Inspection on 16/09/08 for Oakwood House

This inspection was carried out on 16th September 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oakwood House 20/09/07

Oakwood House 05/09/06

Oakwood House 01/03/06

Oakwood House 14/11/05

Oakwood House 07/03/05

Oakwood House 19/10/04

Oakwood House 17/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oakwood House 400a Huddersfield Road Stalybridge Tameside SK15 3ET     The quality rating for this care home is:   zero star poor 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: Ann Connolly     Date: 1 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Oakwood House 400a Huddersfield Road Stalybridge Tameside SK15 3ET 01613032540 01613032540 mannion.s@sky.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Sheila Mannion Type of registration: Number of places registered: Mr Stephen Mycroft,Ms Sheila Mannion care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability sensory impairment Additional conditions: Service Users to include up to 18 (OP); up to 14 (DE) (E); up to 14 (PD) (E) and up to 1 (SI) (E) Date of last inspection Brief description of the care home Oakwood House is an appropriately converted, large detached building, set back from a fairly busy main road. There are public transport links to the centre of Stalybridge. Oakwood House is owned by two people, one of whom is also the registered manager. It offers accommodation for up to 18 older people, on two floors, mainly in single 0 0 0 0 Over 65 14 18 14 1 Care Homes for Older People Page 4 of 30 Brief description of the care home bedrooms. There is a lounge and a large dining room on the ground and first floor.. Oakwood House charges fees from 278.16 to 364.78 pounds at the date of this visit. Care Homes for Older People Page 5 of 30 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: zero star poor 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 last inspection of this service , which was a random was completed on 29th April 2008. This was a key inspection that included a site visit to the home. The manager was not told beforehand that we were coming to inspect, this is call an unannounced inspection. The inspection looked at all key standards and included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last inspection. During the site visit a selection of records, care plans, policies and procedures were examined. Discussion took place with the manager, staff working in the home, and Care Homes for Older People Page 6 of 30 some relatives who were visiting. Several residents living in the home were spoken to during the visit, and discussions took place with them to find out what they thought about the home and what they felt about how the staff supported them. A tour of the home was undertaken and residents were asked for their comments and views about the environment. Before the inspection, we also asked the manager of the service to complete a form called the Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service about how they are meeting outcomes for people using the service. Some of the information in the AQAA did not reflect the current services at Oakwood House. Thirteen surveys were sent out to residents living in the home. Three of these were returned and helped us to see what people thought about the service. Ten staff surveys were sent and none of these were returned. Since the last inspection visit, which took place on 8th May 2008, the CSCI has not received any concerns about this service. There was evidence during this visit that the manager was managing complaints well, and that procedures were followed appropriately. Over the last twelve months the homes manager has received one complaint, and this was investigated within 28 days. The response made by the home shows that no matter how small the complaint, the home takes all concerns seriously. What the care home does well: What has improved since the last inspection? What they could do better: The manager must ensure that the care needs of any resident admitted into the home are fully assessed. This will make sure that residents can feel confident that staff have the correct information to help them in meeting their individual assessed needs. Over the past three visits to this home there have been repeated inconsistencies in how the home manages the admission process. If staff do not have the right information then important care needs may be overlooked and this could potentially place residents at risk. Although some care plans were improved, there is no consistency in the quality of information on the files. Some files had very little information and for one resident who Care Homes for Older People Page 8 of 30 was admitted into the home there was no care plan in place. Once again this potentially places residents at risk if important care needs are overlooked. Staff cannot be expected to provide care in a safe way if they are not given the relevant information. This is the third time that this concern has been highlighted in an inspection visit. Serious shortfalls were identified in the safe handling of medication in the home. Some residents had not been receiving their medication properly as prescribed by the General Practitioner, and recording was inconsistent. For one resident there was no recording system in place to monitor if medication was given at all, as prescribed, and at the appropriate time. The medication system needs to be audited to ensure that residents in the home receive their medication safely. Residents gave mixed views about activities in the home. Most of the residents who were spoken to said there were no activities for them to choose from. It was recommended that the manager research into age appropriate activities and consult with residents in order to find alternative and creative ways of offering activities. This will ensure that residents benefit from an enriched lifestyle. Management hours must be scheduled into the rota so that she has time to carry out administrative tasks. There are examples contained in this report of poor practice that could potentially place residents at risk. This concern has now been highlighted at the last three inspection visits. On each occasion, the manager/owner has informed us that action would be taken to address these shortfalls. On the last inspection visit the manager was asked to complete an action plan describing how these shortfalls would be addressed in order to meet the requirements listed in the report. However, during this visit, the manager is once again stating that she does not have time to manage the home properly. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents care needs are not always assessed before moving into the home. This means that staff are not provided with the necessary information to inform them on how to meet the needs of individuals in the home Evidence: The files of 4 residents were looked at and this included the file of a resident who was admitted to the home as an emergency the day before this visit. The manager had started the assessment and was completing it during the course of the visit. This is important, as staff need to have enough information to support residents in a safe way. The manager said that the information from the assessment was used to generate a working care plan. The care plan of a resident who had been in the home for a number of weeks was looked at and there was no assessment on file and no care plan. This means that day Care Homes for Older People Page 11 of 30 Evidence: to day care needs may be overlooked. The manager must ensure that all residents admitted to the home have their care needs assessed and that this information is included in the care plan so that staff can meet the needs of residents in a safe way. The admission process in this home is inconsistent and this has resulted in some residents being admitted without all the necessary assessments being carried out. This was the finding of the previous key inspection in September 2007. The manager must ensure that all residents admitted into the home have their care needs assessed prior to admission so that the right care and support is provided to each individual resident. Care Homes for Older People Page 12 of 30 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some care plans are not up to date and do not reflect current care needs. This could potentially place residents at risk as a result of important care needs being overlooked. Medication records showed the home did not follow good practice procedures for the safe handling of medication and this could potentially place residents at risk. Evidence: Four care plans were looked at during this visit. All care plans were presented in files with an index system for easy reference. Information was divided into sections to include basic information, pen picture, medical and health information, care plans, reviews and risk assessments. There were inconsistencies in the quality of care plans. In some there was evidence of an attempt to develop a person centred approach showing that consultations had taken place with residents about their perception of care needs and how they wanted to be supported. On another care plan there was limited information and one important care need had not been identified clearly in the care plan. This means that Care Homes for Older People Page 13 of 30 Evidence: staff did not have all the information required to meet this identified need in a safe way. There were a number of files that were not dated to show when information was entered in the document. The care plans are kept in the main office. From discussion with the staff it became clear that not all staff used the care plans on a day to day basis as a current working document. The main input from staff is to write a daily report over a 24 hour period. However, these reports contained recordings that were not relevant to the care plans and provided little or no information. For example, slept well, appears fine. It was recommended that staff are provided with guidance and training on using and managing care plans. Training needs to include recording techniques relating to care planning so they are a meaningful and constructive record that adds to the development of the care plan and ensures that residents care needs are reported accurately. The manager said that care plan management has been highlighted as a concern in a recent staff meeting. (Minutes of the meeting were seen 03/09/08). She said that she recognised the importance of making meaningful recordings and using the information to amend care plans when appropriate. The manager needs to ensure that when shortfalls are identified and poor practise is highlighted then immediate action must be taken to resolve these issues. This is important so that residents and their relatives can be confident that the home is run in a safe way with sufficient staff hours and management hours to run the home in a way that protects the safety, health and well being of the residents living there. There were other examples where a need was identified in the assessment but had not been transferred onto the care plan. The manager continues to be aware of these shortfalls but has stated that she has insufficient time allocated for managerial duties. This is a repeat of the findings from the last inspection. This approach cannot continue if residents are to feel confident that their care needs will be met in a safe way and that practises in the home are consistent. Information in the Annual Quality Assurance Assessment (AQAA) does not fully reflect the findings of this visit. The AQAA states that the home has improved the format of care plan files so they reflect needs in a better way. There was evidence that work had started to develop care plans, but this new approach was not consistently applied to all residents in the home. Again, the manager was stating there was insufficient management hours to carry out this part of her role. There was evident on files that residents had access to a range of health care support services. Care Homes for Older People Page 14 of 30 Evidence: Residents were spoken to about their experience of life in the home. Comments included: I like it here. Everyone is nice and the staff treat me well. They look after my feet twice a day. I am very happy here, we get nice meals. The girls (staff) are lovely. A number of relatives were spoken to and two people said, We have a high regard for this home. Here, it is nice and friendly with no smells. We are confident we can approach the staff with any concerns. We feel our relative is in safe hands. Medication was looked at on this visit. A series of errors was identified. The medication is administered using a monitored dosage system in blister packs. The manager had admitted one resident into the home, and said she had checked all his medication. However, there was no documentation to evidence this. As a result of looking at this persons file, it emerged he had not been taking an important medication as this had been overlooked on admission to the home. It was several days later when the problem was rectified. The care plan of this resident was looked at to see if the assessment had fully identified his care needs. There was only a basic contact sheet in place, there was no assessment of need and no care plan. This means that this resident has been in the home with very little information for staff on how to provide care in a safe way. This serious shortfall was immediately addressed by the manager and implemented during this visit. Two medication administration records were hand written. A second member of staff did not countersign it. All hand written entries should be counter signed to check for accuracy in the transcription of prescription information. One resident was receiving medication administered by the home, however, there was no medication administration record (MAR) in place. This means that staff were not signing when when they had administered the medication. This is a dangerous practice as all medication administered to a resident must be recorded to ensure that residents receive the correct dosage, at the correct time in a safe way. This practice also means there is no audit trail to check safe practice of drug administration. The manager said they were still waiting for the MAR to be delivered by the supplying pharmacist. Since this had been going on for several days, it is imperative that the manager and staff take full responsibility for safe practice of the administration of medication and take appropriate action in a timely manner. Care Homes for Older People Page 15 of 30 Evidence: On one MAR sheet there were gaps in the recording of administration and no indication why medication had not been administered. One MAR sheet record showed that medication had been administered, however, this was still in the blister pack. Gaps in MAR sheets and medication remaining in blister packs point to poor practice where medication is administered in a way that does not follow proper policies and procedures. All medication must be administered directly to the resident and immediately afterwards the MAR record must be signed. A full audit of the medication and the practice for administering medication must be undertaken to ensure that residents receive their medication in a safe way. Staff responsible for the administration must be updated to ensure that practice is current and up to date. Care Homes for Older People Page 16 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are encouraged to maintain contact with family and friends. Residents have limited opportunities to access recreational activities in the home. Evidence: There are mixed feelings from residents about the provision of activities in the home. At the time of this visit there were 13 residents in the home. A feedback survey was sent to all residents to ask them about their views of the home. Three of these surveys were returned. Two out of the three stated there were no opportunities to engage in leisure and social activities in the home. The third person said there was no use trying as many people would not want to participate. During this visit, there was no evidence of any activities going on. Residents spoken to expressed mixed views, some saying they preferred their own company. The service user guide states that activities are available, however, in reality this does not happen on a regular and consistent basis. Information in the AQAA states this is an area that the service has identified that they need to improve on. It is recommended that the manager researches into age appropriate activities to find creative and Care Homes for Older People Page 17 of 30 Evidence: innovative ways on improving this aspect of the service. This will help to ensure that residents in the home benefit from enriched lifestyle experiences which result in positive outcomes for them. All residents were complimentary about the meals served in the home. Comments included: The food is lovely here, We can always have something else if we dont like it. The meals served during this visit looked well presented and tasty. Relatives who were spoken to said they always felt welcome when visiting and that staff were always there to answer any queries. Care Homes for Older People Page 18 of 30 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. Procedures are in place to ensure that residents are protected. Evidence: In the last 12 months there has been one complaint made directly to the home. The home followed their policies and procedures for investigating this complaint. The Commission have not received any recent complaints about this service. One safeguarding referral has been made and this was investigated with Social Services using local safeguarding procedures. This allegation was unfounded. All residents and relatives who were spoken to said they felt confident in raising any issues of concern to the manager or staff. The training programme showed that 4 members of staff were booked in for safeguarding training on 16 October 2008. Information in the AQAA states that one of the forthcoming projects for the home was to audit training to establish which staff required safeguading training and to follow up with booking them on the appropriate courses. Care Homes for Older People Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is appropriately maintained and provides residents with a clean and pleasant environment. Evidence: A tour of the building took place and all areas were found to be clean and tidy. There is an ongoing programme of redecoration and refurbishment. All residents who were spoken to spoke highly of their surroundings and felt there were spaces in the home that provided a place for quiet relaxation. Some residents said they enjoyed the privacy of their own room where they could read or listen to music. Most rooms have been personalised to reflect personal preferences. Information in the AQAA confirms that equipment in the home has been regularly maintained. There was evidence of ongoing maintenance. Areas in the home had been decorated, new carpets laid and all beds in the home had been replaced. Information in the AQAA states there are plans to improve the environment further by installing en-suite facilities to some bedrooms. Care Homes for Older People Page 20 of 30 Care Homes for Older People Page 21 of 30 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. The needs of residents are met by the numbers and skill mix of staff employed in the home. Evidence: During this visit, there were sufficient staff on duty to meet the needs of residents in the home. The manager was covering a care shift (this has been discussed further in standards 31-38). Thirteen residents were living in the home at the time of this visit. The total number of staff on duty during this visit were: manager covering senior care role, 2 care staff, 1 cook and 1 cleaner. Staff who were spoken to said that they had received induction prior to commencing their job, and that this included health and safety and key policies and procedures. A sample of files were examined and provided evidence that good recruitment and selection procedures were in place. All documentation that was examined contained the appropriate paperwork and checks, for example, Criminal Record Bureau check (CRB), application form, two written references. A declaration of fitness was on file. Information in the AQAA provided confirmation from the manager that training and development was being provided and that this was an area they hope to continue to improve on. All staff spoken to said that they were provided with training Care Homes for Older People Page 22 of 30 Evidence: opportunities. Records which were looked at showed that 4 staff were booked on a safeguarding adults course in October. Staff had attended moving and handling courses in 2006, 2007 and 2008. Fire training was provided in 2008. Care Homes for Older People Page 23 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The present management structure and systems are insufficient to ensure the health, safety and well being of residents on a consistent basis. This method of managing the home could potentially place residents at risk. Evidence: The registered manager has several years experience in a management role. The registered manager is also one of the two owners of the business. Although some improvements had been identified during this visit, there remains inconsistency in the quality of assessment, care plan management and medication administration. Serious shortfalls were identified in the management of medication practice. The registered manager who is also the owner has said that she does not have enough management hours to run the home.This was the findings of the previous two inspection visits. These issues must be addressed as a matter of urgency if residents and relatives are to feel confident that the home is being run in the best interest of the people living there. Care Homes for Older People Page 24 of 30 Evidence: The home has a quality monitoring system in place where residents are consulted about their views of the home and the quality of care services. Staff who were spoken to confirmed that they were in receipt of supervision both formally and informally, they said they could approach the manager at any time with an issue of concern. Information in the AQAA states that systems are in place to maintain equipment in the home and recordings show that equipment was being checked at regular intervals. Care Homes for Older People Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 3 14 An assessment of care needs 16/07/2008 must be completed on all prospective residents prior to arranging an admission date, so that the manager is confident that the services provided by the home can meet the individual?s needs, and that staff are provided with the necessary information to assist them in supporting residents safely and appropriately. 2 7 15 The registered person must ensure that individual care plans are written and are regularly reviewed. 16/07/2008 3 9 13 Medication procedures must 16/07/2008 be monitored and all medication in the home must be audited to ensure that residents receive their medication safely. 4 18 13 All staff must receive training 16/07/2008 in safeguarding adults so that residents can be confident that there health and well being is protected at Page 26 of 30 Care Homes for Older People all times. 5 38 12 The registered manager 16/07/2008 must ensure that allocated time is available to carry out managerial tasks, to ensure, as far as reasonably practical, the health and safety of residents and staff is maintained. Care Homes for Older People Page 27 of 30 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 3 14 An assessment of care 20/11/2008 needs must be completed on all prospective residents prior to arranging an admission date. This is so that the manager can be confident that the services provided by the home can meet the individuals needs, and that staff are provided with the necessary information to assist them in supporting residents safely and appropriately. 2 7 15 Individual care plans must be written and regularly reviewed This is so that individual care needs for each person are met 30/10/2008 3 9 13 Medication procedures must 30/10/2008 be monitored and all medication must be audited. Care Homes for Older People Page 28 of 30 To ensure residents receive their medication safely. 4 38 12 The registered manager 30/10/2008 must ensure that sufficient allocated time is available to carry out managerial duties. This will ensure that as far as reasonably practical, the health and safety of residents and staff is maintained. 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 All hand written entries on the MAR sheets should be countersigned to check for accuracy in the transcription of prescription information. The manager should research into appropriate activities and consult with residents in order to find alternative and creative ways of offering activities in the home. This will help to ensure that residents benefit from an enriched lifestyle. 2 12 Care Homes for Older People Page 29 of 30 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 Older People Page 30 of 30 - 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!