Inspection on 12/11/08 for Newlands House Cheshire Home

This inspection was carried out on 12th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newlands House Cheshire Home 28/11/06

Newlands House Cheshire Home 24/01/06

Newlands House Cheshire Home 16/08/05

Newlands House Cheshire Home 08/02/05

Newlands House Cheshire Home 05/08/04

Newlands House Cheshire Home 10/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Newlands House Cheshire Home Main Street Netherseal Swadlincote Derbyshire DE12 8DA     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: Rose Moffatt     Date: 1 2 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Newlands House Cheshire Home Main Street Netherseal Swadlincote Derbyshire DE12 8DA 01283761202 01283763034 a.stanley@east.leonard-cheshire.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Leonard Cheshire Disability care home 35 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is 35 The registered person may provide the following categories 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: Physical Disability - Code PD Date of last inspection Brief description of the care home Newlands House is a purpose built home offering 24-hour personal care and nursing for adults of either sex with a physical disability. The accommodation comprises of 33 single bedrooms. The design, layout and size of the home allow individuals good access and freedom of movement. The home has a hydrotherapy pool, physiotherapy and occupational therapy areas, and is situated in the village of Netherseal, close to local amenities. The home is owned and run by a national charitable organisation. Information about the home, including CSCI inspection reports, is available in the main entrance area of the home or from the manager. The fees for Newlands House are assessed on an individual basis depending upon need and access to therapeutic Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 35 Brief description of the care home services. The current weekly fees range from £814.33 to £2036.76. This information was provided by the manager on 12th November 2008. Care Homes for Adults (18-65 years) 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use the service experience good quality outcomes. The focus of our inspection is on outcomes for people who live in the home and their views on the service provided. The inspection process looks at the providers ability to meet regulatory requirements and national minimum standards. Our inspections also focus on aspects of the service that need further development. We looked at all the information we have received, or asked for, since the last key inspection or annual service review. This included: the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment Care Homes for Adults (18-65 years) Page 6 of 28 that focuses on how well outcomes are being met for people using the service. It also has some numerical information about the service; surveys returned to us by people using the service and from other people with an interest in the service; information we have about how the service has managed any complaints; what the service has told us about things that have happened - these are called notifications and are a legal requirement; the previous key inspection and the results of any other visits we have made to the service in the last 12 months; relevant information from other organisations; and what other people have told us about the service. We carried out an annual service review (ASR) of the home in January 2008. The ASR looked at all the above information. The ASR showed us the home continued to provide good outcomes for people living there. The last key inspection of the home was on 22nd December 2006. We carried out an unannounced inspection visit that took place over 8 hours on one day. The inspection visit focused on assessing compliance with requirements made at the previous inspection and assessing all the key standards. We sent out 10 surveys to people living in the home and received 3 completed responses. We sent out 10 surveys to staff employed at the home and received no completed responses. There were 32 people accommodated in the home on the day of the inspection visit. People who live in the home, visitors and staff were spoken with during the visit. The manager was unavailable for most of the inspection visit due to a pre-arranged meeting. Some people were unable to contribute directly to the inspection process because of communication difficulties, but they were observed during the visit to see how well their needs were met by staff. Case tracking was used during the inspection visit to look at the quality of care received by people living in the home. 3 people were selected and the quality of the care they received was assessed by speaking to them and / or their relatives, observation, reading their records, and talking to staff. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 were fully assessed so that they were confident the home could meet their needs. Evidence: Three people living in the home returned completed surveys to us. Two people said they were asked if they wanted to move into the home. One person said they were not asked as they were too ill to make the decision and so relied on family. People we spoke with said their needs, or those of their relative, were met at the home. One relative was pleased that they could stay involved in the persons care and daily life. People said, I like living here, Newlands House is a nice place to live, and, The staff know what to do to help us. One person living in the home said although their physical needs were met, they felt their emotional needs were not well met as staff did not always have time just to talk. We looked at the care records for three people in the home. Each had assessments of the persons needs prior to admission, including information from hospital and / or Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: social services staff. The AQAA said that people have a pre-placement assessment and then a letter from the home confirming that their needs can be met. People are offered a visit to the home, a taster day. The home planned to improve by also offering an overnight stay. Staff told us they had appropriate training to meet the needs of people in the home and staff training records confirmed this. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 was a consistent, person centred approach to care planning so that people received care and support to meet their individual needs and preferences. Evidence: Two people who returned our surveys said they always made decisions about what they did each day, one person said they usually did. Two people said staff always listened and acted on what they said, one said staff usually did. People we spoke with were aware of their individual support plans and knew who their keyworker was. People said staff usually respected their decisions and choices. Each of the three care records we looked at included an individual support plan. There were details of the persons preferred daily routine and their preferences regarding how support and personal care should be provided. The support plans were written in a person centred way and covered all aspects of the persons life. The plans had been reviewed six monthly. There was evidence that the person, or their relative, had been Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: involved in planning and review. The care records included risk assessments about manual handling, the risk of developing pressure sores, and the persons nutritional needs. These had all been reviewed six monthly. One person had a risk assessment of the general environment of the home related to activities the person took part in. There was a residents association with regular meetings for people in the home. People were able to bring their ideas, views and concerns to the meetings. The manager joined the meetings after people had discussed the main agenda items. There was information about a local advocacy service, though the manager said few people had used this. Through speaking with people, observation, and looking at records, we found that people were encouraged and supported to make decisions about their lives. For example, there were regular menu planning meetings for people in the home; two people told us about a holiday they were planning to take next year; people were actively involved in the recruitment of new staff. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 was a good range of activities and opportunities available in and out of the home so that people were supported to maintain a fulfilling lifestyle. Evidence: Three people who returned our surveys told us they were able to do what they wanted during the day and at weekends. Two people said they could do what they wanted in the evening, one person commented that there was no assistance to do anything in the evening. People we spoke with said they could follow their preferred routines. People said they could get up and go to bed when they wanted to. There was a shop within the home run by a person living there selling items such as sweets and toiletries. There was a wide and varied range of activities available to people. The home had a Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: day centre that was used by people in the home as well as people coming in for the day. There was a hydrotherapy pool, though this had been out of use for a long time. People told us they were frustrated and disappointed by not being able to use the pool. The manager said the pool should be back in use very soon. There was a room with computers for people to use, including internet access. There was a physiotherapy room with a physiotherapist and assistants available to work with people. Activities at the day centre included yoga, arts and crafts, bingo, music, cooking, gardening, and regular well being sessions. People told us they enjoyed parties at the home for birthdays and other events, such as bonfire night. People were supported to access local adult education. Two people told us about going to a local centre to take part in arts and crafts classes. A relative was pleased that the person was able to use a local college. People were supported in the home, and also using outside facilities, to develop independent living skills. People were supported to use local shops, pubs, and the church. Young people from a local school regularly visited the home. People in the home were involved in a project with university students from Loughborough to design suitable equipment and facilities. There was a group of volunteers in the home who helped with activities, helping people to use the computers, and with driving the homes vehicles to take people out. People told us they would like to go out more often, but there were not always drivers available. The manager said that new volunteers had recently been recruited and were going through induction and training. There were several visitors in the home during the inspection visit. Visitors told us they were always made welcome. They were able to use a small kitchen to make drinks. Relatives told us they were pleased they could be involved in the care of the person if they wanted to. A relative told us they enjoyed sharing a meal with the person when they visited. The care records included details of the persons family and others who were significant to them. People were supported and encouraged to keep in contact with family and friends, including by telephone and email. People told us they would like a room where they could see visitors in private as they did not always want to see visitors in their bedroom or in the open plan communal areas. The manager said an office could be made available for people if they wanted to meet visitors in private. The dining room was large and spacious. The menu for the day was displayed and showed the choices available. People told us there was always a choice. There were regular menu planning meetings so that people could influence the choices available, and menus were also discussed at the residents association meetings. We observed Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: that people who needed assistance to eat and drink were given appropriate help by staff. The lunchtime meal served on the day of the inspection visit appeared appetising and people told us they had enjoyed their meals. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. There was a focus on the delivery of individual care so that people received the support they needed in the way they preferred, and their dignity was promoted. Evidence: Two people who returned our surveys told us that staff always treated them well, one person said staff usually did. Two people said the staff always listened to them and acted on what they said, one person said staff usually did. People said that they got on well with the staff - we have a laugh. They said that sometimes staff shortages due to sickness makes toileting a problem, and also that staff did not always seem to have time just to talk. The support plans we looked at included details of the persons preferences regarding personal care and support. People told us that staff treated them with respect and ensured their privacy and dignity. Relatives spoken with said that staff treated people well, that staff were very caring and not condescending when speaking to people. Staff spoken with were able to give examples of how they ensured privacy and dignity were promoted. We observed that staff spoke to people appropriately. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: People told us they were able to see their GP when needed and usually in private. They confirmed that they had access to other healthcare services, such as dentist, optician and chiropodist. The care records showed that people were referred to specialist services as necessary, such as speech and language therapy and dietician. The home had physiotherapy facilities, including a qualified physiotherapist, physiotherapy assistants, and a suitably equipped room. There was appropriate assessment and monitoring of each persons health, such as records of tissue viability assessment with regular reviews, regular checks of weight and blood pressure. Medication was stored securely in the home. People who were able to manage their own medication were provided with appropriate storage in their rooms. There were records of the receipt and disposal of medication. The medication administration records we looked at were correctly completed. Medication was included in the support plans seen, but there were no details about medication prescribed as required to indicate to staff when this should be given and any alternative action to try first. The registered nurses in the home were responsible for giving medication and all had received suitable training. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 were satisfactory systems in place and good staff awareness so that people were protected and their concerns effectively dealt with. Evidence: Three people who returned our surveys said they knew how to make a complaint and who to speak to if they were unhappy. People we spoke with were aware they could complain and said they would go to their keyworker or other staff with any concerns. Most people said staff would listen to their concerns and appropriate action would be taken. One person said that action promised sometimes did not happen, or was not sustained. We looked at records of complaints. The records included details of the action taken and the outcome of the complaint. Complaints appeared to have been dealt with promptly. No complaints about the home had been made directly to CSCI. There were suitable policies and procedures in place about safeguarding vulnerable adults. Staff had received training and were aware of the procedures to follow if abuse was suspected. A relative said they felt the person was safe and well cared for in the home. Care Homes for Adults (18-65 years) 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 was clean, generally well maintained, and suitably equipped so that people had a safe, pleasant environment that met their needs and expectations. Evidence: The home was purpose built with an open plan, spacious design to allow easy access throughout for people who used wheelchairs. Suitable equipment was provided to help people in their daily lives and to ensure their needs were met, for example, ceiling track hoists in bedrooms, special baths and showers, and profiling beds. There were accessible, pleasant gardens with greenhouses and a courtyard. Bedrooms were individual in decor and personalised with photographs, posters, furniture and other possessions. People told us they liked their bedrooms and confirmed that they had chosen the colour scheme. People could have a key to their bedrooms if they wanted to. One person said they would like the corridors to be decorated in different colours as having them all the same colour could be confusing for people living in the home and for visitors. The main lounge area was open plan with a large screen television. During the inspection visit, there were times when the television sound was loud and intrusive. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: People in the reception area commented on this and the sound was turned down by staff. There was a smaller open plan lounge area also with a television. There was no quiet room provided, or nowhere private for people to see visitors other than their own bedrooms. The manager said an office could be used for this if necessary. Two people who returned our surveys said the home was always fresh and clean, one person said it usually was. People we spoke with said the home was usually clean and free from offensive odours. Staff spoken with were aware of infection control procedures and confirmed they had received relevant training. Care Homes for Adults (18-65 years) 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 were satisfactory recruitment procedures, a good staff induction and training programme, and sufficient staff available so that people were protected and well supported by a competent staff team. Evidence: Two people who returned our surveys said staff always treated them well, one person said staff usually did. Two people said staff always listened to them and acted on what they said, one person said staff usually did. One person commented, staff shortage due to sickness makes toileting a problem. People we spoke with said staff were usually available when needed, they come when I buzz for them. People said, I get on well with the staff - we have a laugh, the staff know what to do to help us, and, theres a good staff team here. Staff told us that there were usually enough staff on duty to ensure the needs of people in the home could be met. We looked at the records of three staff employed in the home. The records included required information and documents, such as a Criminal Records Bureau (CRB) disclosure and two written references. The only photographs included were copies of the persons passport and these were not always recent. People living in the home were involved in the recruitment of new staff as part of the interview panel. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: New staff followed an induction programme in line with Skills For Care standards. The AQAA said that 68 of care staff had achieved a National Vocational Qualification (NVQ) at level 2 or above. Training records showed that the required training was generally up to date, such as manual handling, fire safety, and food hygiene. Staff who administered medication had received appropriate training, including the qualified nurses. Staff told us, my induction covered everything I needed to know and other staff were very helpful when I first started here, and, the staff get on well with each other - its a good team. Even though more than half the people living in the home were male, there was only one male carer employed. The manager said they had tried to recruit more male staff, but there was a lack of suitable applicants. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 was well managed and there were good systems in place so that the health, safety and welfare of people was promoted and protected. Evidence: The manager was suitably qualified and experienced to run the home. People told us the manager was approachable and would usually take appropriate action to address any issues. People said the home was well organised. One person said they couldnt always see the manager when they wanted to, and said that communication could be improved between the manager and people living in the home. The quality assurance system included the meetings for people living in the home and annual questionnaires sent to people and their relatives. There were monthly visits and reports by the area manager in accordance with regulation 26. The AQAA was completed by the manager and returned to us by the date given. The AQAA contained clear, relevant information that was supported by a wide range of Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: evidence. The AQAA let us know about changes made at the home, and where they still need to make improvements. The data section was fully completed. The AQAA showed that most policies and procedures had been reviewed in the last year, but some had not been reviewed for two or more years. The AQAA showed that all maintenance and servicing of equipment and systems was up to date. We looked at fire safety equipment and systems records and found that all the relevant checks were up to date. There were records of accidents and a record of any subsequent action taken by the manager. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 1 34 19 There must be a recent photograph for each person employed at the home. This will help to ensure a fully robust recruitment process that protects people living in the home. 31/01/2009 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 20 Where medication is prescribed as required, there should be details in the persons care plan about when this should be given and any alternative action to try first. This will help to protect people and to ensure that medication is given as prescribed. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 Adults (18-65 years) 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!