Inspection on 23/06/05 for Ranvilles Nursing & Residential Care Home

This inspection was carried out on 23rd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Ranvilles Nursing & Residential... 23/02/10

Ranvilles Nursing & Residential... 28/01/10

Ranvilles Nursing & Residential... 03/11/09

Ranvilles Nursing & Residential... 14/01/09

Ranvilles Nursing & Residential... 26/02/07

Ranvilles Nursing & Residential... 07/10/05

Ranvilles Nursing & Residential... 01/10/04

Ranvilles Nursing & Residential... 18/06/04

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

CARE HOMES FOR OLDER PEOPLE Ranvilles Nursing and Residential Care Home 5/7 Ranvilles Lane Fareham Hampshire PO14 3DS Lead Inspector Sue Maynard Unannounced 23 June 2005, 9:00 rd 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 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. 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. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ranvilles Nursing and Residential Care Home Address 5/7 Ranvilles Lane, Fareham, Hampshire PO14 3DS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01329 842627 01329 841925 admin@ranvillesnh.fsnet.co.uk Visram Limited Denise Trott Care Home 34 Category(ies) of Dementia (7), Mental Disorder excluding registration, with number learning disability or dementia - over 65 years of of places age (34), Dementia - over 65 years of age (34) Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 A maximum of 7 service users may be accommodated between the ages 55 - 65 in the DE category. Date of last inspection 01/10/04 Brief Description of the Service: Ranvilles offers nursing care to older people with mental health difficulties. It is a large converted house in a quiet rural area near Titchfield. The home offers accommodation in both single and double rooms. The house is set in its own gardens with car parking for visitors at the front of the house. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on June 23rd 2005 between 09.40 and 15.00. The inspection was unannounced and was the first inspection for the year 2005/2006. The manager, Denise Trott, was available throughout the inspection and the inspector was also able to speak with Mr Vishram, the Registered Provider, who was present in the home. During the inspection the inspector was able to speak with three people living in the home and members of staff on duty, including nursing and catering staff. The inspector also had the opportunity to speak with a Doctor visiting residents in the home. There were no relatives visiting the home during the inspection. Feed back from staff members was very positive. They confirmed that they were supported by the manager and senior colleagues to fulfil their role within the home. Staff also confirmed that they received training in various topics that were relevant to the client group in the home. Service users that the inspector was able to speak said that they “were very happy and that the staff were kind to them”. The service users who were unable to communicate all appeared to be well cared for and comfortable. The inspector was able to meet with a visiting GP to the home. The doctor explained that a doctor from her practice visits the home every week and addresses any health issues for the service users registered with that practice. She explained that this system works very well as staff at the home are able to discuss non-urgent health problems of the service users and review medications. The doctor praised the staff for the way they cared for her patients, many with requiring specialist care to address their mental health needs. The inspector toured the environment and observed daily routines within the home. What the service does well: The home welcomes both service users, and their friends and families, to visit the home and assess the facilities and suitability of the home. The manager actively seeks information from external healthcare professionals as part of the assessment, to ensure that the home is able to meet assessed needs. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 6 Service users moving into the home are assured that the home that they are entering will meet their needs. For example, staff members are well trained in dementia and mental health care and show great perception and professionalism in the way they deliver care, which enables service users to feel safe and enjoy a varied and companionable way of life. This feeling of well being is enhanced by the close links, which are maintained with local healthcare professionals and the recording systems which support this. Many of the service users present with very challenging behaviour. For one service user who was admitted from a psychiatric unit the staff have managed their care extremely well and they have been able to remain resident in the home rather than be cared for in a hospital setting. Staff members treat service users with great respect; they share their companionship and give support sensitively. There is a varied programme of events and activities at the home, which from the day of the visit, are greatly enjoyed by the people living in the home. Special care is taken to spend time chatting within the daily routine and events arranged encourage participation. The strong leadership of the manager ensures that staff are supported to work to their full potential, enabling them to continue to provide a high level of care to the residents in the home. What has improved since the last inspection? What they could do better: Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 7 Some areas of the home appeared to be in need of redecoration, but these were reported to be areas that would be affected by the building work about to be commenced. A recent incident that occurred in the home during which a service user was injured has been investigated under the Protection of Vulnerable Adults procedure. As a result of the investigation it was noted that documentation with regard to the incident was poor and essential observations of the service user at the time of the incident had not been appropriately reported. It was also noted that there was a lack of essential internal communication between staff members. Staff had also been to communicate and report the incident to the relatives of the service user. Requirements have been made to address the shortfalls identified by the inspector. 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. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 and 4 Standard 6 is not applicable to this service. Prospective service users and their families have access to adequate information to enable them to make an informed choice about where they would like to live. Service users moving into the home are appropriately assessed and assured that their needs will be met. EVIDENCE: The Statement of Purpose and service user guide for the home are available for all prospective new residents and their families. The information in both these documents is regularly reviewed and updated annually or sooner if there are any changes in areas such as staffing structure or the environment. The inspector saw three assessments. Information for one assessment had been given by a social care manager as the service user was previously resident too far away for the manager of Ranvilles to visit and make a personal assessment. Details of the care required Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 10 for the service user were documented and on this information the service user was admitted to the home. A senior member of staff from the home undertook the other two assessments. Information had been sought from external health care professionals; there was a discharge summary and care planning information from social care managers. It was not appropriate for the inspector to meet with these three service users to discuss their views on the care they were receiving in the home. All the staff in the home has attended training in dementia care and care of service users with mental health needs. An understanding and sensitivity to service users’ needs was demonstrated in the way that staff members provided gentle support and respected service users’ feelings. The atmosphere in the home is one of reassurance and calm and offers a good quality of life to all service users. Care is taken with all service users to respect their routine and personal wishes. The staff take time to offer support and companionship to all service users. The inspector observed staff interacting with service users in various ways. The interactions varied from a physical activity to just sitting quietly holding the service user’s hand. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. 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 feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 Comprehensive care plans and assessments support individual service users. Specialist care needs are addressed and documented. Liaison with external health professionals and training of staff, to ensure that service users healthcare needs are met. EVIDENCE: The inspector examined the records for three service users. The records for one of the service users were examined as part of an investigation of a complaint made against the home with regard to an accident sustained by the service user. This is documented in Standard 16. The records for the other two service users were found to be very comprehensive. The format of record keeping in the home is such that information is easily accessible to needing to consult the files. All information relating to both staff and service users is stored securely at all times. Both of the service users, whose files were seen by the inspector, display challenging behaviour. There were care plans to address all aspects of this behaviour. The care plans and risk assessments included action plans and Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 12 guidance for staff to ensure both the safety of themselves and the service user. Incidents of adverse behaviour were recorded and these included “triggers” that may have caused the mood change, and action plan as to how the incident was dealt with and the outcome. In both records there was evidence that that staff were very aware of the potential for an incident to escalate and how they took steps to minimise these problems. The care plans regarding the personal care of these service users set out in detail how to achieve co-operation of the service user to accept care with regard to washing and dressing and bathing. Records showed that if the service user declined intervention with care, staff did not just walk away but used their negotiating skills to make a satisfactory agreement with the service user to arrange for the care to take place at sometime later in the day. Risk assessments for mobility and safe moving and handling were in place. Records showed that one of the service users was subject to frequent falls due to hypotension. The service user has been investigated in hospital for this condition and has been referred to a “Falls clinic” for advice. Records of this advice and suggested management were available. All the falls have recorded in the homes’ accident records. The home has robust policies and procedures with regard to the storage and administration of medications. Records seen by the inspector show those medications have been administered appropriately. For one service user it was recorded that all medications could be administered covertly if they would not accept their medication. A risk assessment had been undertaken and written consent had been given by the Psychiatric Consultant for medication to be given in this way. The cupboards for the storing medications were seen to be clean and tidy and stock levels of drugs were not excessive. The inspector was able to observe staff interaction between service users and staff. At all times the staff were respectful and gentle in their approach. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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 maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 The range of activities offered by the home promotes residents’ mental and physical well being. All service users are provided with a nourishing and well balanced diet. EVIDENCE: On admission to the home the staff endeavour to compile an individual personal profile for each service user. This is not always possible due to the degree of dementia of the service users and family members are not always available to provide the relevant information. The home provides a very comprehensive selection of activities that are appropriate for the service users. These include: Arts and crafts Reminiscence Some physical activities Karaoke Massage therapy of hands and legs The type of activity undertaken depends of the mood of the service user and whether or not they are approachable at the time when the activity would be undertaken. On the day of the inspection the inspector observed many activities being undertaken with individual service users. Most popular appeared to be the use of the Karaoke machine by both staff and service users, much laughter was heard coming from the lounge. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 14 The inspector was able to speak with the cook after she had finished serving lunch. As the day was very warm the menu had been revised and salads had been made available to those service users who preferred that to the hot meal that was on the menu. The cook explained that during the recent warm weather she had found that the service users did not want so many hot meals and that their appetites were reduced so she had smaller and more frequent meals and snacks which it seemed had been very popular. Service users were being encouraged to take more frequent cool fluids. At the last inspection the cook was due to go on a training course. This has now been completed and she was very enthusiastic about the knowledge and information gained from it. She explained that she has already put many of the ideas gained into place. As part of the building due to take place within the next few weeks the kitchen will be extended and totally re-furbished. During the building a temporary mobile kitchen will be in place, which will provide facilities to cater for up to eighty people. The cook has worked closely with the registered provider and architect in the design and equipment to be provided in the new kitchen. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 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’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Service users and their family are assured that the complaints procedure for the home will ensure that all concerns and complaints will be addressed appropriately. Poor documentation has failed to appropriately record an accident sustained by a service user in the home. EVIDENCE: The home has received one complaint, which at this time is being investigated as an Adult Protection issue by CSCI and Social Services. The manager and deputy manager are co-operating fully in the investigation. Documentation for the service user was examined. Various assessments had been undertaken since the service user had been admitted to the home. Some of the se assessments were found not be sufficiently detailed and identified risks had not been followed up with detailed action plans. Following the incident during which the service user fell from her bed during the night and sustained a head injury documentation was found to be very poor. Reporting of the incident in the daily records was poorly detailed. No records of head injury observations were found, although the nurse on duty at the time of the incident was reported to have documented these observations. Staff had been slow to report the incident to members of the service user’s family. A notification under Regulation 37 was not made to CSCI until requested by the inspector. A doctor did not see the service user until several hours after the fall. Communication between staff was noted to be very poor. The Registered manager was on annual leave at the time of the incident. The deputy manager Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 16 was off duty at the time of the incident. He was not notified of the incident until he returned to duty two days later. Records showed that following the incident some of the risk assessments were reviewed. The inspector noted that many of the records did not have accurate dates recorded. Staff had written the day and month but not the year so it was difficult for the inspector to ascertain when the document had actually been written. All these points were discussed with the manager of the home at the time of the inspection. A separate investigation is being undertaken by Social Services. Requirements have been made with regard to poor practices identified as a result of this investigation. The home has a robust complaints procedure in place and records of all complaints made to the home are kept. A copy of the complaints procedure is provided to all service users on admission to the home. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The manager of the home ensures that through a programme of redecoration and refurbishment the environmental standards of the home are maintained. EVIDENCE: On the day of the inspection all areas of the home were found to be clean and tidy. The day of the inspection was very warm but the interior temperature of the building was comfortable. Windows and patio doors were open allowing a circulation of air. Fans were provided which allowed for additional air circulation. None of the service users appeared to be distressed by the heat. Some of the service users spoken to by the inspector said they were enjoying the warm weather and “it was a summer like the ones we used to have”. The home has planning permission to build an extension to the home, which will provide additional bedroom spaces. Improvements are also to be made to the kitchen, laundry. A conservatory is to be added to the rear of the home and the grounds will be eventually landscaped when the building work is complete, providing the service users with a safe and secure garden area. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 18 New armchairs have been provide in the lounge areas which the service users said were very comfortable, especially the recliner chairs. Water temperatures in bathrooms were tested by hand and were found to be satisfactory. The home has an ongoing programme of refurbishment and redecoration that ensures that the environment within the home is maintained at a satisfactory standard. The manager explained that in some rooms the home it sometimes inappropriate and unsafe to provide furniture, other than a bed and a chair for the safety of both the service user and staff members. Aggressive behaviour of some service users is sometimes directed at the destruction of their belongings. Risk assessment showed that for one service user the minimum of furniture and laminate flooring, instead of carpets, was the appropriate furnishing of the room. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 The homes robust recruitment procedures ensures that appropriately qualified staff are appointed to work in the home thus providing protection for the vulnerable people living in the home. Appropriate training for staff at all levels, that is regularly updated, ensures that service users needs are met and are provided with care that is based on current research and best practice. EVIDENCE: The inspector saw samples of staffing rotas. These demonstrated that all shifts throughout a twenty-four hour period were covered by above the recommended numbers and skill mix of staff, ensuring that staff were available to provide care for all the service users. Two recruitment files were examined. These were found to be in order. References had been obtained. Application forms completed including a full employment history. Checks with the Criminal Records Bureau had been undertaken. Proof of identity was available and current Work Permits from the Home Office were seen. All staff undertakes a comprehensive induction programme based on TOPPS recommendations. The inspector saw copies of completed programmes. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 20 The manager does not have a formal training programme but she was able to show the inspector an up to date record of training provided since January 2005. |The training includes: Fire Safety Accident prevention-falls Safe moving and handling Fire Safety Infection control Diabetes Dementia Care Schizophrenia Care for the end of life. A senior registered nurse has recently attended a three-day training course for Tissue Viability. The information and experience gained during this course has been cascaded down to other staff members and a resource file has been complied for use by all staff. Training is provided by the manager, in house or by external experts. The home works in conjunction with training departments in local hospitals. The Deputy manager has recently completed his registered Managers award. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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 the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Despite good health and safety systems in the home, poor documentation has failed to appropriately record an accident sustained by a service user in the home potentially placing this person at risk. EVIDENCE: Fire safety records showed that regular checks are made of the alarm system, emergency lighting and fire safety equipment. All staff undertakes regular fire drills both during the day and at night and staff are obliged to sign the records to say they have attended. Other records showed that regular checks and maintenance are made on equipment and systems used in the home. The manager for the home audits the accident records monthly. Following an accident to a resident, the commission and social services, under the Adult Protection Procedure, investigated a complaint against the home. This has been documented in this report under Standard 16. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 22 Record keeping with regard to this incident was found to be poor and requirements have been made that the home must address these shortfalls. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 23 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x 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 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x x x x x x 2 Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 24 NO Are there any outstanding requirements from the last inspection? 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 38 Regulation 17(1)(a)3 (j) Requirement Timescale for action 1-9-05 2. 38 37(1)(c) 3. 38 12(1)(a)( b) Records of any accident or incident affecting the service user that is detrimental to their health must be kept. These records must include nature, date and time of the accident or incidentand whether medical treatment was required. The names of the persons incharge of the home and the staff onduty at the time of the incident must be recorded. Notification of any serious injury 1-9-05 to a service user must be sent to CSCI within 48 hours of the incident. The registered person must 1-9-05 make proper provision for the health and welfare and treatment of the service users in their care. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 25 Ranvilles Nursing and Residential Care Home 1. 2. 16 Staff should notify the next of kin of a service user immediately following any incident or accident. Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Hampshire Area Office 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Ranvilles Nursing and Residential Care Home H54 S11471 Ranvilles V234489 230605 Stage 4.doc Version 1.30 Page 27 - 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!