples suggestions about how the services provided can be improved. Surveys are sent out to people who live in the home and to health care professionals to find out their views about how the home is looking after people. A Focus Group is led by one of the people who lives in Fieldhouse Lodge, this helps to make sure peoples views are known and people feel they are listened to. Regular resident and relative meetings are also undertaken in Moorfield House. Personal allowance accounts are available to people living in the home, some accounts were inspected, balances were found to be correct and receipts are kept for all transactions. This helps protect people from financial abuse. Health and safety checks are undertaken, fire alarms are activated once a week and hot water temperatures for peoples bedrooms are checked to make sure that people are not at risk of being scalded. Ongoing maintenance of the building is undertaken and there has been a lot of refurbishment undertaken to make sure that the home is a pleasant place for people to live. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 9 Balances of controlled medication received from the pharmacy should be checked, to make sure that the correct amount has been supplied by the pharmacy. People living in Fieldhouse Lodge should be asked to give more input into the menu they have available to them. To make sure that they receive the food they would like to eat. 2 15 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
