Inspection on 21/06/07 for Red Gables

This inspection was carried out on 21st June 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Red Gables 17/06/08

Red Gables 04/07/06

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOMES FOR OLDER PEOPLE Red Gables Parish Ghyll Drive Ilkley West Yorkshire LS29 9PR Lead Inspector Pamela Cunningham Unannounced Inspection 11:30 21st June 2007 X10015.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 Red Gables DS0000064964.V331767.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. 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. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Red Gables Address Parish Ghyll Drive Ilkley West Yorkshire LS29 9PR 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) 01943 601113 01943 602425 Queensland Care Limited Mrs Heather Furness Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Physical registration, with number disability over 65 years of age (32) of places Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2006 Brief Description of the Service: Red Gables is situated in an elevated position close to Ilkley town centre. The town offers a good selection of shops, cafes, restaurants, sports facilities and a theatre and has rail and road links with Leeds, Bradford and other towns in the region. Residents in the home are likely to require transport to access local amenities due to the steepness of the route leading to the home. The large detached Victorian style property has been extended during its lifetime to provide a variety of communal areas and additional purpose built bedrooms with en-suite w/c and hand washing facilities. All rooms have a pleasant outlook and residents are encouraged to bring their own belongings into the home to personalise their rooms. There is level access to a pleasant patio area overlooking the landscaped gardens at the rear of the property. Off road parking is available with ramped access to the property. The home provides nursing care and operates with a trained nurse on duty at all times assisted by a team of care and ancillary staff. At the time of writing this report the fees charged by the home for care provided were between £563 and £660 per week. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit was made to the home on 21st June 2007. The home did not know that this was going to happen. Feedback was given to the manager and Regional Manager during and at the end of the visits. The purpose of the visit was to make sure the home was being managed for the benefit and well being of the residents. The last inspection of this home took place in July 2006 and a number of concerns were identified, some of which were outstanding from previous inspections, however many of these concerns have since been adequately addressed. Before visiting the home the inspector asked for information from the manager. (The pre inspection questionnaire – PIQ) which asks about what policies and procedures are in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. Comment cards were sent to the home to be given to residents, their relatives and other visitors to find out what their views of the home were. At the time of writing this report four relatives responses had been returned. In order to find out how well staff knew residents, care plans were looked at during the visit and residents, visitors and staff were spoken to. Other records in the home were looked at such as staff files, training records and complaints received. Any concerns identified as a result of this inspection are identified at the end of the report under the requirements section. This is a home that continues to recognise where its strengths and weaknesses lie, and appears to be committed to improvement. It is hoped that this continues well into the future. What the service does well: The atmosphere in the home is warm and welcoming. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 6 In depth pre admission assessments continue to be carried out which form the basis for person centred care planning. These contain excellent information about the prospective residents care needs. Documentation was particularly good regarding pressure area care, and the information of medication and the desired effect following administration. Social and recreational interest are well addressed, and the home has gone the extra length to ensure one of its residents who particularly likes painting and the arts, to receive extra input from a member of a local art group. The staff are very helpful, polite and interact well with the resident group and others. It was noted during the walk around the building how the care staff respected the privacy of the residents and treated them with respect. There is a good standard of cleanliness and the home is well maintained. The gardens are a particularly nice feature of the home and are well kept and look manicured. Education appears to be high priority with the providers so staff maintain and develop the skills necessary to give the best care to people. What has improved since the last inspection? Staffing levels have been increased on night duty, and the home has recruited a deputy manager. A risk assessment has been done of the building as a whole, and it is expected this will continue to be reviewed annually. The planned refurbishment for the home continues and to a high standard, and rooms redecorated are being provided with a lockable facility, and appropriate locks to bedroom doors as they are refurbished. There is a staff training and development programme that identifies shortfalls in staff development and makes sure they receive the training they need to provide adequate care for the people who live there. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 5. Standard 6 does not apply to the home. People who use the service experience good outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People who use the service are assessed before being admitted to the home and this makes sure that the home can meet their needs. People are able to visit the home before they decide to come and live there. EVIDENCE: Every person who receives a service has a contract of residency, which sets out the terms and conditions of living at the home, and the services that will be provided. They have also been provided with a copy of the service user guide as required at the last key inspection. Before any new resident is admitted to the home a pre admission assessment is carried out by either the manager or area manager to make sure that the Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 10 home will be suitable for them. Trial visits are encouraged. If families are able to bring prospective residents to the home the pre admission assessment can be done during the visit. If the new resident is being admitted for respite care a copy of the social work assessment is also obtained. Assessments seen in care documentation chosen for review and case tracking identified the assessment were multidisciplinary and contained excellent information about the prospective residents care needs. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7. 8, 9 and 10 People who use the service experience adequate outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The inconsistent way that some care plans are written means there is not enough detailed guidance for staff about meeting all identified needs, and therefore there is a risk that some may not be met. EVIDENCE: I looked at three sets of care plan documentation including one of a service user with complex needs and one of a service user who had been admitted for respite care. Pre admission assessment information seen was of excellent quality, which formed the basis for good informative care plans. The care plan regarding communication was very informative and person centred and provided good information about the communication needs of the person receiving a service. This all helps to make sure no care needs are overlooked. Information seen in the care plans started with a care plan index with a care plan review sheet that showed evidence of monthly reviews of the care Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 12 provided. Documentation contained information about religious preferences of the people using the service, which makes it possible to address all needs, including leisure and religious needs. There was also evidence of other professionals involvement in the care provided. Documentation seen also contained a wound chart for pressure sores, which identified factors that could delay the healing process, and also contained information including a contact telephone number for the manufactures if the special mattress became faulty. There was also a medication and general healthcare care plan that contained detailed information of the drugs used and the desired effect. There was however no evidence in one set of the documentation of the relatives having been involved in the care planning, which gives the impression relatives are not encouraged in this way, but the manager said the family of the person receiving the care were constantly involved. Although the person admitted for respite care had had their needs re assessed at each admission, there were no written plans of care present that would provide the staff with the information they would need to help them to give adequate care. All people admitted to the home must have their care planned to make sure all their needs are identified and met. The home uses a monitored dosage system of drug control. Each person receives their medication from heat sealed blister packs delivered directly from the pharmacy they use. The system was checked, and apart from signatures not being present on hand written entries on the MAR (Medication Administration Record) sheets, the system was safe. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 14 and 15. People who use the service experience excellent outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The people who use the services find the lifestyle in the home matches their expectations, and they are helped to exercise choice and control over their lives. EVIDENCE: The service employs a person in the role of activity organiser who makes sure the people who use the service have their leisure needs identified and met. She is currently in the process of talking to each resident to obtain information about their past lives which will provide information about their likes and dislikes and hobbies they might be interested in pursuing and will be an aid to planning person centred care. Daily activities sheets are also kept that identify what certain residents have enjoyed doing. All people who use the service have social care plans. Leisure activities are varied. The day after the inspection a trip had been arranged to take certain residents to butterfly house at Roundhay Park. Other activities provided are baking; fitness sessions (armchair aerobics), arts and crafts and matinee afternoons when the residents get to choose the film they want to watch. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 14 Ministers of different faiths visit the home, and this makes sure the people who use the service have their religious needs met. (PAT) “Pets as therapy” also attend the home. Residents have also been on canal boat trips. The manager said monthly residents meetings are arranged and the attendance is good, but it is generally the same people who attend at each meeting. Entertainers also visit the home which two of the residents said they enjoyed. There is also some contact with the local community. Certain residents attend the Local Clark Foley centre for the elderly for afternoon tea and scones. One lady said she looked forward to going as it gets her “out of the house” and provides some distraction from the daily routine. The manager said Red Gables also has close contact with one of the other care homes owned by the same provider and liaises with the activity coordinator from there. The idea is to introduce different activities and to arrange a coordinator forum where different ideas can be swapped. One resident told me that a person from the local community comes to see her weekly and discuss painting with her and that she really enjoys the contact. The home also has close contact with the Bradford Alzheimer’s Disease Society who will be attending the home the week following the inspection to do a session on reminiscence. It was clear from the evidence provided by residents and their families, and the tour of the premises, the home encourages residents to bring in their own personal belongings if they wish. A telephone is available to make private calls and mail is given to residents as it comes into the home. The manager said staff would help them to deal with their mail if relatives were not around to do so. Relatives spoken to said they are always welcomed into the home, and are kept up to date with any improvement or deterioration of their relatives’ condition without having to ask. They also said any concerns they had were quickly an sensitively responded to. The kitchen was inspected. The records the cook keeps were provided and these were satisfactory. The kitchen was clean, tidy and well ordered. There was evidence of fresh fruit being provided. There was also evidence that alcoholic drinks are provided for those people who want them at lunchtime. Menus seen were varied, and with a choice if any of the people who use the service do not like what is the main choice of food at mealtimes. Residents spoken to said they enjoyed the food and said it was very good, “just like home cooking” One married couple living at the home said they were being well cared for, and that the staff were excellent, very willing to give any help they needed and respected their privacy. They said the entertainment was very good, and they Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 15 had really enjoyed the wonderful party the staff had arranged for their recent anniversary celebration. There is no insectocutor fitted in the kitchen, and as the fly screen to the louvered window was faulty, there is no protection from food being contaminated by any fling insects that might fly in through and open door or window. The manager was advised to contact the Environmental Protection Agency regarding the need to have an insectocutor fitted. The manager said following the requirement in the last inspection report about snacks being available for residents, the kitchen and storeroom are available throughout the night, and the people who use the service can have what ever they want in the way of food. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. Residents and their relatives can be confident that any concerns they might have will be listened to, taken seriously and acted upon. EVIDENCE: The home has an adequate complaint procedure that is clear and easy to follow and contains the timescales for the completion of the process. The procedure is displayed in the entrance hall to the home There have been no complaints since the last inspection. A copy of the procedure is also in the contract of residency and the homes policies and procedures. The home also has a copy of the Bradford multi agency procedure “No Secrets” Certain staff spoken to were aware of the procedure and importance of reporting suspected abuse and were aware of POVA (Protection Of Vulnerable Adults) The area manager told me she has done the Adult Protection course for managers, which has proved very useful in her being able to cascade the training down to the other managers. She also said the company were very keen on implementing training. Training records showed 11 of the homes staff have completed abuse awareness training and that certain staff that have not completed the training have been shown a video on the subject. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 17 Comments received via comment cards from relatives identified they knew how to complain and who to. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25 and 26 People who use the service experience good outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The people who use the service are provided with a home that is suitable and well maintained. EVIDENCE: The location and layout of the home are is suitable for the resident group living there. Information in the pre inspection questionnaire identified further improvements have been made to the environment. All the lounges have now been redecorated to a very high standard, and residents spoken to said they liked the new décor. As rooms are redecorated they are provided with a lockable storage facility. The manager said all bedrooms would be provided with lockable space in due course. Bedrooms I looked at had been redecorated to a very high standard. The home intends to continue with this refurbishment Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 19 as part of their ongoing annual plan. Appropriate locks are being added to doors to assist residents with ensuring their privacy and dignity is upheld whenever possible. The gardens at both the front and back of the house are continually maintained to a good standard and certain people who use the service commented on how attractive the gardens looked. The providers continue to buy new height adjustable beds for use by those residents who would benefit from them. The areas of the home that were inspected were clean and tidy with no unpleasant odours. One resident spoken to said the first thing he noticed when he came to see the home was that it did not smell. Areas of the home used by residents had aids to help with their mobility, such as grab rails in toilets and handrails on corridors. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience adequate outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. Staff are trained and competent to do their job, but people who use the service may be placed at risk due to the recruitment procedures. EVIDENCE: On the day of the visit staff were present in such numbers to be able to provide adequate care for the residents. Domestic, catering and laundry staff complemented the numbers of care staff on duty. Up to date staffing rotas confirmed this. The manager said that staffing levels had been reviewed in March 07, and an increase had been made to the numbers of waking night staff on duty. There is a staff training and development programme that identifies shortfalls in staff development and makes sure they receive the training they need to provide adequate care for the people who live there. Training files for staff were seen that showed new staff were enrolled on Skills for Care common induction training when they started working at the home, and care staff spoken to during the inspection said they had been provided with induction training, were up to date with all mandatory training and had received training to care for people with dementia. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 21 Information in the PIQ said seven of the care staff have achieved NVQ (National Vocational Qualifications) at level two or above. One member of staff has an NVQ in cleaning. This still falls short of the 50 required to be trained, however the manager said that two carers were working towards achieving NVQ at level two, and two were working towards level 3. She also said 16 of the staff in the home had done first aid training and that there was one first aid trainer within the group. The manager said 6 of the care staff have had dementia care training and that more staff was to be provided with the training in the future. She also said she was going to arrange for some training for staff on age related conditions Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, and 38. People who use the service experience adequate outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People who use the service are continuing to benefit from the improvements that are being implemented by the registered manager. EVIDENCE: The manager is an experienced registered nurse and has successfully completed the registration process with the CSCI. She has successfully completed the registered managers award, which is equivalent to NVQ level 4 and has experience in caring for people with mental health needs. The manager continues to make improvements with this service, and this has been evidenced by the amount of training provided for staff. The residents, staff and relatives spoken to all said they had confidence in the management team and they felt supported when they had a concern. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 23 Regular visits from the Responsible Individual under Regulation 26 of the Care Standards Act continue to be carried out and sent to the Commission as is required. Information from the last report said one new service user was content and settling well. That the notice board in the foyer had been provided with a cover that has prevented removal of items by certain residents and now complies with Fire Safety regulations. The report also gave information about distance learning to be sourced on Health and Safety, and also talked about bed rails being audited by the manager and all outdated or unsafe ones disposed of. The manager said that residents/relatives meetings are held and minutes are taken of the meetings. She said she has an open door policy and is available to residents, visitors and staff when she is on duty. A discussion took place with the manager about a resident who had left the premises and was brought back by a neighbour. She said that the risk assessment had been reviewed, and plans put in place to prevent a recurrence. Information from residents and relative’s surveys said that they thought the home was well managed and run, and that they had confidence in the management team, and said there relatives were well cared for. Policies and procedures that are in place are revised and updated by the organisation as needed and when laws change. Copies are kept in the managers office and easily accessible to staff. Information from the PIQ showed that safety and maintenance checks of equipment and installations in the home were carried out and were up to date. Records of checks made on fire safety systems and equipment were up to date. Residents or their relatives deal with financial matters, although the home will keep small amounts of money in safekeeping for residents and records of all monies received and returned are kept. Since starting at the home the manager has made sure that all staff have received formal one to one supervision. Records are kept and the information is used in the individual learning and development plans. Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 24 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement The registered provider must ensure a thorough detailed care plan is provided to meet the assessed needs including those people who are admitted for respite care. (Previous timescales of 31/05/05 and 30/09/06 were unmet) The registered provider must ensure that proper provision is made for the health and welfare of the people who are admitted for respite care. The registered provider must ensure recruitment procedures are robust and protect the people who use the service. Timescale for action 30/09/07 2. OP8 12 30/09/07 3. OP29 7, 9 and 19 Schedule 2 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Red Gables Refer to Good Practice Recommendations DS0000064964.V331767.R01.S.doc Version 5.2 Page 26 Standard Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 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 © 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 Red Gables DS0000064964.V331767.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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