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Inspection on 25/11/08 for Regents View Nursing Home

Also see our care home review for Regents View Nursing Home for more information

This inspection was carried out on 25th November 2008.

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

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The arrangements for having a designated staff member with responsibility for fire instructions and training still remain in place. This ensures that all staff receive regular fire safety awareness exercises and training. The residents` need assessments are thorough and include detailed information received by the home and also from the social worker or nurse assessor. These assements are used as the basis for drawing up the care plans for the residents. All care staff and nurses receive regular supervision. Records of these are maintained on individual personal files. Relatives commented that the staff keep them informed about issues relating the residents. Two relatives commented that the staff were extremely helpful to them when their father was in the process of being admitted to Regents View. The home is well managed and run for the benefit of the residents. The manager and the staff regularly consult with relatives and take into account their views in the planning of activities and other care practices. Some of the comments from relatives and residents include the following: "Without a doubt, care is very good, standards are high for our mother". "The cleanlines of the home is impeccable". "As a relative, I am very happy with the care and the attitude of the staff". The views of the "expert by experience" are summarised with the statetment, "Overall I was impressed with the home and the happy and caring attitude of staff. The home seemed well run."

What has improved since the last inspection?

In the last inspection report, three requirements were placed on the home involving two issues in the kitchen and one in relation to risk management startegies for keeping bedroom doors wedged open. The manager had taken appropriate action to resolve these issues.

What the care home could do better:

The hotlock in the kitchen was dirty and needed to be kept in clean and hygienic state. The manager should make sure that the date on which staff receive their one-to-one supervisions are entered on the supervision records and not just the month in which the suprvision takes place.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Regents View Nursing Home Francis Way Hetton Le Hole Houghton Le Spring Tyne & Wear DH5 9EQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sam Doku     Date: 2 5 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Regents View Nursing Home Francis Way Hetton Le Hole Houghton Le Spring Tyne & Wear DH5 9EQ 01915266776 01915266882 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Caralyn Janice Bowman Type of registration: Number of places registered: Tamaris Healthcare (England) Ltd care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Regents View is a purpose built home in 1995 to provide both nursing and personal care places for 50 older people who have mental health care needs. It stands in grounds that are shared with another care home belonging to the same company. The home is located in a village, in a rural area, among a residential estate and there are local facilities close to the home including shops, post office, bank and public houses. The city centre of Sunderland and the town centre of Houghton-le-Spring is within a short direct bus route from the home. The home itself is constructed in a traditional style of brick and tile and has two floors with passenger lift access to the first floor. The access is level from the ground floor entrance. The car park is located to the front of the building. Bathrooms and communal WCs have handrails and appropriate lifting Care Homes for Older People Page 4 of 27 Over 65 50 0 5 5 Brief description of the care home equipment for disabled service users. The internal space is generous and there are a variety of lounges and dining areas. Audio and television facilities are provided in these lounges. The grounds are well kept and there is a protected safe area to the rear of the home, in the form of a small sensory garden with a bird stand, enabling service users to meander in relative safety, weather conditions permitting. The scale of charges for the service users range from 422 pounds per week excluding the nursing cost. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating of this service is 2 Star. This means the people who use the service experience good quality outcomes. The inspection was unannounced and commenced on 25 November2008 and completed on the same day. The inspector was accompanied on this inspection visit by an Expert By Experience to conduct the inspection. Before the visit the inspector looked at: Information we have received since the last inspection visit on 30 November 2006. How the home dealt with any complaints and concerns since the last inspection. Any Care Homes for Older People Page 6 of 27 changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). The views of the people who use the service. The comments made by the residents in the five residents surveys that we received. The comments made by the staff in the five staff surveys that we received. During the visit the inspector did the following. Talked to the people who use the service, the manager and the care staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. The expert by experience looked at the care environment that residents were living in, the staff interaction with both other staff and residents and the activities available for residents either as individuals or as a group. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get Care Homes for Older People Page 8 of 27 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good information about the service, including invitation to visit, which enable prospective residents to make informed decisions about coming to live there. All residents are assessed before admission and also on the first few days of admission, to make sure that the home has the necessary skills and facilities to look after them, thus promoting their welfare and wellbeing. Evidence: The manager confirmed that all residents and or their relatives have been provided with a copy of the service user guide. Two relatives who were visiting at the time of the inspection confirmed that they received copies when they came to look round the home on behalf of their father. The guide provides good information about the facilities in the home. Care Homes for Older People Page 11 of 27 Evidence: The company provides terms and conditions of residence and the manager confirmed that all residents have been given a copy of the contract. Copies of the contract or terms and conditions of residence are kept on individual files. These provide useful information to all the residents about the service and also about their obligations under the terms and conditions of being at Regents View. In the contract, the first six weeks of residence is classed as trial period. This allows residents and their relatives sufficient time to decide if Regents View is the right place for them. The policy of the home is that prospective service users would have their needs assessed by their social worker or PCT Nurse Assessor and also by the home before admission is agreed. This allows the individual care needs to be established and for the manager to decide if the persons care needs can be adequately met with the available resources within the home. Copies of pre-admission assessments by social workers or nurse assessors and also assessments that had been carried by the nursing staff of the home were available in the home. These provide the basis for the residents care plans. Relatives described the helpful arrangements made by the staff for them to visit the home and meet with staff and other residents before making their decisions for their father to come and live at Regents View. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents receive care that is consistent with their personal and healthcare needs. Furthermore, the home has effective procedures in place for administration and safe handling of medication. Evidence: Detailed care plans are available and these set out the care needs of each resident. The plans provide details of how nursing and care staff are to support each residents in meeting their personal and healthcare needs. The supporting daily report records show that staff have been following the plans as set by the nursing staff. The plans are regularly reviewed and where necessary they are altered to reflect the current needs of the person. The manager stated that when reviewing the plans, the views of the relatives are taken into consideration where necessary. This is particularly the case where the resident is not able to contribute to the process due to mental health problems. Residents and relatives who were spoken with confirmed that the residents have Care Homes for Older People Page 13 of 27 Evidence: access to healthcare facilities including GP support and other healthcare professionals. The records show that people have received healthcare support from professionals including psychiatrist, tissue viability specialist nurse, optician, chiropodist, dentist, occupational therapist and dietician. Five surveys were returned by residents. All five residents said that their healthcare needs are met and that they are very happy with the care that they receive at Regents View. The home has detailed policies on the storage and administration of medicines. These are followed by the nursing staff who have overall responsibility for the administration of medicines in the home. The inspector did an audit of the meidcation system with the manager. A random check of the medicines administration system was undertaken and there were no discrepancies noted. All the drugs administration records were appropriately maintained. There are suitable storage facilities for the medicines, including a small fridge for keeping specific medication that need to be kept in cooler conditions. At the time of the inspection the staff were noted to relate very well with the residents and there was obvious respect between staff and the residents. The residents confirmed that the staff treat them with respect and dignity. This was also reflected in the surveys that were received. The staff were friendly and professional in the way they interacted with the residents. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents have the benefit of meaningful and fulfilling social activities which enhance their wellbeing. Furthermore, the home provides individuals with the opportunity to make decisions about their care, and where appropriate include relatives, thus promoting their choices and independence. The residents are provided with good variety of wholesome and nutritious meals, which promotes their health and wellbeing. Evidence: The care plans that were viewed contained information about the social and recreational care needs through the social history section of the plans. There was a list of activities for residents on the notice board and the expert by experience was able to observe the activities organiser carrying out a reminiscence session with nine residents all of whom were engaged in the discussion. The expert by experience was informed by the activities organiser, staff, and a relative that residents are taken out of the home on outings from time to time. All residents were clean and appropriately dressed. The hairdresser attends every Tuesday, for the full day, and was very busy on the day of the inspection. The residents appear to enjoy the interactions with the Care Homes for Older People Page 15 of 27 Evidence: hairdresser. The expert by experience made positive comments about the framed memorial board which was on the wall in reception area, showing the names of all the residents who had passed away in the home. This seemed well received by the relatives that he spoke to, who see it as an indication of a caring and sensitive approach by the home. Three relatives were spoken with about visiting times. They all said that the flexible visiting times allow them to continue to visit at times that is convenient for them. Two residents confirmed that their relatives and friends visit regularly. One gentleman described how he is able to visit on daily basis and he finds the staff helpful. The daily routines are organised flexibly to take account of individual likes and dislikes. This allows individual residents to make choices about some aspects of their routines. For example, staff had good knowlegde of which residents like to have a lie-in in the morning and who like to go to bed late. The staff also know the kind of music some of the residents like to listen to. Some of these information are stated in the individual care plans. The dining areas on each of the floors are pleasantly decorated and furnished. Dining table were appropriately set and residents had their meals in pleasant and comfortable environment. A four-week rotational menu remains is operation in the home. The residents and their relatives commented positively on the quality and quantity of the meals provided. Examination of past menus show that the home provides choice of menu for the residents. Those residents with special dietary needs are catered for. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and relatives have information about how to make a complaint and are confident that any concerns raised will be acted on by the home, thus promoting their right to express their views about the service. Staff are aware of safeguarding adults procedures and have received suitable training which safeguard welfare of the residents. Evidence: The complaints procedure is posted in the reception area and a summary of the procedure is in the service user guide. Details in the complaints record show that the home takes complaints seriously. Record show that the home had received two complaints since the last key inspection. These have been appropriately addressed to the satisfaction of the complainants. Because of the memory problems that most of the residents have, it was difficult to get a view from them about the complaints procedure. However, one lady said she is aware of how to make a complaint if she was not happy about something. Relatives were spoken with about the homes complaints procedure and they said they are aware of the procedure and feel confident about raising any concerns with the manager if they were unhappy about something. Two relatives commented that they Care Homes for Older People Page 17 of 27 Evidence: have never had the need to complain because they feel any concerns they have would be immediately addressed by the staff. Five surveys were returned by the residents and they all said they are aware of the complaints procedure and would know how to make a complaint. Staff have had training in safeguarding adults. Staff who were spoken with were familiar with the homes policy on safeguarding vulnerable people. The staff showed understanding of the POVA procedures and also showed an awareness of the need to protect the residents from all forms of abuse. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides safe, secure, clean, warm and pleasant environment for the residents to live in. Evidence: The home is clean and maintained to a good standard. The bedrooms that were seen were clean and personalised, reflecting individual tastes and preferences. Residents have been encouraged to furnish their rooms with personal items which enhanced the homeliness of their rooms. All rooms are single occupancy with an en-suite facility. Individual rooms have good ventilation and natural lighting. Residents and relatives described the bedrooms as comfortable and homely. Window restrictors have been fixed to all windows for safety, and all radiators have a suitable covering to prevent any accidents to the residents. Checks of hot water at randomly selected bathing outlets confirmed that hot water did not exceed the safety level of 43 degrees centigrade. There are good arrangements in place for regular maintenance work in the home. The maintenance book shows that the handyman has kept on top of any maintenance and safety work that is needed to maintain a safe environment. These include fire safety checks and fire drills. Care Homes for Older People Page 19 of 27 Evidence: The home has suitable infection control policies in place. Staff have had training in infection control and records show that the home has adhered to effective infection control procedures. The kitchen was noted to be clean and maintained to a good standard. There is a cleaning rota showing how the domestic staff keep up with the cleaning activities in the kitchen. Records relating to food temperatures and other food hygiene measures are maintained. However, it was noticed that the chest freezer door is defective and needs to be mended or replaced. This was commented on by the inspector during the last key inspection visit. The manager informed the inspector that they were expecting a delivery of a new freezer, and before the completion of this report, the inspector received a telephone message to say that the new freezer had arrived. The expert by expreince noticed that when the oven doors were opened there was a fair amount of food and dirt in the recess. This was pointed out to the manager and she was asked to ensure that this oven kept clean at all times. The laundry was found to be well ordered, and appropriate COSSH notices are in place. The laundry machines are suitable for cleaning foul linen. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing numbers are satisfactory and promote the safety and welfare of the residents. Furthermore, the company adheres to good recruitment practices, which safeguards the welfare of the residents from unsuitable people. Suitable arrangements for staff training and supervision are in place, which ensured that staff are equipped to provide a good quality service that benefits the service users. Evidence: The home employs sufficient numbers of staff to meet the needs of the residents. The inspector had discussions with staff, relatives and the residents about the staffing levels and there is a general view that there are always sufficient staff on duty to meet their needs. However, in one of the residents survey, there was a comment that sometimes there is shortage of staff, although the manager confirmed that this happens but very rarely. The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. This was recorded in the staff training log that was available in the home Care Homes for Older People Page 21 of 27 Evidence: which shows the percentage of staff with relevant training. The training log shows that some staff require a refresher training in some areas and the manager had made suitable arrangements for this to commence. All staff receive supervision and these are well documented. However, the actual date on which the supervision happened should be recorded, not just the month. Four staff files were examined to check on the recruitment process by the manager. The files show that the home has been following the company policy on recruitment. All the files contain completed job applications, copy of job description, appropriate references, evidence of CRB checks and record of training. The files are well ordered and information was easy to access. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a qualified and experienced person, and runs the home for the benefit of the residents. Furthermore, the home has procedures in place to provide supervision for staff of all grades. This promotes the quality of the service that the residents receive. Evidence: The registered manager has long experience of managing a residential care home. Staff and relatives commented positively on her management qualities as being very good. Both staff and relatives feel that the manager is approachable and supportive of them. There is a quality assurance system in place for seeking the views of the residents and visitors to the home. The manager described the procedure for ensuring that the service is under constant review. The manager reviews the service regularly and in doing so she takes into account any comments from her line manager during his Care Homes for Older People Page 23 of 27 Evidence: monthly visits to the home, to see how the home is being run. Quality audits are carried out on a monthly basis to make sure that the service is delivered in a consistent manner and that the views of the people who use the service are taken into consideration. Examination of the personal allowance records and receipts of transaction show that there is a good system in place and that the residents monies are safe and properly accounted for. Receipts are available for all transactions that have been made on behalf of residents. Relatives have the option of managing such monies for their relatives or agree for the home to manage this, using a single bank account in the name of the home. The manager confirmed that most relatives have agreed for residents monies to be placed in a pooled account. There are suitable arrangements for care staff and other ancillary staff to receive oneto-one supervision from the manager and the trained nurses. Staff records show that the manager and the nurses have provided individual supervision to care and ancillary staff on a regular basis. The staff commented that they find the supervision sessions useful. The trained nurses receive their supervision from the manager. The company Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH), protection of vulnerable adults, infection control, dealing with violence, disposal of clinical waste and record keeping. Staff adhere to the policies as set by the company. Servicing records confirm that all portable appliances have been tested. A record is maintained of regular water temperature tests in the home. Regular servicing of fire equipment, passenger lift, bath lifts and hoists, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. These included servicing of passenger lift, hoists, water treatment, electrical installation and gas servicing. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. Residents and relatives commented that the manager runs the home for the benefit of the residents. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 26 36 The hotlock in the kitchen was dirty and needed to be kept in clean and hygienic state at all times. The actual date on which the staff supervision takes place should be recorded, not just the month in which the supervision took place. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 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!