Inspection on 18/10/06 for Peterlee Care Home

This inspection was carried out on 18th October 2006.

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

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

Other inspections for this house

Peterlee Care Home 16/10/08

Peterlee Care Home 09/12/05

Peterlee Care Home 25/07/05

Peterlee Care Home 23/02/05

Peterlee Care Home 20/05/04

Peterlee Care Home 10/03/04

Similar services:

22 Sandown Road

The Highlands

Turret Villa Retirement Home

Dilston College Of Further Education

West View House

Moor House

Prince Bishop Court

Park View (15)

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Peterlee Care Home Westcott Road Peterlee Durham SR8 5JE Lead Inspector Mrs Sue Lowther Unannounced Inspection 18th October 2006 09:30 X10029.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Peterlee Care Home Address Westcott Road Peterlee Durham SR8 5JE 0191 5180447 0191 5868108 thomas.hurst1@ntlworld.com www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Thomas Hurst Care Home 46 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of Learning disability (18), Old age, not falling registration, with number within any other category (28), Physical of places disability (5) Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th December 2005 Brief Description of the Service: Four Seasons Healthcare owns Peterlee Care Home. There are 3 semiindependent units: one for older people situated over two floors (28 beds); one (the Felton Unit) for younger adults (18-65 years) with learning disability, for respite care, situated on the first floor (10 beds); and one (the Winter Unit) for younger adults with learning disability, for long stay/permanent care, situated on the ground floor (8 beds). One person, Mr Tom Hurst, manages the whole home, but each unit has a supervisor. A passenger lift connects both floors. The Care Home aims to meet the needs of its residents and service users in a comprehensive way, providing a friendly, homely environment where people’s individuality is respected. All accommodation, meals and personal care are provided. There are garden areas to the rear and side, with access for people with mobility problems. The fees charged are between £353 and £1352. The cost of hairdressing, chiropody and newspapers is not included. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Peterlee Care Home took place on the 18th October 2006. Records were examined and a tour of the building took place. Time was spent talking to service users, staff and relatives. The manager supplied some information on a pre-inspection questionnaire. Nine service users and eight relatives returned surveys to the Commission for Social Care Inspection (CSCI). Information about these is reflected in the report. The inspection focussed on key standard outcomes for service users. What the service does well: What has improved since the last inspection? The staff have started to base activities on the life stories as recommended in the last inspection report. This should improve the quality of life for service users. The home has reassessed the environment with regard to the suitability for people with sensory disabilities. The manager said that all service users had Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 6 been assessed on an individual basis and that risk assessments are in place. Equipment is provided where an individual assessment highlights a need. Safety tape has been put on the stair treads and the manager said that this has worked well in parts of the home. All bedrooms have now been fitted with locks. This promotes privacy, dignity and choice for service users. There is a commitment at the home to having a trained workforce with in excess of 50 of staff having completed NVQ level two or three training in care. Five further staff are currently enrolled on the programme. It was recommended in the last inspection report that the views of service users should be sought about the quality of services provided. The company have introduced a new quality assurance survey, which will be made public. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 (OP). Standard 2 (YA). Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Assessment procedures are in place to ensure that the home can meet the needs of the people who go to live there. However these would benefit from further development to include a risk assessment about skin care. The home does not provide intermediate care. Therefore assessment of Standard 6 (Older People) is not required. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 9 EVIDENCE: The manager said that he visits the prospective service user before admission to the home. The service user and their relatives are involved in this process. Five care plans examined showed that a pre-admission assessment had been carried out. This would benefit from further development to include an assessment about skin care. This is to ensure that the home can meet the needs of the prospective service user. All of the people who returned questionnaires said that they were supplied with sufficient information before moving into the home. One service user said, “ I came to look around the home and found it could provide everything I need”. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10 (OP). Standards 6, 9, 16, 18, 19 & 20 (YA). Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Good systems are in place to ensure that health care needs of service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 11 EVIDENCE: The manager said that all of the service users have care plans. Five were looked at during the inspection. These were comprehensive and well written. However they would benefit from further development to include an assessment about skin care. This will help staff make sure that each resident gets the support and assistance that is needed. Records examined showed that service users receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. Medication systems were looked at during this inspection. The home uses a monitored dosage system. All of the medication was signed for on the medication administration records. Service users and relatives said that the staff are polite, friendly and treat people with respect. One relative said, “I am very happy with the staff who look after my mother. I could not wish for a better care home”. Another said “The staff are absolutely brilliant. They keep me informed and telephone me regularly”. One service user said, “The care here is excellent. All staff are very helpful and nothing is a trouble”. Another said, “The staff are good. They know me well. I can get up and go to bed when I want”. All of the people spoken to confirmed that their privacy is maintained. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 & 15 (OP). Standards 12, 13, 15 & 17 (YA). Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The activities are varied and provide recreation for the people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and service users are given a choice. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 13 EVIDENCE: The home employs an activities co-ordinator who organises activities in the older persons unit. In the learning disability unit activities are organised by staff. An excellent programme of activities takes place both inside and outside of the home. The indoor activities include crafts, living skills, cookery, washing and word processing, indoor games and parties. Outside activities are varied as the home has a minibus. These include visits to the library, museums, local colleges and pubs. The home also has a garden with a small vegetable patch. Service users said that they enjoy tending to this. The activities organiser said that she tries to spend time with people on an individual basis so that she can find out which activities they like. Written records are kept to identify what each person likes to do. The staff have started to base activities on the life stories as recommended in the last inspection report. Since the last inspection all of the service users who live in the learning disability unit have been on at least one holiday. Some of them have been on four holidays. Most of the people said that they liked the food and that a choice is always available. One service user said, “ The food is good and you get a choice”. Service users’ nutritional needs are considered and recorded in care plans. Specialist diets are provided where necessary. However, it was noted that records of menu choices and food served have not been kept. Kitchen staff should be reminded that records of the food provided for service users must be kept in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 (OP). Standards 22 & 23 (YA). Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: Information is available for service users and visitors to the home on how to make a complaint. Service users and families views are obtained through regular contact and an ‘open door policy’. Service users and relatives said that they feel confident in discussing any issues with the manager. One person said, “I can approach the l the manager when I have a problem and it is dealt with immediately.” There were three complaints recorded in the home since the last inspection. Two were about the food and one was about the standard of personal care. The manager said that improvements had been made and that the complainants were pleased with the way they had been addressed Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 15 Training in adult protection is provided for all of the staff during their induction and is updated on a regular basis. This ensures the safety and protection of service users. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 22, 24 & 26 (OP). Standards 24, 26 & 30 (YA). Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 17 EVIDENCE: The inspector looked around the home and found it to be light and airy. The communal areas of the home were clean and service users confirmed that their bedrooms are always cleaned to a good standard. The last inspection report recommended that the services and facilities provided should be reassessed to ensure that positive outcomes for people with disabilities (for example, sensory disabilities) are being maximised. The manager said that all service users had been reassessed and that risk assessments are in place. Equipment is provided where an individual assessment highlights a need. Safety tape has been put on the stair treads and the manager said that this has worked well in parts of the home. Service users said that they could take their own possessions into the home to make their rooms more pleasant and homely. The manager told the inspector that all bedrooms have now been fitted with locks as required in the last inspection report. There were no unpleasant smells apparent on the day of inspection. All of the people who returned questionnaires said that the home is always clean and fresh. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 & 30 (OP). Standards 32, 34 & 35 (YA). Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staff are appropriately recruited, trained and in sufficient numbers to meet the needs of the people who live in the home. EVIDENCE: The home had staff files in place, which provided evidence that the appointment of new members of staff is made through proper recruitment processes. This includes the vetting of staff through the use of Criminal Record Bureau (CRB) checks, Protection of Vulnerable Adult checks (POVA) and written references. The staffing rotas were examined during the inspection. Staff felt that there are sufficient staff to meet the needs of the people who live in the home. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 19 Relatives who returned questionnaires said that there are always sufficient numbers of staff on duty. There is a commitment at the home to having a trained workforce with in excess of 50 of staff having completed NVQ level two or three training in care. Five further staff are currently enrolled on the programme. Training has also taken place in fire safety, health and safety, food awareness and protection of vulnerable adults. Certificates to confirm this were seen in staff files. One recently recruited member of staff said, “I found the induction to be really useful and comprehensive. I was given all of the information I needed to be able to look after the people who live here”. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 & 38 (OP). Standards 23, 37, 39 & 42 (YA). Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 21 Service users can be assured that the home is well managed and they are given the opportunity to comment on how the home is run. Policies and procedures are in place to safeguard their health, safety and wellbeing. EVIDENCE: The manager is well qualified, with several years experience in working with older people. One member of staff said, “The manager is good, he is approachable and supportive”. Meetings are held every two to three months. Service users and families are welcome to attend. This gives people an opportunity to make their views about the home known. It was recommended in the last inspection report that the views of service users should be sought about the quality of services provided. The company have introduced a new quality assurance survey, which will be made public. The manager said that the area manager carries out a quality assurance and monitoring visit on a monthly basis. This covers all aspects of care delivery and environmental issues. However the most recent copy of a report was for May 2006. These must up to date and available for inspection at any time. The administrator is responsible for the record keeping with regard to service user finances. The company audits these on a monthly basis to ensure that residents are protected. The manager confirmed that the home carries out regular health & safety checks. The inspector checked some of the records. Those viewed were up to date. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 3 23 X 24 3 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP15 Regulation 17(2) & Sch. 4(13) Requirement Records of the food provided for service users must be kept in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. Copies of reports of Regulation 26 visits, carried out each month by the Responsible Individual’s representative, must be up to date and available for inspection at any time. Timescale for action 30/11/06 2. OP33 26 30/11/06 Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 OP7 Good Practice Recommendations Service user assessments would benefit from further development to include a separate assessment about skin care. This is to ensure that the home can meet the changing needs of service users. Peterlee Care Home DS0000000738.V314501.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. 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