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Inspection on 01/04/08 for Ridgeway House

Also see our care home review for Ridgeway House for more information

This inspection was carried out on 1st April 2008.

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

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

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

What has improved since the last inspection?

The acting manager stated that a new administrator has been employed who is now undertaking all administration tasks which allows her to spend more time on the shop-floor. She also commented that training programmes are ongoing for all members of staff working at this establishment. All residents files are gradually being updated and efforts to involve residents and relatives in care plans is also ongoing. Decoration is a daily event and the handyman hopes to have completed his targets for decorating most rooms by December 08. Also all past requirements have been addressed which were made at the last key inspection.

What the care home could do better:

1. The home needs to provide more information to residents and relatives in the form of the service user guide or statement of purpose to help them choose the right home for their needs. 2. All files must have an accurate record of people`s belongings or their valuables when they come into the home. This would ensure that any loss of valuables can be identified and action taken, depending on circumstances. It would also help to ascertain the wishes of the resident or family about how valuables are to be managed on the death of a resident 3. Residents or their representative must be involved in their care plans. This would ensure that any views they may have about the type of care they require is recorded and acted upon. 4. Care plans must address the issues of individual residents privacy and dignity and how this is to be delivered. This would ensure that individual residents have their say as to how their privacy and dignity is to be maintained given the daily routines that communal living imposes on them.

CARE HOMES FOR OLDER PEOPLE Ridgeway House 2-6 The Avenue Lincoln Lincs LN1 1PB Lead Inspector Doug Tunmore Unannounced Inspection 1st April 2008 09:30 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 Ridgeway House DS0000002548.V361551.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. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgeway House Address 2-6 The Avenue Lincoln Lincs LN1 1PB 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) 01522 530552 ridgewaynursing@btconnect.com www.guardiancarehomes.co.uk Guardian Care Homes (UK) Limited ** Post Vacant *** Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Old age, registration, with number not falling within any other category (32) of places Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd April 2007 Brief Description of the Service: Ridgeway House is a care home situated close to the centre of Lincoln and is within easy reach of local facilities, including shops and a post office. It is a converted building with a single storey extension on the ground floor, providing care and accommodation for thirty-five people. The home has a refurbishment programme, which complies with The Commission For Social Care Inspections standards. The registration is for a care home, providing care for older and for some who have Dementia. The homes statement of purpose states that when people work hard throughout their lives and have committed to helping others, we think they deserve extra cherishing. The home is owned by Guardian Care Homes (UK) Limited. The current scale of charges at this home is from £394.00 to £431.00. Additional costs are made for hairdressing, chiropody and newspapers. These are all private arrangements and the individual resident meet these costs. The company do not charge for staff accompanying residents to appointments to the doctor’s surgery or hospital. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means that people who use this service experience adequate quality outcomes. One inspector undertook this visit to the home. This formed part of an unannounced key inspection. This visit took into account any previous information held by The Commission for Social Care Inspection (commission) including the homes previous inspection reports and the homes Annual Quality Assurance Assessment form, hereafter in this report referred to as AQAA. ‘Have Your Say’ surveys were sent to the home by the commission and residents returned two, as did relatives. The site inspection consisted of case tracking a sample of two residents records and assessing their care. The inspector spoke with two residents, joining one for lunch, and asking a further four their views on the food served at the home. Three visitors were also spoken to, as well as a visiting community nurse. The inspector also spent time with the acting manager, the administrator, one carer, activities organiser and the handyman. A full tour of the home and a review of a sample of the records were also included. What the service does well: What has improved since the last inspection? The acting manager stated that a new administrator has been employed who is now undertaking all administration tasks which allows her to spend more time on the shop-floor. She also commented that training programmes are Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 6 ongoing for all members of staff working at this establishment. All residents files are gradually being updated and efforts to involve residents and relatives in care plans is also ongoing. Decoration is a daily event and the handyman hopes to have completed his targets for decorating most rooms by December 08. Also all past requirements have been addressed which were made at the last key inspection. 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. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 7 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 Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 8 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): Standards 1, 2, 3,4 & 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents do not receive information about the home, which helps them to make an informed decision about where to live. The clear assessment process assures them that their needs can be met within the home. EVIDENCE: The providers AQQA states that ‘ assessment needs prior to admission is carried out and letters are sent to confirm that the needs of residents can be met or not’. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 9 We looked at two of the files of residents who were being case tracked which evidenced that care needs assessments had been undertaken and were comprehensive. There was also evidence that prospective residents had been written to by the provider confirming that their needs could be met. Files also showed that contracts/terms of conditions was available and had been signed by relatives of the residents. This visit found that the statement of purpose and the service users guide was not made available to prospective residents. The acting manager said that in future all prospective residents would be given a service users guide at the time the assessment of their care needs was undertaken. Two residents surveys returned to the commission showed that, one said that they had received a contract and another said that they had not. Neither felt that they had information about the home prior to admission. One survey received from a relatives stated; ‘my mother has only recently moved in, so we are still finding things out’. Both surveys evidenced that they only sometimes get enough information about the care home to make decisions. This home does not undertaken intermediate care. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 10 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): Standards 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Neither residents nor their representatives are involved in their care plans. Maintaining peoples dignity and ensuring their privacy is not recorded for the information of staff. EVIDENCE: The providers AQAA shows that ‘All staff are encouraged to have an awareness of diagnosis of the residents and to deal with their assessed needs, maintain privacy, give choices and dignity to all residents’. Two surveys returned from residents confirmed that one felt that they always received the care and support they need and one usually did. They also commented that one always gets the medical support needed and the other felt that they usually did. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 11 Relative’s surveys stated that; ‘the care staff do appear to be very caring so I would say they would meet every need that they could’. A further comment was ‘I have ticked always because on the whole I am more than satisfied’. A carer demonstrated that she had knowledge of the provider’s policies and procedures and was aware of the care needs of those people who live in the home. The homes night care records are kept in residents files. The acting manager commented that she is thinking of using a different night care checklist, so as to evidence the care experienced by residents during the night. Daily entries had been made in care plans by care staff that identified the care given. The homes accident book was seen and it was found that in one instance an accident occurring to a resident had not been recorded in the residents file. This was brought to the attention of the acting manager. Other issues found in those files of residents who were being case tracked were; no written evidence of residents likes and dislikes relating to food/beverages or any other aspects of her daily living, including current skills or knowledge. There were no records in files which showed that residents individual intimate care needs are being addressed in their care plans for the information of carers. The acting manager stated that all residents or their relatives are to be encouraged to sign care plans to acknowledge that they are aware of the care plans and are fully involved. A visiting community nurse gave good examples of care carried out by the staff at this home. She commented that, ‘staff are always available to assist me with a patient when required, one resident who came to this home with a serious pressure sore is now healed due to the care given and the equipment supplied to meet her medical needs’. The care of this resident was ‘100 ’ she said. Files seen confirmed that health care professionals visit the home when required by the residents. One resident and her visitor confirmed that she has seen the doctor recently. The pharmacist visited the home on the 26/02/08 and recorded that all new staff had been trained. Further comments were; that there were some entries with no signature, correct codes not always used if dose (medication) was not administered. On the day of this visit medication sheets were found to have been signed and correct codes of medication not given, used. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A choice of meals are available to people which is nutritious and varied. Visitors and friends are made welcome in this home. Social activities were varied and provide daily stimulation and interest for people living in the home. EVIDENCE: The providers AQAA evidences that ‘choices are given to residents which surrounds their daily living, i.e. when a resident wishes to get up or stay in bed, also what they eat, encourage visitors to the home’. Resident’s surveys showed that they both usually liked the meals provided at the home. One felt that activities are never available at the home and the second survey showed that activities are sometimes available. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 13 On the day of the visit a number of residents were going out to the Brayford Wharf for a walk with the activities organiser. A list of activities was posted on the notice board and showed that a daily activity is available for those who wish to join in. One visitor to a resident confirmed that they had asked for a more physical activity so as to stay trim. The acting manager was able to confirm that arrangements had been made with the local authority for a keep fit worker to attend the home on a regular basis in the near future. Three visitors confirmed that they are made welcome at the home and light refreshment is always offered. One also commented, ‘we are very happy with the place’. The inspector joined one resident for lunch and spoke to four others about the food on offer. There is a choice of meals and the cook also prepares cooked meals for tea rather that sandwiches. The food supplied is frozen except for vegetables and fruit, which is delivered fresh. The meal ordered by one resident was not to his liking and this was changed with no fuss by a carer for the second alternative, which was more to his liking. However, this resident struggled during his first choice to eat some of his food due to problems with his dentures. This needs to be recorded as his preferences for soft foods so that staff are aware of his needs. All those residents spoken to in the dining room stated that then meals are always hot and tasty. However, a relatives survey reflected the view that, ‘the care home are changing over to frozen meals and I have concerns about this and personally feel that the residents and their families should have been asked what their views were. Of course, the food may well turn out to be fine, but I personally would prefer fresh food for my mother and am quite unhappy about this at this time’. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 14 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): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear policies and a responsive and knowledgeable staff team protect people in this home. EVIDENCE: The providers AQAA shows that ‘Adult protection training records, complaints policy/procedures and knowledge regarding and concerns/complaints will be taken seriously and acted upon. Residents surveys showed that one knew who to speak to if they were unhappy and another sometimes did. One resident also knew how to make a complaint and the second resident did not. The acting manager stated that there had been no complaints since the last inspection on the 04/04/07. There has been one vulnerable adults investigation regarding a carer in which it was found there was no case to answer. There is appropriate documentation for the recording of complaints. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 15 Previous visits have found that the home has Lincolnshires Adult protection procedures, as well as the homes whistle blowing policy. One residents and her visitor commented that ‘staff treat me with respect, they are very nice and any problems I can talk to them’. All residents spoken with confirmed that they had not made a complaint and they felt that they were safe in this home. The training file was seen, which showed that seven carers including the acting manager have undertaken safe guarding vulnerable adults training in July or October 2007. The acting manager stated that there are no current adult protection matters at the present time. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 16 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): Standard 19, 20, & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a comfortable and clean environment that meets their individual needs. EVIDENCE: The providers AQAA shows that ‘the home provides a homely and safe environment for all residents’. Residents surveys showed that one felt the home was always fresh and clean and one felt that the home is usually fresh and clean. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 17 A previous visit to the home in April 2007 evidenced that a rolling maintenance programme is in place that shows ongoing work carried out, externally and internally at the home. The inspector was accompanied by the acting manager and the handyman and conducted a full tour of the environment. It was found that the toilets/bathrooms had been decorated and a number had paintings and mirrors and had a welcoming appearance. Also paintwork and floors had been cleaned since the last visit. Some eight window frames had been repaired and seventeen bedrooms had been redecorated to a good standard. A radiator had been fitted to one resident’s bathroom enabling her to shower/bath in comfort in cold weather. All residents files have an individual risk assessment relating to the safety of people in the homes environment. These risk assessments were more detailed in relation to those service users who were most at risk of falls. The home was found to be clean with a pleasant odour throughout. The training file showed that infection control training is planned for all carers and domestic staff in May 2008. Those residents and relatives seen on the day of the visit commented that a new carpet had been fitted in the lounge/dining room and in the smoke room. One resident stated that there are lots of flowers in vases around the home. None of the people seen made mention of the home having an unpleasant odour. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 18 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): Standards 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was adequately staffed with employees who were experienced, competent and educated to care for older people. Residents are protected by robust recruitment practices. EVIDENCE: The providers AQAA indicates that ‘ All appropriate checks are made before any staff commence work. Good staffing levels and knowledge to meet the assessed needs of residents’. Resident’s surveys reflected that staff are usually around when you need them. A specific comment made by one visitor was, ‘I think the care staff care very well for the residents’. Another visitor stated, ‘I always feel happy that my mother is in this particular care home’. Two care workers personnel files were seen and evidenced that appropriate checks are undertaken for the safeguarding of residents. The home has distributed to all carers The General Social Care Council Codes of Practice, which sets out responsibilities as care workers looking after vulnerable adults. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 19 The providers training plan was seen and found to being added to as training was arranged for all staff at the home. A carer stated that she has worked here for five months, in which time she had undertaken her induction training, fire training, health and safety, basic food hygiene and moving and handling. She also said that she has been trained to give out medication. The acting manager commented that only four staff have a vocational training qualification in working with the elderly but a training provider is going to undertake vocational training for all staff in the near future. The carer also confirmed that she had a interview prior to starting work and had two references and a criminal record bureau check. The homes rota was seen and it was found that adequate staffing levels are maintained to meet the needs of residents. One carer stated that they are a bit stretched in the mornings and five staff would be better. One residents said that there are sometimes two carers when there should be three, but when the earth quake came a carer was right there for me in minutes. Another resident said that when she rings her call buzzer staff come quickly. The acting manager stated that there are three night staff and four carers in the morning and three in the afternoon. There is a handy man, a administrator, two domestics and a laundry worker and two cooks. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 20 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): Standards 31,33, 35,37 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s valuables are not protected due to a lack of procedures. There has not been consistent management of this home to ensure its smooth running. The home is currently generally well managed, and there are good systems in place, which protect the health, safety and welfare of residents. EVIDENCE: The providers AQAA show that ‘there are good systems in place to ensure the sufficient running of the home. Regular audits in various aspects of the home. Records of personal monies are kept’. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 21 Evidence was given at this inspection that the regional manager has undertaken one period managing the home, an acting manager, now gone, acted up for twelve months with the current acting manager being appointed in October 07. None of the above has become the registered manager. The current acting manager informed the inspector on the day of the inspection that ‘Guardian Care Homes (UK) Limited’ have sent a registered letter to the commission with the application for Ms Elisabeth Hunt application for registration as a ‘Fit Person’ to manage the care home. The acting manager has seven years experience at this home working at all levels. She has not, however, undertaken the registered managers award. On the 01/02/07 the commission wrote to the regional manager of this company reminding her that it is an offence for a person to work at a home without being registered. Residents, visitors and care staff made positive comments about the acting manager. A resident stated, the manager is smashing she spends more time with us than in the office. Another resident commented that she (the manager) is always singing. The care on duty remarked that the manager is fantastic, easy going and supportive comes in on the floor and makes sure we have everything we need. A previous visit to the home found that the provider deals with residents personal allowances and receipts are kept of monies paid to the hairdresser or chiropodist. Two residents finances were assessed at this visit and a accurate record was kept. Supervision of care staff is undertaken on a regular basis. One carer on duty confirmed that she had undertaken supervision. Files seen evidenced that supervision and appraisals have been undertaken. Two residents files seen did not have a record about clothing items or valuables that resident brought into the home. The acting manager stated that there were no such records in any residents files but she and another member of staff would complete these lists on the day of the inspection. The providers AQAA showed that; gas safety inspections have been carried out, electrical wiring checks, fire precautions checks, and portable electrical equipment checks. All systems are satisfactory. The senior nurse stated that risk assessments are available relating to the home environment. Staff had been trained in Health & Safety, Fire procedures, etc. Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x 2 3 Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 23 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 OP1 Regulation 5(2) (a) (b) Requirement A system must be established to ensure that people or their representatives are provided with good information about the home to help them make an informed choice. A system must be established to ensure that residents or their representatives are involved in their care plans and their views are recorded and acted upon regarding the type of care they require. A system must be established to ensure that individual residents privacy and dignity is recorded and acted upon. A system must be established to ensure that resident’s valuables are recorded accurately during the admission procedures. Timescale for action 27/06/08 2. OP7 15(2)(c) 27/06/08 3. OP10 12(4) (a) 27/06/08 4. OP37 16(2) (l) 27/06/08 Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Ridgeway House DS0000002548.V361551.R01.S.doc Version 5.2 Page 26 - 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!