Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Park House Nursing Home 27 Park Crescent Peterborough PE1 4DX The quality rating for this care home is:
three star excellent 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: Lesley Richardson
Date: 0 8 1 2 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 29 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 29 Information about the care home
Name of care home: Address: Park House Nursing Home 27 Park Crescent Peterborough PE1 4DX 01733555700 01733296814 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Fiona Ann Johnston Type of registration: Number of places registered: TLC Homes Limited care home 52 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: 52 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 need on admission to the home are within the following categories: Old age, not falling in to any other category - Code OP Dementia - Code DE Physical Disability Code PD Date of last inspection Brief description of the care home Park House is a two-storey home for up to 52 people in Peterborough, and is within reach of the city centre. The home is well presented, overlooking a local park, and has pleasant and secure gardens. These are suitable for many people to use, offering seating areas and some areas of shade. All bedrooms have en-suite facilities and there are a high number of communal areas including two lounges, a television room, a Care Homes for Older People
Page 4 of 29 Over 65 0 52 0 52 0 52 Brief description of the care home garden room, dining room and lounge/diner. The homes fees range between 485 and 685 pounds per week. A copy of the latest Commission for Social Care report is on display and older reports are available on request. Care Homes for Older People Page 5 of 29 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: three star excellent 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 3 star. This means the people who use this service experience excellent quality outcomes. This was a key inspection of this service and it took place over 7 hours as an unannounced visit to the premises. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. There were no requirements made at the last inspection. There have been no further requirements or recommendations made as a result of this inspection. Information obtained from the Annual Quality Assurance Assessment (AQAA) and from returned Care Homes for Older People
Page 6 of 29 surveys was used in this report. We received 2 surveys from staff members and 9 of surveys from people living at the home. We also received comments from 4 people who visit the home. What the care home does well: The home is a large adapted and extended Edwardian building and it is situated in its own grounds. There are three lounge areas, plus other quiet areas for people to use if they wish. The home is clean, tidy and is a safe place for people to live. One person who lives at the home said, All my friends and relatives are very favourably impressed with Park House, and I myself feel that I am very fortunate to be in such a pleasant attractive environment and to be given such constant and good care. The entrance here is welcoming - always flowers in the hall, and the gardens are very well tended, with plenty of seats available and indeed to have outdoor picnics, weather permitting! Staff members are polite and talk to people with respect. We talked to people during this inspection and they said the staff are nice, respect their privacy. Two comments made are, Staff always ready to assist and always totally capable and Staff always very caring, polite and considerate. Assessments are completed before people move into the home, they have contracts with the home and they say they have enough information before they move in. Comments from one person who returned a survey was, Visited at home by the owner. Invited to look around and meet staff before deciding. Excellent home. Everyone at the home has a set of care records. This set of records includes risk assessments that look at how to keep people safe, plans that tell staff what the need to help people with, and other documents that show what staff have done. There is access to health care professionals when people need to see them. Medication is given properly, and one person said, Yes - medical support is given on a daily and ongoing routine. Medication is given at meal times and as medically prescribed. The Park House doctor visits weekly or by arrangement. Hospital visits are as required. Nothing is left to chance. There are a large number of activities, events and entertainment available in the home. Two activities co-ordinators arrange these and also arrange courses for people. A number of people at the home are completing a computer course to take advantage of the wireless internet connection. People can have visitors when they want and there are places where they can meet in private. Visitors said the home helps people keep in touch with then and relatives told us they are kept up to date with issues that arise. One persons relative said, I am always kept informed and the staff are always very supportive. There is a choice of main meals each day and staff members stay with people who need help to eat. Everyone we spoke to said they like the meals and the food is good. One person summed up how good this is by saying, It is always possible to request an alternative and this would be provided. Fresh fruit is available daily. I am told by my relatives and all my friends that I look much better than when I arrived here at the end of January 2008!. There have been no complaints made to the home in the last year. People said they know who to talk to and how to make complaints and one visitor said, I have not felt Care Homes for Older People Page 8 of 29 the need to make any major complaints and all minor requests have been dealt with promptly. Staff members have training in how to keep people safe and what to do if they think abuse has happened. There has been 1 safeguarding referral in the last year, although this could not be proven. Recruitment checks are completed properly before people start working at the home, so that new staff members are safe to work there. There are enough staff working at the home for everyone living there to be cared for properly. One comment we received is, It would seem as though the staff are specially selected - in every category! They appear to be following a tradition of good care. Nothing seems too much trouble for them. They anticipate the needs of the residents. In a crisis situation I believe they would react very quickly, often anticipating the need for help before the need has actually arisen. Staff members are given induction training when they first start working at the home. There are updates of required training when this is needed, and staff have other training, for using equipment and about particular conditions, to help them care for people properly. One staff member said, Park House makes sure all its staff attend training sessions/study days which are relevant to one various roles. Non-nursing qualified care staff also complete National Vocational Qualifications and at the time of this inspection 62 of staff have completed the training. A quality assurance survey is carried out every year at the home, where people are asked what they think of the care and the environment in which they live. People are also able to talk about things in the regular residents meeting. Action is taken about issues that are found. 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. Care Homes for Older People Page 9 of 29 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 29 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 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments are completed and people can visit before they move in to the home, which means people have enough information before making a decision. Evidence: All 9 of the people who we received surveys from said they had received a contract and they all said they had enough information before moving to the home. Assessments are completed before people move into the home and assessments by health and social care teams are also obtained if possible to provide more information. We looked at the care records of 2 people who had moved into the home since the last inspection. There was a written assessment completed by the home for both people, and an assessment completed by the intermediate care team for one person. The assessments completed by the home staff contained enough information to show staff what the person needs help with. Care Homes for Older People Page 12 of 29 Evidence: People who express a wish to live at the home are visited by the owner or the manager and are able to visit the home to look around. One comment we received before the inspection about this is, Visited at home by the owner. Invited to look around and meet staff before deciding. Excellent home. Care Homes for Older People Page 13 of 29 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. Care records are completed in enough detail and staff care for people in a positive way, which ensures the health and welfare of people living at the home. Evidence: People who commented in surveys said they get the care and support they need from staff members and during the inspection people told us care staff are nice, are polite and treat them with dignity and respect. We saw this during the inspection; staff are gentle, kind and generally take care that they respect peoples privacy. Comments from people are, Staff always ready to assist and always totally capable, Staff always very caring, polite and considerate and The staff are excellent. They are very caring and at the moment the temporary staff are also excellent. Care plans for 4 people were looked at as part of this inspection. They show that each person has a plan that gives staff members information about what they need to do to meet most of the identified needs. A shorter care plan is also available in each persons room, so that staff have easy access to information. Risk assessments, for
Care Homes for Older People Page 14 of 29 Evidence: things like falls and moving and handling, are completed and reviewed regularly. We found that care plans give staff members enough advice about how to meet most of peoples needs. Some plans contain more personal information than others. For example, one persons plan tells staff about a particular habit he has. Plans in general could be written in more detail and explain to staff, or give examples of how to do things. The plan mentioned above tells staff that they should be discreet as the person likes to be as independent as possible and there are examples of things the person needs help with or has problems with. However, the plan doesnt tell staff how they should go about discreetly helping the person with these examples. We talked to staff members about two of the people whose care records we had looked at. They were able to tell us about the person and show they have a good understanding of how to care for them properly. Some information is written on the shorter care plan that is kept in each persons room or in other records, such as risk assessments. The person mentioned above needs help with cutting up food, but in order to be discreet the risk assessment tells staff to make sure food is cut up before giving it to him. Plans are reviewed monthly and these show how each decision has been made. All of the people (9 out of 9) who returned surveys said they receive medical attention when they need it. There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. People said, Nurses always on hand. Doctors visit frequently and medical support is given on a daily and ongoing routine. Medication is given at meal times and as medically prescribed. The Park House doctor visits weekly or by arrangement. Hospital visits are as required. Nothing is left to chance. I have visited the dentist. We looked at medication administration records (MAR) for all of the people who live on the first floor at the home. These are completed and there are no records with entries missing. Entries for medications that have not been given show the reason for this. Amounts of medication remaining in blister packs of medication tally with the amount the MAR indicates are remaining. There is clear information about homely medication that is given and why. Handwritten MAR prescriptions, however, are not signed or dated by the person writing the prescription. Other information is also missing, such as the amount of medication received or carried forward and the route the medication must be given by. This information must be written on the prescription to make sure it is safely given and there is an audit trail. Medication fridge and storage room temperatures are taken and recorded as being at an acceptable level for the safe storage of medication. However,
Care Homes for Older People Page 15 of 29 Evidence: this there are no records for temperatures taken in the storage room on the first floor. These must be kept to show that storage temperatures do not go above manufacturers recommended levels and put medication at risk. Care Homes for Older People Page 16 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are able to choose how and where to spend their time, and the staff are there to support them. Evidence: The home has two activities co-ordinators who arrange for entertainers to visit the home, activities and events in the home. There are regular events, such as a general knowledge quiz every Monday, and one off seasonal activities, like carol services. The home has wireless internet access and a number of people living on both floors have enrolled in a computer course, so they will be able to make use of this. Entertainment is publised in the homes monthly newsletter and this is available to everyone living at the home. One relative told us, My mother has strong religious views and they are always taken into consideration. A variety of activities, held daily, monthly and annually do appeal to all different needs, etc. Outside visits enable severely disabled people to enjoy going out. Another person said, Something is ongoing for some residents all the time - craft work, art, painting, etc, sewing, knitting, music and movement, etc, etc. The list is endless. There is no compulsion - but some gently encouragement, mostly by the residents groups themselves. We are helped to help others less fortunate than ourselves by what we can produce and of course the groups
Care Homes for Older People Page 17 of 29 Evidence: develop friendships. Many of the residents are very gifted in their achievements. All of the 9 people who returned surveys to us said there are activities that they can take part in. When we spoke to people around the home they also said there always something to do if people want to do it. People are able to make everyday choices about when to get up and go to bed, how to spend their days, whether that is in their own room, or in the lounge and dining areas. We saw and listened to how staff members interact with people and found they ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. The home has an open visiting policy and people can have visitors at any time of the day. All of visitors who returned a survey said the home helped people keep in touch and they all said they are kept up to date with issues concerning that person. Two comments were, Not applicable to me but help to phone other daughters has been offered and when occasionally required, provided and I am always kept informed and the staff are always very supportive. The main meal is served at lunchtime and there is a choice of two hot meals every day. We saw lunch being served in one of the dining rooms. Food was served appropriately in a relaxed and unhurried way and people are able to choose vegetables from a selection. Drinks were offered throughout the meal, and there is wine and other beverages available. Everyone we spoke to said they like the meals and the food is good. Staff help people if they need this and we saw them being attentive and concentrating on what they were doing without being distracted. Two of the comments were received in surveys and during the inspection are, It is always possible to request an alternative and this would be provided. Fresh fruit is available daily. I am told by my relatives and all my friends that I look much better than when I arrived here at the end of January 2008! and Over meal times they have supported her changing tastes and capabilities. Care Homes for Older People Page 18 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to make complaints and concerns known and can be confident that these will be listened to. Evidence: All of the people returning surveys said they know who to speak to and know how to make a complaint if they have to. They also said that staff listen to what they say and act on it. One person said, I believe the staff act on the premise that if help is needed, its needed now. They listen and act. Well done, staff!. Another person said, I have not felt the need to make any major complaints and all minor requests have been dealt with promptly. People we spoke to during the inspection also said they know what to do if theyre not happy about something. They said they can go to the staff, the manager or the owner if theyre not happy about something. One group of people we spoke to said people at the home can tell a representative, who will mention issues at the residents meeting on their behalf. Everyone we spoke to during this inspection said they are happy with the service given to them. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. We were told before the inspection there have been no complaints made to the home in the last 12 months. No complaints or concerns have been received by the Commission for Social Care Inspections about Park House. The manager said she has an open door policy,
Care Homes for Older People Page 19 of 29 Evidence: where people living at the home and visitors are able to discuss issues without making an appointment. We talked to care staff, who said they had received training in safeguarding people (adult protection). One staff member we spoke to was able to tell us what should be done if abuse was suspected. Information provided to CSCI before the inspection shows there has been one safeguarding referrals in the last 12 months, which was not substantiated. Care Homes for Older People Page 20 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and provides a safe environment, giving people a pleasant and homely place to live. Evidence: The home is a large adapted Edwardian property close to the city centre of Peterborough. People living at the home have access to a number of communal areas, including a garden at the back of the house. All 9 people returning surveys said the home is always or usually clean and tidy. One person commented that, All my friends and relatives are very favourably impressed with Park House, and I myself feel that I am very fortunate to be in such a pleasant attractive environment and to be given such constant and good care. The entrance here is welcoming - always flowers in the hall, and the gardens are very well tended, with plenty of seats available and indeed to have outdoor picnics, weather permitting!. Another person said, Spotlessly clean and well maintained with all modern fittings (bathroom/shower). The home is fitted with a digital television system and wireless internet access, so that people are able to access entertainment and information of interest. People we spoke to commented about how the internet access has sparked their interest in computer technology and a number of them are completing a computer course. There is a quiet sensory area off an lounge on the first floor where people are able to spend time to
Care Homes for Older People Page 21 of 29 Evidence: relax. One person uses this to calm down when she becomes anxious. We looked around the home and found that the general decor is good, the home was clean and tidy, and there were no offensive smells. We did find two toilets with bars of soap and hand towels, but also with liquid soap and paper towel dispensers. Personal toiletry items should be removed when people stop using the facilities, so that there is less risk of infection being transferred from one person to another. Care Homes for Older People Page 22 of 29 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff members with the training and skills to be able to care for people properly. Evidence: New staff members are given induction training, which includes mandatory health and safety training, and the 12 week skills for care induction training. Information in the AQAA tells us that 62 of care staff have a National Vocational Qualification (NVQ) at level 2 or above. Relatives who returned surveys said staff have the skills and experience needed to care for people at the home. One person said, The staff are excellent. They are very caring and at the moment the temporary staff are also excellent. I know that some staff are on the NVQ qualification programme and a staff member said, Park House makes sure all its staff attend training sessions/study days which are relevant to one various roles. We looked at training records for 4 staff members, which shows they have received required mandatory training. Other health and safety training, such as infection control and food hygiene are also given. Staff members have additional training in safely using equipment and how best to manage particular conditions or problems like challenging behaviour or incontinence. Care Homes for Older People Page 23 of 29 Evidence: All of the people who returned surveys said staff members are available when they are needed and that they get the care and support they need. One comment from the surveys was, It would seem as though the staff are specially selected - in every category! They appear to be following a tradition of good care. Nothing seems too much trouble for them. They anticipate the needs of the residents. In a crisis situation I believe they would react very quickly, often anticipating the need for help before the need has actually arisen. People we spoke to during the inspection said there is usually enough staff on duty. There were enough staff on duty on the day of inspection, no staff were rushed and there was a calm atmosphere in all areas. 1 out of the 2 staff members who returned surveys said there are only sometimes enough staff available, but gave no comment about this. We looked at recruitment records for two staff members employed since the last inspection and they both contain the appropriate recruitment documents including references, application forms, and Protection of Vulnerable Asults and Criminal Records Bureau checks. Care Homes for Older People Page 24 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is a safe place to live and people are asked their opinion so that things they are not happy with are changed and the home is run in their best interests. Evidence: The manager has been managing the home for a number of years. She has a Registered Managers Award qualification and has many years experience in this area. She works closely with the owner and deputy manager to provide a strong management team that puts the people living in the home at the front of everything that is done there. An annual quality assurance survey is carried out by the home, although due to improvements in how the report is presented this has not been completed yet for this year. This includes a staff questionnaire, surveys for people who live at the home and a monthly audit of practices in the home. Results of the monthly audit are reported back to staff. People living in the home told us they have regular meetings where they
Care Homes for Older People Page 25 of 29 Evidence: can discuss things with the manager and owner, and these are recorded for people who have not attended. We asked the home to complete and return an Annual Quality Assurance Assessment (AQAA) before the inspection. They did this, and returned it within the time we asked for it. They gave us the information we asked for. The home does not keep money on behalf of people who live there. The owner told us they lend people money for if they are not able to keep their own with them, and then bill the person who manages that persons finances. This means that people are able to make purchases if they wish, but do not have to worry about whether they have enough money immediately available. People are able to keep money with them if they wish. Information provided before this inspection shows equipment, like hoists, lifts and firefighting equipment has been serviced or tested as recommended by the manufacturer. We looked at fire equipment around the home, which has been tested within the last 12 months. Care Homes for Older People Page 26 of 29 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 27 of 29 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 Care Homes for Older People Page 28 of 29 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 29 of 29 - 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!
